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Item 4ECITY OF SOUTHLAKE MEMORANDUM (June 17, 2014) To: Shana Yelverton, City Manager From: Robert H. Price, P.E., Director of Public Works Item 4E 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 due 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. The contractor has chosen not to exercise their right to request an increase in pricing over the FY 2013 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. Item 4E Financial Considerations: Funding for purchases under this contract is available in the FY 2014 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 Infrastructure. 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 crry Of SOUTHLAKE 19 May 2, 2014 Lewis Concrete Restoration 335 Commercial Dr. Buda, Texas 78510 Attn: Ms. Sherry Lewis Subject: Notification of Contract Renewal for Provide Manhole and Wet Well Rehabilitation Services RFB I 105B429JT 1100 16 Dear Ms. Lewis: The City of Southlake is providing notification of contract renewal, pending City Council approval, for "Provide Manhole and Wet Well Rehabilitation Services RFB1105B429JT110016". This extension shall become effective August 5, 2014 and after City Council approval (CC Award date ) and shall continue in full force based on the terms and conditions of the initial award. As a condition of contract renewal a price adjustment may be requested by the vendor and considered by the City. Your company has indicated no price increase shall be requested at this renewal. 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 one (1) more one (1) year annual renewal. 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: accountspa ay ble 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 CPPO, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka@ci.southlake.tx.us Attest: Fax: 817-748-8048 Contract and Award Accepted: Signed: Mayor John Terrell City of Southlake Alicia Richardson, TRMC City Secretary Date: Approved as to Form and Legality: City Attorney LEWIS CONCRETE RESTORATION 335 Commercial Dr, Buda, TX 78610 Phone: 512.983.3283 Email: slewisC@lewisconcreterestoration.corn April 29, 2014 Timothy Slifka City of Southlake 1400 Main St. Suite 440 Southlake, TX 76092 Email: tslitka@ci.southlake.tx.us RE: CONTACT RENEWAL AND PRICE STABILZATION: YEAR 2014 Project: RFB1105B420JT110016: Manhole and Wet Well Rehab Services Mr. Slifka: The referenced manhole rehab annual contract is approaching renewal August 5, 2014. This letter is to inform you of no change in pricing for the renewal period. I have attached a copy of the effective prices for your information. We look forward to continued success with the City of Southlake. Please contact me if you have any questions at 512.983.3283. Regards, Sherry Lewis, CFO "A Specialty Restoration & Preservation Company" MWSBE, TX HUB Operating in Tx, LA, TN, MS, and AR On the JYeb (a]k'ltili'.lc'iti:SLt?fl['YE'tC!i'C'J'101'(lft(J11,LY1111 Schedule Pricing: 2014-2015 Item 9 Quantity Description of Products/Services Unit Cost Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services I. Per Vertical Ft. CONDITION 1 $ 136.45 Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 2. Per Vertical Ft. 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 Foot Diameter Manhole (5') per Scope of Services 4. Per Vertical Ft. CONDITION 1 $ 170.56 Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 253.18 5. Per Vertical Ft. CONDITION 2 $ Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 6. Per Vertical Ft. CONDITION 3 $ 346.45 Wet Well Liner Per Square Foot per Scope of 7. Per Square Ft. Services $ 11.53 Additional Cementitous Repair Material Above 4.10 8. Per''/z" Initial 1" of Material $ per %2" Traffic Control as Required by Texas Manual on Uniform Traffic Control in TXDOT Right of 205.00 9. Per Hr Way $ Traffic Control as Required by Texas Manual on Uniform Traffic Control in High Traffic 10. Per Hr Non -Residential Area $ 153.75 Traffic Control as Required by Texas Manual H. Per Hr on Uniform Traffic Control in Residential Area $ 76.88 Other Vendor Charges. Please Explain. flow thru plugs 6 -12" for water flow control inc u es piping 12. Per Svc. $ 410.00 Other Vendor Charges. Please Explain. 18"-24" flow thru plug 768.75 51.25 discharge hose/piping 13. Per Svc. $ TOTAL ALL LINE ITEMS 1$3,072.92 City of Southtake • Finance department • 1400 Main Street, Suite 440 • Sauthtake, Texas 76092 817.746.8312 An EEO/Affirmative Action Institution ORIGINAL DOCUMENT SOLI !. i'Y OF CITY OF SOUTHLAKE Courd Aclion:�/ N 01'd./R96. No. 19 DateApproved 1- -18 -QLQ1L 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 RFBl105B429JT110016 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 Well Rehabilitation Services RFBLIOSB429JT110016" copy included. This extension shall become effective August 5, 2013, pending City Council approval (CC Award date —f - 13 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 be made by purchasing card or purchase order. Delivery Terms: FOB Destination Delivery Locations: 1F 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: .TACK THOMPSON 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or Email: accounts avablenci.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 tslifkakki.southlake.ta.us Attest: Phone:917-748-8312 Fax:817-748-8048 Contract and Award Accepted: Signed: Mayor John Terrell City of Southlake Date: t 'I 0 ' J(5-- 1400 Main Street, Suite 440 Alicia Richardson, TRMC City Secretary `'ti,1,uuryly,,,. OUTH't;gfi�.,'; -kc}c • •rn. �.,, f, i7t�fc yLO Appr 7d o aid g 'ty: City Attorn✓y) Southlake, Texas 76092 LEWIS CONCRETE RESTORATION 335 Commercial Dr, Buda, TX 78610 Phone. S12.983.3283 Email: siewis@)Iewisconcreterestotation.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: RFB110513420JT110016: 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 lfh try::rte;v.le:<<i,ticarrtretcrc:s(r1rrNir�ra.c�Jj�t Revised Schedule of Pricing: 2013-2014 Item # -QuantityDescri' tiori of PradhctslServices Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 1. Per Vertical Ft. CONDITION 1136.45 Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole (4') per Scope of Services 2, Per Vertical Ft. 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 Foot Diameter Manhole (5') per Scope of Services 4. Per Vertical Ft. CONDITION 1 $ 170.56 Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 253.18 5. Per Vertical Ft. CONDITION 2 $ Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 6. Per Vertical Ft. CONDITION 3 $ 346.45 Wet Well Liner Per Square Foot per Scope of 7. Per Square Ft. Services $ 11.53 Additional Cementitous Repair Material Above 4' 0 8. Per %2" Initial 1" of Material $ er'/x" Traffic Control as Required by Texas Manual on Uniform Traffic Control in TXDOT Right of 205.00 9. Per Hr Way$ Traffic Control as Required by Texas Manual on Uniform Traffic Control in High Traffic 10. Per Hr Non -Residential Area $ 153.75 Traffic Control as Required by Texas Manual 76.8$ 1 I. Per Hr on Uniform Traffic Control in Residential Area g Other Vendor Charges. Please Explain. flow thru plugs 6 -12" for water flow control nc u es piping 12. Per Svc.; 410.00 Other Vendor Charges. Please Explain. 18"-24" flow thru plug 768.75 discharge hose/piping 51.25 13. Per Svc. $ TOTAL ALL LINE ITEMS $ 3,072.92 Cilyof Southleke - Finance 09patnent • 1400 Main Street Suite 440 • Southlaka, Texas 76092 817.748.8312 An EW/Aftirmalive Action Instilulion ORIGINAL DOCUMENT �Y Cm CITYAF SOUTHLAKE SWTHIAKE Council Action. Y N Ord.lRes. No. 19 Date Approved�-- June 29, 2012 Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 Attn: Ms. Sherry Lewis Subject: Option to Extend Notification for RFB1105B420JT110016 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 RFB1 105B420JT1 10016 Provide Manhole and Wet Well Rehabilitation Services copy included for -Fiscal Year 2012-2013. This extension shall become effective after City Council approval (CC Award date V 't 6 t 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: ,LACK THOMPSON 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or Email! accountspayable(cDci.south lake.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 B17-748-8312 with any questions_ Sincerely, im Slifka Purchasing Mana r, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tsliNa(a)ci southlake.lx.us Phone: 817-74M312 Fax: 817-748-8048 Contract and rd Accepted: Signed: Mayor Jahn Terrell City of Southlake Date: �I d i'�-6 t o)_ 1400 Main Street, Suite 440 ti,u,,,rryyq• OVT H L,q�'•.. oA, Z. O ak • P �� a 4. P Vf Attest Alicia Richardson, TRMC ., City Secretary .rl*e.* _X " 011• Approved as F and eg I' City Attorney Southlake, Texas 76092 F12K e-i IL LEWIS CONCRETE RESTORATION 335 Commercial Dr, Buda, TX 78610 Ojfice 512-983-3283 Email; sherrylezwis@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 7-13 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 camp (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 13312 1. Per Vertical Ft. CONDITION 1 $ 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 Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole (5') per Scope of Services 166.40 4. Per Vertical Ft. CONDITION 1 $ 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 S. Per'/z" initial 1" of Material $ per %s" Traffic Control as Required by Texas Manual on Uniform Traffic Control in TROT 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 $ Other Vendor Charles. Please Explain_ flow thru plugs 6 -12" for water flow control includes piping 12. Per Svc. $ 404.00 Other Vendor Charges. Please Explain. 18"-24" flow thru plug 750.00 50.00 Isc arge ose piping 13. Per Svc. $ �L _ 101- .