The URL can be used to link to this page

Agenda 02/22/2022 Item #16C1 (Awarding ITB #21-7921 "Countywide Chemicals"02/22/2022 EXECUTIVE SUMMARY Recommendation to award Invitation to Bid (“ITB”) No. 21-7921, “Countywide Chemicals,” for the purchase of various chemicals required for potable water, wastewater, and irrigation quality water treatment by the Water and Wastewater Divisions, and authorize the Chairman to sign the attached agreements. OBJECTIVE: To ensure reliable and fully compliant water, wastewater, and irrigation quality water services for our customers at the best value. CONSIDERATIONS: As part of an ongoing cost-containment effort, the Public Utilities Department continues to analyze all areas of greatest cost-improvement potential to ensure that it provides best value to its customers. One such cost-containment area is the purchase of chemicals the Collier County Water- Sewer District utilizes in its treatment processes to produce potable water, treat sewage, and produce irrigation quality water successfully, compliantly, and reliably. On October 11, 2021, the Procurement Services Division released notices of ITB No. 21-7921, “Countywide Chemicals,” to 9,595 vendors. Interested vendors downloaded seventy-two bid packages, and the County received seventeen bids for the various chemicals listed in the solicitation by the December 17, 2021, response deadline. Sixteen vendors were deemed responsive and responsible and were contacted to resolve minor irregularities; one vendor was deemed non-responsive and responsible; and two vendors withdrew their bids after the solicitation closed. Recommended awards were establis hed on a lowest price per line-item basis to a primary, secondary, and tertiary vendor (where available) as reflected in the attached bid tabulation. Staff recommends awarding ITB No. 21-7921 “Countywide Chemicals” to the following vendors: Airgas Specialty Products, Inc., Allied Universal Corp., Amaya Solutions, Inc. dba American Water Chemicals, Brenntag Mid-South, Inc., Carus LLC, Chemrite, Inc., Harcros Chemicals Inc., Matheson Tri Gas, Inc., Odyssey Manufacturing Co., Polydyne Inc., Shreive Chemical Company, Sulphuric Acid Trading Company, Inc., and Tanner Industries based upon their respective low bid status as primary, secondary, or tertiary vendors. Airgas Specialty Products, Inc. has been in business in Florida since 2005 and is on the County’s existing agreement. Allied Universal Corp has been in business in Florida since 1996 and is on the existing contract. Amaya Solutions, Inc. d/b/a American Water Chemicals has been in business in Florida since 2020 and is on the existing agreement. Brenntag Mid-South Inc. has been in business in the Florida since 1995 and is on the existing agreement. Carus LLC has been in business in Florida since 2019 and is on the existing agreement. Chemrite, Inc. has been in business in Florida since 2012 and is on the existing agreement. Harcros Chemicals Inc. has been in business in Florida since 2001 and is on the existing agreement. Matheson Tri Gas, Inc. has been in business in Florida since 1995 and has been a vendor on multiple Collier County agreements. Odyssey Manufacturing Co. has been in business in Florida since 1998. Polydyne has been in business in Florida since 2001 and is on the existing agreement. Shreive Chemical Company has been in business in Florida since 2003. Sulphuric Acid Trading Company has been in business in Florida since 1997 and is on the existing agreement. Tanner Industries has been in business in Florida since 1995. All vendors have experience doing business with Collier County and have performed satisfactorily. The current existing agreements (No. 17-7091) expire on April 10, 2022, and staff is requesting that proposed Agreement No. 21-7921 commence on March 1, 2022, to allow a transition period. The agreements are for a three-year term with two additional one-year renewal terms. The pricing is fixed for a six-month period from the date each contract is awarded and established on a lowest price per line-item 16.C.1 Packet Pg. 534 02/22/2022 basis to a primary, secondary, and tertiary vendor. This allows all vendors on contract a semi -annual opportunity for a price increase/decrease for each chemical, which is very fluid in this industry, providing a change in the Primary/Secondary/Tertiary structure. Any pricing adjustment must be reviewed and approved by the Procurement Services Director and staff for reasonableness. If warranted, staff can utilize the secondary/tertiary vendor (when available) and/or to rebid a chemical product annually. Express pricing and terms are set forth in the attached proposed agreements. FISCAL IMPACT: The actual amount expended is dependent on the volume of potable water treated, inflows to the wastewater treatment plants, and the volume of irrigation quality water produced. FY21 actual chemical cost totaled $4,332,400. The anticipated annual cost included in the FY22 approved budget is $5,564,400. Funds are available in the Collier County Water-Sewer District Operating Fund (408). Purchase orders will be issued only on an as-needed basis. The facilities that will use this bid include the South County Regional Water Treatment Plant, the North County Regional Water Treatment Plant, the South County Water Reclamation Facility, and the North County Water Reclamation Facility. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this Executive Summary. RECOMMENDATION: To award ITB No. 21-7921, "Countywide Chemicals," as identified above, authorize the Chairman to sign each Agreement with the awardees with an effective date of March 1, 2022; and authorize the issuance of purchase orders to the lowest bidders in each chemical category on an as-needed basis, based on water, wastewater, and irrigation quality water service level demands. Prepared By: Steve Messner, Director, Water Division ATTACHMENT(S) 1. 21-7921 Bid Tabulation (PDF) 2. 21-7921 Countywide Chemicals NORA (PDF) 3. 21-7921 Chemical Specifications (PDF) 4. 21-7921 VenderSigned_Odyssey (PDF) 5. 21-7921 Insurance_Odyssey (PDF) 6. 21-7921 VendorSigned_Allied (PDF) 7. 21-7921 Insurance_Allied (PDF) 8. 21-7921 VendorSigned_CarusLLC (PDF) 9. 21-7921 Insurance_CarusLLC (PDF) 10. 21-7921 VendorSigned_Harcros (PDF) 11. 21-7921 Insurance_Harcros (PDF) 12. 21-7921 VendorSigned_Polydyne (PDF) 13. 21-7921 Insurance_Polydyne (PDF) 14. 21-7921 VendorSigned_Amaya (PDF) 15. 21-7921 Insurance_Amaya (PDF) 16. 21-7921 VendorSigned_SATCO (PDF) 17. 21-7921 Insurance__SATCO (PDF) 16.C.1 Packet Pg. 535 02/22/2022 18. 21-7921 TannerIndustries_Vendor Signed (PDF) 19. 21-7921 COI Tanner (PDF) 20. 21-7921 VendorSigned_Airgas (PDF) 21. 21-7921 Insurance_Airgas_ (PDF) 22. 21-7921 VendorSigned_Brenntag (PDF) 23. 21-7921 Insurance_Brenntag_ (PDF) 24. 21-7921 VendorSigned_Chemrite (PDF) 25. 21-7921 Insurance_Chemrite (PDF) 26. 21-7921 VendorSigned_Matheson (PDF) 27. 21-7921 Insurance_Matheson (PDF) 28. 21-7921 VendorSigned_Shrieve (PDF) 29. 21-7921 Insurance_Shrieve (PDF) 16.C.1 Packet Pg. 536 02/22/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.1 Doc ID: 21268 Item Summary: Recommendation to award Invitation to Bid (“ITB”) No. 21-7921, “Countywide Chemicals,” for the purchase of various chemicals required for potable water, wastewater, and irrigation quality water treatment by the Water and Wastewater Divisions, and authorize the Chairman to sign the attached agreements. Meeting Date: 02/22/2022 Prepared by: Title: Plant Manager – Water Name: Howard Brogdon 02/08/2022 6:13 AM Submitted by: Title: Division Director - Water – Water Name: Steve Messner 02/08/2022 6:13 AM Approved By: Review: Public Utilities Operations Support Joseph Bellone Additional Reviewer Completed 02/08/2022 10:20 AM Procurement Services Ana Reynoso Level 1 Purchasing Gatekeeper Completed 02/08/2022 10:38 AM Procurement Services Sandra Herrera Additional Reviewer Completed 02/08/2022 10:39 AM Procurement Services Sue Zimmerman Additional Reviewer Completed 02/15/2022 4:53 PM Public Utilities Department Drew Cody Level 1 Division Reviewer Completed 02/15/2022 5:03 PM Public Utilities Department Joseph Bellone Level 2 Division Administrator Review Completed 02/16/2022 8:19 AM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 02/16/2022 11:05 AM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 02/16/2022 11:10 AM Growth Management Operations Support Christopher Johnson Additional Reviewer Completed 02/16/2022 11:44 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/16/2022 2:20 PM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 02/16/2022 2:50 PM Board of County Commissioners Geoffrey Willig Meeting Pending 02/22/2022 9:00 AM 16.C.1 Packet Pg. 537 Project Manager:Howard Brogdon Procurement: Patrick Boyle Bid Tabulation 21-7921 Countywide Chemicals Notifications Sent:9595 Viewed:123 Submissions:17 Primary Secondary Tertiary Withdrew Withdrew Product Description Unit of Measure Airgas Allied Universal American Water Chemicals Brenntag Carus Chemrite Harcros Lhoist Matheson Odyssey Polydyne Shannon Shrieve Sulphric Acid Trading Tanner Industries Univar The Dumont Company W-1 Ammonia lbs.$0.880 $0.970 Non Responsive W-2 Carbon Dioxide ton $266.000 W-3 Chlorine lbs.$0.749 $0.980 W-4 Corrosion Inhibitor (ortho-polyphosphate) 80-20 lbs.$0.650 $0.740 $0.738 $1.030 W-5 Fluoride (Sodium Fluorsilicate)lbs.$1.480 W-6 Lime lbs.$0.1685 $0.172215 W-7 Liquid PO4 lbs.$0.940 $0.890 $1.030 W-8 Muriatic Acid lbs.$0.272 $0.350 W-9 Scale Inhibitor lbs.$0.990 W-10 Sludge Polymer lbs.$2.000 W-11 50% Sodium Hydroxide dry ton $836.000 $856.000 $979.000 $825.000 $1,500.000 W-12 Sulfuric Acid lbs.$0.1575 $0.14225 W-13 Polymer lbs.$2.000 WW-1 Emulsion Polymer lbs.$1.600 WW-3 25% Sodium Hydroxide Solution gal $2.240 $2.290 $1.450 $1.550 $2.9582 W/WW-1 Calcium Hypochlorite lbs.$1.420 $1.640 $1.850 W/WW-2 Sodium Hypochlorite gal $0.780 $0.855 PR-1 Chlorine gal $1,168.000 PR-2 Sodium Bicarbonate lbs.$0.370 $0.500 PR-3 Muriatic Acid gal $0.530 $3.360 $7.950 PR-4 CO2 lbs. PR-5 Calcium Chloride lbs.$0.590 $0.450 PR-6 Cal-Hypo (100% Chlorine)lbs.$1.420 $1.750 $1.850 PR-7 Sodium Thiosulfate lbs. PR-8 Soda Ash lbs.$0.430 PR-9 Chlorine Tablets lbs.$2.560 WW-5 Soybean Oil Degreaser gal 1 of 1 16.C.1.a Packet Pg. 538 Attachment: 21-7921 Bid Tabulation (21268 : Countywide Chemicals) Project Manager:Howard Brogdon Procurement: Patrick Boyle Bid Tabulation 21-7921 Countywide Chemicals Notifications Sent:9595 Viewed:123 Submissions:17 Primary Secondary Tertiary Product Description Unit of Measure Airgas Allied Universal American Water Chemicals Brenntag Carus Chemrite Harcros Lhoist Matheson Odyssey Polydyne Shannon Shrieve Sulphric Acid Trading Tanner Industries Univar The Dumont Company W-1 Ammonia lbs.$0.880 $0.970 Non Responsive W-2 Carbon Dioxide ton $266.000 W-3 Chlorine lbs.$0.749 $0.980 W-4 Corrosion Inhibitor (ortho-polyphosphate) 80-20 lbs.$0.650 $0.740 $0.738 $1.030 W-5 Fluoride (Sodium Fluorsilicate)lbs.$1.480 W-6 Lime lbs.$0.1685 $0.172215 W-7 Liquid PO4 lbs.$0.940 $0.890 $1.030 W-8 Muriatic Acid lbs.$0.272 $0.350 W-9 Scale Inhibitor lbs.$0.990 W-10 Sludge Polymer lbs.$2.000 W-11 50% Sodium Hydroxide dry ton $836.000 $856.000 $979.000 $825.000 $1,500.000 W-12 Sulfuric Acid lbs.$0.1575 $0.14225 W-13 Polymer lbs.$2.000 WW-1 Emulsion Polymer lbs.$1.600 WW-3 25% Sodium Hydroxide Solution gal $2.240 $2.290 $1.450 $1.550 $2.9582 W/WW-1 Calcium Hypochlorite lbs.$1.420 $1.640 $1.850 W/WW-2 Sodium Hypochlorite gal $0.780 $0.855 PR-1 Chlorine gal $1,168.000 PR-2 Sodium Bicarbonate lbs.$0.370 $0.500 PR-3 Muriatic Acid gal $0.530 $3.360 $7.950 PR-4 CO2 lbs. PR-5 Calcium Chloride lbs.$0.590 $0.450 PR-6 Cal-Hypo (100% Chlorine)lbs.$1.420 $1.750 $1.850 PR-7 Sodium Thiosulfate lbs. PR-8 Soda Ash lbs.$0.430 PR-9 Chlorine Tablets lbs.