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Item 4CCITY OF SOUTHLAKE MEMORANDUM (June 18, 2013) To: Shana Yelverton, City Manager From: Robert H. Price, P.E., Director of Public Works Subject: Approve annual contract renewal for Lewis Concrete Restoration for manhole and wet well rehab services in an amount not to exceed $250,000 Action Requested: Approve annual contract renewal for Lewis Concrete Restoration for manhole and wet well rehab services in an amount not to exceed $250,000. Background Information: In late 2010, RJN Engineering Group completed a comprehensive assessment of the Southlake waste water collection system. Generally they found the network of pipes to be in good condition and adequately sized to serve the needs of our customers. Most of the defects found were on the concrete structures in the system such as manholes, junction boxes and lift stations. While some of the defects were caused by post -construction activities such as earth grading, the more serious and on -going issue is the degradation of the concrete structures do to acid formation in the collection system. Because of the corrosive nature of the wastewater collection system, unprotected concrete structures in parts of the system begin to fail long before the PVC pipes. In order to preserve these components, the city solicited bids in FY 2011 for epoxy coating the interiors to restore the structural integrity of the structures and prevent further damage. The contract was awarded to Lewis Concrete Restoration with the option of up to four annual renewals. This year they have requested a 2.5% increase in pricing over the FY 2012 prices as allowed in the original bid. Since Lewis Concrete Restoration's performance during the first two years of the contract has been very good, staff is requesting council approval to renew the contract for another twelve months. Financial Considerations: Funding for purchases under this contract is available in the FY 2013 Waste Water Operations and CIP - Sanitary Sewer System Rehabilitation Project. Strategic Link: The maintenance of the utility system links to the city's strategy map relative to focus area of Performance Management and Service Delivery. The specific corporate objective that is met by this purchase agreement is investing to provide and maintain high quality public assets. Citizen Input/ Board Review: N/A Legal Review: Yes Alternatives: The City Council may approve or deny this agreement. Supporting Documents: Bid Specification and Addendum Renewal Proposal Staff Recommendation: Approve annual contract renewal for Lewis Concrete Restoration for manhole and wet well rehab services in an amount not to exceed $250,000. Staff Contact: Robert H. Price, P.E., Public Works Director Chuck Kendrick, Deputy Director of Public Works - Operations May 20, 2013 Lewis Concrete Restoration 405 Ware Dr, Buda, Texas 78610 Attn: Ms. Sherry Lewis Subject: Option to Extend Notification for Provide Manhole and Wet Well Rehabilitation Services RFB1105B429JT110016 Dear: Ms. Lewis: The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, for "Provide Manhole and Wet Weil Rehabilitation Services RFB1105B429JT110016" copy included. This extension shall become effective August 5, 2013, pending City Council approval (CC Award date ) and shall continue in full force based on the terms and conditions of the initial award. Additionally as a condition of contract renewal a price adjustment may be requested by the vendor and considered by the City. Your company has requested a two and one half percent (2.5%) increase. This increase request has been approved for the renewal term of this contract. The terms and conditions proposed and accepted in this renewal agreement are as follows: Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment) Method of Payment: Shall he made by purchasing card or purchase order. Delivery Terms: FOB Destination Delivery Locations: IF STATED IN RFB DOCUMENT Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to two (2) more one (1) year annual renewals. City Contact: JACK THHOMPSON 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or Email: accou3itspayable(a?ci.southlake.tx.us Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and local sales taxes. All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817-748-8312 with any questions. Sincerely, Tim Slifka ` Purchasing Manager, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tshfka(a,ci.soutlilake.tx..us Phone:817-748-8312 Fax:817-748-8048 Contract and Award Accepted: Signed: Mayor John Terrell City of Southlake Date. - Attest: Alicia Richardson, TRMC City Secretary Approved as to Form and Legality: City Attorney 1400 Main Street, Suite 440 Southlake, Texas 76092 LEWIS CONCRETE RESTORATION 335 Commercial Dr, Buda, TX 78610 Phone, 512.983.3283 Email: slewis@dewisconcreterestoration.com May 19, 2013 Timothy Slifka City of Southlake 1400 Main St. Suite 440 Southlake, TX 76092 Email: tslifka@ci.southlake.tx.us RE: CONTACT RENEWAL AND PRICE INCREASE REQUEST: YEAR 2013: Project: RFBL1.05B420JT110016: Manhole and Wet Well Rehab Services Mr. Slifka: The referenced manhole rehab annual contract is approaching renewal August 5, 2013. In accordance with the contract renewal terms, LCR is requesting your approval of a 2.5% increase in pricing as illustrated in the attached "Revised Schedule of Pricing: 2013-2014". The increase is due to: travel related expenses, anticipated health insurance costs due to government requirements, higher company insurance, and higher supplier costs. We appreciate your consideration of the price request and renewal of the annual contract. Please contact me if you require additional information. We look forward to continued success with the City of Southlake. Regards, Sherry Lewis, CFO "A Specialty Restoration & Preservation Company" MWSBE, TX HUB Operating in TX, LA, TN, MS, and AR On the JFeh at: i��ti1iv.le}� i�coruletcTrc�str1r'rrtir��r.crstrr Revised Schedule of Pricing: 2013-2014 Item # Quantity Description of Products/Services Unit Cost Sewer Manhole Liner Per Vertical Foot for Four 1. Per Vertical Ft. Foot Diameter Manhole (4') per Scope of Services CONDITION 1 $ 136.45 Sewer Manhole Liner Per Vertical Foot for Four 2. Per Vertical Ft. Foot Diameter Manhole (4') per Scope of Services CONDITION 2 $ 197.21 Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 3. Per Vertical Ft. CONDITION 3 $ 287.82 Sewer Manhole Liner Per Vertical Foot for Five 4. Per Vertical Ft. Foot Diameter Manhole (5') per Scope of Services CONDITION 1 $ 170.56 Sewer Manhole Liner Per Vertical Foot for Five 5. Per Vertical Ft. Foot Diameter Manhole (5') per Scope of Services CONDITION 2 253.18 Sewer Manhole Liner Per Vertical Foot for Five 6. Per Vertical Ft. Foot Diameter Manhole (5') per Scope of Services CONDITION 3 346.45 7. Per Square Ft. Wet Well Liner Per Square Foot per Scope of Services $ 11.53 8. Per Additional Cementitous Repair Material Above Initial I" of Material $ 4.10 per %" Traffic Control as Required by Texas Manual 9. Per Hr on Uniform Traffic Control in TXDOT Right of Way$ 205.00 Traffic Control as Required by Texas Manual 10. Per Hr on Uniform Traffic Control in High Traffic Non -Residential Area $ 153.75 11. Per Hr Traffic Control as Required by Texas Manual on Uniform Traffic Control in Residential Area $ 76.88 Other Vendor Charges. Please Explain. flow thru plugs 6 -12" for water flow conlrol inc u es piping 12, Per Svc. $ 410.00 Other Vendor Charges. Please Explain. 18"-24" flow thru plug 768.75 discharge hosepping 51.25 13. Per Svc. $ TOTAL ALL LINE ITEMS $ 3,072.92 City of Southlake • Finance Department • 1400 Main Street, Suite 440 • Southlake, Texas 76092 817.748.8312 An EEO/Affirmative Action Institution ORIGINAL DOCUMENT C -ny Cyr CITYAF SOUTHI,AKE ll SCX3T AKE Council Action. Y N Ord./Res. No. 19 Date Approved June 29, 2012 Lewis Concrete Restoration 405 Wane Dr. Buda, Texas 78610 Attm Ms. Sherry Lewis Subject: Option to Extend Notification for RFB1 105B420JT1 10016 Provide Manhole and Wet Well Rehabilitation Services Dear Ms. Lewis: The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, resulting from your RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services copy included for Fi cal Year 2012-2013. This extension shall become effective after City Council approval (CC Award date t4114611 and shall continue in full force based on the terms and conditions of the initial award. Additionally as a condition of contract renewal a price adjustment may be requested by the vendor and considered by the City. In support of a price adjustment, vendor may submit documentation as to the need of the price adjustment. Requests for price adjustments may only occur at the time of renewal and only upon securing the approval of the City in writing. Requests for price adjustments must be solely for the purpose of accommodating an increase in the vendor's cost, not profit. You have indicated you will be requesting a four percent (4%) increase for line items 1-6 at this renewal. Updated pricing has been included. The terms and conditions proposed and accepted in this renewal agreement are as follows: Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment) Method of Payment-, Shall be made by purchasing card or purchase order. Delivery Terms: FOB Destination Delivery Locations: IF STATED IN RFB DOCUMENT Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to three (3) more one (1) year annual renewals. City Contact: JACK THOMPSON 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or Email: accountspayableaci.southlake.tx.us Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and local sales taxes. All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817-748-8312 with any questions. Sincerely, im Slifka Purchasing Mana r, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 ts1ifka@ci.southlake.tx.us Phone: 817-748-8312 Fax: 817-748-8048 Contract and rd Accepted: Signed: Mayor John Terrell City of Southlake Date: $/ 4; 1' ._ Attest: Alicia Richardson, TRMC City Secretary Approved as F an�eg I' City Attorney 1400 Main Street, Suite 440 Southlake, Texas 76092 FEK 601 ;: LEWIS CONCRETE RESTORATION 335 Commercial Dr, Buda, TX 78610 Office 512-983-3283 Email: sherrylewis@austin.rr.com July 3, 2012 Timothy Slifka City of Southlake 1400 Main St. Suite 440 Southlake, TX 76092 Email: tslifka@ci.southlake.tx.us RE: CONTACT RENEWAL 2012: Manhole and Wet Well Rehabilitation Services Mr. Slifka: Lewis Concrete Restoration, LCR, has completed coating services for several manhole and concrete structures for the referenced project over the past year beginning October 2011. The contract renewal period is approaching. Upon renewal, the contract calls for a consideration of price increase of not more than 4% after the first year or for periods September 2012 thru September 2013. LCR's initial bid to the City of Southlake was aggressive to insure award and work to LCR as a newly re-established company. The contract's appealing 5 year escalating price option allowed for this aggressive pricing. We realized at the initial bidding time, we could capture any shortfalls due to the aggressive pricing, increases in fuel, travel, insurance, and maintenance and repair on equipment over a period of 5 years. The City of Southlake recognizes the most savings in the first year while providing an opportunity for LCR to re-evaluate actual costs and price accordingly over each year; thus, maximizing your budget dollar. LCR is requesting your approval of a 4% increase in the coating and cement services for manholes and concrete structures- items 1-6. I have attached a proposed price increase schedule for your information. There is no change in Items 7-I3 since these prices are competitive at this time. As mentioned above, the price increase is needed to recapture costs from the initial aggressive bid and incremental operating costs of fuel including transportation fees, insurance, medical (47% increase on current plan) and worker's comp (1.0% due to re-establishment), and equipment maintenance. The proposed price increase remains competitive for the City. We appreciate your business and the always exceptional, courteous, and friendly service we experience by the City of Southlake personnel. We look forward to continued success and hearing from you soon regarding your decision. Please contact me if you require additional information. Regards, Sherry Lewis, CFO Revised Schedule of Pricing: Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 1. Per Vertical Ft. CONDITION I 133.12 $ Sewer Manhole Liner Per Vertical Foot for four Foot Diameter Manhole (4') per Scope of Services 2. Per Vertical Ft. CONDITION 2 $ 192.40 Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 3. Per Vertical Ft. CONDITION 3 $ 280'80 MEN - ! y Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 4. Per Vertical Ft. CONDITION 1 166.40 $ Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 247.00 5. Per Vertical Ft. CONDITION 2 $ Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 338.00 6. Per Vertical Ft. CONDITION 3 $ _ Wet Well Liner Per Square Foot per Scope of 7. Per Square Ft. Services $ 11.25 Additional Cementitous Repair Material Above 4.00 8. Per'/s" Initial 1" of Material per %z" Traffic Control as Required by Texas Manual on Uniform Traffic Control in TXDOT Right of 200.00 9. Per Hr Way$ Traffic Control as Required by Texas Manual on Uniform Traffic Control in High Traffic 150.00 10. Per Hr Non -Residential Area $ Traffic Control as Required by Texas Manual 75.00 11. Per Hr on Uniform Traffic Control in Residential Area S Other Vendor Char es. Please Explain. flow thru plugs 6 -12" for water flow control inc u es piping 12. Per Svc. $ 400.00 Other Vendor Charges. Please Explain. 18"-24" flow thru plug 750.00 discharge hose/piping 50.00 13. Per Svc. $ sp- -frti u_ c '' e''tT.rS.-� fir *1 I MR ;� •+' ".- TOTAL ALL LINE ITEMS $ 2,997.97 City d Sonfhlake ` Finance Department • 1400 Main Skeet, Suite 440 • Southtake, Texas 76092 817.748.8312 An EEOIAffirmative Anion Insiitution February 21, 2012 Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 CJTY [fir SCUTTRAKE 9 ORIGINAL DOCUMENT CITY OF SOUTHLAKE Council Action: 9/ N Ord,/Res. No. Date Approved Attn: Ms. Sherry Lewis Subject: RF131105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services Dear Ms. Lewis: The City of Southlake wishes to inform you the awarded contract for RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services awarded to your company on August 5, 2011 has now been approved for total purchases over Fifty Thousand dollars $50,000) within a single fiscal year. This increase in award was approved by the City of Southlake City Council on _a-aJ-j . All State of Texas and City of Southlake purchasing requirements to exceed fifty thousand dollars ($50,000) were met with the original bid documents. The terms and conditions proposed and accepted in this agreement are as follows: Payment Terms: Net 30 days (Unless otherwise noted — such as pre- andfor partial payment) Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate purchasing the awarded items exclusively during the term of the contract from the successful vendors. Method of Payment: Shall be made by City procurement card or purchase order Delivery Terms: FOB Destination Delivery Locations: Vendor Delivery or City employee pick-up. Term of Contract: The term of awarded contract shall remain in effect for twelve months from date of initial award and is eligible for up to four (4) one (1) year annual renewals. First eligible renewal is scheduled for August 5, 2012. City Contact: JACK THOMPSON 817-74M200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or via email to accountspayable(a),ci.souihlake.tx.us Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and local sales taxes. All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817-748-8312 with any questions Sincerely, Tim Slifka Purchasing Manager, !CPP City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka aRci.southlal e.tx.us Phone: 817-748-8312 Fax: 817-748-8048 Contract and Award Accepted: WSigned: Date: Mayor John Terrell City of Southlake 1400 Main Street, Suite 440 Ems - , bgt/u,yd sA4fJ(2J'y Southlake, Texas 76092 ORIGINAL DOCUMENT CITY OF SOUTHLAKE Council Action: Y /P Ord./Res. No. _ COT SOUTHLAKE August 5, 2011 Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 Date Approved ATTN: Sherry Lewis Subject: RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services Dear Ms, Lewis: The City of Southlake is pleased to inform you that Lewis Concrete Restoration of Buda, Texas is the awarded vendor for "RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services." The award and this agreement are based on your bid to the City, copy enclosed. This is a single vendor award contract. Your company's award is attached. The terms and conditions proposed and accepted in this agreement are as follows: Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment) Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate purchasing the awarded items exclusively during the term of the contract from the successful vendors. Method of Payment: Shall be made by purchasing card or purchase order. Delivery Terms: FOB Destination Delivery Locations: Vendor Delivery or City employee pick-up. Term of Contract: The term of awarded contract shall remain in effect for twelve months from date of award City Contact: JACK THOMPSON 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and local sales taxes. All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817.748.8312 with any questions Sincerely, Tim Slifka Purchasing Manager, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tsNfka(@cj.southlake.tx.us Phone / Fax: 817.748.8312 / 817.748.8048 Contract and Award Accepted: Signed:6 / IV na Yelverto Manager 1400 Main Street, Suite 440 DATE: �a �L f Southlake, Texas 76092 Appendix B — Bid Document SHVIT al Checklist: (To determine validity of bid) Appendix B (pages _8_ through _18, must be included in tht< bid submittal. Appendix C (page _18, Conflict of Interest Form must be included In the bid submittal. AH bids Submitted to the City orsouthlake sh. .111 inclilde this page With lite ml hos it It'll Hid alld arrha uppy of RF'B1105B420JT110016 PROVIDE SEWER MANHOLE AND WET WELL Tom REHABILITATION SERVICES 3:00 P.M. (CST), FRIDAY JULY 15, 2011 City Secretary's Office � 1:!