�W. ;�. TOTAL ALL LINE ITEMS $ 2,997.97 City of Southfake • Finance Dep&ttnent • 1400 Wn &%vt Saole 440 • So"eke, Texas 76082 817.748.8312 An EE01Affumative Adion Institution February 21, 2012 Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 CXTY car 19 ORIGINAL DOCUMENT CITY OF SOUTHLAKE Council Action: 0i N Ord. Res. No. Date Approved Attn: Ms. Sherry Lewis Subject: RFB1105B420JT110016 Provide Manhole and Wet Well Rehabilitation Services Dear Ms. Lewis: The City of Southlake wishes to inform you the awarded contract for RFB1 105B420JT1 10016 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 do^lla�r's,$50,000) within a single fiscal year. This increase in award was approved by the City of Southlake City Council on �. 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- 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 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 817-748-8200 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 or via email to accountspayable o)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, CPP City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka(d7ci.south lake.tx.us Phone: 817-748-8312 Fax: 817-748-8048 Contract and Award Accepted: (--.—)JQ—� Signed_ date: _d--Ala Mayor John Terrell City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 August 5, 2011 Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 ORIGINAL DOCUMENT CITY OF SOUTHL_AKE Council Action, Y / Pl Ord,/Res. No. 3, fi-' OF SOUTHLAKE is Date Approved ATTN: Sherry Lewis Subject: RFB11058420JT110016 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 p 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 f/ " Purchasing Manager, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka0ci. south lake.tx. us Phone! Fax: 817.748.8312 / 817.748.8048 Contract and Award Accepted: Signed: na Yelvertor&K Manager 1400 Main Street, Suite 440 DATE C/f, Southlake, Texas 76092 Appendix B — Bid Document SUVIdw Checklist- (To determine validity of bid) —4APpendli B (pages _8_through _18_) must be included in the bid submittal. V Appendix C (page —18) Conflict of Interest Form MD3t be Included In the bid submittal. .%I] bids subillitted to the I hiN In rm W I Ile Oil Bik fiftlIV City of Soutlijake S11.111 itichide this. page with Ille subiltitted Bid and affi% a tol)v (if �'lljml ittal packa"; sualed clivclolle. RFB1105B420JT110016 Y'j PR PROVIDE SEWER MANHOLE AND WET WELL REHABILITATION SERVICES 3:00 P.M. (CST), FRIDAY JULY 15,2011 a - City Secretary's Office 1400 Main Street, Suite 270 -il R:(817) Southlake, TX 76092 r 748-8016 I- M& V. U., Lewis Concrete Restoration M 405 Ware Dr. �@N`V Buda, TX 79610 No2 -7 -2849234 . . . . . . . . . . 512-983-3283 512-628-6263 W, 4 s r e rylewisgaustiii.rr.com h TV :-xK, ' sr �Utm r1l W? I learned of this Request for Bids by the fbHowing means: 0 Newspaper Advertisement U Southlake Web3ite ❑ Mailed Me a Copy City of Soulhh7ke City E-mail Notification Cold Call to City ❑ Other RFBIJOSE420JT110016 Page 8 of 18 Appendix 13 —Bid Document (continued) L REQUIRED BID INFORMATION. IN 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 tom: 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 Deseri do : 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 MSDS : If applicable, the successful Bidder shall provide the City with applicable MSDS documentatttion as required by applicable laws and regulations. Reference 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. Proiect Schedule/Delivea 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 111,13. 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 PO. 2. Cost of Proposed Products and/or Services A. Eric : 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 Prier: 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: .9. ami 1. Pcr Vertical Ft. Sewer Manhole Liner Per Vertical Foot for Four Foot Diameter Manhole 4'per Scope of Services $ n/a 2. Per Vertical Ft. Sewer Manhole Liner Per Vertical Foot for Five Foot Diameter Manhole S' r Scope of Services $ n/ a 3. Per Square Ft. Wet Well Liner Per Square Foot per Scope of Services S n/a 4. 1 Per Svc. Other Vendor Charges. Please Explain. $ n / a + Y' !!'. NW TOTALALLLM ITEMS see revised Pf ice sc Reference Section B edule City of Soutklake - RFB1105B420JT11d016 - Page 9 of 18 Revised Schedule of Peking;: Reference section B Sewer Manhole Liner Per Vertical Foot for Four 1. Per Vertical FL Foot Diameter Manhole (4') per Scope of Services CONDMON 1 $ 128.00 Sewer Manhole Liner Per Vertical Foot for Four 2. Per Vertical Ft. Foot Diameter Manhole (4') per Scope of Services CONDITION 2 $ 18 5.00 Sewer Manhole Lines Per Vertical Foot for Four 3. Per Vertical Ft. Foot Diameter Manhole (4') per Scope of Services CONDMON3 $ 270.00 Sewer Manhole Liner For Vertical Foot for Five 4. Per Vertical lit. Foot Diameter Manhole (5') per Scope of Scrviccs CONDITION I $ 160.00 Sewer Manhole Liner Per Vertical Foot for Five 5. Per Vertical Ft Foot Diameter Manhole (5') per Scope of Services CONDITION 2 $ 237.50 Sewer Manhole Liner Per Vertical Foot for Five 6 d. Per Vertical Ft. Foot Diameter Manhole (5') per Scope of Services CONDITION 3 325.00 $ 7. Per S Ft. Wet Wen Liner Per Square Foot per Scope of Services $ 11.25 8. Per W Additional Cementitm Repair Material Above Initial I" of Material $ 4.0 0 r W' Trade Control as Required by Texas Manual on UWform Traffic Control in TXDOT Right of 9. Per Fit way $ 200.00 Traffic Control as Required by Texas Manual 10. Per Hr on Unlform Traffic Control in High Traffic Non-Reaidential Area $ 150.00 11. Per Hr TmMe Control ag Required by Texas Manual on Uniform Traffic Control in Re4deatial Area 75.00 $ Other Vendor Chars. lam OR FLOW THRU PL WAT21T FLOW -CONTROL 12, per Svc. $ 400.00 UNIT COST Is PER PLUG/EACH Other Vendor Charges. Please Explain. 13. Per Svc. $ TOTAL ALL LINE ITEMS — UNIT TOTAL $ 2,146.00 MofSuftake • Mom Depaffmm' 14MUsia&,adl,Sub 440 • SoudAAa Tam7M2 a7,74M An EE(YAfimm&e Action I UWPon 3. 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 Replacement off: 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 lsstablishment: 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. Proiect Related Experience: 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. 4. References Bidder shall provide three (3) references where Bidder has performed similar to or the same types of services as described herein. vof ronra �!7 • C`i tv of r.aT'Prin WTAKhr)l p RPhah Client/Company Name: City of Laredo, TX Contact Name: Angel Leon Contact Title: Ass it. Super Wastewat Phone: 956-721-2022 x3060 ETna!l:aleon@ci.laredo.tx.us Date and Scope of Work Provided: 2 0 0 8 - 2 0 0 9 : rehab of manholes in variou locations by application of repair mortar and epoxy lining. 1?PFaronro'7• City of LacTo Vista Manhole Rehab Client/Company Name: City of Lago Vista ContaetName: nave Stewart Contact Title: Director of Public W Phone:512-267--1155 Email: dstewart@lago--vista.org Date and Scope of Work Provided: 200-9-20= application of repair mortar tank epoxy coating manhole rehab various ocat 1-4" thick, epoxy coatings RPfPranra fk'1• 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 Southlake RFB1105B424JTI10016 - Page 10 of 18 r ,rks ons Reference Section C: Project Team Field Superintendents: Juan Moreno, Lorenzo Aguilar General Manager: Eric Lewis President/CFO: Sherry Lewis Lewis Concrete Restoration Confined Space Entry Personnel Certifications. LAUDERDALE ENVIRONMENTAL ENGINEERING 38t14 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512r266-9933; Fax: 511266-8933 Confined spice Trained: This card certifles that the following person ham 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 LAUDER PALE ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512tl66-8933; Fax: 5IM66-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space trdaing. Name: JesusJoventino Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams 38G4 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512J266-8933; Fax: 512/266-9933 Confined space Trained: This card certllles 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 ofTraining: 3/01/10 Trainer: Dave Williams LAUDMALE ENVIRONMENTAL ENGINEERING 3004 CloudyRidgt Rd.., Austin, Texas 78734 Phone: 5121266-8933; Fax 512265-8933 Confined space Trained: This card certifies that the following person has completed the required permit-regairrd confined space treloing. Name: Jaime Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete 5erv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDER128LE ENVIRONMENTAL ENCJNEERIM 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5171260-8933; Fax: 5k2R66-8933 Confined space Trained: This card certilter that the following person has completed the required permlt-requ[red 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 LAUM ALE ENVIRONMENTALEN(MEERING 3804 Cloudy Ridge Rd... Austin, Texas 78734 Phoney 512)266.8933; Fax- 51212664933 Confined space Trained: This card certilfes that the following person has compieted the required permlt-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 LAUDERPALEENViRONMi NTALENGINEERING 3804 Cloudy Ridge Rd,,, Austin, Texas 78734 Phone: 5T2266-8933; Fax: 512l266-8933 Confined space Trained: This card certifies that the following person his completed the required permit required confined space training. Name: Dionicio Escobar Company: Lewis Concrete Restoration/ f/k/a F&L Concrete 5erv. Date of Training: 3/01/10 Trainer: Dave Williams LAUDERDALE ENV] RONDdINIAL kNQ IN 3804 Cloudy Ridgo Rd.., Austin, Texas 78734 Phone: 512/266-8933; Ftw 5121266-8933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined space training. Name: Jesus Ramirez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAUD99DALE ENVIRONMENTAL ENGINEERING 304 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 5171266.8933; Fax. 512J2664933 Confined