$2.560 WW-5 Soybean Oil Degreaser gal 1 of 1 16.C.1.b Packet Pg. 539 Attachment: 21-7921 Countywide Chemicals NORA (21268 : Countywide Chemicals) Notice of Recommended Award Solicitation: 21-7921 Title: Countywide Chemicals Due Date and Time: December 17th, 2021 at 3:00pm Respondents: Company Name City County State Bid Amount Responsive/Responsible Airgas Specialty Products, Inc. Lawrenceville Gwinnett GA See Bid Tabulation YES/YES Allied Universal Corp. Miami Miami-Dade FL See Bid Tabulation YES/YES Amaya Solutions, Inc. dba American Water Chemicals Plant City Hillsborough FL See Bid Tabulation YES/YES Brenntag Mid-South, Inc. Orlando Orange FL See Bid Tabulation YES/YES Carus LLC Peru LaSalle IL See Bid Tabulation YES/YES Chemrite, Inc. Buford Gwinnett GA See Bid Tabulation YES/YES Harcros Chemicals Inc. Tampa Hillsborough FL See Bid Tabulation YES/YES Lhoist North America of Alabama, LLC Lakeland Polk FL See Bid Tabulation YES/YES Matheson Tri-Gas, Inc. Irving Dallas TX See Bid Tabulation YES/YES Odyssey Manufacturing Co. Tampa Hillsborough FL See Bid Tabulation YES/YES Polydyne Inc. Riceboro Liberty GA See Bid Tabulation YES/YES Shannon Chemical Corporation Exton Chester PA See Bid Tabulation YES/YES Shrieve Chemical Company The Woodlands Montgomery TX See Bid Tabulation YES/YES Sulphuric Acid Trading Company, Inc. Tampa Hillsborough FL See Bid Tabulation YES/YES Tanner Industries, Inc. Southampton Bucks PA See Bid Tabulation YES/YES Univar Solutions USA, Inc. Kent King WA See Bid Tabulation YES/YES The Dumont Company Apopka Orange FL See Bid Tabulation NO/NO Utilized Local Vendor Preference: Yes No DocuSign Envelope ID: BC2058F6-05AD-4CB0-A261-298FFB176BC6 16.C.1.b Packet Pg. 540 Attachment: 21-7921 Countywide Chemicals NORA (21268 : Countywide Chemicals) Recommended Vendor(s) For Award: On October 11th, 2021, the Procurement Services Division released notices of Invitation to Bid to 21-7921 to nine thousand nine hundred nighty five (9,595) vendors. One hundred twenty-three (123) were viewed and seventeen (17) bids were received by the December 17th, 2021 deadline. Awards have been established on a lowest price per line-item basis to a Primary, Secondary and Tertiary Vendor. The Dumont Company was deemed nonresponsive for failing to submit the bid package, the remaining vendors were contacted to resolve minor irregularities and all were deemed responsive and responsible. The following line items are not being awarded: Item 18 (PR1), Item 21 (PR4), Item 24 (PR7) and Item 32 (WW- 5). See attached bid tabulation for breakdown awards by line item. Contract Driven Purchase Order Driven Required Signatures Project Manager: Procurement Strategist: Procurement Services Director: __________________________________ _________________ Sandra Herrera Date DocuSign Envelope ID: BC2058F6-05AD-4CB0-A261-298FFB176BC6 1/19/2022 1/19/2022 1/19/2022 16.C.1.b Packet Pg. 541 Attachment: 21-7921 Countywide Chemicals NORA (21268 : Countywide Chemicals) Countywide Chemicals 1 Summary of Chemicals Water, Wastewater, and Parks and Recreation Code Area Chemical Oct - Dec Usage Jan - March Usage April - June Usage July - Sept Usage TOTAL ESTIMATED QUANTITY Unit of Measure Delivery Quantity Maximums W-1 Water Ammonia 12,000 22,000 20,000 18,000 72,000 LBS NCRWTP (850 GALS); SCRWTP (850 GALS) W-2 Water Carbon Dioxide 103,800 186,800 155,700 72,700 519,000 LBS SCRWTP (40,000 LBS) W-3 Water Chlorine 151,200 182,700 151,200 144,900 630,000 LBS NCRWTP (12 TONS); SCWRTP (12 TONS) W-4 Water Corrosion Inhibitor (ortho- polyphosphate) 96,000 112,000 96,000 96,000 400,000 LBS NCRWTP (38,000 LBS); SCRWTP (38,000 LBS) W-5 Water Fluoride (Sodium Fluorosilicate) 15,000 15,000 15,000 15,000 60,000 LBS NCRWTP (10,000 LBS); SCRWTP (10,000 LBS) W-6 Water Lime 900,000 1,900,000 1,500,000 1,500,000 5,800,000 LBS SCRWTP (58,000 LBS) W-7 Water Liquid PO4 18,000 25,000 20,000 18,000 81,000 LBS SCRWTP (10,500 LBS) W-8 Water Muriatic Acid 20,000 20,000 20,000 20,000 80,000 LBS NCRWTP (440 GALS); SCRWTP (440 GALS) W-9 Water Scale Inhibitor 37,500 50,500 39,000 36,000 163,000 LBS NCRWTP (38,000 LBS); SCRWTP (38,000 LBS) W-10 Water Sludge Polymer 550 550 550 550 2,200 LBS SCRWTP (2,200 LBS) W-11 Water 50% Sodium Hydroxide 1,320,000 1,600,000 1,320,000 1,260,000 5,500,000 LBS NCRWTP (55,000 LBS); SCRWTP (55,000 LBS) W-12 Water Sulfuric Acid 1,610,000 2,170,000 1,680,000 1,540,000 7,000,000 LBS NCRWTP (55,000 LBS); SCRWTP (55,000 LBS) 16.C.1.c Packet Pg. 542 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 2 Summary of Chemicals Water, Wastewater, and Parks and Recreation (Continued) Code Area Chemical Oct - Dec Usage Jan - March Usage April - June Usage July - Sept Usage TOTAL ESTIMATED QUANTITY Unit of Measure Delivery Quantity Maximums W-13 Water Polymer 2,200 2,200 2,200 2,200 8,800 LBS SCRWTP (4,400 LBS) WW-1 Wastewater Emulsion Polymer 33,700 50,000 31,000 43,100 157,800 LBS NCWRF (18,400 LBS); SCWRF (4,580 LBS) WW-3 Wastewater 25% Sodium Hydroxide Solution 15,000 15,000 15,000 15,000 60,000 GALS NCWRF (15,000 GALS); SCWRF (6,000 GALS) WW-5 Wastewater Soybean Oil Degreaser Wastewater Collections: 18 Totes@275 gal. ea. W/WW-1 Water / Wastewater Calcium Hypochlorite 10,800 10,800 10,000 10,000 41,600 LBS SCWRF (1,600 GALS); NCWRF (1,600 GALS) GGWRF (1,000 GALS) NEWRF W/WW-2 Water / Wastewater Sodium Hypochlorite 350,000 700,000 600,000 350,000 2,000,000 GALS NCWRF (order as needed); SCWRF (order as needed); SCRWTP (order as needed); NCRWTP (order as needed); GGWRF (order as needed) NEWRF (order as needed) 16.C.1.c Packet Pg. 543 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 3 Code Area Chemical Oct - Dec Usage Jan - March Usage April - June Usage July - Sept Usage TOTAL ESTIMATED QUANTITY Unit of Measure Delivery Quantity Maximums PR - 1 Parks Chlorine 30,000 30,000 70,000 70,000 200,000 GALS Per 5 sites on same delivery – 10,000 PR - 2 Parks Sodium Bicarbonate 2,000 2,000 3,000 3,000 10,000 LBS Per 2 sites on same delivery – 625LBS PR - 3 Parks Muriatic Acid 2,000 2,000 3,000 3,000 10,000 GALS Per 5 sites on same delivery – 625GALS PR - 4 Parks CO2 5,000 5,000 10,000 10,000 30,000 LBS Per 5 sites on same delivery – 1,875LBS PR - 5 Parks Calcium Chloride 2,000 2,000 5,000 5,000 15,000 LBS Per 2 sites on same delivery – 925LBS PR - 6 Parks Cal-Hypo (100% Chlorine) 1,000 1,000 1,000 1,000 4,000 LBS Per 2 sites on same delivery – 1000LBS PR - 7 Parks Sodium thiosulfate 300 300 200 200 1000 LBS Per 2 sites on same delivery – 1000LBS PR - 8 Parks Soda Ash 300 300 200 200 1000 LBS Per 2 sites on same delivery – 1000LBS PR - 9 Parks Chlorine Tablets 200 200 200 200 800 LBS Per 1 site on same delivery – 800LBS 16.C.1.c Packet Pg. 544 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 4 Water Department Chemicals W- 1 Ammonia 1. Use: Combines with chlorine to form chloramines for disinfection. 2. American Water Works Association (AWWA) Standard – B305-15 3. Physical Properties: • Molecular symbol - NH3 • Molecular weight - 17.031 • Boiling point at one atmosphere - -28oF (-33.3oC) • Freezing point at one atmosphere - -107.9oF (-77.7oC) • Critical temperature - 271.4oF (132.4oC) • Critical pressure - 1657 psi (111.5 atm) • Appearance and Odor – Colorless gas, pungent odor • Ammonia shall be minimum 99.9% purity 4. Technical Assistance – Vendor must have representative available to respond to technical and safety concerns immediate via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload anhydrous ammonia. Material Safety Data Sheets (MSDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: To be shipped and stored as a liquefied compressed gas. When filling the customers un -insulated tank, by volume, DOT regulations permit a maximum of 87.5%, if the temperature of the ammonia being loaded is not lower than 30F (-1.1C) and if the filling is stopped at the first sign of ice forming on the outside of the tank. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 8. Maximum Quantity per delivery: • South County Regional Water Treatment Plant – 850 gallons • North County Regional Water Treatment Plant – 850 gallons 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: 72,000 pounds 16.C.1.c Packet Pg. 545 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 5 W-2 Carbon Dioxide 1. Use: Carbon Dioxide is utilized to lower the pH of water by converting the carbonates and hydroxides back to bicarbo nates (i.e. lime softening process). 2. AWWA Standard: B510-18 3. Physical Properties: Carbon Dioxide is a colorless, non-toxic, non-combustible and chemically inert compressed gas. The chemical symbol CO2. Should be shipped in insulated tank trucks. CO2 is normally delivered at 0°F under 300 PSI. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload Carbon Dioxide. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: To be shipped and stored as a liquefied compressed gas. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant – 40,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL 10. Annual Estimated Quantities: 519,000 pounds 16.C.1.c Packet Pg. 546 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 6 W-3 and PR - 1 Chlorine 1. Use: Chlorine is used for disinfection and combines with ammonia to form chloramines. 2. AWWA Standard: B301-18 3. Physical Properties: Chlorine shall be supplied as a compressed gas. 4. Technical Assistance: The successful bidder shall have a qualified representative who shall be available immediately by telephone and six (6) hours on-site, in case of emergency (i.e., leak). A twenty-four (24) hour telephone number must be provided. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload chlorine cylinders. The supplier will also be required to provide, at no additional cost to the County, one (1) 4-hour training session annually, that meets the federal and state safety and right to know training requirements. The education and instruction of the County's operations personnel shall be by a qualifi ed instructor familiar with the safe handling practices associated with chlorine. Failure to provide this service will be considered a default of the contract. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: To be delivered in 1 ton cylinders. The containers shall be maintained, reconditioned and filled with c hlorine in strict conformance with the latest edition of the "Container Procedure at Chlorine Packaging Plant", issued by the Chlorine Institute, Inc. Vendor shall supply a copy of the check list from this document for each cylinder. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be receiv ed between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Dep artment. 8. Maximum Quantity per delivery North County Regional Water Treatment Plant: 12 tons South County Regional Water Treatment Plant: 12 tons 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: • For Water: 630,000 pounds (315 Tons) • For Parks and Recreation: 90,000 Gallons 16.C.1.c Packet Pg. 547 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 7 W-4 Corrosion Inhibitor 1. Use: Chemical used in the post treatment to prevent corrosion or leaching of metals into the potable water distribution system. Commonly called ortho-polyphosphate. 2. AWWA Standard: None 3. Physical Properties: The products must be certified as meeting or exceeding Standard No. 60 as issued by the National Sanitation Foundation (NSF). A letter from the certifying agency stating that the product proposed meets NSF Standard 60 must be included in the proposal. A certification guaranteeing that the level of lead (Pb) in the product will be less than 1.0 ppm must accompany the proposal. The products must provide effective corrosion inhibition on both ferrous and non-ferrous surfaces and have the capability to complex with lead to form a chemical film on the pipe interior over broad temperature and pH ranges. The products must have the capabilities to sequester iron and manganese over broad temperature and pH ranges. Only Liquid ortho-polyphosphate is utilized at the North County Regional Water Treatment Plant and South County Regional Water Treatment Plant. Any product that contains a blend of polyphosphates and/or orthophosphates with zinc, silicates or other compounds will not be considered. The products corrosion rates shall average less than or equal to 5.0 mils per year for mild steel and less than or equal to 0.5 m ils per year for copper. A statement from the manufacturer stating specifically that the product is manufactured from raw materials bearing food grade quality assurances must be included in the proposal submitted. The products must be non-toxic to humans by meeting the RMCL'S (Recommended Maximum Contaminant Level) as listed in the Water Chemicals CODEX and a statement from the manufacturer stating such must be included with the proposal submitted. A producer Certificate of Analysis (C of A) showing the product name, manufacturing lot number, and product quality criteria must be provided with each and every delivery. Failure to provide a corresponding C of A with each delivery will be just cause to refuse delivery of pro duct. Typical C of A's will not be accepted as meeting this specification. Blend of Ortho to Poly shall be 80%/20%. Corrosion Inhibiter shall be food grade approved suitable for potable water use in conformance with FDEP 62 -555-315 F.A.C. Solution shall be 35% active ingredients. Ph shall be 6.0 – 7.0. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload orth o-polyphosphate. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: Liquid ortho-polyphosphate must be available in bulk, returnable or disposable chemical resist ant tote bins or drums. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 16.C.1.c Packet Pg. 548 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 8 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant: 38,000 pounds North County Regional Water Treatment Plant: 38,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: 400,000 pounds 16.C.1.c Packet Pg. 549 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 9 W- 5 Fluoride 1. Use: Chemical added in post treatment to maintain no more than 0.7 ppm of fluoride in the distribution system. Fluoride provides dental benefits for younger children. Commonly called sodium fluorosilicate. 2. AWWA Standard: AWWA B702-18 3. Physical Properties: a. Bulk Density - 85 lb/ft3 (1.4 g/cm3). b. Fluoride ion content - 59.4% c. Insoluble matter - not to exceed 0.5% by weight. d. At least 98% must pass through a U. S. Standard Sieve No. 40 e. (420 μm). 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately v ia phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload Sodium Fluorosilicate. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: Sodium Fluorosilicate (Na2SiF6) must be shipped in multi-walled paper bags whose contents shall not exceed fifty (50) pounds. Packaging and shipping must conform to current regulations. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will b e received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Dep artment. 8. Maximum Quantity per delivery: North County Regional Water Treatment Plant: 10,000 pounds South County Regional Water Treatment Plant: 10,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: 60,000 pounds 16.C.1.c Packet Pg. 550 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 10 W-6 Lime 1. Use: Chemical used in the lime softening water treatment process to chemically soften water. Commonly called calcium oxide or quick lime. 2. AWWA Standard: AWWA B202-19 3. Physical Properties: • Appearance - white, free flowing powder/pebble mix • Bulk density - 65 lb./cu ft. • CaO Content - at least 90%. • Size - pebble material according to AWWA standard B-202-93, Section 4.1.1.1 ranging in size from powder to 3/8". • Insoluble matter - not to exceed 5%. • Not more than 5% of the fines shall pass a No. 100 U. S. Standard sieve and none will be retained on a 3/4" sieve. • The material will have sufficient free flowing characteristics to prevent bri dging in the storage silo at the water plant. If the material is found to bridge excessively in storage, this will be sufficient cause to cancel the contract and award the contract to the next lowest vendor. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload lime. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: The quicklime shall be delivered in bulk, by a hopper truck that can be unloaded pneumatically at the des ignated plant storage facilities. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Dep artment. 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant: 58,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL 10. Annual Estimated Quantities: 5,800,000 pounds 16.C.1.c Packet Pg. 551 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 11 W-7 Liquid PO4 1. Use: The chemical used in the lime softening process prior to filtration to stabilize the water. This chemical is commonly referred to as liquid phosphate. 2. AWWA Standard: N/a 3. Physical Properties: The products must be certified as meeting or exceeding Standard No. 60 as issued by the National Sanitation Foundation (NSF). A letter from the certifying agency stating that the product proposed meets NSF Standard 60 must be included in the proposal. The products must have the capabilities to sequester iron and mangane se over broad temperature and pH ranges. Only liquid phosphate is utilized at the South County Regional Water Treatment Plant. A statement from the manufacturer stating specifically that the product is manufactured from raw materials bearing food grade quality assurances must be included in the proposal submitted. The products must be non-toxic to humans by meeting the RMCL'S (Recommended Maximum Contaminant Level) as listed in the Water Chemicals CODEX and a statement from the manufacturer stating such must be included with the proposal submitted. A producer Certificate of Analysis (C of A) showing the product name, manufacturing lot number, and product quality criteria must be provided with each and every delivery. Failure to provide a corresponding C of A with each delivery will be just cause to refuse delivery of product. Product shall be minimum 35% active ingredient. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via p hone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload liquid phosphate. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: Liquid phosphate must be available in bulk, returnable or disposable chemical resistant tote bins or drums. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant – 10,500 pounds (3 totes @ 350 gallons/tote) 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL 10. Annual Estimated Quantities: 81,000 pounds 16.C.1.c Packet Pg. 552 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 12 W-8 and PR - 3 Muriatic Acid 1. Use: Chemical is used in the cleaning of the degasification and odor con trol systems. 2. AWWA Standard: N/a Physical Properties: Muriatic acid shall be a technical grade hydrochloric, minimum 32%, which is labeled as Muriatic Acid, 20-degree Baum. 3. Tech grade that is suitable to acid wash degasification and odor control towers . 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload muriatic acid. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: Muriatic Acid must be available in 55-gallon chemical resistant drums. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Dep artment. 8. Maximum Quantity per delivery: North County Regional Water Treatment Plant – 440 gallons – Eight 55-gallon drums South County Regional Water Treatment Plant - 440 gallons – Eight 55-gallon drums 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: a. For Water: 80,000 pounds b. For Parks and Recreation: 15,000 gallons 16.C.1.c Packet Pg. 553 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) W-9 Scale Inhibitor 1.Use: A membrane pretreatment scale inhibitor suitable for operation in the feedwater of the Collier North County Regional Water Treatment Plant (NCRWTP) Nanofiltration (NF) and Reverse Osmosis (RO) system and the South County Regional Water Treatment Plant (SCRWTP) RO system with the intent to operate those systems at the design recovery or higher with no acid injection, relying entirely on the scale inhibitor to prevent mineral scaling on the RO membranes. The NF system shall be operated at the design recovery while minimizing feed acid addition. 2.The COUNTY's system consists of six (6) NF and four (4) RO membrane trains at the NCRWTP and ten (10) RO membrane trains at the SCRWTP with design information as provided in Table A of this specification. The existing feedwater pretreatment includes AWC 102 scale inhibitor chemical injection to the RO and NF feed waters from a common storage and feed system. The RO and NF feed water are treated by cartridge filtration using 5-micron nominally-rated filters to remove total suspended solids (TSS). 3.The unit price for scale inhibitor shall be in US$ per pound. The County requests the vendor provide the feed dosage and current NSF 60 certification at the time of submittal or before the Notice of Recommended Award (NORA) 4.Product: •The scale inhibitor chemical shall be a 100 percent active liquid with proven scale inhibition and colloidal dispersing properties applicable to the water treatment plant's RO and NF feed waters. •The scale inhibitor shall prevent mineral scale fouling on the RO and NF membrane surfaces, allowing the RO membrane elements to operate at the specified minimum recovery without acid addition and allowing the NF membrane elements to operate at the specified minimum design recovery with minimum acid addition. •The total permeate production at maximum design feed flow and recovery for all fourteen RO and six NF trains shall be as indicated in Table A •Based on the "design" raw water quality analysis shown in Table B, the scale inhibitor shall prevent mineral scale formation and disperse inorganic colloids at the design operating conditions of the membrane system and up to the maximum recovery indicated by the SUPPLIER •The recommended scale inhibitor chemical must be in use at an NF or RO WTP of greater than 4 MGD capacity. •The scale inhibitor shall be compatible with thin-film composite 8"x 40" spiral wound NF and RO membranes elements commercially available from Toray, Hydranautics, Dow, Koch, and GE. •The scale inhibitor shall be approved for potable water treatment under NSF/ANSI Standard 60: Drinking Water Treatment Chemicals -- Health Effects, be compatible with the other chemicals currently used in the pretreatment processes and the existing composite NF and RO membrane elements and shall effectively prevent scale formation in the membrane systems and disperse colloidal particles. 5.Technical Assistance/Support: SUPPLIER shall provide technical support to the COUNTY. Specifically, the COUNTY expects support to verify the appropriateness of the existing dosage and recommend changes to the dosage if required to prevent scaling. Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 6.Safety Issues: The supplier's truck must be equipped to safely handle and unload scale inhibitor. Safety Data Sheets (SOS) must be provided with the initial order and any time thereafter when a change in chemical is made. Product must be labeled in accordance with OSHA standards. 7.Required Packaging: The vendor shall be able to provide bulk deliveries of up to 38,000 pounds. Certificate of analysis with percent solids, specific gravity, pH, appearance and date of manufacturer should accompany each delivery. 8.Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department Countywide Chemicals 12 16.C.1.c Packet Pg. 554 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 555Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 14 W-10 Sludge Polymer 1. Use: Chemical is used in the dewatering lime sludge process to dewater the sludge prior to belt pressing. Commonly called dewatering polymer. 2. AWWA Standard: N/A 3. Physical Properties: An anionic, dry, free-flowing powder used in dewatering lime sludge produced by a conventional lime softening water treatment plant. The polymer must be approved by the U.S.E.P.A. for use in potable water. The polymer is to be used in a facility utilizing a filter belt press to dewater the lime sludge. The polymer must allow the press to dewater the sludge to produce a cake of not less than 70% dry solids, with a sludge cake density not to exceed 1700 lbs/cu. yd. Effective pH range - 9.5 to 10.5. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: Delivery will be made with a vehicle equipped with a lift gate capable of handling pallet quantities (25 bags). Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: Supplied in poly-lined multi-walled paper bags, net weight not to exceed 55 lbs. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant – 2,200 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL 10. Annual Estimated Quantities: 2,200 pounds 16.C.1.c Packet Pg. 556 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 15 W-11 Sodium Hydroxide – 50% 1. Use: Chemical is used to raise pH and alkalinity of the finished water. It is also utilized in the odor control system to raise the pH for absorbing the hydrogen sulfide gas into the water stream. Commonly called caustic soda. 2. AWWA Standard: AWWA Standard B501-19 3. Physical Properties: Product shall be delivered as a 50% solution. Order from Water Treatment Plant specific requested solution for ea ch delivery. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via p hone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload sodium hydroxide. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. Driver must be equipped and dressed with full suit PPE. 6. Required Packaging: The vendor shall be able to provi de bulk deliveries. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of th e order from Collier County Water Department. 