•r its 1 1400 Main Street, Suite 270 Southlake, TX 76092 f'r, 81 748-8016 l��r�7ttYo"iilS"iinii , Z � � a1�zi; ^,• � Lewis Concrete Restoration ' ,; 405 Ware Dr. .I r•Y Buda TX 78610 2.7-2849234 delati ?7r�•'i £.,.c ma's'.' �f,�'�r+�k76@ ' 512-983-3283 5I2 626 6263 WW?�;t{i"fa a' sherrylewia aust~in.rr,com Blticler;fllifltiiiz-atio ����`al;: �ff])�r, 1. " ` r 4' t �.,.�z ,/.t . i , ._.,c.- ,. ti L , �� i• , { fix .}`,f YS Pik `P V{�� h��r' �''^ f Cis f�''� .�ps�R iS?F.•.,»��L•Si�•'i".:+FrT}��'ri� l`Z�i�'�k, �� -,, S - � j t� Fr .rt1 Fyi iL •�• y - t I 1 , '�a f. �, r: ?', f A�. ryi '� ref f J - � ty '� - 1} i -,r {tl O sf�uf�ctz� ��:01 1 � `� � i '�(L] �;u�ar{�dJ '� tiYls,•.,5 - y��e�ai�s, rF ��x'" ��<f� a �, �r�:.__ sa 'l µ;}L�Ji ti.e di r '�*• -. i • - , y - f1, + C - 1 A,' ,� ,' f } �STF i � Y:i -'i- tf•o, t. I t 1 ti r r E��+ 1€-, ��, 0)h :^YH��{y[�Y fl �il•i� Y5 ) ,;,5k 1 - 1 `v ry.} � / ?� -�vl. .t'?5,1 Y. •3 �. H J� y R-r.µ t_�i?�tC�..r '.� 4 :; r�`.tly. �S. C:.��� 3�-✓l �{ A�i.� '�%!1<yST ,rI�}'1'L�f T. �� Y�J., 4`I: ,K�,'•t: YrY�iKi'it,. i learned of this Request for Bills by the following nicans: ❑ Newspaper Advertisement ❑ Southlake Website ❑ Mailed Me a Copy ® City E-mail Notification Cold Call to City ❑ Other City of Southlake - RFBI10SH420JTI I0016 - Page 8 of 18 Appendix B — Biel Document (continued) L UQUIRED BID INFORMATION W ORDER FOR A BID TO BE CONSIDERED COMPLETE, AND TO BE EVALUATED FOR A CONTRACT AWARD BY THE CITY, BIDDER MUST SUBMIT ALL OF THE FOLLOWING INFORMATION: 1. Proposed Products and/or Services A. Product or Service Descri tp ion: Bidders should utilize this section to describe the technical aspects, capabilities, features and options of the service or product and/or service proposed in accordance with the required Scope of Services as identified in Appendix A. Promotional literature, brochures, or other technical information may be used. Reference Sec A B. Additional Hardware Descriptions: Bidders should also include in this section a detailed description of what additional hardware and/or software, if any, would be required by the City in order to fully utilize the goods and/or services proposed. C. Material -Safety Data Sheets (MSD_Sl: If applicable, the successful Bidder shall provide the City with applicable MSDS documentapon as required by applicable laws and regulations. Re f er'ence Sec A D. Guarantees and Warranties: Each Bidder shall submit a complete copy of any warranties or guarantees provided by the manufacturer or Bidder with the Bid submitted. Reference Sec D E. Project Schedule/Delivery Date: Bidder must provide a project schedule noting all projected completion dates for segments of the Project, from start-up to completion, and all delivery dates for goods covered by the RFB. The Bid Document must show the number of days required to deliver and install the product or equipment after the receipt of the City's Purchase Order. scope of approx 11 manholes to be completed 30 days from date of P0. 2. Cost of Proposed Products and/or Services A. Prlcin: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated cost for delivery, labor, insurance, taxes, overhead, and profit. B. Schedule of P ic'n : Bidder shall quote unit pricing in accordance with the itemized listing of products or contract segments stated in the Scope of Services and using the following format: 1. Per Vertical Ft. Sewer [Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole 4') Rer Scope of Services 2. Per Vertical Ft. Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole S' r Scopeof Services $ n/ a 3. Per Square Ft. Wet Well Liner Per Square Foot per Scope of Services $ n / a 4. Per Svc. Other Vendor Charges. Please Explain. $ n / a TOTAL ALL LINE ITEMS see revised Pf ice sc Reference Section B .edule City of Southtake - RFB1105B420JT110016 - Page 9 of 18 Revised Schedule of Pricing: Reference section B Sewer Manhole Lbxr Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 1. Per Vertical Ft. CONDITION 1 128.00 $ Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 2, Per Vertical Ft. CONDMON 2 $ 185.00 Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 3. Per Vertical FL CONDITION 3 $ 27 0.00 Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 4. Per Vertical Ft. CONDITION 1 $ 15 0.0 0 Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services S. Per Vertical Ft. CONDMON 2 $ 237.50 Sewer Manhole Liner Per Vertical Foot for Five 6. Per Vertical Ft. Foot Diameter Manhole (5') pr Scope of Services CONDITION 325.00 $ 3 Wet Well Liner Per Square Foot per Scope of 7. Per S Ft. Services 11.2 5 $ _ Additional Cementitous Repair Material Above 8. Per W Initial 1" of Material $ 4 .0 0 r W, Traffic Control as Required by Texas Manual an Uniform Traffic Control in TXDOT Right of 9. Perm Way $ 200.00 TratTie Control as Required by Texas Manual on Uniform Traffic Control in High Traffic 10. Per i1r Nan -Residential Area $ 150.00 Traffic Control sa Regnired by Texas Manual 11. Per Hr on Uniform Trafflcc Control in Residential Area 75.00 $ Other Vendor W THRU �PLUGSS 6 --112 " FOR 12. Per Svc, WATER FLOW CONTROL UNIT COST TS PER PLUG EACH S 400.00 Other Vendor Charges. Ptease Explain, 13. Per Svc. $ rr_ — I TOTAL ALL LINE ITEMS - UNIT TOTAL $ 2, 14 6.!00 MoFSw0dake • fbmwDep tnid • 14X AdairSired, Svk44i) • SmWA Tam 76%2 M.748.83f2 An EEWMannWa Asian inedtWk o 3. 4. Bidder's Experience / Staff A. Project Team: Identify all members of the Bidder's team (including both team members and management) who will be providing any services proposed and include information which details their experience. Reference Sec C B. Removal or Re lacement of Staff. If an assigned staff person must be removed or replaced for any reason, the replacement person must be approved by City prior to joining the project. C. Business Establishment: State the munber of years the Bidder's business has been established and operating. If Bidder's business has changed names or if the principals operating the business operate any similar businesses under different names, or have operated any other businesses or changed the legal status or form of the business within the last five (5) years, all names, of predecessor business names, affiliated entities, and previous business entities operated by the principals, if different than present, must be provided; F&L Concrete Services, Inc. State the number of years experience the business has: 16 ; and the number of employees: 15 D. Project Related EUerigncc: All Bids must include detailed information that details the Bidder's experience and expertise in providing the requested services that demonstrates the Bidder's ability to logically plan and complete the requested project. References Bidder shall provide three (3) references where Bidder has performed similar to or the same types of services as described herein. RefP.rPnre#1- Citv of Laredo Manhol_P Rr?hah Client/Company Name: City of Laredo, TX Contact Name: Angel Leon ContactTitle:Assit. Super Wastewat Phone: 956-721-2022 x3060 Email; aleon@ci _ laredo _ tx.us Date and Scope of Work Provided: 2008-2009 : rehab of manholes in variou locations by application of repair mortar and epoxy lining. Reference2- City of Lago Vista Manhole Rehab Client/Company Name: City of Lago Vista Contact Name; Dave Stewart Contact Title: Director of Public W Phone:512-267-1155 Email: dstewart@lago-vista.org Date and Scope of Work Provided: application of repair mortar tank epoxy coating manhole rehab various locat, 1-4" thick, epoxy coatings Reference ffl- CitV of Robinson Manhole Rehab Client / Company Name: City of Robinson Contact Name. Mike Owens Contact Title: WW Operations Directo Phone: 254-662-1415 Email:m.owens@robinsontexas.org Date and Scope of Work Provided: locations application 2010-2011: manhole rehab various of repair mortar and epoxy coatings' City of Soulhlake - RFB1105B420JT110016 - Page 10 of 18 r ,rks ons Reference Section C: Project Team Field Superintendents: Juan Moreno, Lorenzo Aguilar General Manager: Eric Lewis PresidenVCFO: Sherry Lewis Lewis Concrete Restoration Confined Space Entry Personnel Certifications. IAUDERDALE-ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5121266-8933; Fax: 5121266-8933 Confined space Trailed: This card certifies that the following person has completed the required permit -required confined space training. Name: Heriberto Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training. 3/01/10 Trainer: Dave Williams LAUDERDALE ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512/266.9933-1 Fax: 5121266-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Jesus Joventino Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phony 512/266.8933, Fax• 5IM66-8933 Confined apace Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Fransisco Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE-ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5121266-8933; Fax: 5121266.8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Jaime Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE ENVIR91NIMENTAI ENGINEE IiM 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5121266-8933; Fax: 512t16"933 Confined apace Trained: This card eertUice that the following person has completed the required permit -required confined space training. Name: Rodrigo Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDAkE ErqVIRQNMENTAL EN IN I 3B04 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512/266.9931, Fax: 512/266-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Eric Lewis Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDEADALE ENViRONMFNTAL ENGINEERING 3804 Cloudy Ridge Rd_ Austin, Texas 78734 Phone: 5121266-8933; Fax: 512/266-8933 Confined apace Trained: This card certifies that the following person has completed the required permit -required confined Space training. Name: Dionicio Escobar Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams 1AUDERDALF ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512/266-8933; Fax, 5121266-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined spact training, Name: Jesus Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE EWRQNbd9ffAL JUOINEERIN9 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512f166.8933; Fax: 512(266-8933 Confined space Trained: This card certifies that the fallowing person has completed the required permit -required confined space training. Name: Raymundo Hernendez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE tVT L ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512/266-8933; Fax: 512/266-8933 Confined apace Trained: This card certifies that the following person has completed the required permit -required confined apace training, Name: Travis Lewis Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDAIE ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5IM66-8933; Fait: 512)266-8933 Confined apace Trained: This card certifes that the following person has completed the required permit -required confined apace training, Name: Lorenzo Aguilar Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv, Date of Training: 3/01/10 Trainer: Dave Williams LA DERO 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5121266-8933; Fax: 5121266-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Juan Moreno Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams Lewis Concrete Restoration Statement of Qualifications Team Member. Juan Moreno Title. Field Supervisor Experience/Quallil cations Field Supervisor- (July 2010 -current) Lewis Concrete Restoration Works with 4-6 crew members In field operations for the Coating Division. Directs and oversees labor personnel, field operations, safety guidelines, and equipment maintenance. Experience for over 13 years in the concrete rehab and coating Industry. His expertise expands from concrete rehab, shotcrete, water control, surface preparation and confined space, to specializing in epoxy coatings Including those manufactured by Raven Lining Systems. Travels extensively in various central regions of the United States including Texas, Colorado, Oklahoma, Arkansas, Missouri, and California. Worked and supervised the shotcrete of a 54" tunnel for the Bama Garner Tunnel project. Oversees all S. Texas projects and crews Including Laredo, Brownsville, and Mercedes, TX. Coordinates projects and crew, equipment, and trains new personnel. Works with client's project Manager onslte. Liasion between client jobsite personnel and LCR personnel. Di -lingual. Field Supervisor - (2002-July 2010) F&L Concrete Services, Inc„ Austin, TX Works with 4-5 crew members in field operations for the Austin Coating Division. Directs and oversees labor personnel, field operations, safety guidelines, and equipment maintenance. Experience for over 8 years in the concrete rehab and coating Industry. My expertise expands from concrete rehab, shotcrete, water control, surface preparation and confined space, to specializing in epoxy coatings including those manufactured by Raven Lining Systems. Travels extensively in various central regions of the United States including Texas, Colorado, Oklahoma, Arkansas, Missouri, and California. Worked and supervised the shotcrete of a 54" tunnel for the Bama Garner Tunnel project. Education Confined Space Training - CSHI Jan 14, 2008 Respirator Fit Testing - CSHI Jun 16, 2008 Respirator Classroom Training - CSHI Jun 16, 2008 CPR training - CSHI May 30, 2008 Confined Space Training - Lauderdale March 3, 2010 Lewis Concrete Restoration Statement of Qualifications Team Member: Lorenzo Aguilar Project Title: Field Manager Experience/Qualifications Field Manager - (July 2010 - current) Lewis Concrete Restoration Oversees all LCR field personnel of approximately 3 crews -15 men. Assists Field Supervisor In project scheduling, equipment maintaence, supplier vendor accounts, employee relations, Liason between clientle and employees. Oversees product handling, employee travel accomodations, equipment and employee jobsite delivery, quality control, &jobsite safety. Controls costs Including gas, travel fees, equipment repairs, vendor