space Trained: This card certifies that the following person has completed the required permit -required confined spate training. Name: Raymundo Hernendez Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3/01/10 Trainer: Dave Williams LAU➢ERDALE ENVIRONMENTAL ENGINEERING 3804 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: SM66.8933; Fax: 5121266-8933 Confined space Trained: Ills card certifes that the following person has completed The regnired permit-rcqulrcd confined space training. Name: Travis Lewis 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: 5IM66-8933; Fax: 512r266.8933 Confined spaceTralned: This card certifies that the fallowing person ham completed the required ptrmlt-required confined space training. Name: Lorenzo Aguilar Company: Lewis Concrete Restoration/ f/k/a F&L Concrete Serv. Date of Training: 3101/10 Trainer: Dave Williams LAUDERDALE EM81SONMENTALENGINEERING 38f14 Cloudy Ridge Rd.., Austin, Texas 78734 Phone: 512/266-8933; Fax: 51Zr266-8933 Conflaed apace Trained: ThL% 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/Qualifications 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 onsite. Liasion between client jobsite personnel and LCR personnel. Bi-lingual, field Supervisor- (2002-July 20101 F&L Concrete Services, Inc., Austin, TX Works with 4-6 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 SpaceTraining -CSHI Jan 14, 2008 Respirator Fit Testing - CSHI Jun 16, 2008 Respirator Classroom Training - CSHI Jun 16, 2008 CPR training - CSHI May 30, 2003 Confined Space Training - Lauderdale March 3, 2010 Lewis Concrete Restoration Statement of Qualifications Team Member: Lorenzo Aguilar Project Title: Field Manager Experience/Quallfications 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 20t eperience. Superintendent - (1997-July 2010) F&L Concrete Services, Inc., Houston and Austin, TX Oversees all field and sales operations for the 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-11986.1996) Epoxy Design Systems, Inc. Houston, TX Supervised 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 Jan 14,2008 Respirator Fit Testing - CSHI Jun 16, 2008 Respirator Classroom Training -CSHI Jun 16,2009 CPR training- CSHI May 30, 2009 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 guidelines, 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/estlmating. 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 profitability 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 preparation, 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 fnviron March 1,2010 SHERRY L. LEWIS 405 Ware Dr . Buda, TX 78610.512-983-3283 . sherrylewis@austin.rr.com P.,esid"ent� 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 skills_ 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 Etperiene Records Management Meeting & Event Planning Inventory Management Expense Reduction HR 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/Of j"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 staff Accowanc Recorded gas sales revenues of approx- 2 million morithly- 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 department 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. 9 ducatton 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 Orden 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 (docs 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 I MWBF registration 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. PIease 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. 8. Term of Contract and Option to Extend: Any contract resulting from this 1ZFB shall be effective for twelve months from date of award. The City anticipates that contract sbali be renewed pursuant to the availability of funds and at the discretion of the City. The following clauses shall be included in the contract: A. OItion 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 Dot 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 extend 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 iflwhen 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 D% escalation. City of Southlake - RFBIIOSB420JTI IDO16 Pago 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.......... I ................ 5 % SECOND ADDITIONAL YEAR (FY 12-13) ESCALATION ................. 2 •5% THIRD ADDITIONAL YEAR (FY 13-14) ESCALATION ......................... 1.5 % FOURTH ADDITIONAL YEAR (FY 14-15) ESCALATION ......................... 1. `a % IL CONTRACT TERMS AND CONDITIONS. EXCEPT WHERE BIDDER MAKES SPECIFIC EXCEPTION IN THE SUBMITTED BID, ANY CONTRACT RESULTING FR0M TIIIS RFB WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH BIDDER HEREBY A KNO RILED GES, 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. Warranty 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. Late_Deliyery or Performance: 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 char es : All products offered shall be FOB final destination, with all delivery charges to be prepaid by the Bidder. The City does not accept C.Q.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 South lake - RFB11fl5 420JT110016 - Page 12 of 18 Reference Section D LIMITED WARRANTY 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, CRLS") 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 (1) 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 ('t) 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: 7/18/2011 Installation Date: Product Used: Gallons Installed: Confirmed by: of RLS Raven Lining Systems Lewis Concrete Restoration BY: Jim Henke By: She L Signature: Signature: Title: V. P. Sales & Marketing 'title: President 13105 Ease 61' Street, Suite A Broken Arrow, OK 74012 806.3U-1810 918-615-0020 Fax 918415-0140 www.ravenlining.tom 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 Ieave. B. Assignments: 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 this 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. H. 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 least 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 Iaws 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 Mil Lion Dollars ($1,000,000) Combined Single Limit Bodily Injury and Property Damage. City of Southlake - RFB1105134203T110016 - 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. Indemnity 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 of Southlake - RFB1165B420.iT110016 - Page 14 of 19 to teams available to the public; a payment for food, lodging, transportation or entertainment; or a transaction subject to rats or fee regulation by & governmental entity or agency. WHAT. A person or business that c utnicts with the City or who yaks to contact with the City nnist file a "conflict of interest questionnaire" (FORM CIQ) which is available online at www.dWw.state.tx.us and a copy of which is attached to this Guideline, The form contkne mandatory disclosures regarding "employmem or busfnm relationships" with a municipal officer. Officials maybe asked to clarify or interpret various portdoo of the quwdofnnaire. FVIIEN. The person or businm must Me; 1. the questionmaire no Ifter than seven days after the date the person or business begins contract disouasiong or negotiations With the municipality, or submits am applicadion, responds to a request far proposals or bids, wrrespondeace, or other writing related to a potmlial contract or agreement with the Lbty; and 2. an updated questionnaire within seven days after the date of an event that would make a filed questionnaire incomplete or im"wate. It does not matter if the submittal of a bid or proposal results in a contract The statute requim a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations cammegca. WE ERE: The vendor or potential vendor must mail or deliver a completed questiotndm to the Finance DepartmwL Tile Tkrrarwe Deperimme is requked to low to post the stakmeteis an the My's inierneiwebsite. ENFORCEMENT: Failum to fide a questionnaireis a clan c nusdemeamor punishable by a fine not to cx=W $500. It is an. exception to prosecution that the person fles a FORM CIQ not latcr than seven braincss days after the person received notice of a violation. NOTE: The City does not have a duty to ensure that a person files a conflict of interest questionna im W:15ou�1rkdMucr�iu r76 Atmrl� CfQ a4169i roc PIV 2 90 City of Southlake - RFBIIGSR420JTIICD16 Page 16 of 18 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity This questlonnalre reflects changes made to the law by H.B. 1491, Wth Lag., Regular Session. OFFICIFUSEONLY This questionnaire is being filed in accordance with Chapter 176, Local Government Code oa18 130"tea 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 lawthis questionnaire must bef led with the records administrator of the 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 fled. 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 under this section is a Class C misdemeanor. 1 Name of person who has a business relationship with local governmental: entity. None z ❑Check this box if you are filing an update 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 whom filer has employment or business relationship, None Name of Officer This section (item 3 including subparts A, B, 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 Govemment 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 � 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? 71 Yes FV1 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? Yes F,7/ No D. Describe each employment or business relationship with the local government officer named in this section. 