8. Maximum Quantity per delivery: North County Regional Water Treatment Plant - 50% - 55,000 pounds South County Regional Water Treatment Plant - 50% - 55,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: 5,500,000 pounds 16.C.1.c Packet Pg. 557 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 16 W-12 Sulfuric Acid 1. Use: Chemical is added to feed water prior to cartridge filtration to keep minerals in solution, so that they do not foul or scale the membrane elements. The lower pH is also necessary for proper hydrogen sulfide removal in the degasification system downstream of the membrane process. 2. AWWA Standard – N/a 3. Physical Properties: Sulfuric acid technical grade, shall be 93%, 66 degree Baume. Certificate of analysis shall be provided for each delivery. Product shall be no more than 17 parts per million iron. 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: The supplier's truck must be equipped to safely handle and unload sulfuric acid. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: The vendor shall be able to provide bulk deliveries. 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collie r County Water Department. 8. Maximum Quantity per delivery: North County Regional Water Treatment Plant – 55,000 pounds South County Regional Water Treatment Plant – 55,000 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL • North County Regional Water Treatment Plant 8005 Vanderbilt Beach Road Extension Naples, FL 10. Annual Estimated Quantities: 7,000,000 pounds 16.C.1.c Packet Pg. 558 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 17 W-13 Polymer 1. Use: Chemical used for flocculation and coagulation in water softening tre atment process. Commonly called plant polymer. 2. AWWA Standard: N/A 3. Physical Properties: • Charge in solution - Anionic 11% to 29% • Relative molecular weight - 10,000,000 • Bulk density - 47 lbs/cu. ft. • pH 0.5% solution - 7.5 • Solution viscosity - tap water - .1% • Flash point - less than 230 degrees centigrade • Maximum stock solution - 1.0% • Must be effective at or below a dosage of 0.20 PPM 4. Technical Assistance: Vendor must have representative available to respond to technical and safety concerns immediately via phone or 6 hours to the site. 5. Safety Issues: Delivery vehicle shall have a 2200 lb. minimum lift gate for unloading purposes. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging: To be supplied in poly-lined multi-walled paper bags, net weight 55 lbs. or less (25 bags to a pallet). 7. Delivery Schedule: Deliveries will be scheduled a minimum of 10 days prior to need. Shipments will be received between the hours of 8:00 AM and 4:00 PM, Monday through Friday, within eight (8) working days after verbal receipt of the order from Collier County Water Department. 8. Maximum Quantity per delivery: South County Regional Water Treatment Plant - 4,400 pounds 9. Delivery Location: • South County Regional Water Treatment Plant 3851 Citygate Blvd. Naples, FL 10. Annual Estimated Quantities: 8,800 pounds 16.C.1.c Packet Pg. 559 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 18 Wastewater Chemicals WW – 1 Emulsion Polymer 1. Use: To dewater sludge at the North and South County Wastewater Reclamation Facilities. 2. AWWA Standard: N/A 3. Physical Properties 4. Product Specifications a. Viscosity – Product must be compatible with existing polymer equipment. b. PH - product must be effective over a pH range of 5.5 to 8.5. c. Polymer Shelf Life – product must maintain 90% of its effectiveness for a perios of six (6) months after de livery. Physical and chemical characteristics of the product show a tendency to settle or separate, therefore, the vendor must supply necessary equipment to maintain solid s in suspension (i.e., drum mixers) and be responsible for installation costs for safe operation. d. Product and components of product shall meet the requirements for non -hazardous materials according to the guidelines of the Hazardous Waste Act. e. Product must not cause an adverse effect in any way to the polymer system, the dewatering system, lime stabilization process, or the receiving streams, or that would require additional treatment before discharge. f. If product clumps or gels, vendor will be required to supply necessary screening e quipment. If excessive, product will be returned at vendor’s expense and that amount will be credited to the County. 5. Performance Specifications South WWTP North WWTP Sludge feed rate 140GPM 150GPM Feed solids (typical, % T.S.) 1-2% 1 ½ - 2 ½% Minimum cake (%) 16% 16% % OF Minimum recovery 90% 90% 6. Technical Assistance In case of emergency regarding the polymer product, the successful vendor will be required to provide technical assistance im mediately by phone. To ensure that this can be met, it is further specified that the vendor have a qualified technical service representative throughout the contract period or guarantee in writing 6 - hour on site assistance. The supplier will also be required to provide, at no additional co st to the County, two 4-hour training sessions at each delivery location, each year, that meet the federal and state safety and right to know training requirements. The education and instruction of the County's operatio ns personnel shall be by a qualified instructor who is experienced in emulsion polymer handling and leak response. Failure to provide these services will be considered a default of the contract. The supplier shall be required to provide a letter certifying that the course outline meets the requirements listed above. 16.C.1.c Packet Pg. 560 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 19 7. Safety Issues: Deliveries will be made in a truck equipped with a lift gate capable of lifting 2,000 pounds (minimum). Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 8. Required Packaging Polymer will be delivered in 275-gallon (2300 #) chemical resistant totes. The minimum delivery will be 2 (two) totes. The 55-gallon drums and plastic totes will be returned to the vendor at the vendor’s expense. 9. Delivery Schedule Shipments will be FOB (free on board) Destination, and received between the hours of 8:00AM and 3:00PM, Monday through Friday, within eight working days after verbal receipt of the order from Collier County Utilities, excluding holidays to the following locations: • South County Wastewater Reclamation Facility 5600 Warren Street (Lely Subdivision) Naples, Florida 34113 • North County Wastewater Reclamation Facility 10500 Goodlette Road Naples, Florida 34108 10. Maximum Quantity Per Delivery: There is no maximum quantity per delivery. The County will order the amount of chemicals as needed. 11. Annual Estimated Quantities: 157,800 pounds. 16.C.1.c Packet Pg. 561 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 20 WW – 3 25% Sodium Hydroxide Solution 1. Use: To provide treatment in an odor control unit. 2. AWWA Standard: AWWA B501-19 3. Physical Properties Product shall be commercial grade and delivered as a 25% solution. Product shall meet or exceed all industry standards for q uality control. 4. Technical Assistance The supplier shall at his/her expense, provide the County with immediate technical assistance by phone. Failure to respond to a request for on-site technical assistance within six (6) hours shall be grounds for contract termination. The supplier will also be required to provide, at no additional cost to th e County, two (2) 4-hour training sessions at each delivery location, each year, that meet the federal and state safety and right to know training requirements. The education and instruction of the County's ope rations personnel shall be by a qualified instructor who is experienced in sodium hydroxide handling and leak response. Failure to provide these services will be considered a default of the contract. The supplier shall be required to provide a letter certifying that the course outline meets the requ irements listed above. 5. Safety Issues The supplier’s truck must be equipped to safely handle and unload sodium hydroxide. Material Safety Data Sheets (MSDS) must b e provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging The North County Wastewater Reclamation Facility has two 4,500-gallon holding tanks for sodium hydroxide. The South County Water Reclamation Facility has 1,300-gallon, 1,000-gallon, and 1,500-gallon tanks. This product will be delivered by tanker truck. Unloading shall be through a two-inch quick couple fitting on the tank. Hoses for delivering from the tanker to the holding tank shall be the responsibility of the awar ded vendor. The minimum delivery amount will be 1,500 gallons. 7. Delivery Schedule Shipments will be FOB Destination, and received between the hours of 8:00 AM and 3:00 PM, Monday through Friday, within seven working days after verbal receipt of the order from Collier County Utilities. Shipments will be made to the following locations: • North County Water Reclamation Facility 10500 Goodlette-Frank Road Naples, Florida 34108 • South County Water Reclamation Facility 5600 Warren St. Naples, Florida 34113 16.C.1.c Packet Pg. 562 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 21 8. Maximum Quantity Per Delivery: 1,500 gallons. 9. Annual Estimated Quantities: 95,000 gallons. 16.C.1.c Packet Pg. 563 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 22 Combined Water and Wastewater Chemicals WW/W- 1 Calcium Hypochlorite 1. Use: To clean sand filters at the wastewater treatment plants. 2. AWWA Standard: B300-18. 3. Physical Properties • Available chlorine minimum 65% • Bulk density 65-67 lbs/cu. ft. • Solubility (weight % in water): 217 G/L at 27 C. • Boiling point @ 760 MM HG: decomposes at 180 C. • Heat of solution: slight exothermic. Prospective bidders shall supply a complete analysis and a representative sample of their product for independent verification to the County, prior to the award of the contract. All analysis shall be in accordance with accepted industry standards. 4. Technical Assistance The supplier shall at his/her expense, provide the County with immediate technical assistance by phone. Failure to respond to a request for technical assistance within six (6) hours shall be grounds for contract termination. The supplier will also be required to provide, at no additional cost to the County, two 4-hour training sessions at each delivery location, each year, that meet the federal and state safety and right to know training requirements. The education and instruction of the County's operatio ns personnel shall be by a qualified instructor who is experienced in calcium hypochlorite handling and leak response. Failure to provide these services will be considered a default of the contract. The supplier shall be required to provide a letter certifying that the course outline meets the requirements l isted above. 5. Safety Issues The supplier’s truck must be equipped to safely handle and unload Calcium Hypochlorite. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging Calcium hypochlorite shall be packaged in a chemical resistant pail with a weight of 100 pounds. Containers are to be waterproof and of a disposable nature. The minimum delivery will be 1,600 pounds. 7. Delivery Schedule Shipments will only be received between the hours of 8:00 AM and 3:00 PM, Monday through Friday, within 10 days after verbal receipt of the order from Collier County Utilities. Deliveries will be made to the following locations: • South County Wastewater Reclamation Facility 5600 Warren Street (Lely Subdivision) 16.C.1.c Packet Pg. 564 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 23 Naples, Florida 34113 • North County Wastewater Reclamation Facility 10500 Goodlette Road Naples, Florida 34108 • South County Regional Water Treatment Facility 3851 Utilities Drive Naples, Florida 34117 • North County Regional Water Treatment Facility 8005 Vanderbilt Beach Road Extension Naples, Florida 34120 8. Maximum Quantity Per Delivery: There is no maximum quantity per delivery. The County will order the amount of chemicals as needed. 9. Annual Estimated Quantities: 25,000 pounds (250, 100-pound containers) 16.C.1.c Packet Pg. 565 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 24 WW/W – 2 Sodium Hypochlorite 1. Use: To disinfect treated water at the wastewater treatment plants. 2. AWWA Standard: B300-18 All chemicals shall meet the AWWA standard and be certified as suitable for contact with or t reatment of drinking water by an accredited certification organization in accordance with ANSI/NSF Standard 60, Drinking Water Treatment Chemicals - Health Effects or UL approved where appropriate. 