accounts, & supplies. Responsible for employee morale and jobsite professionalism. Bilingual in Spanish. Expertise In coating application and concrete rehab with 20-+ eperience. Superintendent - (1997 July 2010) F&L Concrete Services, Inc., Houston and Austin, TX Oversees all field and sales operations forthe Austin Coating Division. Manages labor personnel, field operations, safety guidelines, equipment maintenance, and client relations. Experience for over 20 years in the concrete rehab and coating industry. My expertise expands from concrete rehab, shotcrete, water control, surface preparation, confined space, to specializing in epoxy coatings including those manufactured by Raven Lining Systems. Travels extensively In various central regions of the United States including Texas, Colorado, Oklahoma, Arkansas, and California. Superintendent - (1986-19%) Epoxy Design Systems, Inc. Houston, TX SupeMsed work crew of 6-8 employees. Applied epoxys and urethane grouts, rehabilitated parking garages, water towers, piers, and wharfs. Traveled extensively throughout the US during employment. Education Confined Space Training - CSHI !an 14, 2008 Respirator Fit Testing- CSHI Jun 16, 2008 Re5plratorClassroom Training -CSHI Jun 16,2008 CPR training - CSHI May 30, 2008 Confined Space Training - Lauderdale March 1, 2010 Lewis Concrete Restoration Statement of Qualifications 'team Member: Eric Lewis Experience/Qualifications General Manager - July 2010 - current Lewis Concrete Restoration, Buda,TX Oversees Projects within Central Texas: manages field personnel, safety guidellnes, equipment maintanence, and jobsite client relations. Estimates and Bids upcoming projects. Maintains product Inventory, ordering, and usage for coating and rehab market. Assists Management in submittal process for bidding/estimating, Travels extensively throughout state of Texas for sanitary sewer projects. President/Co-Founder- (1996-July 16, 2010) F&L Concrete Services, Inc., Houston and Austin, TX Project Manager oversees all field and sales operations for the Austin Coating Division throughout the US and Nassau, Bahamas. Manages labor personnel, field operations, safety guidelines, equipment maintenance, and client relations_ Analyzes corporate financials, budgets, and profltability for both the Houston and Austin coating markets as well as Corporate overall profitablity. Experi- ence for over 20 yrs in the construction and concrete rehab industries. My expertise expands from concrete rehab, shotcrete, water control, surface preparatlon, confined space, to specializing in epoxy coatings including those manufactured by Raven Lining Systems. Experience in applying wet/dry process since 1991. Recently completed City of Austin Govalle Tunnel Shafts and Laterals Rehab (12/15/08). Project Superintendent - (1990-1996) Epoxy Design Systems, Inc. Houston, TX Supervised work crew of 4-8 employees. Applied epoxys and urethane grouts, rehabilitated parking garages, water towers, piers, and wharfs. Traveled extensively throughout the US and abroad during employment. Supervised oversea projects such as Diego Garcia's Oil Burn Rehab ($350,000) and Cologne, Panama's Texas Oil Refinery Rehab Project ($700,000). Education Confined Space Training - CSHI Jan 14, 2008 Respirator Fit Testing- CSHI Jun 16, 2008 Respirator Classroom Training - CSHI Jun 16, 2008 CPR training - CSHI May 30, 2008 Confined Space Training- Lauderdale Environ March 1,2010 SHERRY L. LEWIS 405 Ware Dr . Buda, TX 78610. 512-983-3283 . sherrylewis a@austin rr.com 3 Founder of Lewis Concrete Restoration Company in April 2010. I have over 20 years experience in the accounting/finance/management field and 14 years experience in the specialty coating/construction field. I hold a BA in Accounting degree from Texas A&M class of 1990. Duties include: overseeing all corporate functions including: corporate profitability, legal issues including litigation, federal and state filings, project certifications, financing of daily operations and equipment, direct Field Management Teams including Supervisors and Managers, estimating projects using Virtual Builders Exchange online software, project scheduling with clients and field personnel, coordinate client requests including submittals, jobsite quality control, oversee equipment maintenance expenses and maintenance scheduling, maintain material and field supply inventory usage and ordering, maintain vendor and client relations, handle all medical and dental and commercial insurance, maintain field safety guidelines. Travel throughout the Texas area working with client relations, jobsite safety, material usage and inventory control, and jobsite application of cement/coating procedures from North to South Texas including Lubbock, Fort Worth, Dallas to San Antonio, Laredo, Brownsville, and Valley areas_ Management of field operations from management of costs to safety and application procedure of Raven Lining Systems — worked on $1.6 mill City of Austin Montopolis Shafts and Laterals Rehab project in 2008. Possess advanced computer skills in MS Office Suite, Quickbooks Pro2010, Adobe 9, and Virtual Builders Exchange and McGraw Hill online software applications as wells as maintaining desktop and server computer systems for remote users. Key W1j h _ Office Management Teambuilding & Supervision Staff Development & Training Office Policies & Procedures Manuals Corporate Profit/Loss Corporate Asset Finance Field Safety Manuals Medical Benefits Administer Report & Document Preparation Spreadsheet & Database Creation Accounts Payable/Receivable Bookkeeping & Payroll Litigation Research Corporate Tax Filings Field Safety Procedures Bidding and Estimating Corporate Insurance Administer Records Management Meeting & Event Planning Inventory Management Expense Reduction BR State Filings and Procedures Municipal Filing Requirements Project Cost Accounting Project Scheduling Direct Field Operations F&L Concrete Services, Inc. Austin, TX 1996 to 7/15/2010 Executive Assistant/Off ice Manager 1998 -- 711512010 Duties: Daily accounting functions including accounts receivable, payables, payroll, taxes, corporate budget reporting, project estimating, project scheduling, project cost accounting, insurance administration, corporate financing, computer system maintenance, software maintenance, corporate and field policies, human resource policies and filings, litigation support, and assist in the on -going development of field safety procedures for Company manual and municipals. Worked extensively on City of Austin Montoplis Project in 2008 $1.6 mill project as a liason between client, vendors, and field personnel. Maintained safety materials, safety meetings, jobsite material usage, and personnel/material preparation at jobsite trailer daily. Decreased corporate expenditures 50% by implementing needed controls on: stock/supplies, vendor account controls, on -time payment procedures, re -organizing office personnel and division duties, set up division accounting by class to track expenses by Departments and standardized field procedures for estimating and field expenses. Decreased expenses resulted in reported net corporate profits within a 3 year history. Implemented and coordinated installation of corporate software and remote access to facilitate communication and information sharing for Austin and Houston offices resulting in ability for multiple users for accounting systems and real time data. Co-founder and Shareholder from 1996 - 1998. 1993-1996 Sonat, Inc. Houston, TX StaffAccountant Recorded gas sales revenues of approx. 2 million monthly. Responsible for gross sales analysis, accounts receivable, intra office correspondence for transportation costs, and production volume variances. Developed procedures for transportation costs system tracking and reconciliation of $1 million vendor accounts resulting in decreased backlog and a $5,000 monthly savings. Corresponded interoffice booking transportation cost procedures for mainframe and desktop ledgers. Reported monthly variances for accounts receivable, gross sales, and costs to management. Promoted to Systems -gas revenue receipts in 1995. Analyzed daily cash receipt to system downloads utilizing a $100,000 software system. Communicated errors and corresponded with the Systems IS departrncnt for department benefit of software use resulting in re -consideration of future software upgrades and use. Analyzed report and system errors with colleagues in the gas revenue department, communicated unresolved issues with management and Systems IS Department. Edu_cata.:..:.....:: . 1990 Bachelor of BA Texas A&M, College Station, TX 1988-1990 School of Business Stephen F. Austin, Nacogdoches, TX 1986-1988 1986 Graduate Lamar High School, Arlington, TX 1983-1986 Central Texas Girl Scouts of America Member- 2006 -current. Actively involved in Girl Scouts projects such as cookie sales mentor and sponsor for 6 years. Community projects include: Santa Helpers for San Marcos, Backpack for Kids in 2008-2009, Cookie Pac Operation for Military 2009-2010, Brownie Bronze Award 2009 -- Rose Garden project for Elm Grove Elementary, Buda, TX. Managed a rose garden project for all students to use - assisted in planning, fundraising through corporate sponsors, donations, planting, and on -going maintenance. Founded "Angels in the Hill Country" in 2009 -- a non -for profit organization helping families in need. Provided a family who lost all personal items in a home fire with clothing, toys, and household items collected from members of the Buda community. With the assistance of my girl scout children, I created flyers and distributed them to local area schools and online district schools. I corresponded with families to collect, clean, pack, and distribute donated items to the family. 5. Trade Secrets and/or Confidential Information Trade Secrets and/or Confidential Information: This bid _ (does) x (does not) contain trade secrets and/or confidential information. If applicable, describe such trade secrets and confidential information, and the basis for your assertion that such material qualifies for legal protection from disclosure. 6. Federal, State and/or Local Identification Information A. Centralized Master Bidders List registration number: #5452 B. Prime contractor HUB /MWBEregistration number: 1272849234400 C. An individual Bidder acting as a sole proprietor must also enter the Bidder's Social Security Number: # n/ a 7. Cooperative Governmental Purchasing Notice Other governmental entities maintaining interlocal agreements with the City, may desire, but are not obligated, to purchase goods and services defined in this RFB from the successful Bidder. All purchases by governmental entities, other than the City, will be billed directly to and paid by that governmental entity. The City will not be responsible for another governmental entity's debts. Each governmental entity will place their own orders with the successful Bidder and be responsible for ensuring full compliance with the RFB specifications. Prior to other governmental entities placing orders, the City will notify the successful Bidder of their intent. Please indicate below if you will permit other governmental entities to purchase from your agreement with the City. [ x] Yes, Others can purchase; [ ] No, Only the City can purchase. S. Term of Contract and Option to Extend: Any contract resulting from this RFB shall be effective for twelve months from date of award. The City anticipates that contract shall he renewed pursuant to the availability of funds and at the discretion of the City. The following clauses shall he included in the contract: A. Qption Clause: It is agreed that City will have the option to extend the contract for up to four (4) additional years, in one-year intervals. To exercise this option, the City shall serve notice 30 days prior to contract termination or to the end of any one-year extension. The Option to Extend will not be considered if funding is unavailable or if the contractor's past performance is not within the industry standard. B. Escalation Clause: Should market conditions prevail which dictate an increase, the successful contractor may submit documentation requesting permission to increase pricing no later than 30 days after receiving notice from the City of its intent to emend the agreement. Escalation may only occur at the time of renewal and only upon securing the approval of the City in writing. Requests for price adjustments must be solely for the purpose of accommodating an increase in the contractor's cost, not profits. Vendors shall show in this quote their anticipated percent of escalation if/when the option to extend is exercised. The percent quoted will be a maximum_ In addition, the percentage proposed will be a factor in determining the best value to the City. It is the average price over the period of the contract that will be the price factor considered in the evaluation of this quote. Quotes in which negative or no escalation is shown will be considered as 0% escalation. City of Southlake - RFB1I0511420HI I0016 - Page 11 of 18 C. Price Increases Upon Extension: If approved by the City, the Contractor shall modify the rates charged by the Contractor to reflect any changes shown in the comparative statement delivered to the City. The maximum increase allowed under this provision shall be four percent (4%) per year. The City shall have authority, in its reasonable discretion, to determine the validity of any change in Contractor's rates. City cannot exercise the Option to Extend with any price increases unless the Vendor completes the section of the Quote requesting anticipated percentage of annual escalation. FIRST ADDITIONAL YEAR (FY 11-12) ESCALATION ........................... 5 % SECOND ADDITIONAL YEAR (FY 12-13) ESCALATION ................. 2.50% THIRD ADDITIONAL YEAR (FY 13-14) ESCALATION ......................... 1.5 % FOURTH ADDITIONAL YEAR (FY 14.15) ESCALATION ......................... 1. 