4 o;pu:ry fined by SknrYL Lewis Sherry L Lewis'°cn-enyLLer4ul4tou srnlV�iMrryinslµ,atlnvrnm, c+115 jllne 202D11 Dit� 2011AA2021:2&�-05'CA' � Signature of person doing bLuslness wish the governmental entity Date Adopted 0612912007 j 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 I ❑ Cannot be competitive ❑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 NAM}; (PIease print): Authorized Officer Name (Please print): Telephone: L_) Fax: () City of Southlake - M1105B420JT110016 - Page 18 of 19 MANHOLE NUMBER: DEPTH TO INVERT: STREET REFERENCES: INSPECTED BY: SIZE: IN. SIZE: IN. SIZE: IN. Jan-01 Lewis Concrete Restoration Manhole Inspection Report DATE: TYPE CONSTRUCTION: SIZE: IN. I INSPECTION HISTORY Rouen+Coa>ted;MaIn DEPTH: IN. K SIZE: IN. DEPTH: IN. SIZE; IN. DEPTH: N. SIZE: IN. 2. THERE ARE NO OTHER CHANGES. Sharen J$Gkso Dhwtor ofF[mme City of Southlake IN THE SUBMISSION OF BID, BIDDER MUST ACKNOWLEDGE RECSiPT OF THIS ADDENDUM. BIDDER SHAH ACKNOWLEDGE THIS ADDENDUM BY SIGNING AND RETURNING ONE COPY OF THIS NOTICE WrM THEIR BID. -K� SIGNED: DATED: COMPANY NAME: Cip of SouUAW • Rune Dspnv[mW 1 1400 MA SOW $A 410 • SoAkke Taxes 7802 8i7.74WI2 An EMAflVmi ive Won FnhtMn 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.quadexonhnc.com Southeastern U.S. Regional Manager Office 501-758-8628 Mobile 501-772-5244 swisencr uadexonline.com ---a& � QRe►v�s�" iuTaTio EX 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 Walls FEATURES AND BENEFITS: Stops running water immed lately Non -Shrink, expands as It sets Contains no calcium chloride Non -Metallic Sulfate resistant Easily applied No Mixing TYPICAL PERFORMANCE DATA: Compressive Strength STRENGTH —PSI (MPa) (ASTM C109) 30 min. 1850 psi 2"ay 5800 psi >S6D0 Bond Strength (ASTM C321) 30 min. 50 psi 1 day 85 psi QUADEX QUAD -PLUG FAST SETTING CEMENTMOUS WATERSTOP PACKAGING: YIELD: Quadex Quad -Plug is supplied in a 50 lb. plastic pail. Quadex Quad -Plug will yield approximately .45 cu. ft. V87 cu. In.) per pail_ APPLICATION INFORMATION: TO SEAL RUNNING WATER OR LEAKS: Prepare crack or hole by chipping cut 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 motion to active leak, maintaining 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 HIII Road ❑ North Little Rock, AR 72118 0 Phone: (801) 758.8828 0 Toll Free: (008) 831-1650 0 FAX: (501) 768-3814 QUADEX SEWER 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 walls 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 (ASTM C109) 1 hour 4170 psi 28 day 7000 psi Flexural Strength PSI 28 d ay 1110 psi Freeze -Thaw Durability Testing Method (ASTM C668) No visible damage after 300 cycles Setting Times Testing Method Gillrnore ASTM 266 Initial Set 15-18 minutes Final Set 22-25 minutes QUADEX HYPERFORM RAPID SETTING HIGH EARLY STRFNGTH PATCHING MATERIAL PACKAGING: Quadex 14yperforrn is supplied In 601b. (27 kg.) poly -lined bags. YIELD: One 60-lb. bag of Quadex Hyperform will yield approximately .60 Cu. ft. (787 cu. in.) APPLICATION INFORMATION: Prepare surface to be patched by removing all louse 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 airblast 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 3 18 ' 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 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 Hyperform should wear necessary eye protection, dust mask and rubber gloves. Read all product labels and technical literature 4801 Crystal Hill Road 0 North little Rock, AR 72118 11 Phone: (501) 76M628 ❑ Toll Free: (B88) 831-1650 0 FAX: (501) 758-3814 --alk. � QMADEX� DESCRIPTION: Ouadex QW4-12 Restore is a factory blended, one Component, high strength cement based, polypropylene fiber reinforced, shrinkage compensated mortar enhanced with a monocrystalline quartz aggregate (Granusir). It 4 Specifically designed for placement by tow pressure apraying of mortar for the repair of concrete and masonry structures. This unique formulation allows far a monolithic one -pass application up to three inches in thickness by low pressure spraying. RECOMMENDED FOR: Vertical and overhead repairs to concrete or masonry sewer manholes, wetwells, pipe, water treatment facilities, tunnels, navigation lodes, 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 C109) >10,000 Flexural Strength (ASTM C 293) >1400 Bond Strength (ASTM C 321) Brick Failed Before Bond Freeze -Thaw (ASTM CW8) No visible damage after 300 cycles QUADEX QM -Is RESTORE FACTORY BLENDED, ONE CDMPONEpiT HIGH STRENGTH CEMENT BASED AfORTAR PACKAGING: Quadex QM-18 Restore Is supplied in 60 lb (27 kg.) poly-Ifned bags. YIELD: One 60-1b. bag of Quadex QM is Restore will yield approximately .54 cu. it. 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, oil 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 OM-19 Restore. First add water to mixer, start mixer to mixing and add Quadex QM-4s Restore until mortar is completely mixed_ Apply Quadex QM4s Restore by tow 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: Ouadax warrants its products to be free of defects in material and workmanshlp. Quadex will replace any Product proved to be defective when applied in accordance with manufacturer's instructions. Quadex's obligation shall be Ilmlted solely to such replacement, There are no other warranties by Quadex expressed or implied. Permeability (AASHTO T-277) 350 Coulombs PRECAL ONS: Density 132 +/- 5 pC1= Avoid eye Contact or prolonged contact with skin. Wash thoroughly after use, persons using Quadex QM-18 Shrinkage Restore should wear necessary eye protectlon, dusk (ASTfJI C596) 09'0 28 days echnicalmask drubber literature stoves. Read all product labels and 4801 Crystal Hill Road 0 North Latta Rock, AR 72118 ❑ Phone: (501) 758-8628 0 Toll Free: (888) 831-i650 0 FAX: (Sol) 758.3814 Quadexo..1nc,. 21� U84a'14 MATERIAL SAFETY DATA SHEET PnoDucr,.QuADEx-am-1SAEST0RE CoMM6:hlames ACGIH UV - ------- — ------ 'Bol9nalPotnt: NA specific Gravitp .*9- Sp IM! 52 PortiCement lornwo ffld[ VaparPre sure. MA NW Malting Point: NA ..Admxhnvs 10.mgjm Voporbojift. NA. Evaporation Rate: NA NephellM,Solte- 10 rng/W Sbiubillity In atet. 76%. Polyproolene. 10 MgjM:1 Appearance and Odor. Grey and Odorless Flash Point: NA- Stability: Stable Special F.Im Fighting Procedures:.Non- CombustibleVaterlaill ' Conditions, to Avoid Although.no hazardous reaction will occur, -pro -duct should, be.ka0t.dry., Exthiguishing-Medla: NA Hazardous Decomposition or:Byproducts: None usual Fire andj0091onHazaNs: None Hazardous Polyrn"tion, Will not occur Routes of Entry: Inhalation: -Yes Skin: Yes Ingestion Yes Carchn"ogedicitw- KTP: No IARC Monographs: No OSHA Regulated: No Signs andSymptonis of Exposure: May cauta skin -MtgftbN eye lrriWit)ry.and r*ptraor.y.-'HtaVoii,, MadicaMondifims GeneraIly Aggmvateo by,Rxpasuna: May aggravatq-eAs*Q ayelung,anj skin conditions. Emergency and First Aid Procedurew RInsa eyes with clean water and wash affected skin with,soap and water. Steps to Be Taken In CaseMatertal Id Released.or Spilled: Dispose Into labeled Waste container -for reuse or disposal. Wear adequate protective clothing and equipment, Area may be washed down wfthrawater. Waste Disposal Whad: Olsoosd In .sanitary landfill In adeordince.'wlth'federaL state and local regulations. PreomMone-to'be'Taken In Handling and Storing: gtom.:(!idr'y'plo6efand.kwpsealed talt.liready-touse. Other Precautions: None Respiratory Protection: Use NIOSWMESHY .appmved Ventilation: Local exhaust recommended if necessary. Mechanical exhaust.reooinrnendedff nqoeaumy. Protective Gloves: Rubber Eye Protection: Goggles Other Protective Clothing or Equipment .8tandartl Work clothing and shoes. WorkARygle.nia Pracdcas. 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 cementitious 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, slllclous 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., Maumalle, Arkansas. 3.1.1 Specifications: Infiltration Control Materials A. Compressive Strength (ASTM C109) 30 mins: 1850 psi 3 days: 4000 psi 7 days: 5000 psi 28 days: 5890 psi B. Bond Strength (ASTM C321) 30 min; 50 psi 1 day: 85 psi C. Set Time 30 seconds 32 Invert Repair and Patching All material furnished 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, monocrystalline 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: 5640 psi 24 hours: 7660 psi B. Flexural Strength (ASTM C348) 1 hour. 450 psi 3 hours: 625 psi 24 hours: 820 psi C. Freeze -Thaw (ASTM C666) 300 cycles with no damage C. 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 siilceous 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'A" to 4' in a one pass monolithic application. 3.3.1 Specifications: Cementltlous 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 Flexural Strength (ASTM C293) 1400 psi C. Bond Strength (ASTM C882) 1500 psi D. Permeability (AASHTQ T-277) Not to exceed 400 coulombs E. Freeze -Thaw (ASTM 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) Cementltious coating materials shall be manufactured from Type II Portland cement, and enhanced with silica fume. Materials shall contain poly -fiber reinforcement, chemical admixtures, and siliceous 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) Cementitious coating materials shall be manufactured from 100% pure calcium aluminate cement and enhanced with high - density chemlcally 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 mudatic 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. D. All loose or defective brick, grout, ledges, steps and protruding ledges shall be removed to provide an even surface priorto 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 running water or seepage in all types of concrete and masonry structures. The applicator shall apply material in accordancewith manufacturers 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 mlxing 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 -shrink 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 manufacturer's speeifleations. 