3. Physical Properties: • Solution: Minimum of 120 grams per liter of available chlorine (12 Trade Percent) and shall be consistent as determined by chemical analysis. • The delivery time of the shipment shall not exceed 72 hours from the time of manufacture of the liquid sodium hypochlorite. • Sodium hypochlorite shall be a clear liquid containing no more than 0.15% insoluble matter. • The total free alkali in sodium hypochlorite shall be between .2% and .45% by weight. • Product shall be a clear straw colored liquid with no visible cloudiness, impurities, or sediment. It shall contain no soluble materials or organic substances in quantities capable of producing deleterious or injurious effects on the health of those consuming water treated with the liquid sodium hypochlorite. • The suspended solids in the sodium hypochlorite delivered under this contract shall be minimized and the shipments delivered shall achieve a filtration time of less than 3 minutes for 1000 ml when applying the “Suspended Solids Quality Test for Bleach Using the Vacuum Filtration” Method co- developed by Dr. Bernard Bubnis of NovaChem and previously referenced in this Specification. • Liquid sodium hypochlorite delivered under this contract shall meet the following containment concentration limits: Iron < 0.3 mg/L Copper < 0.03 mg/L Nickel < 0.03 mg/L Chlorate < 2,500 mg/L Bromate ≤ 20 mg/L Perchlorate ≤ 20 mg/L • All Sampling and Testing shall be in accordance with EPA and AWWA B300-04 standards and in accordance with the documents titled: “The Weight Percent Determination of Sodium Hypochlorite, Sodium Hydroxide, And Sodium Chlorate in Liquid Bleach” and “Suspended Solids Quality Test for Bleach Using Vacuum Filtration”, distributed by Powell Fabrication and Manufacturing, Inc. and available at http://www.powellfab.com. • At any time during the performance of this Agreement, if Collier County has any sort of sludge or other impurity buildup in a ny of its sodium hypochlorite tanks, the Vendor shall cleanout the tank at no charge to Collier County w ithin seven (7) days, unless such timeframe is extended by Collier County. The cleanout should be done in such a manner so that it is done safely with no loss of disinfection to the affected plant and the contents disposed of in accordance with current regulations on disposal of hazardous wastes. The Vendor shall submit a procedure to Collier County for approval prior to this work being completed. The determination of whether there is any such sludge or impurity buildup in the tanks will be at the sole discretion of Collier County. When the tank has been properly cleaned, the Vendor shall refill the tank with clean, fresh sodium hypochlorite at n o cost to Collier County. Failure of the Vendor to clean out the tank and replace the sodium hypochlorite wi thin seven (7) days after being served notice (or within any extension of this timeframe specified by Collier County) shall be grounds for contract termination. 4. Technical Assistance 16.C.1.c Packet Pg. 566 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 25 The supplier shall at his/her expense, provide the County with immediate technical assistance by phone. Failure to respond to a request for on-site technical assistance within six (6) hours shall be grounds for contract termination. The supplier will also be required to provide, at no additional cost to the County, two 4-hour training sessions at each delivery location, each year, that meet the federal and state safety and right to know training requirements. The education and instruction of the County's operatio ns personnel shall be by a qualified instructor who is experienced in sodium hypochlorite handling and leak response. Failure to provide these services will be considered a default of the contract. The supplier shall be required to provide a letter certifying that the course outline meets the requirements l isted above. 5. Safety Issues The supplier’s truck must be equipped to safely handle and unload sodium hypochlorite. Safety Data Sheets (SDS) must be provided with the initial order and any time thereafter when a change in chemical is made. 6. Required Packaging and Delivery Requirements This product will be delivered by tanker truck. Unloading shall be through a two -inch quick couple fitting on the tank. Hoses for delivering from the tanker to the holding tank shall be the responsibility of the awarded vendor. The minimum delivery amount will be 1,500 gallons. The Contractor’s delivery trailer shall have a sample port to provide a sample for analysis. At the sole discretion of Colli er County, the Contractor’s delivery personnel (driver) may be asked to provide a sample of liquid sodium hypochlorite before the shipment is unloaded. Collier County will supply the sample container and the driver shall collect the sample from the tank truck and turn it over to Collier County. The sample shall b e considered representative of the lot. Collier County reserves the right to subject samples of the liquid sodium hypochlorite to quick analyses to ensure that it meets basic conditions of the specification with respect to specific gravity, weight percent of sod ium hypochlorite, sodium hydroxide, and suspended solids. Any lot tested by Collier County that fails to comply with the Specification shall constitute grounds for rejection of that lot. No payment shall be made for hypochlorite that is rejected. The Contractor or its subcontractors shall allow 60 minutes for this testing to be completed. If testing cannot be completed within the 60 -minute period, Collier County shall allow the Contractor to unload the shipment. In the event that the load is rejected , the Contractor shall have four (4) hours to supply another shipment. In the event that the Contractor is unable or unwilling to supply another shipment within this time period, Collier County has the right to procure a shipment from another source and t his will failure to deliver shall constitute a second rejection. Two rejections of a lot or shipment during any period of this contract shall constitute grounds for contract termination. Further, Collier County reserves the right to subject samples of the liquid sodium hypochlorite to complete analyses to ensure that it meets EPA specifications, AWWA B300-04 specifications, and the Specification. Two failures during any period of this contract shall constitute grounds for cont ract termination. A certified report from the manufacturer shall be submitted for each liquid sodium hypochlorite delivery to Collier County. The report shall contain the following data: • Date and Time of Manufacture • Percent by Weight Sodium Hypochlorite • Percent by Weight Excess Sodium Hydroxide • Specific Gravity (Referenced to a temperature) • Suspended Solids Test Time No deliveries will be accepted by Collier County unless accompanied by said certified laboratory report for the specific batc h of liquid sodium hypochlorite delivered showing the above data and that it conforms to the Specification. Regardless of whether at different delivery sites, failure to comply with this provision two (2) times during the contract period shall constitute sufficient grounds for contract term ination. 16.C.1.c Packet Pg. 567 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 26 7. Delivery Schedule Shipments will only be received between the hours of 8:00 AM and 3:00 PM, Monday through Friday, within three (3) days after verbal receipt of the order from Collier County Utilities. Deliveries will be made to the following locations: • South County Wastewater Reclamation Facility 5600 Warren Street (Lely Subdivision) Naples, Florida 34113 • North County Wastewater Reclamation Facility 10500 Goodlette Road Naples, Florida 34108 • South County Regional Water Treatment Facility 3851 Utilities Drive Naples, Florida 34117 • Goodland Repump Station 100 Goodland Drive Goodland, FL In the event of a County emergency shipments shall be made within 24 to 36 hours of notification. 8. Maximum Quantity Per Delivery: There is no maximum quantity per delivery. Th e County will order the amount of chemicals as needed. 9. Annual Estimated Quantities: 1,903,400 gallons. (Water - 1,721,491 gallons) 16.C.1.c Packet Pg. 568 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 27 Parks and Recreation Chemicals PR - 2 Sodium Bicarbonate 16.C.1.c Packet Pg. 569 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 28 16.C.1.c Packet Pg. 570 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 29 16.C.1.c Packet Pg. 571 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 30 16.C.1.c Packet Pg. 572 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 31 16.C.1.c Packet Pg. 573 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 32 16.C.1.c Packet Pg. 574 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 33 16.C.1.c Packet Pg. 575 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 34 16.C.1.c Packet Pg. 576 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 35 16.C.1.c Packet Pg. 577 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 36 16.C.1.c Packet Pg. 578 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 37 PR – 4 CO2 16.C.1.c Packet Pg. 579 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 38 16.C.1.c Packet Pg. 580 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 39 16.C.1.c Packet Pg. 581 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 40 16.C.1.c Packet Pg. 582 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 41 16.C.1.c Packet Pg. 583 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 42 16.C.1.c Packet Pg. 584 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 43 16.C.1.c Packet Pg. 585 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 44 16.C.1.c Packet Pg. 586 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 45 16.C.1.c Packet Pg. 587 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 46 16.C.1.c Packet Pg. 588 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 47 PR – 5 Calcium Chloride 16.C.1.c Packet Pg. 589 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 48 16.C.1.c Packet Pg. 590 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 49 16.C.1.c Packet Pg. 591 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 50 16.C.1.c Packet Pg. 592 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 51 PR - 6 Cal Hypo (100% Chorine) 16.C.1.c Packet Pg. 593 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 52 16.C.1.c Packet Pg. 594 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 53 16.C.1.c Packet Pg. 595 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 54 16.C.1.c Packet Pg. 596 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 55 16.C.1.c Packet Pg. 597 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 56 16.C.1.c Packet Pg. 598 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 57 16.C.1.c Packet Pg. 599 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 58 16.C.1.c Packet Pg. 600 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 59 CHEMICAL HAZARDOUS MATERIAL DELIVERY CHECKLIST The assigned plant operator shall use this checklist for each chemical delivery. The checklist shall be completed in detail an d accompany the delivery manifest(s) and be maintained within the specific vendor’s file for a period of no less than 5 years. Use a separate checklist for each chemical delivered. CHEMICAL VENDOR NAME (PRINTED): CHEMICAL BEING DELIVERED: DELIVERY DRIVER NAME (PRINTED): DL LICENSE #: PLANT OPERATOR NAME (PRINTED): DATE OF DELIVERY: ____ /____ /____ ARRIVAL TIME: ____:_____ AM / PM DEPARTURE TIME: ____:____ AM / PM DELIVERY DRIVER SAFETY / SECURITY VERIFICATION YES NO N/A Printed Name Legible Valid Driver’s License Driver matches license picture to the best of operators knowledge Proof of driver training provided for chemical being deliver ed PRE – OFFLOAD INSPECTION YES NO N/A Delivery driver informed of and acknowledges plant emergency evacuation procedures and meeting location Offload location or tank free from any chemical releases and/or spills Offload pipe valves/connects/disconnects free from any visible damage Any other visible damage that would interfere with delivery of chemical Tank/location containment free from excessive water accumulation and/or any other material or debris that would cause an overflow of the containment should a release occur Tank level within acceptable limits for new delivery (low enough to accept delivery) Actual tank level (Ex. 500 Gallons) POST – OFFLOAD INSPECTION YES NO N/A Offload tank or location free from any chemical releases and/or spills Offload piping/valves/ connects/disconnects free from any visible damage caused during delivery Any other visible damage that would interfere with delivery of chemical Tank level