5 % 11. CONTRACT TERMS AND CONDITIONS. EXCEPT WHERE BIDDER MAKES SPECIFIC EXCEPTION IN THE SUBMITTED BID, ANY CONTRACT RESULTING FROM THIS RFB WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH BIDDER HEREBY A%NOWLEDGES, AND TO WHICH BIDDER AGREES BY SUBMITTING A BID: 1. Delivery of Products and/or Services A. Payment Terms: Unless otherwise specified in the Scope of Services or otherwise agreed to in writing by the City, payment terms for the City are Net 30 days upon receipt of invoice. B. Yam an of Products and Services: All products furnished under this contract shall be warranted to be merchantable and good quality and fit for the purposes intended as described in this Bid, to the satisfaction of City and in accordance with the specifications, terms, and conditions of the Scope of Services, and all services performed shall be warranted to be of a good and workmanlike quality, in addition to, and not in lieu of, any other express written warranties provided. see attached warranty Reference Sec D C. UW-DeRwry or Performan e: If Bidder fails to deliver acceptable goods or services within the timeframes established in the Project Schedule, the City shall be authorized to purchase the goods or services from another source and assess any increase in costs to the defaulting Bidder, who agrees to pay such costs within ten days of invoice. D. FOB (delivery charges): All products offered shall be FOB final destination, with all delivery charges to be prepaid by the Bidder. The City does not accept C.O.D. or collect shipments. The contract price shall include all charges, including delivery, installation and set-up fees. All packing, crating, or other debris resulting from the delivery or set-up of the commodity purchased shall be removed and properly disposed by the successful Bidder at no additional cost to the City. E. Excess or Incorrect Commodities: Products or materials delivered in error or in excess of the quantity ordered shall be returned at the successful Bidder's expense, unless otherwise agreed to in writing by the City. F. Title to Goods and Risk of Loss: For goods to be provided by Bidders hereunder, if any, the title and risk of loss of the goods shall not pass to City until City actually receives, takes possession, and accepts the goods and the installation of such goods, has tested the system, and determined that it is in good and acceptable working order. City of Soulhlake - RFBI IOSB420JT110016 - Page 12 of 18 Reference Section D LIMITED WARRANTY 62A �.r For the Project: City of Southlake — Sewer Manhole and Wet Well Rehab Certified Applicator performing install: Lewis Concrete Restoration Manufacturer of Coating Product installed: Raven Lining Systems Raven Lining Systems, ("RLS") warrants its products to be free of manufacturing defects and that they will meet RLS's current published physical properties, when applied in accordance with RLS's directions and tested in accordance with ASTM and RLS standards. RLS must receive written notice of any defects within thirty (30) days of the discovery of the defect and within one (1) years of the original installation date (shown below) by the listed Raven Certified Applicator. If, within one (t) years from installation, any product does not meet the physical properties or is defective in manufacture, RLS, at its sole option, will either replace the defective product or refund the purchase price. This warranty does not include exposure to conditions other than as designed and represented as suitable within RLS written documentation, nor failure due to physical damage, improper maintenance or care by the owner. THE AFORESAID IS THE EXCLUSIVE WARRANTY AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE. UNDER NO CIRCUMSTANCES SHALL RLS BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RLS MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER THE CLAIM ARISES. The warranty is expressly for the subject project and material specified below and is null and void with respects to any other intended, contingent or actual application of RLS products. Dated: 711812011 Installation Date: Product Used: Gallons Installed: Confirmed by: of RLS Raven Lining Systems Lewis Concrete Restoration BY: Jim Henke By: Shore y Lawis Signature: Signature: Title: V. P. Sales & Marketing Title: President 13105 East 61" Street, Suite A Broken Arrow, OK 74012 800-324.2810 913-615-4020 Fax 918.615.0140 www.ravenlining.com 2. Miscellaneous A. Independent Contractor: Bidder agrees that Bidder and Bidder's employees and agents have no employer -employee relationship with City. Bidder agrees that if Bidder is selected and awarded a contract, City shall not be responsible for the Federal Insurance Contribution Act (FICA) payments, Federal or State unemployment taxes, income tax withholding, Workers Compensation Insurance payments, or any other insurance payments, nor will City furnish any medical or retirement benefits or any paid vacation or sick leave. B. A is�n gents: The rights and duties awarded the successful Bidder shall not be assigned to another without the written consent of the Purchasing Manager. Such consent shall not relieve the assigner of liability in the event of default by the assignee. C. Liens: Bidder shall indemnify and save harmless the City against any and all liens and encumbrances for all labor, goods, and services which may be provided to the City by Bidder or Bidder's vendor(s), and if the City requests, a proper release of all liens or satisfactory evidence of freedom from liens shall be delivered to the City. D. Gratuities / Bribes: Bidder certifies that no bribes in the form of entertainment, gifts, or otherwise, were offered or given by the successful Bidder, or its agent or representative, to any City officer, employee or elected representative, with respect to this RFB or any contract with the City, and that if any such bribe is found to have been made this shall be grounds for voiding of the contract E. Financial Participation: Bidder certifies that it has not received compensation from the City to participate in preparing the specifications or RFB on which the Bid is based and acknowledges that this contract may be terminated and/or payment withheld if Us certification is inaccurate. F. Required Licenses: Bidder certifies that he holds all licenses required by the State of Texas for a provider of the goods and/or services described by the Scope of Services herein. G. Authority to Submit Bid and Enter Contract: The person signing on behalf of Bidder certifies that the signer has authority to submit the Bid on behalf of the Bidder and to bind the Bidder to any resulting contract. R Compliance with Applicable Law: Bidder agrees that the contract will be subject to, and Bidder will strictly comply with, all applicable federal, state, and local laws, ordinances, rules, and regulations. 3. Financial Responsibility Provisions _ see attached certificate A. Insurance: The Bidder, consistent with its status as an independent contractor, shall carry, and shall require any of its subcontractors to carry, at feast the following insurance in such form, with such companies, and in such amounts (unless otherwise specified) as City may require: i. Worker's Compensation and Employer's Liability insurance, including All States Endorsement, to the extent required by federal law and complying with the laws of the State of Texas; ii. Commercial General Liability insurance, including Blanket Contractual Liability, Broad Form Property Damage, Personal Injury, Completed Operations/Products Liability, Premises Liability, Medical Payments, Interest of Employees as additional insureds, and Broad Form General Liability Endorsements, for at least One Million Dollars ($1,000,000) Combined Single Limit Bodily Injury and Property Damage on an occurrence basis; iii. Comprehensive Automobile Liability insurance covering all owned, non -owned or hired automobiles to be used by the Contractor, with coverage for at least One Million Dollars ($1,000,000) Combined Single Limit Bodily Injury and Property Damage. City ofSout&lake - RFH1105M20, T110016 - Page 13 of 18 B. Indemnification: Bidder agrees to defend, indemnify and hold harmless the City, all of its officers, Council members, agents and employees from and against all claims, actions, suits, demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees, court costs and related expenses, arising out of, connected with, or resulting from any acts or omissions of Bidder or any agent, employee, subcontractor, or supplier of Bidder in the execution or performance of this contract without regard to whether such persons are under the direction of City agents or employees. The Bidder agrees to protect and indemnify the City, all of Its officers, Council members, agents and employees, from all claims, actions, suits, demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees, court costs and related expenses, arising out of any alleged infringement of patents or copyrights arising from the Contractor's performance under the Contractor's Bid, including attorneys' fees and court costs. C. Indemnify for Intellectual Property: Bidder hereby warrants that the use or sale of the products, materials and services delivered hereunder will not infringe on the rights of any trade secrets, patent, copyright, registered trademark, or other intellectual property by right covering such materials and the successful Bidder agrees to indemnify and hold harmless the City for any and all costs, expenses, judgments, and damages which the City may have to pay or incur. City ofSouthlake - M1105R420T110016 - Page 14 of 18 to terms available to the public; a payment for food, lodging, transportation or entrft&m emt; or a transaction subject to rate or fee regulation by a govmmental entity or agency. WHAT: A person or Wimesa that contracts with the City or who aebks to contract with the City must file a "conflict of interest questionnaire" (FORM CIQ) which is available online at www.ethics.etate.tx.us and a copy of which is attached to this Guideline, The forth contains mandatory disclosures regarding "emplayment or business relationships" with a municipal officer. Officials may be asked to clarify or interpret various portions of the questionnaire. Wii N. The person or business must file: 1. the questionnaire no later than seven days after the date the person or business begins contract diseumions or negotiations with the municipality, or submits an application, responds to a request for proposals or bids, correspondence, or other writing related to a potential contract or agreement with the Cite; and 2. an updated question are within seven days after the date of an event that would make a filed questionnaire incomplete or inaccurate. It does not matter if the submittal of a bid or proposal results in a contract, The stau to requires a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations commcnea. WHFM. Tire vendor or potential vendor must mail or deliver a compkted questionnaire to the Finance Department. The Finance Depsrhnmvf is required by law to pose eke statements on the CYfy's internee website. ENFORCEMENT: l ailumto file a questionnaire is a class c n&demeaaor punishable by a foe not to exceed $500. It is an exception to proseeution that the person flex a FORM CIQ not later than seven business days after the person received notice of a violation. NOTE: Tha City does not have a ditty to ensure that a person files a conflict of interest questionnaim w:tis .taar t76.ns,,r.-.raQe9 soum City of Southlake - RFB1105B420JT110016 - Page 16 of 18 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Sesslon. OFFICEUSI:ONLY This questionnaire Is being tiled In accordance with Chapter 176, Local Government Code Date Rsceivad by a person who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the person meets requirements under Section 176.006(a), By law this questionnaire must be filed with the records administrator ofthe local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person knowingly violates Section 176.006, Local Government Code. An offense tinder this section is a Class C misdemeanor. t Name of person who has a business relationship with local governmental entity. None z ❑Check this box if you are filing an upstate to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date the originally filed questionnaire becomes Incomplete or inaccurate.) 3 Name of local government officer with whore filer has employment or business relationship. None Name of Officer This section (item 3 including subparts A, S. C & D) must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the filer of the questionnaire? Yes Fv(] No B. Is the filer of the questionnaire receiving or likely to receive taxable Income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? ElYes FVI No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? FlYes 77No D. Describe each employment or business relationship with the local government officer named in this section. 4 a'7d'hbrshany� Sherry L Lewis o Pm0i1.06oz:m�a-Mron.Tune 20, 2011 Signature of person doing business with the governmental entity Date Adopted 0612912007 Appendix D — No Intent to Submit Form If your firm has chosen not to submit a bid for this procurement, please complete this form and submit to: City of Southlake Purchasing Division, Department of Finance 1400 Main Street, Suite #440 Southlake, Texas 76092 Please check all items that apply: ❑ Do not sell the item(s) required ❑ Cannot provide Insurance required ❑ Cannot be competitive p El Cannot provide Bonding required ❑ Cannot meet specifications highlighted in the attached ❑ Cannot comply with Indemnification request requirement ❑ Job too large ❑ Job too small ❑ Do not wish to do business with the City of Southlake ❑ Other: COMPANY NAME (PIease print): Authorized Officer Name (please print): Telephone: (___) Fax: ( City ofSouthlake - RFBI I OSB420JT11OD16 - Page 18 of 18 Lewis Concrete Restoration Manhole Inspection Report MANHOLE NUMBER: DATE: DEPTH TO INVERT: TYPE CONSTRUCTION: STREET REFERENCES: INSPECTED BY: SIZE: IN. DEPTH: IN. •- - SIZE: IN. III SIZE: IN. SIZE: IN. I DEPTH: IN.�SlZ SIZE: IN, Jan-09 INSPECTION HISTORY R Ven::Coa d Martwe: DEPTH: IN.,-" SIZE: IN. 2. THERE ARE NO OTHER CHANGES. Sharon lacks Director of Finance City of Soutblake IN THE SUBMISSION OF DID, BIDDER MUST ACKNOWLEDGE RECEIPT OF THIS ADDENDUM. BIDDER SHAD. ACKNOWLEDGE THIS ADDENDUM BY SIGNING AND RETURNING ONE COPY OF THIS NOTICE WITH THISIR BID. A— SIGNED: DATED:-0 J.v d r COWANY NAME: c�yo�s«,r a� • t • reap Mato SUW sine 440 • s0ahke, Texas 7W2 V7.7488312 An EMPNvmstW P&on lnMMMn REFERENCE SECTION A TO WHOM IT MAY CONCERN: THIS LETTER VERIFIES THAT LEWIS CONCRETE RESTORATION, IS A CERTIFIED QUADEX APPLICATOR. THEIR PERSONNEL HAVE BEEN TRAINED BY A FACTORY REPRESENTATIVE AND ARE QUALIFIED TO APPLY THE QUADEX PRODUCT. THEIR EQUIPMENT EXCEEDS THE STANDARDS REQUIRED FOR PROPER APPLICATION OF THE QUADEX PRODUCTS. IF ANY ADDITIONAL INFORMATION IS REQUIRED, OR IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT ME AT 501-758-8628 OR 501-772-5244. Sam Wisener Quadex Inc, www. quadexonline. com Southeastern U.S. Regional Manager Office 501-758-8628 Mobile 501-772-5244 swisencr uadexonline.com QUADEX RSATIpNDS DESCRIPTION: Quadex Quad -Plug is a blend of special cements and admixtures which are designed to instantly stop running water or seepage in all types of concrete and masonry structures. RECOMMENDED FOR: Sewer Pipes and Manholes Concrete Tanks Elevator Pits Cisterns Basements Concrete & Masonry Wails FEATURES AND BENEFITS: Stops running water immedlateiy Non -Shrink, expands as it sets Contains no calcium chloride Non -Metal Ilc Sulfate resistant Easily applied No Mixing TYPICAL PERFORMANCE DATA: Compressive Strength STRENGTH —PSI (MPa) (ASTM C109) 30 min. 1850 psi 28-day 5800 psi >9000 Bond Strength (ASTM C321) 30 min. 50 psi 1 day 85 psi QUADEX QUAD -PLUG PAST SETTING CEMENT177OUS WATERSTOP IM PACKAGING; YIELD: Quadex Quad -Plug is supplled in a 50 1b. plastic pail_ Quadex Quad -Plug will yield approximately .45 cu. ft. (787 cu. In.) per pail. APPI..ICATION INFORMATION: TO SEAL RUNNING WATER OR LEAKS: Prepare crack or hole by chipping out loose material to a minimum depth and width of 3 14 '. Using a rubber gloved hand, place a generous amount of dry Quadex Quad -Plug with a smooth fast mollon to active leak, malntaining external pressure for 30 seconds. Repeat until leak stops. WARRANTY; Quadex warrants Its products to be free of defects in material and workmanship. Quadex will replace any product proved to be defective when applied in accordance with manufacturer's instructions. Quadex's obligation shall be limited solely to such replacement There are no other warranties by Quadex expressed or implied. PRECAUTIONS: Avoid eye contact or prolonged contact with skin. Wash thoroughly after use. Persons using Quadex Quad -Plug should wear necessary eye protection, dusk mask and rubber gloves. Read all product labels and technical literature. 