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 either 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 1 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 manufacturers 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 I 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. Spraying shall be performed by starting at the manhole Invert and progressing up the wall to the corbel and chimney areas. Material shall be applied to a specified uniform minimum thickness no less than '/2 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 centrifugally cast evenly around the interior of the manhole, the rotating applicator head shall be raised and 1 or lowered at a controlled retrieval speed conducive to providing a uniform material thickness on the manhole walls. c, Controned 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 I/ -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. Material shall be applied only when manhole is in a damp state, with no visible water dripping or running over the manhole walls. 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. 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 aftertroweling Is complete to avoid moisture loss in the materiat 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 >=ahrenhelt and falling or when the temperature is anticipated to fall below 32 degrees Fahrenheit during 24 hours. 5.0. 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. Bfiltration Testing C. Visual Inspection 5.2 Material Testing One 2 X 2 inch sample cube shall be 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 manufaclurer's recommendations. Manufacturer's obligation shall be limited solely to product replacement. March.22, 2011 Eric Lewis Lewis Concrete Restoration 405'Ware Dr. Buda, TX 78610 DearEric: This letter certifies that Lewis Concrete Restoration is a Raven Certified Applicator in good standing in accordance with the Certified:°Applicator Agreement executed between Lewis Concrete Restoration and Raven Lining -Systems for the year of 2011. Lewis Concrete Restoration possesses the necessary equipment and maintains trained personnel to properly apply Aquata?oxy and Raven coatings. Lewis Concrete Restoration has been a Raven Certified Applicator since 1998. if should have any further questions, please contact me accordingly. 13105 E. 6e. Street — Broken Arrow, OK 74012 _ 800-324-2810 — 918-615-0140 (fax) FZ j'54k E: l iil G Y5TE April 15, 2011 Sherry Lewis Lewis Concrete Restoration 405 Ware Dr. Buda, TX 78610 Dear sherry: This letter certifies that LeWIS Concrete Restoration is a Raven Certified Appiicator in good standing In accordance with the Certlfled 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 property apply Aquatapoxy and Raven coatings. Employee Y_rs, ofTrainina Aquilar, Lorenzo 14 Arthur, Lord 12 Bolton, Jared 1 Escobar, DlonWo 14 Hernandez, Raymundo 1 Eric, Lewis 14 Lewis, Travis 6 Mejia, Olvin 1 Moreno,Juan 10 Ortiz, Crescenslano 1 month Ramirez, Fransisco 8 Ramlrez,.Herlberto 8 Ramirez, Jaime 8 Ramirez, Jesus! 8 Ramirez, Jesus 0 9 Ramirez, Rodrigo 8 Reyes (EMP), Mlsael 8 Samuel, Andy Z Vela, Saul Lewis Concrete has been a haven applicator since 1998. Should you have any other questions, please contact this office accordingly. to A Broken Arrow. Ok 7401Z 91"0-0020 415-615-0040 (fax) Raven 155 DESCRIPTION Raven® 155 is a ultra -low viscositj TYPICAL Formulated existing cur high -early Raven coati COLOR —`': Off white, mill IA -r Ci;BAN-IJP ne epoxy.wltli Ti clean tools, use soak require use of a solver clean skin, immediate] water. Refer to the penetrating; pruner for new and additional information a polymer additive. for use with it mortm ! #q- 6e_;top'coated with e maferial which dries to a transparent film SOLIDS BY VOLUME: As supplied: 71% solids o-vvfume,-.. Volatile Organic Compotuids:. "610! i s%�a4on FILM THICKNESS Raven 155 is a waterbona—tel;epox ' and will exhibit shrinkage during Therefore; applied wet film thickness (W'1~ r} and Miry film thiclaress (DFT) will not be the same. Required WFr may be calculated using the following formula: WFr = desired DFT divided by % solids by volume. THEORETICAL COVERAGE At 8 mils WFr coverage is 200 square feet per gallon providing 3 mils DFr 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. 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 nixed, amount of I the container in Contact RLS for CURE AND RECOAF' Temperature and rela dity affect clue and rewat windows of Ravencl applied as a concrete primer, at 72 deg F and: - Tack 'uriii 4 hours 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: I20'F. THINNING 155 is a waterborne epoxy. Therefore humidity levels Thin only with potable water, do not thin below 2076below W16 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, v sealers, salts, or other contaminants must may be accomplished through one or a.,� following methods: detergent wat r&1 (steam) cleaning, and/or solvent clef cleaningsiuiltld be followed ?'• potable water. Allow surfare tc; lint free rags. Freshly applied troweled and al without leaving After contamh4l' is :' " ,been profile for adhes .. • can using high press- _ cleat blasting, shotblasfiYlj 'br;V coml Raven 155 of the lC�CIY��li�417 �AiAR t r 77YY?fit ii� _ ' should be.li$htiy may be',walkea.,on AVAILABLEPAC Pints and 1-gallon pa119'-3�ItavetE 155 is available through Certified Applicators. COMPONENTS AND 1Vi1)C°RAIiO Part A, Resin. Part 13, Hardii6' .j.f iy volume. Contact RLS for details when utilizing Ias=a' polymer additive in repair mortars. Brookfield 1 4*xed containers at room e S� to }rep �n Via: 1te between 60°F and irtd 27°C) Ilo�ker freeze or be freezingtempea� Consult the Material Safe -, :SfTfor this product concerning health and saf i€ `fit before using. Strictly follow all notices on th. a£et}� Data Sheet and container label. if you dog -.-understand the notices and procedures provid > cannot strictly comply with them, do not use, N Actual safety measures are dependent on apg •.n ods and work environment. Contact R1.5 to of of the Material Safety Data Sheet at 800-324-28,1 Warranty and Disclaimer: RLS, a division of QPAR, Inc, warrants its products to be free of manufacturing defecis 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 purchase, 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 QvIPLi)iD. THERE IS NO WARRANTY OF MERCHANTABILITY OR FriNES5 FOR ANY PARTICULAR PURPOSE UNDER NO CIRCUMSTANCES SHALL RLS BE LIABLE FOR INCIDENTAL OR CONSEQUEMIAL DAMAGES OR FOR LOST PROFIT'S. NO ACTION AGAINST RLS MAY BE COIaI;♦d MCEU MORE THAN ONE YEAR AFTER THE CLAIM ARISES, www rls-solutions.com 800-324-2810 @ Email: cantact@rls-solutions.com a er�Haat�NY wmcw.r 0 2007 Rt5 DESCRIPTION Raven` 405 Is a solvent -free 100°,b solids, uhra high build epoxy costing formulated with exceptlomally high physical strengths and broad range chemfcal resistance. 405 exhibits superior bond to concrete, steel, masonry, fiberglass and other surfaces, even under moist and damp conditions. Designed for operating temperatures up to 2WIF, 405's unique ultra high-bulld ability allows it to be spray applied over200 mils In a single applk%fion 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. TYPICAL Surfaces where rehabilitation of an existing structures requires enhurlcoment of the sfnrctural integrity and where exposure to concentrated acids and causiics may be expected, Including: • Tunnels and pipelines • Clarifiers • D'mgestors Tanks • Secondary containment Wastewater facilities and Manhole rehabilitation Light blue Is standard. Limited special colors are available on request. Contact Raven Lining Systems for Information. SOLIDS BY VOLUMEa 100% solids by volume. Volatile Organic Compounds: 0.0 Ibs/gailon FILM THICKNESS Raven 405 is a 1009h solids epoxy with zero shrinkage. Therefore, actual wet film thlokness end final dry film thlclamess are the same (Le.10 mils WFf=10 mlls OFT). Dependent upon surface profile, a maximum of 200 His per coat Is recommended to prevent sagging on vertical or overhead surfaces. Generally, two thinner application coats are recommended for quality assurance in coverage. A wet film thickness gauge can be used to determine coating coverage. THEORETICAL COVERAGE 40 square feet per gallon at 40 mils thickness. Actual surface coverage will depaW on surface irregularities and desired result. Trials are reoommended to determine the actual coverage roquimd to yield a desired film thickness for each individual typo 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 Coatings or by contacting Raven Lining Systems. For a lifetime of protection. APPLICATION METHOD Brush, roller, heated plural component alrieas oralr-assleted spray. Additional information is available in the Design Gufde for the Application of AquataPoxy and Raven Epoxy Products. For specific Information on spray systems design, approved systems and Certtfted Applicators contact Raven Uning Systems. THINNING Do not thin with solven% pinholing and loss of adhesion can result. If lower viscosity is desired, heat unmixed material by placing ccntalners in 1301E tap water or, it sun is avallable, place the contalners in the hot sun until the desired flow characte4ulics are present. Drum heaters and inlina heaters can be used for larger quantities and on specialized spray equipment. CLEAN-UP To clean tools, use acetone, xylene or MEIC To clean skin, Immediately wash thoroughly with sW and water - refer to the Material Safety Data Sheet for additional information on health and safety. w ■ 20 minutes for 1 gallon at 75•F, 15 minutes for 2 gallons at 7&F. The amount of pot life and working life will vary depending on the quantity of epoxy mlxed, ambient temperature and the container in which the mixed material Is held. Con verm.Ll S ems .