within acceptable limits after delivery (not overfilled) Actual tank level (Ex. 1000 Gallons) Amount Delivered (4 –One Ton Chlorine Cylinders) 16.C.1.c Packet Pg. 601 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) Countywide Chemicals 60 Notes: THE OPERATOR AND DELIVERY DRIVER LISTED ABOVE AND BELOW HAVE DEEMED THAT THIS CHEMICAL DELIVERY MEETS ALL REQUIREMENTS OF COLLIER COUNTY’S VENDOR CHEMICAL DELIVERY PROGRAM REQUIREMENTS. PLANT OPERATOR (SIGNATURE ABOVE) DELIVERY DRIVER (SIGNATURE ABOVE) 16.C.1.c Packet Pg. 602 Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 603Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 604Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 605Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 606Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 607Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 608Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 609Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 610Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 611Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 612Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 613Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 614Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 615Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 616Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 617Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 618Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 619Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 620Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 621Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 622Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.cPacket Pg. 623Attachment: 21-7921 Chemical Specifications (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 624Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 625Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 626Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 627Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 628Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 629Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 630Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 631Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 632Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 633Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 634Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 635Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 636Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.d Packet Pg. 637 Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 638Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 639Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 640Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 641Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 642Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 643Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 16.C.1.dPacket Pg. 644Attachment: 21-7921 VenderSigned_Odyssey (21268 : Countywide Chemicals) 02/08/2022 Stahl & Associates Insurance Inc. 91 Lake Morton Drive P O Box 3608 Lakeland FL 33802 Debbie MacGillivray (863) 688-5495 (863) 688-4344 certificateslakeland@stahlinsurance.com Odyssey Manufacturing Co. 1484 Massaro Blvd Tampa FL 33619 Illinois Union Insurance Co 27960 ACE American Insurance Co 22667 Zenith Insurance Company 13269 Colony Insurance Company 3993 Jan 2022 Master A Per Project Applies By Written Contract XCU, Contractual Y G24092975 013 10/01/2021 10/01/2022 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 B Hired PD Y H08450377 013 10/01/2021 10/01/2022 1,000,000 PIP-Basic 10,000 A/D G24092987013/EXO4266669 10/01/2021 10/01/2022 4,000,000 4,000,000 C Y Z066828618 Item 3A: FL 01/01/2022 01/01/2023 1,000,000 1,000,000 1,000,000 A Pollution/Professional Liability Poll Ded $5K/Prof Ded $25K G24092975 013 10/01/2021 10/01/2022 Ea Poll Condition Agg 1,000,000 Pro Ea Claim Aggregate 1,000,000 Retro Date: 10/01/2009 RE: 21-7921 Countywide Chemicals;Collier County Board of County Commissioners, or Board of County Commissioners in Collier County, or Collier County Government, or Collier County are included as additional insured under the captioned commerical general liability and automobile liability policies on a primary and non-contributory basis if and to the extent required by written contract. 30 Days Notice of Cancellation Except 10 Days for Non-Payment of Premium Applies. Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 16.C.1.e Packet Pg. 645 Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) G24092975 01316.C.1.ePacket Pg. 646Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) G24092975 01316.C.1.ePacket Pg. 647Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) 013 10/01/2021 to 10/01/2022 10/01/202116.C.1.ePacket Pg. 648Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) 16.C.1.ePacket Pg. 649Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) 10/01/2021 to 10/01/2022 10/01/202101316.C.1.ePacket Pg. 650Attachment: 21-7921 Insurance_Odyssey (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 651Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 652Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 653Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 654Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 655Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 656Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 657Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 658Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 659Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 660Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 661Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 662Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 663Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.f Packet Pg. 664 Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 665Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 666Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 667Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 668Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 669Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 670Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) 16.C.1.fPacket Pg. 671Attachment: 21-7921 VendorSigned_Allied (21268 : Countywide Chemicals) ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 2/8/2022 (305) 822-7800 (305) 362-2443 17370 Allied Universal Corp. 3901 NW 115 Avenue Miami, FL 33178 25224 A 1,000,000 X GLP202370314 8/31/2021 8/31/2022 1,000,000 Retro Date 1/12/1988 25,000 1,000,000 3,000,000 3,000,000 1,000,000B X BAP202370414 8/31/2021 8/31/2022 4,000,000A FFX202370614 8/31/2021 8/31/2022 4,000,000 A Pollution Liability SSP202370514 8/31/2021 Ech Poll Condition** 1,000,000 A Poll Retro 8/21/95 SSP202370514 8/31/2021 8/31/2022 Total Aggregate 3,000,000 Re: Bid #21-7921 for Countywide Chemicals Collier County Board of County Commissioners, or, Board of County Commissioners in Collier County, or, Collier County Government, or, Collier County are included as additional insured with respect to general liability and auto liability on a primary and non-contributory basis when required by written contract. 30 day notice of cancellation subject to policy terms and conditions. Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples, FL 34112 ALLIUNI-01 SSIMEON Collinsworth, Alter, Fowler & French, LLC15050 NW 79th CourtSuite 200Miami Lakes, FL 33016 Nautilus Ins Company Great Divide Insurance Co 8/31/2022 X X X X X X X X 16.C.1.g Packet Pg. 672 Attachment: 21-7921 Insurance_Allied (21268 : Countywide Chemicals) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2/8/2022 Arthur J.Gallagher Risk Management Services,Inc. 9155 S.Dadeland Blvd. MIAMI FL 33156 Lisa Neumayer 561-998-6782 305-592-4049 Lisa_Neumayer@ajg.com Granite State Insurance Company 23809 ALLIUNI-03 Allied Universal Corporation 3901 NW 115th Ave Miami,FL 33178 2022713590 A X0393268576/30/2021 6/30/2022 1,000,000 1,000,000 1,000,000 RE:21-7921 "Countywide Chemicals |For any and all Work Performed on behalf of Collier County. Collier County Board of County Commissioners 3295 Tamiami Trail East Naples FL 34112 THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE 16.C.1.g Packet Pg. 673 Attachment: 21-7921 Insurance_Allied (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 674Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 675Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 676Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 677Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 678Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 679Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 680Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 681Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 682Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 683Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 684Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 685Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 686Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.h Packet Pg. 687 Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 688Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 689Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 690Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 691Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 692Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 693Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.hPacket Pg. 694Attachment: 21-7921 VendorSigned_CarusLLC (21268 : Countywide Chemicals) 16.C.1.i Packet Pg. 695 Attachment: 21-7921 Insurance_CarusLLC (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 696Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 697Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 698Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 699Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 700Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 701Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 702Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 703Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 704Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 705Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 706Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 707Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 708Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.j Packet Pg. 709 Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 710Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 711Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 712Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 713Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 714Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 715Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.jPacket Pg. 716Attachment: 21-7921 VendorSigned_Harcros (21268 : Countywide Chemicals) 16.C.1.k Packet Pg. 717 Attachment: 21-7921 Insurance_Harcros (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 718Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 719Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 720Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 721Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 722Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 723Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 724Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 725Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 726Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 727Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 728Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 729Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 730Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 731Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 732Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 733Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 734Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 735Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 736Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 737Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.lPacket Pg. 738Attachment: 21-7921 VendorSigned_Polydyne (21268 : Countywide Chemicals) 16.C.1.mPacket Pg. 739Attachment: 21-7921 Insurance_Polydyne (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 740Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 741Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 742Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 743Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 744Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 745Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 746Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 747Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 748Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 749Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 750Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 751Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 752Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.n Packet Pg. 753 Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 754Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 755Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 756Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 757Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 758Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 759Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.nPacket Pg. 760Attachment: 21-7921 VendorSigned_Amaya (21268 : Countywide Chemicals) 16.C.1.o Packet Pg. 761 Attachment: 21-7921 Insurance_Amaya (21268 : Countywide Chemicals) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/28/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endors ement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 Miami, FL 33131-4937 CONTACT NAME: Aon Risk Services, Inc of Florida PHONE (A/C, No, Ext): 800-743-8130 FAX (A/C, No): 800-522-7514 EMAIL ADDRESS: ADP.COI.Center@Aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Illinois National Insurance Co 23817 INSURED ADP TotalSource III, Inc. 10200 Sunset Drive Miami, FL 33173 ALTERNATE EMPLOYER Amaya Solutions, Inc. 1802 Corporate Center Lane Plant City, FL 33563 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 3685640 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC 038361533 FL 07/01/2021 07/01/2022 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for AMAYA SOLUTIONS, INC., paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. AMAYA SOLUTIONS, INC. is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples, FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 16.C.1.o Packet Pg. 762 Attachment: 21-7921 Insurance_Amaya (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 763Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 764Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 765Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 766Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 767Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 768Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 769Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 770Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 771Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 772Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 773Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 774Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 775Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.p Packet Pg. 776 Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 777Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 778Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 779Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 780Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 781Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 782Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) 16.C.1.pPacket Pg. 783Attachment: 21-7921 VendorSigned_SATCO (21268 : Countywide Chemicals) A 1,000,000 045780547 NYC-009436684-76 2,000,000 X 22551 2,000,000 Aggregate 04/01/2022 04/01/2020 27960 04/01/2022 BVR8302070 POLLUTION LIABILITY 2,000,000 1,000,000 N/A Mitsui Sumitomo Insurance USA Inc X D X 11/09/2021 2,000,000 04/14/2021 1,000,000 Re: For any and all work performed on behalf of Collier County. X 3295 Tamiami Trail East Naples, FL 34112 Collier County Board Illinois Union Insurance Co Collier County is added as an Additional Insured, as required by contract and this status is only as respects the negligence of the Named Insured with respect to General Liability coverage. This insurance is priary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Auto policy shown as evidence of coverage only. A N/A CN103177417-SATCO-ACORD-20- Each Occurrence 5,000 1,000,000 See Acord 101 SIR: $100,000 2,000,000 19445 04/01/2023 1166 Avenue of the Americas Marsh USA, Inc. X New York, NY 10036 3710 Corporex Park Drive Sulphuric Acid Trading Company, Inc. Tampa, FL 33619 Suite 205 X G24883930 007 09/30/2021 of County Commissioners X X 04/14/2021 B 04/01/2022 National Union Fire Insurance Co. of Pittsburgh, PA 16.C.1.q Packet Pg. 784 Attachment: 21-7921 Insurance__SATCO (21268 : Countywide Chemicals) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 12/23/2021 Liberty Mutual Insurance Co. National Insurance East 2000 Westwood Dr. Wausau, WI 54401 850-476-5100 www.LibertyMutual.com Liberty Mutual Fire Insurance Company 23035 A WA2-65D-428303-062 1/1/2022 1/1/2023 3 1,000,000N 1,000,000 1,000,000 Chelsea Miller Landrum Human Resource Companies, Inc. COI@Landrumhr.com Landrum Human Resource Companies, Inc., Etal 219 E. Garden Street, Suite 500 Pensacola FL 32502 65825624 3 3710 Corporex Park Drive, Suite 205 Tampa, FL 33619. Collier County Board of County Commissioners 3327 Tamiami Trail East Naples FL 34112 Workers Compensation coverage for Employees leased to but not subcontractors of Sulphuric Acid Trading Company, Inc. Waiver of subrogation is included in favor of the certificate holder, where required by written contract, and where applicable by law. 65825624 | LM_2802 | 1/22-1/23 - Sulphuric Acid Trading Comp. | Connie Myszka | 12/23/2021 12:21:48 PM (CST) | Page 1 of 1 16.C.1.q Packet Pg. 785 Attachment: 21-7921 Insurance__SATCO (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 786Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 787Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 788Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 789Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 790Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 791Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 792Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 793Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 794Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 795Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 796Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 797Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 798Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.r Packet Pg. 799 Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 800Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 801Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 802Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 803Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 804Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 805Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) 16.C.1.rPacket Pg. 806Attachment: 21-7921 TannerIndustries_Vendor Signed (21268 : Countywide Chemicals) INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE AIG Specialty Insurance Company Ironshore Specialty Insurance Co Starr Indemnity & Liability Company Lloyds 2/08/2022 USI Insurance Services, LLC 1787 Sentry Parkway West Veva 16, Suite 300 Blue Bell, PA 19422 Ruth Cocco 484 754-1503 610 537-4974 ruth.cocco@usi.com Tanner Industries, Inc. 735 Davisville Rd Fl 3 Southampton, PA 18966-3282 26883 25445 38318 15642 A X X X Products Pollution X X 1426080100 06/01/2021 06/01/2022 1,000,000 300,000 25,000 1,000,000 2,000,000 2,000,000 C X X X 1000636115211 06/01/2021 06/01/2022 1,000,000 A B X X X 1426080200 IEELCASB93JM001 06/01/2021 06/01/2021 06/01/2022 06/01/2022 16,000,000 16,000,000 C N 100000175807 06/01/2021 06/01/2022 X 1,000,000 1,000,000 1,000,000 D Pollution W2F068210101 06/01/2021 06/01/2024 $15M Per Incident $15M Aggregate RE: 21-7921 "Countywide Chemicals". The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to Collier County Board of County Commissioners, or Board of County Commissioners in Collier County, or Collier County Government, or Collier County, only when there is a written contract that requires such status, and only with regard to work performed by or on (See Attached Descriptions) Collier County Board of County Commissioners 3295 Tamiami Trail E. NAPLES, FL 34112 1 of 2 #S34893138/M32221697 TANNEIND1Client#: 1549796 SP3ZP 1 of 2 #S34893138/M32221697 16.C.1.s Packet Pg. 807 Attachment: 21-7921 COI Tanner (21268 : Countywide Chemicals) SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) behalf of the named insured. The General Liability and Automobile Liability policies contains a special endorsement with Primary and Noncontributory wording, when required by written contract. 2 of 2 #S34893138/M32221697 16.C.1.s Packet Pg. 808 Attachment: 21-7921 COI Tanner (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 809Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 810Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 811Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 812Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 813Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 814Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 815Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 816Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 817Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 818Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 819Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 820Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 821Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.t Packet Pg. 822 Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 823Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 824Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 825Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 826Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 827Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 828Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) 16.C.1.tPacket Pg. 829Attachment: 21-7921 VendorSigned_Airgas (21268 : Countywide Chemicals) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY A 2,000,000 07/01/2022 1000090660211 1000004704 (WI) HOU-003887071-03 2,000,000 5,000,000 1000004703(AK,AZ,CT,IA,NJ,NY,NC,VT) X 16109 5,000,000 of Marsh USA Inc Attn: Houston.Certs@marsh.com N 07/01/2021 X07/01/2021 7 07/01/2022 A 07/01/2022 1000635788211 (AOS) B 6,000,000 2,000,000 Please see Acord 101 Starr Specialty Insurance Company 2,000,000 X X and exclusions. 02/14/2022 07/01/2021 07/01/2021 Re: 21-7921 "Countywide Chemicals Collier County Board of County Commissioners,OR, Board oof County Commissioners in Collier County, OR, Collier CountyGovernment, OR, Collier County are included as additional insured (except Workers X 07/01/2021 Naples, FL 34112 Collier County Board of Commissioners Compensation) but only to the limits and extent specified in and required by the referenced written contract. Commercial General Liability includes Sudden & Accidental Pollution subject to policy terms, conditions A B CN115323536-AIRGA-GAWU-21-22 1,000 07/01/2022 5,000,000 1000095524211 07/01/2022 B 1000635789211 (MA) 6,000,000 38318 2,000,000 2,000,000 1000004702 (FL, MA) 2929 Allen Parkway, Suite 2500 Marsh USA Inc. X Houston, TX 77019 Airgas, an Air Liquide company American Air Liquide Inc Lawrenceville, GA 30043 2530 Sever Road, Suite 300 X 07/01/2021 3295 Tamiami Trail 07/01/2021 A Areeba Viqar 07/01/2022 07/01/2022 Starr Indemnity & Liability Company 16.C.1.u Packet Pg. 830 Attachment: 21-7921 Insurance_Airgas_ (21268 : Countywide Chemicals) ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Airgas Carbonic, Inc. d.b.a. Airgas Dry Ice� AL America Holdings, Inc.� Airgas Doral, Inc.� Air Liquide Industrial U.S. LP� �� Airgas Nitrogen Services, LLC� Air Liquide Electronics U.S. LP� Air Liquide Advanced Materials LLC� Progressive Resources LLC � Air Liquide America Specialty Gases LLC� Hydrogen Distribution Services LLC � 2 Airgas Priority Nitrogen, LLC� Tool Plus, Inc.� 2 American Air Liquide Holdings, Inc.� American Air Liquide Inc.� Houston � Policy No.: 100 0004701 (AL, AR, CA, CO, DE, GA, HI, ID, IL, IN, KS, KY, LA, ME, MD, MI, MN, MS, MO, MT, NE, NV, NH, NM, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WV)� � NAMED INSUREDS ON THE ABOVE REFERENCED POLICIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING COMPANIES:� �� Carrier: Starr Specialty Insurance Company� Workers Compensation Continued: Effective Dates: 7/1/2021 - 7/1/2022� Certificate of Liability Insurance Air Liquide Holdings LLC� CN115323536 Airgas Safety, Inc.