4801 Crystal Hill Road 0 North Little Rock, AR 72118 0 Phone: (601) 758-8628 ❑ Toll Free:1886) 831-1650 ❑ FA}(: (501) 768-3814 QUADEX SEINER REHABILITATION PRODUCTS DESCRIPTION: Quadex Hyperform is a one component, rapid setting, high early strength patching material designed for repairing vertical and horizontal concrete and masonry structures. RECOMMENDED FOR: Filling large voids in manhole wails Reconstructing inverts Catch basin and concrete repair Pipe repair FEATURES AND BENEFITS: Rapid -setting High early and ultimate strengths Non -Shrinking No Calcium Chloride Ready to use, just add water Excellent resistant to freeze thaw TYPICAL PERFORMANCE DATA: Compressive Strength PSI Testing Method (ASTbA C109) 1 hour 4170 psi 28 day 7000 psi Flexural Strength PSI 28 day 1110 psi Freeze -Thaw Durability Testing Method (ASTMI C666) No visible damage after 30D cycles Setting Times Testing Method Gillmore ASTM 266 Initial Set 15-18 minutes Final Set 22-25 minutes QUADEX HYPERFORM RAPID SETTING HIGH EARLY STRENGTH PATCHING MATERIAL PACKAGING: YIELD: Quadex Hyperform Is supplied In 60 ib. (27 kg.) poly -lined bags. One 60-Ib. bag of Quadex Hyperform will yield approximately .50 cu. ft. V87 cu. in.) APPLICATION INFORMATION: Prepare surface to be patched by removing all loose concrete by using an air or electric hammer. Next, sandblast or water blast surface to clean away all contaminants, such as oil, chemicals, or dust Then alrblast with oil -free compressed air to remove all water or loose sand. Mix Quadex Hyperform with clean potable water at a rate of 1.0 gallon per 60 pound bag. If needed, Hyperform can be extended with 318 ' aggregate at a rate of 25 pounds per bag. WARRANTY: Quadex warrants its products to be free of defects in material and workmanship. Quadex will replace any product proved to be defective when applied in accordance with manufacturers instructions. Quadex's obligation shall be limited solely to such replacement. There are no other warranties by Quadex expressed or implied. PRECAUTIONS: Avoid eye contact or prolonged contact with skin. Wash thoroughly after use. Persons using Quadex Hyperform should wear necessary eye protection, dust mask and rubber gloves. Read all product labels and technical literature 4801 Crystal Hill Road t7 North Little Rock, AR 72118 0 Phone., (501) 758-H28 ❑ Toll Free: (883) 831-1650 ❑ FAX: (501) 758-3814 qyADE rsil.lrA71WD1 RRpi7- tlGtg DESCRIPTION: Quadex OM -is Restore is a factory blended, one component, high strength cement based, polypropylene fiber reinforced, shrinkage wmpcnsatw mortar enhanced with a monocrystallina quartz aggregate (Granusin. It Is specifically designed for placement by iow pressure spraying of mortar for the repair of concrete and masonry structures. This unique formulation allows for a monolithic one -pass application up to three Inches in thickness by fay pressure spraying, RECOMMENDED FOR: vertical and overhead repairs to concrete or masonry sewer manholes, wetwells, pipe, water treatment facilities, tunnels, navigation locks, and dams. FEATURES AND BENEFITS: Quality controlled one -component blend for uniform results. High early and ultimate bond strengths. Resistant to sulfate attack, Extremely low permeability. compressive, flexural and TYPICAL PERFORMANCE DATA: Compressive STRENGTH — PSI (MPa) Strength 28 Day (ASTM Clog) >10,0oo Flexural Strength (ASTM C 293) >1400 Bond Strength (ASTM C 321) Brick Failed Before Bond Freeze -Thaw (ASTM C666) No visible damage after 300 cycles Q UAD EX QM-1S RESTORE iFACTORY ELENDED, ONLY COMPON5NT HIGH STRENGTH CEMENT BASED MORTAR PACKAGING: Quadex QM-1a Restore Is supplied in 60 fb. (27 kg.) poly -lined bags. YIELD: One 61>4b, bag of Quadex OM -le Restore will yield approximately .54 cu. ft. and will cover 12.5 sq. ft. at a 1 / 2 inch thickness. PROCEDURE; Prepare surface to be patched by removing unsound concrete, dirt dust, oft and other debris using high Pressure (3500 PSI) water blasting. Air blast excess water with an oil free air compressor. This will provide a clean, damp surface to allow for a good bond. Use approximately 0.9 to 1.1 gallons of potable water per 60 lb. bag of Quadex QM4e Restore First add water to mixer, start mixer to mixing and add Quadox am -is Restore until mortar is completely mixed. Apply Quadex QM -Is Restore by low pressure spraying on vertical or overhead surfaces to a monolithic thickness Of 112 to 3 inches in one pass, trowel to smooth surface. CURING: Cure in accordance with Current ACI recommendations. Use a two coat application of a manufacturer approved water based curing compound. WARRANTY: Quadex warrants its products to be free of defects in material and workmanship. Quadex will replare any Product proved to ba defective when applied in accordance with manufacturer's instructions. Quadex's Obligation shalt be limited solely to such replacement, There are no other warrantlos by Quadex expressed or implied. Perneabiflty (AASHTO T-277) 350 Coulombs PRECAUTIONS: Density 132 +1- 5 PCF Avoid eye contact or prolonged contact with skin. Wash thoroughly after use, Persons using Quadex QNt-19 Shrinkage Restore should wear necessary eye protection, dusk (ASTM C586) 09'0 ®28 days mask and rubber gloves. Read all product labels and technical literature 4801 Crystal Hill Road 0 North Little Rack, AR 72118 0 Phone: (601) 75"628 0 Tali Free: (888) 831.1650 ❑ FAX: 001) 758-3814 .Inc.. CC _mldex ' R, I d4 72118 To I CrUlAd F.6k. (5 MATERIAL SAFETY DATA SHEET PRODUCT: ADEX'QM-1SAEST0RE 1151 CornmCM.Narnes AC011-1 TLV Boiling Point: NA Spqcfflc'Grav1t)r, 2.9- Porflan d. Cement -1 o Mg/W Vapor Pressurei NA. Melting.Point NA Admixtures 10 -mgm Vapor Darkslbr NA Evaporation Rate: NA Nephell6eSyrilte 10 mg/m, Solubility In Water: 75% Polypropylene. .10 mg/M3 Appearance and Odor Grey and Odorless Flqsh Point: NA Stability. Stable Special Fire Fighting Procedures. Combustible Material Conditions, to Avoid: Although oo:hazardous reaction -Will occur; productshould. be. keptdry.. Extinguishing Media: NA Hazardous De roffipositloh or. Byproducts-, None Usual Fire 6ndEkplosioh.,Hazards: None Hanrdous Polymerizatl6n: VAII not occur Routes of Entry: 7777MTP: r Inhalation: Yes k 0: Yes 71AR Ingestion. Yes I es f Carol nogehicity: No C Monbljraphs�, No OSHA R6g.ulat=ed-:Wo7 Signs and..Syrrijitorris of Exposure:. May cause skin rjjrrlwflon, eyp irritation and respiratory htafion- Medical Conditions Generally Aggravated by Exposure: May aggravate existing oya,:'lung, and akin conditions. EiTw9ency and Flmt Ald Procedures;: Rinse qes.•with clean water and wash affected skin with soap anal water. Steps to Be Taken In Cdae Material 16 Rels"ed.or Spilled; Dispose Into labeled Waste container for -reuse or disposal. Wear adequate protective clothing and equipment Area . ma. y be was hed down with, water, Waste Disposal Method: Dlsoose In sanitary. landflll In accortfance.*Ith federal, state and local regulations. Precatiflons-to'be'Taken in Handling and Storikig: 8toreirt dry:placefand keep sealed until ready -to use. Other Precautions: None Respiratory Proteotliqn: Use NIOSH/MESHA approved respirator. pihator Ventilation: Local exhaust recommended if necessary. Mecl-Tanical exhaustreo&nmended if necessary. Protective Gloves: . Rubber 11yoProtectilon: Goggles Other Protective Clothfng or Eqtilprnent: Standard work clothing and shoes. WorkfflMe.nic Pract1oas, NA QUADEX MANHOLE RESTORATION MATERIALS INSTALLATION SPECIFICATION For Restoration Using Quadex Cementitious Materials 1.0 GENERAL 1.1 These specifications are Intended to set a standard of quality and design for the application of all cementilious materials used In the rehabilitation of manholes. 1.2 All materials must be approved by the engineer or owner prior to Job bid. 2.0 DEFINITIONS 2.1 The term 'approved' shall mean that the proposed material shall meet or exceed each of the performance criteria set forth in this specification. Manufacturers and vendors of various name brand materials must submit proof that any proposed material will meet the guidelines and requirements of this specification. The engineer or owner will make final approval of any proposed material. 3.0 APPROVED MATERIALS 3.1 Infiltration Control All fast setting materials furnished shall be designed to be applied in dry powder form, with no prior mixing of water, directly to active leaks under hydrostatic pressure In manholes or related structures. Materials shall consist of rapid setting cements, siliclous aggregates, and various accelerating agents. Material shall not contain chlorides or metallic particles. Approved infiltration control material shall be Quadex Quad -Plug as manufactured by Quadex, inc., Maumelle, Arkansas. 3.1.1 Specifications: Infiltration Control Materials A. Compressive Strength (ASTM C109) 30 mins: 1850 psl 3 days: 4000 psi 7 days: 5000 psi 28 days: 5890 psi B. Bond Strength (ASTM C321) 30 ruin: 50 psi 1 day: 85 psi C. Set Time 30 seconds 32 invert Repair and Patching All material fumished shall be designed to fill large voids in manhole walls and to repair or reconstruct inverts where no hydrostatic pressure exists. Material shall consist of rapid setting cements, monocrystaliine quartz aggregates, and various accelerating agents. Material shall not contain chlorides or metallic particles. Approved invert repair and patching material shall be Quadex Hyperform as manufactured by Quadex, Inc., Maumelle, Arkansas. 3.2.1 Specifications: Repair and Patching Materials A. Compressive Strength (ASTM C109) 1 hour: 4170 psi 3 hours: 5840 psi 24 hours: 7660 psi B. Flexural Strength (ASTM CM) 1 hour. 480 psi 3 hours: 625 psi 24 hours: 820 psi C. Freeze -Thaw (ASTM C666) 300 cycles with no damage D. Setting Time (Gilmore ASTM C266) Initial 15-18 minutes Final 22-25 minutes 3.3 Cementitious Coating (Liner) Materials for Manhole Walls and Benches All cementitious coating (liner) materials shall be specifically designed for the rehabilitation of manholes and other related wastewater structures. Liner materials shall be cement based, poly -fiber reinforced, shrinkage compensated, and enhanced with chemical admixtures and siliceous aggregates. Liner materials shall be mixed with water per manufacturer's written specifications and applied using equipment specifically designed for either low-pressure spray or centrifugal spin casting application of cement mortars. All cement liner materials must be capable of a placement thickness of %' to 4" in a one pass monolithic application. 3.3.1 Specifications: Cementftlous Coating Materials 3.3.2 Physical Properties All cementitious coating materials shall conform to the following 28-day minimum physical properties. A. Compressive Strength (ASTM C109) 9500 psi B. Flexural Strength (ASTM C293) 1400 psi C. Bond Strength (ASTM C882) 1500 psi D. Permeability (AASHTO T-277) Not to exceed 400 coulombs E. Freeze -Thaw (ASTIVI C666) No damage In minimum 300 cycles F_ Material Wet Density Minimum 140 PCF 3.3.3 Material Design All cementitlous coating materials shall be approved for use based upon the following design conditions. A, Low to mild hydrogen sulfide environments (pH > 2,0) Cementitlous coating materials shall be manufactured from Type II portland cement, and enhanced wfth silica fume. Materials shall contain poly -fiber reinforcement, chemical admixtures, and slilceous aggregates. Approved material shall be Quadex QM- 1s Restore as manufactured by Quadex, Inc., Maumelle, Arkansas. B. Extremely harsh hydrogen sulfide environments (pH < 2.0) Cementdious coating materials shall be manufacturer) from 100% pure calcium aluminate cement and enhanced with high- dens4 chemically stable aggregates. Materials shall contain poly fiber reinforcement and chemical admixtures. Approved material shall be Quadex Aluminaliner as manufactured by Quadex, Inc., Maumelle, Arkansas. 4.0 Interior Manhole Rehabilitation 4.1 Manhole Cleaning and Preparation The floor and interior walls of the manhole shall be thoroughly cleaned and made free of all foreign materials including dirt, grit, roots, grease, sludge and all debris or material that may be attached to the wall or bottom of the manhole. A. High pressure water blasting with a minimum of 3600 psi shall be used to clean Free all foreign material within the manhole. B_ When grease and oil are present within the manhole, an approved detergent or muriatic acid shall be used Integrally with the high pressure cleaning water. C. All materials resulting from the cleaning of the manhole shall be removed prior to application of the cement based coating. ID. All loose or defective brick, grout, ledges, steps and protruding ledges shall be removed to provide an even surface prior to application of cement based coating. 4.2 Sealing Active Leaks The work consists of hand applying a dry quick -setting cementitious mix designed to Instantly stop manning water or seepage in all types of concrete and masonry structures. The applicator shall apply material in accordance with manufacturer's recommendations and following specifications. A. The area to be repaired must be clean and free of all debris per the guidelines set forth In section 4.1 Manhole Cleaning and Preparation. B. Once cleaned, prepare crack or hole by chipping out loose material to a minimum depth and width of/, inch. C. With gloved hand, place a generous amount of the dry quick -setting cementitious material to the active leak, with a smooth fast motion, maintaining external pressure for 30 seconds, repeat until leak is stopped. D. Proper application should not require any special mixing of product or special curing requirements after application. 4.3 Invert Repair The work consists of hand mixing and applying a rapid setting, high early strength, non -shank patching material to fill all large voids and repair Inverts prior to spray lining of the manhole. For invert repairs, flow must be temporarily restricted by inflatable or mechanical plugs prior to cleaning. A. The area to be repaired must be cleaned and free of all debris per the guidelines set forth in section 4.1 Manhole Cleaning and Preparation. B. Mix water shall be clean potable water and require no additives or admixtures for use with cementitious patching materials. C. Cementitious material shall be mixed In a mortar tub or 5 gallon pail with water per manufacturers specifications. Material should be mixed in small quantities, to avoid setting prior to placement in voids or inverts. D. Once mixed to proper consistency, the materials shall be applied to the invert or void areas by hand or trowel. In invert applications, care should be taken to not apply excessive material in the channel, which could restrict flow. Once applied, materials should be smoothed elther by hand or trowel In order to facilitate flow. E. Flows in inverts can be reestablished within 30 minutes of material placement. 4.4 Application of Cementitious Manhole Liner The work consists of spray applying and / or centrifugally spin casting a cementitious based liner to the inside of the existing manhole. The necessary equipment and application methods to apply the cementitious based liner materials shall be only as approved by the material manufacturer. A. Material shall be mixed with water In accordance with manufacturer's specifications. Once mixed to proper consistency, the materials shall be pumped via a rotor -stator style progressive cavity pump through a material plaster hose for delivery to the appropriate and J or selected application device. B. Spray application of the cementitious material. a. Material hose shall be coupled to a low -velocity spray application nozzle. Pumping of the material shall commence and the mortar shall be atomized by the introduction of air at the nozzle, creating a low -velocity spray pattern for material application. b. Spraying shall be performed by starting at the manhole Invert and progressing up the wall to the corbel and chimney areas. c. Material shall be applied to a specified uniform minimum thickness no less than '/ inch. Material shall be applied to the bench area in such a manner as to provide for proper drainage without ponding. C. Centrifugal spin casting application of the cementitious material. a. Material hose shall be coupled to a high speed rotating applicator device. The rotating casting applicator shall then be positioned within the center of the manhole at either the top of the manhole chimney or the lowest point elevation corresponding to the junction of the manhole bench and walls. b. The high speed rotating applicator shall then be Initialized, and pumping of the material shall commence. As the mortar begins to be centrlfugslly cast evenly around the interior of the manhole, the rotating applicator head shall be ralsed and 1 or lowered at a controlled retrieval speed conducive to providing a uniform material thickness on the manhole walls. c. Controlled multiple passes are then made until the specified minimum finished thickness is attained. If the procedure is Interrupted for any reason, simply arrest the retrieval of the applicator head until flows are recommenced. d. Material thickness may be verified at any point with a depth gauge and shall be no less than a uniform '/--inch. If additional material is required at any level, the rotating applicator head shall be placed at that level and application shall recommence until that area is thickened. D. Material shall be applied only when manhole is in a damp state, with no visible water dripping or running over the manhole walls. E. The low -velocity spray nozzle and the centrifugal spin casting head may be used in conjunction to facilitate uniform application of the mortar material to irregularities in the contour of the manhole walls and bench areas. F. Troweling of materials shall begin immediately following the spray application. Initial troweling shall be in an upward motion, to compress the material into voids and solidify manhole wall. Precautions should be taken not to overtrowel. G. Curing will take place once the manhole cover has been replaced. It Is important that the manhole cover is replaced no more than 10-20 minutes after troweling is complete to avoid moisture loss In the material due to sunlight and winds. H. Material shall not be applied during freezing weather conditions. Material shall not be placed when the ambient temperature is 37 degrees Fahrenheit and Falling or when the temperature is anticipated to fall below 32 degrees Fahrenheit during 24 hours. 