-fot addtl oral Infornatiofl Alter Parl Aand Part 8 are mixed, epoxy goes through a stage called gelation where the coating becomes very sticky. This is followed by the initial set (generally B hours at 701F). At this time, the coating can usually withstand light traffic or flow, but curing continues for several days even underwater. Altbough near maximum physical properties are achieved in 8 hours at 701F, maximum chemical resistanca may take three to seven days, This can be shortened by increasing the component andfor ambient temperature. When applying several coats to reach final dry film thickness, no more than 24 hours at MF should be pennftted to pass between coats. Before recoating clean surface thoroughly to remove all contaminants. The coaled 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 2002 Raven Lining Systems, Inc. SURFACE PREPARATION Surfaces to receive coaling must be cleaned of all oil, grease, rust, scale, deposits and other contaminants. Contact Raven Lining Systems for spacific recommendations. STEEL surfaces may require `SoiverA Cleaning' (SSPC-SP1) to remove oil, grease and other soluble contaminants, Surfaces to be coated should then be prepared according to SSPC-SPiO or MACE No. 2: 'Dear White Blast Cleaning`. In certain situations, an aftemate procedure may to use high (>5,DO0ps1) or ultrahigh (�-10,000psi) pressure water cleaning or water with sand In*9on and an approved rust inhibitor. The anchor profile for surface preparation must be a minimum of 2 mils, CONCRETE AND MASONRY surfaces can generally be prepared by low- (3,500.5,000 Psl) to high- (a5,000 psi) pressure water cleaning, abrasive blasting, shotblasting 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 leaned to remove dust and loose particles. Allow the surface to dry thoroughly. A penetrating primer such as low viscosity AquataPoxy A•10 may be recommended as a primer. FIBERGLASS surfaces sfauld be rinsed and neuiraflzed, scarified and cleaned Mth water or an emulsion of solvant and water to remove remaining dust and loose particles. Allow the surface to dry thoroughly. Fora Iifetifne of protection. 4-gallon pails (4-gallon kh), 5-gallon pails (20-gallon ktt), 30•gallon drums (120-gallon kit), 55-gallon drums (220-gallon kit), Raven 405 is available exclusively through Raven Certified Applicators, contact Raven Llning Systems. Part A, Ream, Part B, Hardener. 3:1 by volume. VISCOSITY Part A,160,DDO cps at 231C. Part B, 40,000 cps at 23C. SHELF LIFE & STORAGE Shelf Life: 1 year In sealed, unmixed containers at room temperature. Store In a sheltered area between WF and 80°F (15-C and M). Consult the Material Safety Data Sheet far this product concerning health and safety information before using. Strictly follow all notices on the Material Safely Data Sheet and container label. If you do not fully understand the notices and procedures provided or if you cannot etdctiy comply with them, do not use this product Actual safety measures are dependent on application methods and work environmerrt. Contact Raven Lining Systems to obtaln a copy of the Matoriat Safety Data Shoot at 800-924-2810. PERFORMANCE DESCRIPTION METHOD RESULTS Flexural Strength ASTM D790 13,00 psi Compressive Strength ASTM D695 18,000 psi Tensile Strength ASTM D638 7,600 psi Tensile Ultimate Elongation ASTM D63B 1.5°% Hardness, Shore D ASTM D2240 88 Water Vapor Transmission ASTM D1053, Method B 3.6 gms/sq.m, per 24 hours Taber Abrasion, CS17 Wheel ASTM 134060,1000 g load/1000 Cyclas a112 mg loss Adhesion ASTM D4541, Concrete substrate failure Ste91(SSPC-10) >1,400 psi Temperature Resistance Steal, unprimed and Concrete 200 deg F Wamnty and Dladaimer: Raven Lining 5ysterns, Inc. ('Raven') warrants its products to be free of manufacturing defects and that they all meet Raven'a current published physical properties when appllad In accordance with Raven's directons and tested In accordance with ASTM and Raven standards. tf, 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 redrnd the purchase price. This warranty is void if the product is used contrary to Raven's written diredioas. THE AFORESAID IS THE EXCLUSIVE WARRANTYANO IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. THERE 15 NO WARRANTY OF MERCHANTASIUTY OR FITNESS FOR ANY PARTICULAR PURPOSE. UNDER NO CIRCUMSTANCES SHALL RAVEN BE LIABLE FOR INCIDENTAL OR CON8EQUENTIAL DAMAGES OR FOR LOST PROFITS. NO ACTION AGAINST RAVEN MAY BE COMMENCED MORE THAN ONE (1) YEAR AFTER THE CLAW ARISES. RF5 MATERIAL SAFETY DATA SHEET Trade Name: Raven 405 -Part A SECTION I Manufacturer: Raven LVkg SWems Emergency Telephone if: 80Q424-9000 1024 North Larnsing Cherntrec Tulsa, OK 74106 Revlslon Date: 01101 Information Taieph o ne #: 91 &584.2810 000-324-2810 SECTION II: INGREDIENT INFORMATION INGREDIENT CAS NUMBER LEI TLV Epoxy Resin 250883" NE NI= SAHA Ttt a III, Section 313 Ingredents: Norte The remaining ingredieWa) is I era being wlthheki as a trade secret SECTION 1110 PHYSICAL DATA Bailing Point: ;, 200 deg F 9pacitic Gravity: 1.23 -128 vapor Pressure: NIA Molting Point: NIA VaporDensrty: N/A Evaporation Rate: Not established Solubility In Water. negligVe %vomle by Volume: c I % Appearance and Odor. White Colored Squid with a heavy paint eonsisteri y — mild epoxy odor SECTION N: FIRE I£ EXPLOSIONBAZARD DATA Flash Point > 200deg F. PMCC Method DOT Flammability Classlficatlon: non-flanyaabte Ext nyuishing Media: Foam, CO,, Ory Chemical Specfal Fire Fighting Procedures: The use of self-contained breathing apparatus is reconvnended for firefighters. Water may be helpful In keeping adjacent containers cod. Avoid spreading burning 1quld vfih wafer used for cooling purposes. Unusual Fin and Explosion Hazards: Keep work areas flee of hot meW surfaces and other sources of i nitlm ECTION V: REACTIVITY DATA Stability: Stable Ineompatiblilty: S"N adds and bases, sdecled amines, oxidizing agents. Hlizardous Decompor,rden or Byproducts: Thermal decornposMon in the premooe of air mayyleid carbon monmdde, carbon dwdda, aldetlydes snit ketones. Ha z dous Polymu bmllon: Will not occur. Raven 405 — Part A SECTION VI: HEALTH HAZARD DATA Primary Routes of Entry: EYES: May cause moderate eye irritation. Corneal inlay Is possible. SKIN: May cause all T& OW reaction in susceptible individuals. Prolonged exposure likely to cause significantskfn Irritation. Repeated expm" may cause skin irtttatim INHALATION: Vapors am unlikely due to physical properties. INGESTION: Moderately taudc may be harmful H swallowed. SYSTEMIC and OTHER EFFECTS: Preexisting eye and skin disorders may be aggravated by exposure to this product. Emergency end FlmtAtd Procedures: EYES: Ffush %ft large quantWes ofwater fix atleast i6 minutes. Consul a ptrysician. SIGN: Wash aff In slowing water or shower. Remove cwitarrinaled clothing, INHALATION: Remove to Mesh air ff atfecls occur. Conaul a physidan. INGESTION: Give 2 glasses of water and Induce vomirtohg. Consult a physician. SECTION MI; PRECAUTIONS HANDLING AND USE Stops to Be Taken In Case MatarW is Released of Spilled: Keep sources of ignition and hot metal surfaces isolated from the spll. Material may slrnv slowly. Scrape Into containers far disposal. WasW Disposal Methods: 01spose of according to all local, state and federal regulations. Precautions to Be Taken In Handling and Staring: Keep containers dosed Yuen not In use. Avoid prolonged or repeated oontactwlh akin. DO NOT handle or store near tlarne, treat or sarong oxldams. Avoid prolwxjed storage above 38 deg C (1 DO deg F). SECTION Vill: CONTROL MEASURES RESPIRATORY: Respiratory protection should not be needed. If respiratory Imitation is experienced or during spray appication, use a MSHA or NIOSH approved respirator. VENTILATION: General mechanical ventiaYlon Is sufficient for most conditions. Local exhaust vantilation maybe necessary for some operetlons. EYES: Use safety glasses, splash -proof eye goggles or goggles with full facesliield. CLOTHINGIGLOVES: Use imperrneable gloves to prevent skin Imitation In sens*m indNiduals. Wear dean, long-sleeved, body covering clothing. ProporShipping Name: notregutated Hazard Class: notregdahed Identtfloatlan Number. WA Packing Group: NIA SECTION IX: TRANSPORT DATA SECTION X; DISCLAIMER RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO ANY INFORMA710M PRESENTED HEREIN, ALL OF WHICH IS PROVIDED "AS IS". TO THE MAXIMUM EXTENT PERMITTED BYLAW. RAVEN EXPRESSLY EXCLUDES ALL WARRANTIES, OBLIGATIONS, REPRESENTATIONS, LIABILITIES, TERMS AND CONDITIONS (WHETHER THEY ARE EXPRESS OR IMPLIED, OR ARISE IN CONTRACT, STATUTE, OR OTHERWESE, AND IRRESPEG E OF THE NEGLIGENCE OF RAVEN, ITS EMPLOYEES OR AGENTS) IN CONNECTION WITH THE INFORMATION PRESENTED HEREIN. RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES AS TO MERCHANTABILITY, FITNESS FOR PURPOSE, NONINFRINGE:MENT OR CONFORMITY WITH DESCRIPTION ORSAMPLIE. Raven 405 - Part A MATERIAL SAFETY DATA SHEET Trade Name: Raven 405 - Part B SECTION I Manufacturer. Raven Uning Systems Emergency Tsiaphona#: 800-4248300 1024 North Lansing Chernhrec Tulsa, OK 74106 RevWw Data: 1310mi Information Telephone C. 018364-2810 8O0324-2810 SECTION II: INGREDIENT INFORMATION INGRE01EN CASNUMBER PEL TLV Aliphatic amines Mixture NE NE Cycloaliphaticamines Mixture NE NE Biopt"A OU-05-7 NE NE SARA Tide III, Sedlon 313 Ingwdler>!s: Bisphend A The remaining Ingredients} is I are being withheld as a trade secret SECTION ill: PHYSICAL DATA Boiling Point: > 200 deg F Spoclftc Gravity: 1.00-1.05 Vapor Pressure: NIA llifeidng Point NIA Vapor oansltii: NIA Evaporation Bate: Not estahished Solubility In Water: negligible %Volatile by Volume: < 1 % Appearance and Odor. Blue gel with a diaracteristic amine odor. SECTION IV: FIRE & EXPLOSION_HAZARD DATA Flash Point: > 200 deg