� Air Liquide Helium America, Inc.� Airgas Carbonic, Inc.� Air Liquide America L.P.� Airgas Data, LLC� Air Liquide USA LLC� Air Liquide Global E&C Solutions US Inc.� Air Liquide Large Industries U.S. LP� Airgas Specialty Products, Inc.� WellGen Services, LLC� Plains Nitrogen, LLC� Air Liquide Global E&C Solutions Mexico LLC� Red-D-Arc Inc.� Nitrous Oxide Corporation� Air Liquide LLC� Marsh USA Inc.� Airgas USA, LLC � Airgas, an Air Liquide company� American Air Liquide Inc� Lawrenceville, GA 30043 2530 Sever Road, Suite 300� Air Liquide Technical Services LLC� Airgas Merchant Gases, LLC� Air Liquide Advanced Materials Inc.� Airgas, Inc.� 25 Radnor Funding Corp.� Air Liquide Advanced Technologies U.S. LLC� 16.C.1.u Packet Pg. 831 Attachment: 21-7921 Insurance_Airgas_ (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 832Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 833Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 834Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 835Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 836Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 837Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 838Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 839Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 840Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 841Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 842Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 843Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 844Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.v Packet Pg. 845 Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 846Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 847Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 848Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 849Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 850Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 851Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) 16.C.1.vPacket Pg. 852Attachment: 21-7921 VendorSigned_Brenntag (21268 : Countywide Chemicals) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5,000,000 01/01/2023 GL6634468 SCFC68926518 (WI) CLE-006121123-26 1,000,000 WLRC68926476 (CA, MA) X 22667 N X CONTRACTUAL LIABILITY 01/01/2022 10 01/01/2023 20702 ISAH25553962 C 5,000,000 5,000,000 43575 ACE American Insurance Company 1,000,000 X X 12/29/2021 01/01/2022 01/01/2022 COLLIER COUNTY BOARD OF COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED ON GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. THE GENERAL LIABILITY POLICY INCLUDES SUDDEN AND ACCIDENTAL COVERAGE FOR POLLUTION. GENERAL LIABILITY LIMITS INCLUDES THE SUDDEN AND ACCIDENTAL LIABILITY COVERAGE. X 01/01/2022 NAPLE, FL 34112 COLLIER COUNTY BOARD OF COMMISSIONERS ACE Fire Underwriters Insurance Company X A D Indemnity Insurance Company of North America CN101263979-ALL-GAW-22-23 10,000 01/01/2023 1,000,000 B 5,000,000 19429 1,000,000 1,000,000 WLRC68926439 (AOS) 1717 Arch Street Marsh USA Inc. Philadelphia, PA 19103-2797 250 CENTRAL FLORIDA PARKWAY BRENNTAG MID-SOUTH, INC. ORLANDO, FL 32824-7601 01/01/2022 3327 TAMIAMI TRAIL EAST X B ... 01/01/2023 01/01/2023 Insurance Company Of The State Of PA 16.C.1.w Packet Pg. 853 Attachment: 21-7921 Insurance_Brenntag_ (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 854Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 855Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 856Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 857Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 858Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 859Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 860Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 861Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 862Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 863Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 864Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 865Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 866Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.x Packet Pg. 867 Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 868Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 869Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 870Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 871Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 872Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 873Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.xPacket Pg. 874Attachment: 21-7921 VendorSigned_Chemrite (21268 : Countywide Chemicals) 16.C.1.y Packet Pg. 875 Attachment: 21-7921 Insurance_Chemrite (21268 : Countywide Chemicals) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/08/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH & MCLENNAN AGENCY LLC/PHS 20260452 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 CONTACT NAME: PHONE (A/C, No, Ext): (866) 467-8730 FAX (A/C, No): (888) 443-6112 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED CHEMRITE INC 5202 BELLE WOOD CT STE 104 BUFORD GA 30518-5853 INSURER A : Hartford Fire and Its P&C Affiliates 00914 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/Y YYY)LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS- MADE EACH OCCURRENCE AGGREGATE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/ A 20 WEC ZT4281 01/04/2022 01/04/2023 X PER STATUTE OTH- ER Y/N E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION Collier County Procurement Services Division ATTN: Vanessa Miguel 3295 TAMIAMI TRL E NAPLES FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD 16.C.1.y Packet Pg. 876 Attachment: 21-7921 Insurance_Chemrite (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 877Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 878Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 879Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 880Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 881Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 882Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 883Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 884Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 885Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 886Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 887Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 888Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 889Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) Jesse Rodgers Vice President of Product Management Jon Owen 16.C.1.z Packet Pg. 890 Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 891Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 892Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 893Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 894Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 895Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 896Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) 16.C.1.zPacket Pg. 897Attachment: 21-7921 VendorSigned_Matheson (21268 : Countywide Chemicals) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Northeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Matheson Tri-Gas, Inc. 3 Mountainview Road, 3rd Floor Warren, NJ 07059 RE: For any and all work performed on behalf of Collier County Board of County Commissioners. Collier County Board of County Commissioners, OR Board of County Commissioners in Collier County, OR Collier County Government are included as Additional Insureds as respects to General Liability as required by written contract or agreement and Auto Liability. Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples, FL 34112 10/01/2021 1-877-945-7378 1-888-467-2378 certificates@willis.com Great American E & S Insurance Company 37532 ACE American Insurance Company Tokio Marine Specialty Insurance Company 22667 23850 W22374628 A 1,000,000 500,000 1,000,000 10,000,000 2,000,000 Y PL E617851-01 10/01/2021 10/01/2022 SIR 2,000,000 B 1,000,000 10/01/202210/01/2021YISA H25558479 C 15,000,000 10,000 CU 4300607-01 10/01/2021 10/01/2022 15,000,000 WLR C67823114B 1,000,000No10/01/2021 10/01/2022 1,000,000 1,000,000 225622421655194SR ID:BATCH: Willis Towers Watson Certificate Center Page 1 of 2 16.C.1.aa Packet Pg. 898 Attachment: 21-7921 Insurance_Matheson (21268 : Countywide Chemicals) ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Matheson Tri-Gas, Inc. 3 Mountainview Road, 3rd Floor Warren, NJ 07059 General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured as required by written contract or agreement Auto Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured. 2 2 Willis Towers Watson Northeast, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance W22374628CERT:2256224BATCH:21655194SR ID: 16.C.1.aa Packet Pg. 899 Attachment: 21-7921 Insurance_Matheson (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 900Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 901Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 902Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 903Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 904Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 905Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 906Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 907Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 908Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 909Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 910Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 911Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 912Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.ab Packet Pg. 913 Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 914Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 915Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 916Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 917Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 918Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 919Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) 16.C.1.abPacket Pg. 920Attachment: 21-7921 VendorSigned_Shrieve (21268 : Countywide Chemicals) INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Ironshore Specialty Insurance Co Texas Mutual Insurance Company Argonaut Insurance Company 10/01/2021 USI Southwest 9811 Katy Freeway, Suite 500 Houston, TX 77024 713 490-4600 Heather Razo 713 490-4587 484-652-5183 heather.razo@usi.com Shrieve Chemical Company, LLC; Shrieve Chemical Products, LLC 1442 Lake Front Circle, Suite 500 The Woodlands, TX 77380 25445 22945 19801 A X X X X IEPICCDDTD001 10/01/2021 10/01/2022 1,000,000 500,000 25,000 1,000,000 2,000,000 2,000,000 A X X IEPICCDDTD001 10/01/2021 10/01/2022 1,000,000 A X X IEELCASCDDTJ001 10/01/2021 10/01/2022 20,000,000 20,000,000 B C N 0001163631 WC928438262314 10/01/2021 10/01/2021 10/01/2022 10/01/2022 X 1,000,000 1,000,000 1,000,000 A Pollution Liability IEPICCDDTD001 10/01/2021 10/01/2022 $1,000,000 Per Occ. Named Insured, continued: Shrieve Chemical Services-US, LLC General Liability is a Package Policy that includes Pollution Coverages as follows: Contractors Pollution Liability; Time Element Pollution (BI/PD); Non Owned Site Pollution (BI/PD), Transportation Pollution Liability and Products Pollution Liability Coverages. (See Attached Descriptions) Collier County Board of County Commissioners 3327 Tamiami Trail East Naples, FL 34112 1 of 2 #S33579488/M33541071 SHRIECHEClient#: 697885 SACT 1 of 2 #S33579488/M33541071 16.C.1.ac Packet Pg. 921 Attachment: 21-7921 Insurance_Shrieve (21268 : Countywide Chemicals) SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) Certificate Holder is provided with an Additional Insured status on General Liability and Hired/Non-Owned Auto Liability on a Primary and Non-Contributory basis when required by written contract as named in the contract. Certificate Holder is provided with a blanket Waiver of Subrogation on General Liability and Hired/Non Owned Auto Liability and Workers Compensation policies when required by written contract as named in the contract. Excess Liability policy is Follow-Form over General Liability, Pollution Liability, Hired/Non-Owned Auto Liability and Employers Liability of the Workers Compensation policies. Re: Contract #17-7091 Collier County Board of County Commissioners - as Additional Insured and for any and all work performed in Collier County. 2 of 2 #S33579488/M33541071 16.C.1.ac Packet Pg. 922 Attachment: 21-7921 Insurance_Shrieve (21268 : Countywide Chemicals)