6.0. QUALITY CONTROL The quality and performance of the material shall be maintained by one or all of the following measures to be determined and specified by the engineer or owner. 5.1 Performance Testing A. Vacuum Testing B. Exfiltratien Testing C. Visual Inspection 5.2 Material Testing One 2 X 2 inch sample cube shall to taken for every 50 bags of material used. Samples shall be sprayed from nozzle, identified and sent to an independent test laboratory for compression strength testing as described in ASTM C-109. 6.0 WARRANTY Product manufacturers shall warrant all materials to be free of defects product design and workmanship for a period of one year from date of purchase. Manufacturer will provide replacement materials for any product proven to be defective when applied in accordance with manufacturer's recommendations. Manufacturers obligation shall be limited solely to product replacement. March 22, 201-1 Eric Lewis Lewis Concrete Restoration 405 Ware Dr. Buda, TX 78610 Dear Eric: This letter certifies that Lewit:Con&ete Restoration is a Raven Certified Applicator in good standing in accordance with the Certified Applicator Agreement executed between Lewis Concrete Restoration and Raven i_ining_5ysterns for the year of 2011. Lewis Concrete Restoration possesses the necessary equipment and maintains trained personnel to properly apply AquataPoxy and Raven coatings. Lewis Concrete Restoration has been a Raved Certified Applicator since 1998. if should have anyfurther questions, please contact me accordingly. 13105 E. 61S . Street — Broken Arrow, OK 74012 — 800-324-2810 — 91B-615-0140 (fax) E: N G yT ffr w April 15, 2011 Sherry Lewis Lewis Concrete Restoration 405 Were Dr. Buda, TX 78610 Dear Sherry: This letter certifies that Lewis concrete Restoration is a Raven Certified Applicator in good standing In accordance with the Certmed Applicator Agreement executed between Lewis Concrete Restoration and Raven Lining Systems. Lewis Concrete Restoration possesses the necessary equipment and maintains the trained personnel listed herein to properly apply AquotaPoxy and Raven coatings. Employee Yrs. Of Training Aquilar, Lorenzo 14 Arthur, Lord 12 Bolton, Jared 1 Escobar, Dlonicio 14 Hernandez, Raymundo 1 Eric, Lewis 14 Lewls, Travis 6 Melia, Olvin 1 Moreno,Juan 10 Ortiz, Crescenslano i month Ramirez, Fransisco 8 Ramirez,.Heriberto 8 Ramirez, Jalme 8 Ramirez, Jesus J 8 Ramirez, Jesus 0 8 Ramirez, Rodrigo 8 Reyes JEMP), Mlsael 8 Samuel,Andy 2 Vela, Saul Lewis Concrete has been a Raven applicator since 1998. Should you have any other questions, please contact this office accordingly. Lining 13105 E fi Street Sutte A Broken Arrow, Ok 74032 91"IS-0020 918-615-0040 (fax) Raven 155 DESCRIPTION Raven@ 155 is a ultra-Iow viscosity TYPICAL U1 Formulated ford existing con"' high -early 9tiei11 Raven coating3_:; COLOR Off white, milk transparent film. } Sre>aitvhterborne epoxy witlf penetrating: pn er-Jer new and a polymer adchtivi.for use with .r mortars tq a #opcoated with W'r"rial which dries to a SOLIDS BY VOLUME.' As supplied: 71% sohds:bl Volatile Organic Compouz FILM THICKNESS 4' Raven 155 is a waterborne 'qpozq ' and will. exhibit shrinkage during mg. Therefore; applied wet film thickness (WFT) and final dry film thickness (DFT) will not be the same. Required VVI7 may be calculated using the following formula: YVFT = desired DFT divided by % solids by volume. THEORETICAL COVERAGE At 8 mils WFT coverage is 200 square feet per gallon providing 3 mils DFI' at 40% solids. Actual surface coverage will depend on surface irregularities and porosity. Trials are recommended to determine the actual coverage required to yield desired surface saturation. Contact RLS for more details for use as a polymer additive with repair mortars. APPLICATION METHOD Brush, squeegee, trowel or hand application or acceptable methods of applying repair mortars utilizing WB as a polymer additive. To clean tools, use so require use of a solver clean skin, immediate) water. Refer to the additional information POT LIFE 45 minutes for 1 gallon at 30 minutes for 2 gallons a The amount of pot depending on the qua water added, ambient which the mixed ma additional information. component may for 'clean-up. To y with soap and Data Sheet for g life will vary Axed, amount of the container in Contact RLS for CURE AND REC0j = Temperature and refe ' dity affect cure and recoat windows of RaveA g�i applied as a concrete primer, at 72 deg F and laws RH: -Tack f re6z� h41r WEN' 4 hours �:-; , ' o recoat in 24 hours Recoat window 24 hours to 28 days When using as a polymer additive in repair mortars, cure and recoat properties reflect typical repair material guidelines. 155 typically does not require additional surface preparation treatment prior to topcoat application of Raven coatings, provided contamination of surfaces does not occur. SURFACE TEMPERATURE - Minimum recommended: 40'R Maximum recommended: 120'F THINNING 155 is a waterborne epoxy. Therefore humidity levels Thin only with potable water, do not thin below 20% below 40% are required to allow the coating to cure solids by volume. Contact RLS for detailed information. through evaporation. Environmental controls and/or sufficient ventilation may be required to attain proper cure. SURFACE PREPARATION All contaminants including oil, grease, wax, sealers, salts, or other contaminants must may be accomplished through one or a� following methods: detergent watVxr. & (steam) cleaning, and/or solvextt clef cleaning should be followed r -I potable water. Allow surface,ts:ikyxm lint free rags.A. Freshly applied troweled and a] without leaving After contamft4fs tl air ;been profile for adhej can using high press'' §i cleat blasting, shotblas46: com] Raven 155 of the CL f'!L`w VVIUL i W_% should be 1ihtiyz may be�wail�ci,�:'. �d createa�.surface °accomplished itif ietti'rirc, abrasive Pints and 1-gailon pailszRav �5.:is-;available through Certified Applicators, COMPONENTS AND MAL-1AT1.0 Part A, Resin. Part B, Hardentr 1:?i: Fry; volume. Contact RLS for details when utilizing 155 as a polymer additive in repair mortars. Brookfield ii(IF0and 2TC). used' to fieezing ti Consult the Material Safety concerning health and saf Strictly follow all notices on the and container label. If you di notices and procedures provid comply with them, do not use measures are dependent on apt environment. Contact RLS to o Safety Data Sheet at 800-324-28 fixed containers at room between GOOF and 4ROQ iat.to freeze or be ,r this product before using. fety Data Sheet tnderstand the cannot strictly :. Actual safety hods and work of the Material Warmnty and Disclaimer: RLS, a division of CIPAR, Inc., warrants its products to be fee of manufacturing defects and that they will meet RLS current published physical properties when applied in accordance with directions and tested in accordance with ASiM and RLS standards. If, within one year from purdhase, any product does not meet the physical properties or is defective in manufacture, RLS, at its sole option, will either replace the defective product or refund the purchase price. This warranty is void If the product is used contrary to RLS written directions. THE AFORESAID IS THE EXCLUSIVE WARRANTY AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR UYTLIM. THERE IS NO WARRANTY OF MERCHANTABILITY OR FTfNESS FOR ANY PARTICULAR FURFOSE. UNDER NO CILtCItMSTANCES SHALL RLS OF LIABLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RLS MAY BE COMMENCED MORE MAN ONE YEAR AFTER THE CLAIM ARISES. wwwAs-solutions.com 804-324-2$10 I timail: contact@rls-soiutions.com a GONCMANT a=PWy 0 2007 RLS Raven' 405 Is a solvent -free 100% solids, ultra high build epoxy coating fonmulated with exceptionally high physical strengths and broad range chemical resistance. 405 exhlblts superior bond to concrete, steel, masonry, fiberglass and other surfaces, even under moist and damp conditions. Designed for operating temperatures up to 200°F, 405's unique ultra high-bulld ability allows It to be spray applied over 200 mils In a single application on vertical and overhead surfaces. The high physical strengths of 405 allow It to be designed as a structural lining in manholes, pipelines, tanks and other vessels. a Surfaces where rehabilitation of an existing struclures requires onhancemont of iho structural integrity and where exposure to concentrated acids and caustics may be expected, including: • Tunnels and pipelines • Clarifiers • Digesters • Tanks +Secondary containment Wastewater facilities and Manhole rehabilitation � ■ r Light blue is standard. Umlted special colors are available on request. Contact Raven Lining Systems for information. SOLIDS BY VOLUME a VOCIS 100% solids by volume. Volatile Organic Compounds: 0.0 Ibs/gallon Raven 405 Is a 1009% solids epoxy with zero shrinkage. Therefore, actual wet film thickness and final dry film thickness are the same (i.e.10 mils WFT=10 mlis DFT). Dependent upon surface profila, a maximum of 200 mils per coat Is rocornmended to prevent sagging on vertical or overhead surfaces. Gonerally, two thinner application coats are recommended for quality assurance in coverage. Awet film thickness gauge can be used to determine coating coverage. 40 square feel per gallon at 40 mils thickness. Actual surface coverage will depend on surface irregularitles and desired result. Trials are recommended to determine The actual coverage required to yield a desired film thickness for each Individual type of installation. Recommended coverages will vary from 40.250+ mils depending on the installation. Additional Information is available in the Design Guide for the Application of AquataPoxy and Raven Epoxy Goalings or by contacting Raven Lining Systems. For u ll!fetime of protection. APPLICATION METHOD Brush, roller, heated plural component aldess or air-asslated spray. Additional information Is available in the Design Guide for the Application of AquataPoxy and Raven Epoxy Products. For speollic Informatlon on spray systems design, approved systems and Certified Applicators contact Raven Lining Systems. Do not thin with solvents; pinholIng and loss of adhesion can result. If lower viscosity Ia desired, heat unmixed material by placing containers in 1301F tap water or, if sun is available, place the containers In the hot sun until the desired flow characteristics are present. Drum heaters and inline healers can be used for larger quantities and on specialized spray equlpment. To clean tools, use acetone, "a or MEK. To clean skin, immediately wash thoroughly with soap and water - refer to the Material Safety Data Shoot for additional information on health and safety. 20 minutes for 1 gallon at 79F. 15 minutes for 2 gallons at 7&F. The amount of pal life and working life will vary depending on the quantity of epoxy mixed, ambient temperature and the container in which the mixed material Is held. Cont vcn LI 5 toms fpr additional Infomtat Alter Part A and Part 8 are mixed, epoxy goes through a stage called gelation where the coating becomes very sticky. This is followed by the initial sat (generally B hours at 7019. At this time, the coating can usually wfthsland light traffic cr flow, but curing continues for several days even underwatsr. Allhough near maximum physical properties are achieved in 8 hours at 70°F, maximum chemical resistance may take three to seven days. This can be shortened by increasing the component and/or ambient temperature. When applying several coats to reach final dry film thickness, no rnore than 24 hours at 70°F should be permihed to pass between coats. Before recoating clean surface thoroughly to remove all contaminants. The coated surface should be protected from contamination of any type between coats. For more information contact Raven Lining Systems. Minimum recommended: 40°F. Maximum recommended: 120°F. 0 26D2 Raven toning Systems, Inc. Surfaces to receive coating must be cleaned of all oil, grease, mt, scale, deposits and other contaminants. Contact Raven lining Systems for specific recommendations. STEEL surfaces may require'Solvent Cleaning' (SSPC-SP1) to remove oil, grease and other soluble contaminants. Surfaces to be coated should then be prepared according to SSPC-SP10 or NACEw No. 2: 'Neer White Blast Cleaning'. In certain situations, an aRernate procedure may to use hlgh (>5,DD0rW) or ultrahigh (>10,000psi) pressure water cleaning or water with sand Injection and an approved rust inhibitor. The anchor profile for surface preparation must be a minimum of 2 mils. CONCRETE AND MASONRY surfaces can ganaratty be prepared by low- (3500-5,000 psl) to high- (>5,000 psi) presaure water cleaning, abrasive blasting, sholbiasting or a combination of acid etching and water cleaning. WOOD surfaces should have all old, softened or rotten areas removed. The area to be coated should be sanded, then rinsed or cleaned to remove dust and loose particles. Nlaw the surface to dry thoroughly. A penetrating primer such as low viscosity AquataPoxy A-10 may be recommended as a primer. FIBERGLASS surfaces should be rinsed and neulrallzed, scarified and cleaned with water or an emulsion of solvent and water to reprove remaining dust and loose particles. Allow the surface to dry thoroughly. For a If fetime of protection. AVAILABLE ; 4-gallon pails (4-gallon kit), Fgallon pails (20•gallon kit), 30•gallon drums (120-gallon kit), 55-gallon drums (220-gallon kit). Raven 405 is available exclusively through Raven Certified Applicators, contact Raven Lining Systems. Part A, Resin. Part B, Hardener. 3:1 by volume. Part A, 160,000 cps at 231C. Part B, 40,000 cps at 23°C. Shelf Life: 1 year In sealed, unmixed containers at room temperature. Store In a sheltered area between 8YF and WF (i5°C and 2Tq. Consult the Material Safety Data Shoot for this product conceming health and safety information before using. Strictly follow all notices on the Material Safety Data Sheet and container label. If you do not fully understand the notices and procedures provided or if you cannot strictly comply with them, do not use this product Actual safety measures are dependent on application methods and work environment. Contact haven Lining Systems to obtain a copy of the Material Safety Data Shoat at 800-324-2810. PERFORMANCE DESCRIPTION METHOD RESULTS Flexural Strength ASTM D790 13,CD0 psi Compressive Strength ASTM D695 18,000 psi Tensile Strength ASTM 0638 7,600 psi Tensile Ultimate Elongation ASTM D63B 1.5% Hardness, Shore D ASTM D2240 88 Water Vapor Transmission ASTM D1653, Method t3 3.8 gmslsq.m. per 24 hours Taber Abrasion, CS17 Wheal ASTM D4060, IODD g IoadrtDOOcycles <112 mg loss Adhesion ASTM D4541, Concrete substrate failure Steel (SSPG10) >1,400 psi Temperature Resistance Steel, unprimed and Concrete 200 dog F Warranty and Dlsetaimer: Raven Uning Systems, Inc. ('Raven') warrants tile products to be free of manufacturing defects and that they will meet Raven'a current pubdahed physical properties when applied In accordance with haven's dlroeons and tested In accordance with ASTM and Raven standards, N, within one (1) year from purchase, any product does not meet the physical properties or Is defective in manufacture, Raven, at its sole option, will either replace the defective product or refund the purchase price. This warranty Is void if the product Is used contrary to Raven's wiilten directions. THE AFDRESAID IS THE EXCLUSIVE WARRANTYAND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, UNDER NO CIRCUMSTANMS SHALL RAVEN BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RAVEN MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER THE CLAIM ARISES. 