F. Setatlash Method Firs Hazard CimIfIcatlon {OSHAINFPA}: Class III B. Extinguishing Media: Foam, CO,, Dry Chemical, water Spray SpecW Fire Fighting Procedures: The use of setf-cartakred breafhing apparatus is recmwrreoded for flra%htora. Water may be frelpfuf in keeping adjacent containers coal. Unusual Firs and Explosion Hazards: May generate toxic or Irritating combustion products. Sudden reaction and fro may result dprudud ie noted Wth an oxidizing agent. Delayed lung damage (pulmonary Warm) can be experienced after exposure t4 Om bustion products - SECTION V: REACTIVITY DATA Stability. stable Ineornpatlbll Ity: Strong adds and bases, Bela ded amines, oxidizN agents. Hazardous Decomposition or Byproducts: TNmnal decDmpositlon In the presence of sk may yield carbon moraxide, carbon dimdde. aidetydes, ketones and 61rogen O)ddm. Hazardous Pofymerizatlon: Will not occur. SECTION VI: HEALTH HAZARD DATA Primary Routes of Entry: EYES: Severe eye irritant. May cause brans. Vapors may be Irritating. SKIN: Severe skin Irritant May cause injxey to skin following prolonged or repeated contad. Repeated exposure may cause sonsttizaOn of the individual. Raven 405 - Part 8 INHALATION: Excessive Inhalation Is "to cause irritation of nimus mentranes. Repeated exposue ran result in Jung damage. INGESTION: Corrosive and may cause severe and pamanentdamage to mouth throat and stomach. SYSTEMIC and OTHER EFFECTS: Product can be alkaline, corrosiva and Irritating to skin, ears, eyes and mucous mert#arm. Aliphatic amiss can cause changes In the lugs, aver. Iddrreys and heart. Emergency and First A]d Procedures: EYES: Flush vdih large quantities of water for at least 15 m1mks. Get rnedcal attention immediately. SKIN: Wash Immediately with soap and vvater. If laitatlon or sensit¢afion occurs, remove ln*Mual from luriher contact with material. Remove aontamlnated clo tirg_ INHALATION: Remove to fresh air If affects occur. Get medical attanVDn INGESTION: If this product Is swaliovrod, admirister one glass of water. Do not Induce vomltng. Seek medical attentlon immediately. SECTION VII: PRECAUTIONS FOR SAFE HANDLING AND USE Steps to Be Taken In Casa Matarial Is Released of Spilled: Keep sourms a kinItion and hot metal surbcas Isolated from the spit. Material may flow slowly. Scrape Into containers fDr disposal. Wasta Dle posal Methods: Dispose of arccording to ail local, stela and federal regulations. Precautions to Be Taken in Handiing and Staring: Keep contalrus dosed when not In use. Avoid prolonged or repeated contacl with skin. RO NOT handle or store new flame, heat orstrong Oxidants. Avoid prolonged storage above 38 deg C (10O deg F)• SECTION VIIL• CONTROL MEASURES RESPIRATORY: To avoid overexposure, year a property fitted NIOSHIMSHA respWor with organic vapor cartridges. VENTILATION: General mechwftal venblation Is sufficient for most conditions. Local exhaust ventilation maybe necessary for same opemltons. EYES: Use chemical safety glasses, splash -proof eye goggles or goggles vtith fu0 faoeshield. CLOTHINGIGLOVES: Use nNe or other chemically resistant gloves. Wear clean, kngi-sleeved, hotly covering clothing and rubber boots. SECTION IX: TRANSPORT DATA Proper Shipping Name: Amines, liquid, corrosive, n.o.s, (cycioaTlphatic amines) Hazard Class: Corrosive Material - 8 Identtficatfon Numbar UN 2735 Packing Group: 11 SECTION X: DISCLAIMER RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES NTH 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, 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 OR AGENTS) IN CONNECTION WITH THE INFORMATION PRESENTED HEREIN, RAVEN MAKES NO REPRESENTATIONS OR WARRANTIES AS TO MERCHANTABILITY, FITNESS FOR PURPOSE, NONINFRINOEMENT OR CONFORMITY WITH DESCRIPTION OR SANIPLE Raven 406 — Part B AV 333 tnjectaflex Hydroph tic �oarrL NOR General,5pecrf�catbtil�' 'il3chnii;alSpecdicatloii� .. Description AV,9331njectaflex is single-compcnent urethane rosin that reacts rapidly with equai proportions of water to form a flexible, impermeable foam w1h excellent adhesion to concrete and some plastfos. AV i33 Is a low vireo* chemical grout primarily injected Into the area of leakage, creating a mechenic& and chem4�al bond, as well as a comp vssion seal, General Uses • Medium to Large cracks or joints In concrete • Stop infiltration throughout sewage systems• storm and drain cutverts, manholes, utEty vaults, large-dametu pipe or similar structures • Mantis's and pipe penetrations • Excerent watemroofilgfor turxtels, nine% ekwatorpits, dams, reserv4ts, etc. • Material can be used in wet or dry conditlons. GroutingTec mittues Expanded Gasket PtacementTechnigue (EGP) Variable Pressure Application Technique (V-PAT) ViS405fty 300-WD CPS Ratio 1:1 (Water to Resin) 5 Gallon Pail =10 Gallon batch Underwriters Laboratories [ UL ] Rated ANSUNSF Standard 61-Drinking Water Systems Components AddMvss AV-255G Grout Side Accelerator- reduces gel time Packaging Container- 1'Gailon-12 lb, gross weight ea. Pail - 5 Gallon--50 b. gross weight ea., 24 pails per pallet Shipping Motor Class 55 Hazard Class: 3 Air Freight a, ilablefor 1 Gak Comte: ' T l' J r 5 Gallon Pail �...� 13 Cleaning Product% AV-208-Acetone6 Technical Grade AV-284-Pump Wash J v AMR" er oa �cwwura emrnamu,aMnm wnv Webster, Texas 77598 1 800.877.2570 www.avantigrout.com / sales@avantigrout.corn acn.�a n amw.o ttenra,.+ Desctption Excellent bonding capabllitles to concete and some plastics. Properties: Uroired Appearanow. Light amberQquld Solids Content 85% ASIM D-1259 Viscosity: 300-600 cps 0 70°F ASTM 0-1638 Flash Point: > 25°F (-3 C) ASTM D- 93 Corrosiveness: NxFcommlve Reaction Tme: 40 seconds 4� 70°F ProperNas: Cured Foam (i:i) T"Ie Stengft 100-120 psi ASTM D-3574 Etongallorc 750-8M% ASTM 13-3574 Shrinkage: <2% after initial cure Toxicity.. Nan-tmdc Storage Aw333 In}ectaflex is sensitive to moisture and moderately sensitive to high storage temperatures- Store fn a dry area between 40°F and WE AV-333lnjectaftex should be properly rernoved from all applicatbn equipmerrt due to file high Fisk of moisture contamination. Immediately after use, hoses" pumps can be cleaned with AV-208 Acetone or AV-284 Puny Wash. ibis product is pwJ<aged under dry nitrogen to extend shelf fife. MSDS Available byrequest, or download at www.avantkjrouLcom/lVISDS Safety Product contains Toluene Dtisocyanate (TDlj. Vapors may cause respiratory Irritation and senskmt w. Take precautions to avoid breathing of fumes and vapors. Operators should be equipped with protective clothing incudrud rubber gloves and face shield. Ventilation should be tsed in confined spaces. First Aid Eyes: Immediately flush eyes with water for 15 minutes. Gel medical attention- SWrr. Wash affected area Adh soap and water. Remove contaminated clothing. Ira a on; Remove to fresh air. If breathing Is ddfiault get medical attention. kfgmtlorc Dkk 2 glasses of water. Cd a physician. Note: Never give anything by mouth to an unconscious or convulIng person. Notice The data, information and statements contained herein are believed to be rdable, but are not construed as a warranty or representation for which Avari i International assumes any legal responsibility. Since field ocrtdifions. vary widely, users must lrxte<take sufficlentvoriflcaWn and testing to datermine the suftabuity or any product orprocess mentioned In this or any other written material from Avarrti for their own parikxuiar use. NO WARRANTY OF SL=811I7Y OR FITNESS FOR A PARnCULAR PURPOSE IS MADE In no cases>thaA Avend International be liable for consequential, special, or irxkBct damages resulting from the use or handling of this product Date: November 1, 2004 Rage 1 of 3 Material! Safe47F;tta Shel ,.. z t- s>, r y sk Avanti International Chemirec Emergency Phone: 800-424-9300 822 Bay Star Blvd. Product Data Information: 281486-5600 Webster, TX 77598 Fax: 281486-7300 -170 deniifieetiitn G r ,• rJ ..�`r,1 ti� ::Fi. ;:r� if, a � .J�. .1-.- �.��-• 71F ....,r �N-! I d •�r5; Product Name: AV-333 Injectaf7ex ampositigrluOrMgredln fisforrt?a ont �> r`'1 r . Y. - _r_ s Urethane Prepolyrner OSHA Not established. CAS #57516-88-8 ACGIH: Not established. Trade Secret Acetone OSHA 5 mg! CAS #67-64-1 ACGIH: Not established. Trade Secret Toluene 2,4-DiisManate OSHA PEL: 0.005 ppm GAS #584-84-9 ACGIH TWA 0.005 ppm Trade Secret Toluene 2,6-131isocyanate7 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. list 41m7aSrj ". ", ` 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 Ike 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 ExWguishing Media: Dry chemical, alcohol foam, carbon dioxide, or water. Water may be ineffedive. 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 Injectaflex Page 2 of 3 Accidesiltaf_Release:Me { „' - Spill 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 seal 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 materlals. 