11/02 MATERIAL SAFETY DATA SHEET Trade Name: Raven 405 -Part A SECTION I Manufacturer: Raven Ltr*V Systems Emergency Telephona# 800.424-93W 1024 North Lansing Chemtrec Tulsa, OK 74108 Rev]slon Date: aj01Iol Information Telephone 0: 918.584-2814 80a324-281 D II: INGREDIENT INFORMATI� INGREDIENT GAS NUMBER PEL TLV Epoxy Resin 25Q88 W 6 N E NE SARA Title III, Section 313logredients: Now The remaining ingredlenl(s) Is I are being Wlhheld as a trade secret. SECTIONAlk PHYSICAL DATA Bolling Point: > 200 deg F Sp eft Gravity: 1.23 -128 Vapor Pressure: NIA Malting Paint: NIA VaporDenatty: NIA Evaporation Rate: Not established Solubility In Water. negligible '%Volatile by Vohsne: < i % Appearance and Odor: White colored Hqutd with a heavy pains consistency — mild epoxy odor SECTION IV: FIRE & EXPLOSION HAZARD QATA Flash Point > 200 deg F. PMCC Method DOT Flammablllty Claaalflcatlon: non-flammable Extinguishing Media; Foam, C04, Dry Chemlcal Spoclal Fire Fighting Procedures: The use of setf-contalned breathing apparatus Is recommended for freNhters. Water may be helpU In keepkig adjacent containera coca. Avold spreading burning IquA with water used for cooling purposes. Unusual Flra and Explosion Hazards: Keep wak areas tree or hot melal surfaces and other sources of t ni>don. SECTION V: REACTIVITY DATA Stabillty: Stab)e Inwrnpatlbllity: Strong adds and bases, selected amines, oxidizing agents. Hazardous Decomposttton or Byproducts: Thermal decomposition in the presence of air may yield carbon monoxide, carbon dioxide, aldetrydas and ketones. Hazardous Potyrnwtratlon: Will notoccur. Raven 405 — Part A SECTION EALTH HAZARD DATA Primary Routes of Entry: EYES: May cause moderate eye Irritation. Comeal hW Is possib)e. SKIN: May cause allergic skin reaction in susceptible Yxllviduals. Prolonged exposure likely to cause significant skin Irttalon. Repeated exposure may cause skin k4tallom INHALATION: Vapors are unlikely due to physical properties. 1NGESTiOW Moderately to)dc may be hamrful Ifswa}lowed, SYSTEMIC and OTHER EFFECTS: Preexisting eye arxi skin disorders maybe aggravated by exposure to this product Emergency and First Aid Procedures: EYES: Flush with large quantities of wager for at least 15 minutes. Consult a physician. SKIN: Wash o(iin Rowing water urshower. Remove contaminated clothing, INHALATION: Remove to fresh air If affects occur. Consult a physician. INGESTION: Cive 2 glasses ofwater and induce vomiting. Consult a physician. SECTION VII: PRECAUTIONS FOR SAFE HANDLING AND USE Steps to Be Taken In Casa Material [s Released of Sprlled: Keep sources of ignition and tot metal surfaces isolated from the split. Material may flow slowly. Scrape Into containers for disposal. Waste Disposal Methods: t]IspOse of according to all local, state and federal regulations. Precautions to Be Taken In Handling and Storing: "containers dosed when not in use. Avoid pro"od or repeated contact with aklo. DO NOT handle or store near (lame, heat or atrong oxidants. Avoid prolonged storage above 36 deg C (1 D0 deg F). ECTION VII : L MEASURES RESPIRATORY: Respiratory protection should not be needed, If respiratory irritation is experienced or during spray appllcatlon, use a MSHA or NIOSH approved respirator. VENTILATION: General mechanical ventilatlon is sufficient for most cwfiEons. Local exhaust ventilation may be necessary for some operations. EYES: Use safety glasses. splash-proDf eye goggles or gaggles w lth full facesMeld. CLOTHINGIGLOVES: Use impermeable gloves to prevent skin Irritation in sensitive Individuals. Wear clean, long-sleeved, body covering dothlng. Proper Shlpp[ng Name: not regutated Hazard Class: not regulated Idaftffcatlon Number. NIA Packing Group: NIA SECTION IX: TRANSEQRT DATA SECTION X: DISCLAIMER RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO ANY INFORMATION PRESENTED HEREIN, ALL OF WHICH IS PROVIDED "AS IS". TO THE MAXIMUM EXTENT PERMITTED BY LAW, RAVEN EXPRESSLY EXCLUDES ALL WARRANTIES, OBLIGATIONS, REPRESENTATIONS, LUABILITIES, TERMS AND CONDITIONS (WHETHER THEY ARE EXPRESS OR IMPLIED, OR ARISE IN CONTRACT, STATUTE. OR OTHERWISE, AND IRRESPECTIVE OF THE NEGLIGENCE OF RAVEN, ITS EMPLOYEES OR AGENTS) IN CONNECTION WITH THE INFORMATION PRESENTED HEREIN, RAVEN MAKES NO REPMENTATIONS OR WARRANTIES AS TO MERCHANTABILITY. FITNESS FOR PURPOSE, NONINFRINGEMENT OR CONFORMITY WITH DESCRIPTION OR SAMPLE. Raven 405 -- Part A MATERIAL SAFETY DATA SHEET Trade Name: Raven 405 - Part B SECTION 1 Manufacturer. Raven Lining Systems Emergency Tokohor:6#: 800424-9300 1024 North Lansing Chernbte TUsa, OK 74106 Ravislon Date: 01101 Information Telephone # 918 584-2810 80024.2810 SECTION H- INGREDIENT INFORMATION INGREDIENT CAS NUMBER PEL Tt.V Aliphatic amines Mixture NE NE Gycloallphaticamines Mbdure NE NE BisptwMA 80-05-7 NE NE SARA TWo III, Section 313 Ingradlents: Bfsphenol A The remaining ingredlent(s) is / are being withheld as a trade secret SECTION III: PHYSICAL DATA Boiling Point: > 200 deg F Specific Gravity: 1.00 -1.05 Vapor Pressure: N/A Melting Point NIA VapcwDcnsity: N!A Evaporation Rate: Notestab*shed Solubility In Water: r"Ilgible % Volatile by Volume: < 1 % Appearance and Odor. Blue gel with a characteristic amine odor. SECTION IV; --FIRE & EXPLOSION HAZARD DATA Flash Point: > 200 deg F. Setatlash Method Fire Hazard Clmllfication (OSHA1NFPA): Class III B. Extinguishing Media: Foam, Cg, Dry Chemical, Water Spray Special Fire Fighting Procedures: The use of seff-coaWned breathing apparatus is recomnww led for firefighters. Water may be helpful in keeloN adjacent cwWrers coal. Unusual Fire and Explosion Hazards: May generate toxic or Irritating combustion products. Sudden reaction and fire may resin! If product Is noted with an oxlrffiIng agent. Delayed lung damage (pulmonary ederna) can be experienced after exposure to cornbwkn products. €CTiON V: REACIIYIIX DATA Stability: Stable Incompatibility: Strang adds and bases, secededamines, oxidizing agents. Hazardous Decompostt!" or Byproducts: Thermal decomposition In the presence of air may &Id carbon monoxide, carbon dioxide, aidetrydes, ketones and nitrogen wddes. Hazardous Polymerization: 1fAI not occur. SECTION VI: HEALTH HAZARD DATA Primary Routes of Entry: EYES: Severe eye Went. May cause burns. Vapors may be Irritating. SKIN: Severe skin kritant May cause Injury to sldn fallowerg pmkwo led or repeated oontad. Repeated exposure may cause semasitizatcon of the IrAWuel. Raven 406 — Part B INHALATION: Excesslve Inhalation Is nicety to cause irritation of mucous membranes. Repeated exposure can rerun In lung damage. INGESTION: Corrosive and may cause severe and pem7anentdamage tomouth dwoMand stomach. SYSTEMIC and OTHER EFFECTS: Product can be alkaline, corrosive and irritating to skin, ears, eyes and mucous mahrbrarres. Aliphatic amktes can cause charrges in the lungs, aver, kidneys and heart. Emergerrey and Flrat Aid Procedures: EYES: FhAh with large quantities of water for at least 15 minutes. Get medical atterrlion Immediately, SKIN: V*nh immediately with soap and water. If Irritation orsenskation occurs, remove IntAvldual from further cm%cty thmaterial. Remove cantamloateddothkrg. INHALATION: Remove to fresh eir If affects occur. Get medical attention. INGESTI ON: If this product Is awallovmd, administer one glass of water. Do not induce vomiBng. Seek medical attention Immediately. SECTION V11. PRECAUTIONS FOR SAFE HANDLING AND USE Stops to Ele Taken in Case Material Is Releasod of Spllied: Keep sources of ignitl m and hot metai surfaces Isolated from the apil. Material may flow aluMy. Scrape Into containers for disposal. Waste Die pout Mathods: Dispose of according to all local, state and federal regulations. Precautions to Be Taken In Handling and Storing: Keep corrtairrers dosed when not In use. Avoid prokmged or repeated cwriaa wish skin. DO NOT handle or store near flame, heat or strong oxidants. Avoid prolonged storage above 38 deg C (100 SF), SECTION VIII: CONTROL MEASURES RESPIRATORY: To avoid overexposure, vicar a property fined NIOSHIMSHA respirator with organic vapor cartridges. VENTILATION: General machanical ventilation Is sufficient for most conditions. Local exhaust ventilation maybe necessary for some operations. EYES: Use chemical safety glasses, spiash-proof eye goggles or goggles with full faoeshield. CLOTHINGIGLOVES: Use nitrile or other chonkaiy resistant gloves. Wear clean, kwgsieeved, body covering clothing and nf)er boots. SECTION IX: TRANSPORT DATA Proper Shipping Name: Amines, liquid, corrosive, n.o.s, (cydoaliphatie amines) Hazard Class: Corrosive Material - 8 Identification Number: UN 2735 Packing Group: it SECTION X: DISCLAIMER RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO ANY INFORMATION PRESENTED HEREIN, ALL OF WHICH IS PROVIDED "AS IS". TO THE MAXIMUM EXTENTPERMITTED BY LAW, RAVEN EXPRESSLY EXCLUDES ALL WARRANTIES, OBLIGATIONS, REPRESENTATIONS, LIABILITIES, TERMS AND CONDITIONS (WHETHER THEY ARE EXPRESS OR IMPLIED, OR ARISE IN CONTRACT, STATUTE, OR OTHERWISE, AND IRRESPECTIVE OF THE NEGLIGENCE OF RAVEN, ITS EMPLOYEES ORAGEt'ITS) IN CONNECTION WITH THE INFORMATION PRESENTED HEREIN. RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES AS TO MERCHANTABILITY, FITNESS FOR PURPOSE, NONINFRINGEMENT OR CONFORMITY WITH DESCRIPTION OR SAMPLE. Raven 405 — Part B AV 333 Injectaflex Hydrophilic Foam Gineral'Specificatiorts Technical Specitica#fon Description AV-333 Injectaflex is a single -component urethane resin that reacts rapidly with equal proportions of ureter to form a flexible, impermaabio foam with excellent adhesion to concrete and some plastics. AV- 33 Is a low viscosity chernical grout pinta* injected into the area of leakage, creating a mechanna] and chemical band, as well as a compression seal. General Uses ■ Medium to large cracks or joints In concrete • Stop tnfitratlon throughout sewage systems, storm and drain culverts, manholes, utility vaults, targ"ameter pipe or similar structure. • Manhda and pipe penetrations + Excelent waterproofing for hmnds, rrnos, elevator pits, dams, reservoirs, etc. • Material can be used in wet or dry cond}ilons. Groutrig Tochniques Expanded Gasket Piaosment Technique (EGP) Variable Pressure Appl'icatlon Technique (V PAT) Viscosity 3D0-601) CPS Ratio 3:1 (Water to Resin) 5 Gallon Pail -10 Gallon batch Underwriters Laboratories JUL ] Rated ANSIIT'iSF Standard 61-06n16ng Water Systems Components Additives AV-25M Grout Side Accelerator- reduces gel tine Packaging Container-1'Gallon -12 ib, gross weight ea. Pail - 5 Gallon - 50 lb. gross weight ea., 24 pails per pallet $hipplttg Motor Class 55 Hazard Class: 3 Air Freight available for: 1 Gallon Cortfgdnerr> t �� iLl 1 numy l 5 Galion Pail .� 6W j Cleaning Products •�� AV 208-Acetone, Technlcai Grade am.� AV-284 - Pump Wash AVANTI Avanl$&W stops leaks. PBmanerttiy. Webster, Texas 77598 / 8W.877.2570 www.avantigrout.com / sales4avantigrout.corn pXvsipm O 2IX15k+•^� irRmvoan Descrption Excellent bonding capabilities to concrete and some plastics. Prapertim Lhtcured Appearance: light amber liquid Solids Content: 85% ASTM D-1259 Viscosity: 300-600 cpe 0 707 ASTM D-163B Flash Point > 25T (-3°C) ASTM D- 93 Corrosiveness: Non-cormsivo Reaollon Tine: 40 secoxls @ 70°F Properties: Cured Foarn (1:1) T"IeStwVth:lot}120ps! ASTM D-3574 Elongatbrr: 750-650% ASTM D-3574 Shrinkage: Q%after initial cure Toxicity. Non-twdc storage AV-333 Injectaflex is sensOve to moisture and rnodwatefy sensitive to high storage twrk3erattres. Store in a dry area between 40°F and 80°F. AV-3331njectaflex should be property removed from all application equdpmerd due to the hlgh risk of moisture contamination. lmmediateiy after use, hoses and pumps can be oteanecl "ith AV-208 Acetone or AV-284 Pump Wash. This product is packaged under dry nitrogen to extend shelf fife. MSDS Available by request, or download at vrvvw.avantigrout corrtlu}5AS Shy Product contains Toiuene Dllsocyenate (MlI Vapors may cause respiratory Irritation and sensnmtk n. Take precautions to avoid breathing of fumes and vapors. Operators should be equipped with protective clotting inciuding rubber gloves and face shield. Ventilation should be used In confined spaces. First Aid £yes: Immediately flush eyes vrfth water for 15 minutes. Get medical attention. Skim Wash affected area with soap and water. Remove contaminated clothing Inhalation: Remove to fresh air. H breathing Is difficult get medical attention. Ingestion: Drink 2 glasses of water. Call a physician. Note: Never give anything by mouth to an unconsdous or convulsing person. Notice The data, information and statements contained herein are believed to be reliable, but are not construed as a wanvanty or nepres"tation for which Avanti International assrunes any legal responsdbiltty. Since field conditions vary widely, users must undertake sufficient veriibabon and testing 10 datemnine the sultablthy of any product or process mentioned In this or any other written materdal from Avant! for their own padict iar use. NO WARRANTY OF SUITAS)UTY OR FITNESS FOR A PARTICULAR PURPOSE IS MADE In no rase shad Avanti International be liable forconsoQuential, special, or indirect damages resulting from the use or handling of fhls product Date: November 1, 2004 Page 1 of 3 M9terlel� Sa�6t)1 �ti1� �.Jtl�@Z ,. ... _ . � t, t i - � dl _ .,_ , wl "..:� Y � � � ,a �Sv 4 •.,t Avanti International Chemtrec Emergency Phone: 800-424-9300 822 Bay Star Blvd. Product Data Information: 281486-5500 Webster, TX 77598 Fax: 281 A86-7300 Froduct denttfiFaton. rk�ti.cr�:..: ',�_:', :.-. �x Product Name: AV-333 Injectaflex tiQ 06A`it�U��ryryredf ii�i{r1f4�'�7'�a Oh) r - a� r'rc�A : 3 Six'• s ••:>' :: l Ingredient Nime I CAS Number Exposure Limits Concontration Urethane Prepolyrner OSHA Not established. CAS #57516-88-8 ACGIH: Not established. Trade Secret Acetone OSHA 5 mglrre CAS #67-64-1 ACGIH: Not established, Trade Secret Toluene 2,4-Diisocyanate OSHA PEL: 0.005 ppm GAS #584-84-9 ACGIH TWA 0.005 porn Trade Secret Toluene 2,6-Diisocyanate OSHA PEL: 0,005 ppm CAS #91-08-7 ACGIH TWA 0.005 ppm Trade Secret Primary Route(s) of Entry: Skin absorption and inhalation. Health Hazards: Severe eye irritation, severe skin and upper respiratory irritation are possible. Eye Contact Vapors are irritating to the eyes. Splashes, may cause severe irritation, with redness, tearing, blurred vision. Skin Contact: Exposure can cause defatting of the skin. Causes redness swelling, drying and cracking of the skin. Prolonged or repeated contact may cause moderate dermatitis. Ingestion: May have corrosive effects on the lining of the mouth and stomach. May produce abdominal pain, nausea, diarrhea, and vomiting. Inhalation: Exposure can cause upper respiratory tract irritation. May cause dizziness coughing, dullness, and headache. Higher concentrations can produce Central Nervous System depression, narcosis, and unconsciousness Prolonged or repeated overexposure may cause blood disorders, gastrointestinal disturbances and lung damage; kidneys, liver, and nervous system may be affected. 1.=1i'st:'Ait�.Meastifa�..;�. ., 1.=• '.. t ' �':4.��; rr !,; r. Eyes: Flush with plenty of water for at least 15 minutes. Get immediate medical attention. Skin: Wash thoroughly with soap and water. If irritation develops, consult a physician. All contaminated clothing should be washed prior to reuse. Inhalation: Remove to fresh air. if breathing has stopped administer artificial respiration. If breathing is difficult, administer oxygen and get medical attention. Asthma like symptoms may develop. Ingestion: Vomitting may occur spontaneously. Do not induce vomiting. if vomiting occurs, keep head below hips to prevent aspiration into lungs and seek immediate medical attention. Aspiration of material into the lungs due to vomiting can cause chemical pneumonitis. (Never give anything by mouth to an unconscious or convulsing person.) Flash Point: 10.4°F (-12°C) COC Flammable Limits: LEL: Not Determined Extinguishing Media: Dry chemical, alcohol foam, carbon dioxide, or water. Water may be ineffective. Special Fire Fighting Procedures: Wear self-contained breathing apparatus and full protective clothing. Unusual Fire and Explosion Hazards: This material will form vapors when above flash point. These vapors can travel along surfaces to a distant ignition source and flash back. Sealed containers may rupture when heated. AV-333 Injectafiex Page 2 of 3 AdcideriE Ftelease;M'e Spilt or Leak Procedures: Eliminate all ignition sources and evacuate spill area; with adequate ventilation, cover the spill with an inert absorbent material. Pour isocyanate decontaminant solution (90% water, 8% concentrated ammonia, 2% detergent) on spill and allow to react for 10 minutes. Alternately, pour water on the spill and allow reaction to occur for more than 30 minutes. Place in a proper waste container. Do not sea] the drum for 48 hours to avoid possible pressure buildup. Wear respirator and other protective equipment for protection of eyes and shin during cleanup. Storage: Protect against physical damage. Store in a cool dry area well ventilated area, away from ignition sources. Separate from incompatible materials. Containers should be bonded and grounded for transfers, to avoid static sparks. Handling: Use only in well ventilated areas, unless used with recommended respiratory protection. Empty containers of this material may be hazardous when empty since they retain product residues; observe all warnings and precautions listed for the product. t aCp&ure Contiols4and�P Fs xial�P.:ha ect�an r t 'n<<'i� d> Respiratory Protection: Wear NIOSHIMSHA approved supplied air respirator or self-contained breathing apparatus when airborne concentrations are unknown or exceed permissible limits. Half face organic vapor respirators may be wom for up to ten times the exposure limit, or the maximum use concentration specified by the appropriate regulatory agency or respirator supplier, whichever is lowest_ A full -face organic vapor respirator may be worn for up to 50 times the exposure limit or the maximum use concentration specified by the appropriate regulatory agency or respirator supplier, whichever is lowest. Air purifying respirators do not protect workers in oxygen deficient atmospheres. Ventilation: Mechanical generalflocal exhaust to control vapor or mist below maximum exposure limits. Protective Clothing: Wear impervious clothing, including boots, gloves, lab coat, apron or cover ails. Eye Protection: Use chemical safety goggles andlor a full face shield where splashing is possible. Maintain an eye wash fountain and quick drench facilities in the work area. Other Protective Equipment: Use impervious rubber gloves and boots, WorklHygienic Practices: Wash with soap and water after handling. Remove contaminated clothing and wash before next use. PWSicaFc#herr)�'c:alP..pi'':.��.'? Appearance and Odor: Transparent brown liquid with an acetone odor. Boiling Point: 132°F (S5°C) Vapor Pressure (mm Hg @ 200C): 180 Vapor Density: 2.0 Speck Gravity (water --I): 1,023 (+0.005) Melting Point Not determined Evaporation Rate (butyl acetate): 1.90 Solubility in Water. Soluble in water Stagl)Ifyand,RactNlty*��:'�: �: ��� s a { t4 g , s Stability: Stable under normal storage and handling conditions. Incompatibility (materials to avoid): Strong bases, water, amines, alcohols, and oxidizing materials. Hazardous Decomposition Products: Carbon dioxide, carbon monoxide, toluene di]socyanate vapors, hydrogen cyanide gas, and oxides of nitrogen. Polymerization: will not occur. Tox�olagi�al n{o�rYiat�ort � � 3 , � ; i;._ - •_:..,>:;.�, ...: ,bra. Carcinogenicity: NTP and )ARC consider Toluene Diisocyante a potential carcinogen IARC monographs: Teratogenicity: None Determined Reproductive Toxicity: Acetone is being investigated as a reproductive effector, a tumorigen, and a mutagen. Mutagenicity: None Determined Synergistic products: None OSHA regulated: Yes AV-333 Injectaflex Page 3 of 3 yam, on :... _ l..lrlfQl•[itaf;l When released into the soil, this material is expected to readily biodegrade. If released into the soil without catalysts, this material is expected to leach into the groundwater. When released into the soil, the acetone portion will evaporate quickly. When released into water polymerization may occur. The acetone Is expected to disperse and quickly evaporate. This material is not expected to be toxic to aquatic life. For acetone, the LC50196 hour values for fish are over 100 mgA. Dlsposat Co�rs�d�`ra ns�3' Dispose of in accordance with local, state, and federal regulations. - y'�'•'A;. ";r-TEr"v.=:..i�:--'.r:i:•:KJ,-'�i'._ `.�¢reK-�L9'a.,�y"�,.',,ye�..1._:,;��Y..fl!.i•:x'. �i:ri :;,��� �..._ �, � .ns ' ��ol�in tl' �: - - iais��:'''{ .. �.F� rf . �::5:�:::"el ..�..r,r _• n, ... •: n: -�- .,'$=.`S::' ., r:/:... _.�.�'-:.t .�i 1!._h=: ,i Hsu Proper Shipping Name; Waste Flammable Liquid, (contains: acetone) DOT Hazard Classlflcation: 3 UNINA Number. UN1993 Packaging Group: PG 11 Freight Class: DOT Labels Required: Flammable DOT Placards Required: Flammable TSCA SARA 302 SARA 313 CERCLA RCRA TSCA RQ TPQ LIST 261.3.3 8(d) Urelhane Prepo"r (57516- "): NO NO NO h0 NO NO NO Acetone (67-64-1): NO NO NO YES 50DD U002 NO 2,4 Wueoe Dilsocyanate (584-84-9): YES 100 YES YES U223 YES 2,6 Toluene alsocyanale (91-08-7): YES 100 YES YES U223 YES The information on this MSDS is accurate to the best of Avanti International's knowledge. Avanti International makes no expressed or implied warranty, and in no case shall be liable for consequential, special or indirect damages resulting from the use or handling of this product. CITY 0 SOUTHLAKE 13 Finance Department August 11, 2011 Ms. Sherry Lewis CIO Lewis Concrete Restoration 405 Ware Dr_ Buda, Texas 78610 Re: RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services Bond Requirements Dear Ms. Lewis, Please consider this letter our official written notification the required bonds per the bid addendum are each due in the amount of Fifty Thousand Dollars ($50,000.00). These bonds shall include the following: The initial bond amount for each of the required bonds shall be Fifty Thousand ($50,000). Bond Requirements: Prior to the commencement of work on this Project, Bidder shall deliver to the City the following bonds issued by a good and sufficient surety licensed by the State of Texas and satisfactory to the City: i. A payment bond in the amount of 100% of the total contract amount insuring the full and prompt payment of all persons performing labor and/or furnishing materials in connection with this Project; ii. A performance bond in the amount of 100% of the total contract amount insuring full, faithful, and prompt performance of the responsibilities contained in this contract within the time parameters provided herein; and iii. A maintenance bond insuring full and prompt maintenance, repair and/or replacement of the goods to be provided by Bidder for a period of one year from date of acceptance by the City. The maintenance bond is required prior to final payment for this initial contract phase. Please call if you have any questions. Sincerely, Tim Slifka Purchasing Manager, PPB City of Southlake 1400 Main Street Suite 440 Southlake, Texas 76092 817-748-8312 tslifka@ci.southlake.tx.us 1400 Main Street Suite 440, Southlake, TX 76092, (817) 748-8345 THE GRa1JP INSCQ INSURANCE SERVICES, INC_ Underwriting Manager for: Developers Surety and Indemnity Company + '` ' ; . „ `• Indemnity Company of California 17780 Filch, Suite 200 • Irvine, Cafrfornia 9261E • (800) 782-1546 www.InscoDico.com Rl litCL {'ell (PERFORMANCE BOND - TEXAS PUBLIC WORK) PERFORMANCE BOND Bond No.: 769404P KNOW ALL PERSONS BY THESE PRESENTS: That we, Lewis Concrete Restoration (Contractor), as Principal, and 0evelp-pers Surety and Indemnity Company, 105 Decker Ct Ste. 670 Irving. TX 75062 as Surety, are held and firmly bound unto Cily of Southlake 1400 Main Street Suite 440 Southlake TX 76092 (Owner), as Obligee, in the penal sum of Fifty Thousand and W100 DOLLARS ($ 50,000.00 ), lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, said Contractor, Principal herein, has, by written agreement dated entered into a contract with Owner for RFI31105B420JT110016 - PROVIDE SEWER MANHOLE AND WET WELL REHABILITATION SERVICES in accordance with drawings and specifications prepared by which contract is by reference made a part hereof, and is hereafter referred to as the "Contract". NOW, THEREFORE, a condition of this obligation is such that, if the Contractor shall faithfully perform the work contracted to be performed and comply with all provisions of the Contract, with the exception of any contractual obligation requiring payment of Contractor's subcontractors and suppliers, then this obligation shall be void; otherwise to remain in full force and effect. The total amount of the surety's liability under this bond shall in no event exceed the penal sum hereof. PROVIDED, HOWEVER, This bond is executed pursuant to and in conformance with the provisions of Chapter 2253, Texas Government Code, as most recently amended, and all liabilities under this bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at length herein. No right of action or recovery shall accrue hereunder to or for the use of any person or entity other than the Owner named herein, its heirs, executors, administrators or successors. ID-1541 (TX) (3104) • PAGE 1 of 2 IN WITNESS WHEREOF, the said iprrilncipal and Surety have signed and sealed this instrument the 15th day of August _ 1 _ I _ 2011 PRINCIPAL: Lewis Con re- Restora By: Title: Developers Surety and Indemnity Company By: Debbie Lemaster (A orney-in-fact) Authorized Representative (Name and Title) Signature of Authorized Representative 1D-1541 (TX) (3104) • AAGF 2 012 4M19 INSCO INSURANCE SERVICES, INC. Underwriting Manager for: ' p Developers Surety and Indemnity Company gRgIndemnity Company of California 37780 Fitch, Suite 200 • Irvine, Califomia 92614 • (800) 782-1546 www.InscoDlco.com (PAYMENT BOND - TEXAS PUBLIC WORK) PAYMENT BOND STATE OF TEXAS Bond No.: 769404P COUNTY OF KNOW ALL PERSONS BY THESE PRESENTS: That We, Lewis Concrete Restoration of the City of Buda , County of and State of Texas , as principal, and Developers surety and Indemnity Company , a corporate surety authorized to act as surety on bonds for Principal, are held and firmly bound onto City of 5outhlake 1400 Main Street Suite 440 Southlake TX 76092 (Owner), in the penal sum Of Fifty Thousand and n o/1 00 1 DOLLARS ($ 50,000.00 ), we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents: WHEREAS, the Principal did, on the day of , 20 , make and enter into a written contract with Owner for RFB1105B420JT110016 -PROVIDE MANHOLE AND WET WELL REHABILITATION SERVICES which contract is hereby referred to and made a part hereof as fully and to be the same extent as if copied the length herein. NOW, WHEREFORE, a condition of this obligation is such that, if said Principal shall pay all subcontractors and suppliers furnishing labor, material, equipment and/or services to Principal or its subcontractor in the prosecution of the work provided for in said contract, then this obligation shall be void; otherwise to remain in full force and effect. The total amount of the surety's liability under this bond shall in no event exceed the penal sum hereof, PROVIDED, HOWEVER, that this bond is executed pursuant to and in strict performance with the provisions of Chapter 2253, Texas Government Code, as most recently amended, and all liabilities under this bond shall be determined in accordance with the provisions of said Chapter to the same extent as if it were copied at length herein. ID-1542 (TX) (3104) • PAGE i of 2 IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this insiswuen.t this 15th day of Au gust 2011 PRINCIPAL: Lewis Concrete Restoration Developers Surety and Indemnity Company gnature Signature V I V1V)0j&k,-t- Name and T' e Concrete Restoration 405 Ware Dr. Buda. TX 78610 512-983-3283 Phone Number Debbie Lemaster, Attomey in Fact Name and Title N/A Authorized Representative (Naive and Title) Signature of Authorized Representative ID-1542 (TX) (3/p4) • PAGE 2 of 2 IMPORTANT NOTICE To obtain information or make a complaint: AVISO IMPORTANCE Para obtener information o para someter una queja: You may call the Surety's toll free telephone number Usted puede llamar al numero de telefono gratis de for information or to make a complaint at: pars information o para someter una queja ak 1-800-782-1546 You may also write to the Surety at: P.O. Box 19725 Irvine, CA 92623-9725 You may contact the Texas Department of insurance to obtain information on companies, coverage, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at: P.O. Box 149104 Austin, TX 78714-9104 Fax# 512475-1771 web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document 14WO-782-1546 Usted tanbien puede escribir a Surety at: P.O. Box 19725 Irvine, CA 92623-9725 Puede comunicarse con el Departamento de Seguros de Texas para obtener information acerca de compa- nias, coberturas, derechos o quejas al: 14MO-252-3439 Puede escribir al Departmento de Seguros de Texas P.O. Box 149104 Austin, TX 78714-9104 Fax# 512-475-1771 web: http://www.idi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Surety primero. Si no se resuelve la disputa, puede entonces comuni- carrse con el departamento (TDI). UNA ESTE AVISO A SU POLIZA: Este aviso es solo pars proposito de information y no se convierte en parte o condition del documento adjunto. TH€ ! F':J . GRfMI lnsco Insurance Services, Inc. Underwriting Manager for: Developers Surety and Indemnity Company • Indemnity Company of California 17780 Fitch, Suite 200 Irvine, CA 92614 1-500-782-1546 www.inscoDico.com ID-1404 (TX) (Rev. 7/07) POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY Bond Number. 769404P PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY, does hereby make, constitute and appoint: * Kenneth Zacharek, Rosslyn Davis, Brad Johnson, Debbie Lemaster, Thomas O. West, jointly or severally' as its true and lawful Attomey(s}in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said oarpaation, as surety, bands, undertakings and contracts of suretyship giving and granting unto said Attomey(s}in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporation could do, but reserving to each of said corporation full power of substitution and revocation, and all of the acts of said Attomey(s}in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolution adopted by the Board of Directcrs of DEVELOPERS SURETY AND INDEM- NITY COMPANY, effective as of January 1st, 2008. RESOLVED, that a combination of any No of the Chairman of the Board, the President, any Executive Vice -President, Senior Vice -President or Vice -President of the corpo- ration be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attomey(s) named in the Power of Attorney to execute, on behalf of the corporation, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power ofAttomey or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and aliested by its Secretary or Assistant Secre- tary this January 1st, 2008. BY' Daniel Young, Vice -President By: Stephen T. Pate, Senior Vice -President State of Callomia County of Orange On August 13th2008 before me, Jenny TT Nguyen, Notary Public Date Here Insert Name and Title of the Officer personalty appeared Daniel Young and Stephen T. Pate Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islaro subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in fiislhe Aheir authorized capacity(es), and that by hislherltheir signaturefs) on the instrument the person(s), or the entityupon behalf of which the persons) acted, executed the instrument. - - I certify under PENALTY OF PERJURY under the laws of the Stale of California that the foregoing paragraph is true and correct. WITNESS my hand and officials I. Place Notary Seal Above Signature J TF Ng n, Public OERTiFTCATE 6 The undersigned, as Secretary orAssistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power efAttomey remains in full force and has not been revoked and, furthermore, that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power ofAttomey are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine, California, this 15th day of August, 2011. BY. " c* Gregg Oku � isiant Secretary 1D-1438(Rev.11109)