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 prod uct. rposurefContfnEs,;and P�tsal_Pfectiari `^ Respiratory Protection: Wear NIOSH/MSHA 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 worn 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 maybe 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 general/local exhaust to control vapor or mist below maximum exposure limits. Protective Clothing: Wear impervious clothing, including boots, gloves, lab coat, apron or cover ally Eye Protection: Use chemical safety gaggles and/or 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. Workl ygienic Practices: Wash with soap and water after handling. Remove contaminated clothing and wash before next use. Phj4gic�Faitd Cheii7eal-Pgpe�ties Appearance and Odor. Transparent brown liquid with an acetone odor, Boiling Point: 132°F (55°C) Vapor Pressure (mm Hg @ 20°C): 180 Vapor Density: 2.0 Specific Gravity (wafer-1): 1.023 (+0.005) Melting Point: Not determined Evaporation Rate (butyl acetate): 1.90 Solubility in Water. Soluble in water Stability: Stable under normal storage and handling conditions. Incompatibility (materials to avoid): Strong bases, water, amines, alcohds, and oxidizing materials. Hazardous Decomposition Products: Carbon dioxide, carbon monoxide, toluene dilsocyanate vapors, hydrogen cyanide gas, and oxides of nitrogen. Polymerization: will not occur. Carcinogenicity: NTP and IARC consider Toluene Dlisocyante a potential carcinogen tARC monographs: Teratogenicity: None Determined Reproductive Toxicity: Acetone is being investigated as a reproductive effector, a tumodgen, and a mutagen. Mutagenicity: None Determined Synergistic products: None OSHA regulated: Yes AV 333 Injectaflex Page 3 of 3 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 mgll. pisposaktCpjnstddTa `rl}SP_ �.,. as, :, f �i Y. ,:: Dispose of in accordance with local, state, and federal regulations. i? •" _ t#form ti.arr r -� -.. { t ��, ... h, � _ -� .._.,- e ! t� j1 ! .� �'.. :-.1 C h -t T 9� - ._-2 Proper Shipping Name: Waste Flammable Liquid, (contains: acetone) DOT Hazard Classification: 3 UNINA Number. MUM Packaging Group: PG 11 Freight Class: DOT Labels Required: Flammable DOT Placards Required: Flammable ,8uri`l (nfaritatFi�n Urethane Prepolyrner (57516-88-8): Acetone (67-64-1): 2,4 TDluene Dlksocyanate (584-84-9): 2,6 Toluone Mwcyanate (91-08-7): TSCA SARA 302 SARA 313 CERCLA RCRA TSCA RQ TPQ UST 261.33 8(d) NO NO NO NO NO NO NO N0 NO NO YES 5000 0002 N0 YES 100 YES YES U223 YES YES 100 YES YES U223 YES The information on this MSDS is accurate to the best of Avantl International's knowledge. Avant Intemational 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. Ceti' SOUTHLAKE Finance Department August 11, 2011 Ms. Sherry Lewis CIO Lewis Concrete Restoration 405 Ware Dr. Buda, Texas 78610 Re: RFB1105B420JT1i0016 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 ($50,000). Bond Requirements: Prior to the commencement of work on this Project, Bidder shall deliver to the City the following bonds issued by a good and sufficient surety licensed by the State of Texas and satisfactory to the City: i. A payment bond in the amount of 100% of the total contract amount insuring the full and prompt payment of all persons performing labor and/or furnishing materials in connection with this Project; ii. A performance bond in the amount of 100% of the total contract amount insuring full, faithful, and prompt performance of the responsibilities contained in this contract within the time parameters provided herein; and iii. A maintenance bond insuring full and prompt maintenance, repair and/or replacement of the goods to be provided by Bidder for a period of one year from date of acceptance by the City. The maintenance bond is required prior to final payment for this initial contract phase. Please call if you have any questions. Sincerely, Tim SIitka Purchasing Manager, PPB City of Southlake 1400 Main Street Suite 440 Southlake, Texas 76092 817-748-8312 tslifka@ci.southlake.tx.us 1400 Main Street Suite 440, Southlake, TX 76092, (817) 748-8345 IME INSCD INSURANCE SERVICES, INC. _ .. i�IC� Underwriting na Der►eiopers Surely and Indemnity Company--- P Indemnity Company of California 17780 Frtch, Suite 200 • Irvine, Caftmia 92614 • (800) 782-1546 t www.InscoDico.com •'J (PERFORMANCE BOND - TEXAS PUBLIC WORK) PERFORMANCE BOND Bond No.: 769404P KNOW ALL PERSONS BY THESE PRESENTS: That We, Lewis Concrete Restoration (Contractor), as Principal, and Developers Surety and Indemnity Company, 105 Decker CL Ste 670. Irving, TX 75062 as Surety, are held and firmly bound unto City of Southlake 1400 Main Street, Suite 440, Southlake. TX _76092 (Owner), as Obligee, in the penal sum of Fifty Thousand and no11 0 DOLLARS ($ 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, fmnly by these presents. WHEREAS, said Contractor, Principal herein, has, by written agreement dated , entered into a contract with Owner for RFB1105B420JT110016 - 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 prr���cipal and Surety have signed and sealed this instrument the 15th day of Au ust 1 I 2011 PRINCIPAL: Lewis Con a Re". By: Title: U , LVD SURETY: Developers Surety and Indemnity Company By: k� V640,4-�� Debbie Lemaster (A orney-in-fact) Authorized Representative (Name and Title) By: Signature of Authorized Representative 1D-1541 ") (WO4) • PAGE 2 012 INSCO INSURANCE SERVICES, INC. Underwriting Manager for: Developers Surety and Indemnity Company Indemnity Company of California M80 Fdoh, Suite 200 • Irvine, California 92614 - (800) 782-1546 www.InswDlco.wrn (PAYMENT BOND - TEXAS PUBLIC WORK) PAYMENT BOND STATE OF TEXAS § COUNTY OF KNOW ALL PERSONS BY THESE PRESENTS: Bond No.: 769404P That we, Lewis Concrete Restoration of the City of Buda , County of and State ofTexas 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 southlalce 1400 Main Street Suite 440 Southlake TX 76092 (Owner), in the penal sum of F' Thousand and no11 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 RF131105B420JT110016 - 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. 10-1542 (TX) (31G4) • PAGE f of 2 IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this day ofAu ust 2011 PRINCIPAL: SURETY: Lewis Concrete Restoration Developers Surety and Indemnity Company -- . . �: - 61;mn- gnature Signature 51P rf&ll Rr V Lvi Name and T' e Lewis Concrete Restoration 405 Ware Dr, Buda, TX 78610 512-983-3283 Phone Number pebble Lemaster, Attorney in Fact Name and Title NIA Authorized Representative (Name and Title) By: Signature of Authorized Representative ID-1542 (TX) (3/04) • 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 cell the Surety's toll free telephone number Listed puede 11amar al uumero de telefono gratis de for information or to make a complaint at: para information o para someter una queja ah 1-800-782-1546 You may also write to the Surety at: P.O. Box 19725 Irvine, CA 92623-97ZS You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at: 1-8W252-3439 You may write the Texas Department of Insurance at: P.O. Box 149104 Austin, TX 78714-9104 Fax# 512-475-1771 web: httpJlwww.tdistate.tx.us E-mail: ConsumerProtectiion@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 infornation only and does not become a part or condition of the attached document. 148t10-782-1546 Usted tanhien puede escribir a Surety at: P.O. Box 19725 Irvine, CA 92623-9725 Puede comunicarse con el Departamento de Seguros de Texas pare obtener information acerca de compa- nias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departmento de Seguros de Texas P.O. Box 149104 Austin, TX 78714-9104 Fax# 512475-1771 web: http://www.tdistate.tx.as E-mail: ConsumerProtKdon@tdistate.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Surety primere. Si no se resueive 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. THE GFAOIJP Insca Insurance Services, Inc. Underwriting Manager for: Developers Surety and Indemnity Company • Indemnity Company of California 17780 Fitch, Suite 200 Irvine, CA 92614 1-800-782-1546 www.InscoDico.com ID-1404 (TX) (Rev. 7107) POWFR OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNrTY COMPANY Bond Number. 769404P PO Box 19725, IRVINE, CA 92623 (949) 263-M KNOWALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby make, coratitute and appoint: 'Kenneth Zacharek, Rosslyn Davis, Brad Johnson, Debbie Lemaster, Thomas O. West, jointly or severally — as its hue and lawful Attomey(s) n-fact, to make, execute, deirver and acknowledge, for and on behalf of said corporator, as surety, bonds, undertakings and contracts of suretyship giving and granting unto said ABomey(s}in-Fact full power and arthodty 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 U power of substitution and revocation, and all of the ads of 4d Atfomey(s}¢r•Fact, pursuant to these presents, are hereby ratlried and confirmed. This Power of Attomey is granted and is signed by facsimile under and by authority of the following resolution adopted by the Board of Directors of DEVELOPERS SURETY AND IN DEM- NITY COMPANY, effective as of January 1st, 2008. RESOLVED, that a combination of any two 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, authored to execute this Power of Attorney, qualifying the aMmey(s) named in the Power of Altomey to execute, on behalf of the oorporation, 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 Altomey; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power ofAttomey or to arty certificate relaffng 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 SURETYAND INDEMNITY COMPANY has caused these presents to be signed by its officers and attested by its Secretary or Assistant Secre- tary this January 1st, 2008. l By: d z Daniel Young, Yrclt &Prer Ely- Stephen T. tie, Senior Vice•Prmiderd stye of Caltiomla County of Orange On August 13th 2006 before me, JenrtyTT Nguyen, Notq Public Date Here Insert Name and Title of the Officer personalty appeared Daniel Young and Stephen T. Pate Nama(s) of Signers) Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) Ware subscribed to the within instrument and acknowledged to me that helsheAhey executed the same in h'isdherMair authwized capacity(ies), and that by hisMedtheh signatures) on the instrumentthe pemon(s), or the entity upon behalf of which the parson(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and officials I. Signature J Tr Ng Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power ofAtomey 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 CeriAcate is executed in the Cfty of Irvine, CaGfomia, this 15th day of August, 2011. By: Gfqg OkurgUistBntSecretary ID-1438(Rev.11109)