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Agenda 07/12/2022 Item #16C 4 (Award Contract #22-7974 Cartridge Filters for Water Treatment Plants to Tri-Dim Filter Corporation)
07/12/2022 EXECUTIVE SUMMARY Recommendation to award Invitation to Bid ("ITB") No. 22-7974 "Cartridge Filters for Water Treatment Plants," to Tri-Dim Filter Corporation, for the purchase of replacement cartridge filters at the North and South County Regional Water Treatment Plants on a primary per line -item basis and authorize the Chair to sign the attached agreement. OBJECTIVE: To obtain a cost-effective supplier for the purchase and delivery of cartridge filters. CONSIDERATIONS: The Water Division utilizes reverse osmosis and membrane softening treatment processes. To complete these processes, raw water must be pre -filtered prior to contact with the membranes. On March 7, 2022, the Procurement Services Division released notices for ITB No. 22-7974, "Cartridge Filters for Water Treatment Plants." The County received four bids by the April 7, 2022, deadline as follows. Respondents: Company Name city County State Bid Amount Responsive/ Responsible Tri-Dim Filter Corporation Louisa Louisa VA See Bid Tabulation Yes/Yes Ham R/O Systems, Inc. Venice Sarasota FL See Bid Tabulation Yes/No I.S.C. Sales, Inc. Plano Collin TX See Bid Tabulation No/No I Filter Equipment Co. Inc. I Wall Monmouth I NJ See Bid Tabulation I Withdrew Staff found Tri-Dim Filter Corp. to be responsive and responsible, Ham R/O Systems, Inc. were deemed non -responsible for not meeting the specifications of the bid, I.S.C. Sales, Inc. were deemed non- responsive and non -responsible due to missing documents and not meeting the specification of the bid, and Filter Equipment Co. Inc. withdrew their bid due to not being able to comply with the requirements of the bid. Staff recommends awarding this ITI3 to Tri-Dim Filter Corporation (Tri-Dim) on a primary per line -item basis in accordance with the attached bid tabulation, and requests authorization to open Purchase Orders to procure goods for this award on an as -needed basis. A Purchase Order, with the County's standards terms and conditions, will be issued for this award. The award is for a one (1) year term with four (4) one (1) year renewal options and prices shall remain firm for the initial term of the award. While longer initial terms of fixed pricing are preferred, this solicitation has allowed for one-year fixed pricing for the last eight years (two previous solicitations) and market volatility had significantly reduced bidder interest in solicitations requiring longer initial term fixed prices. Tri-Dim is a manufacturing company that focuses on ultra -high efficiency filtration products and they are leaders in the industry. Tri-Dim has been in business since 1968, they have over 40-year history in filtration solutions, and Collier County has successfully used Tri-Dim for cartridge filters since 2013. FISCAL IMPACT: The source of funding is the Water -Sewer District operating Fund 408. The exact fiscal impact will be dependent on the amount of water produced during the life of the agreement; however, the Water Division anticipates an impact of approximately $200,000 per fiscal year. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for approval. -RTT GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with I Packet Pg. 1122 07/12/2022 this action. RECOMMENDATION: That the Board of County Commissioners, Ex-officio the Governing Board of the Collier County Water -Sewer District, awards ITB No. 22-7974 to Tri-Dirn Filter Corporation on a primary per line -item basis in accordance with the attached bid tabulation and authorizes use of Purchase Orders to procure goods for this award on an as -needed basis. Prepared by: Howard Brogdon, Director, Public Utilities Water Division ATTACHMENT(S) 1. 22-7974 - NORA Executed (PDF) 2. 22-7974 - Bid Tabulation (PDF) 3. 22-7974 Solicitation (PDF) 4. [Linked] Tri-Dirn Filter Corp. Combined Bid Package (PDF) Packet Pg. 1123 07/12/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.4 Doe ID: 22656 Item Summary: Recommendation to award Invitation to Bid ("ITB") No. 22-7974 "Cartridge Filters for Water Treatment Plants," to Tri-Dim Filter Corporation, for the purchase of replacement cartridge filters at the North and South County Regional Water Treatment Plants on a primary per line - item basis and authorize the Chair to sign the attached agreement. Meeting Date: 07/12/2022 Prepared by: Title: Plant Manager — Water Name: Howard Brogdon 06/29/2022 9:51 AM Submitted by: Title: Plant Manager — Water Name: Howard Brogdon 06/29/2022 9:51 AM Approved By: Review: Procurement Services Procurement Services Procurement Services Public Utilities Operations Support Public Utilities Department Public Utilities Department County Attorney's Office Office of Management and Budget County Attorney's Office Office of Management and Budget County Managers Office Board of County Commissioners Ana Reynoso Level 1 Purchasing Gatekeeper Sue Zimmerman Additional Reviewer Sandra Herrera Additional Reviewer AmiaMarie Curry Additional Reviewer Drew Cody Level 1 Division Reviewer George Yilmaz Level 2 Division Administrator Review Ronald Tomasko Additional Reviewer Debra Windsor Level 3 OMB Gatekeeper Review Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Laura Zautcke Additional Reviewer Dan Rodriguez Level 4 County Manager Review Geoffrey Willig Meeting Pending Completed 06/29/2022 1:48 PM Completed 06/29/2022 1:55 PM Completed 06/29/2022 2:29 PM Completed 06/30/2022 4:35 PM Completed 06/30/2022 4:39 PM Completed 06/30/2022 4:55 PM Completed 07/01/2022 9:37 AM Completed 07/01/2022 9:51 AM Completed 07/01/2022 4:44 PM Completed 07/01/2022 5:01 PM Completed 07/06/2022 11:30 AM 07/12/2022 9:00 AM I Packet Pg. 1124 1 DocuSign Envelope ID: 572A50CE-6A65-4BFO-BAlE-36C262BEF8FA 001fie-r C014-"tY Administrative Services Department Procurement Services Division Notice of Recommended Award Solicitation: 22-7974 Title: Cartridge Filters for Water Treatments Plants � Due Date and Time: April 7, 2022, at 3:OOPM Respondents: Company Name City County State Bid Amount Responsive/ Responsible Tri-Dim Filter Corp. Louisa Louisa VA See Tabulation Yes/Yes Harn R/O Systems, Inc. Venice Sarasota FL See Tabulation Yes/No I.S.C. Sales, Inc. Plano Collin TX See Tabulation No/No Filter Equipment Co. Inc. Wall Monmouth NJ See Tabulation Withdrew � Utilized Local Vendor Preference: Yes= No = Recommended Venclor(s) For Award: On March 7, 2022, the Procurement Services Division released notices for Invitation to Bid #22-7974 Cartridge Filters for Water Treatment Plants. Six thousand five hundred thirty-four (6,534) notifications were sent, forty- three (43) vendors viewed, and four (4) bids were submitted on April 7, 2022. Staff found Tri-Dirn Filter Corp. to be responsive and responsible, Harn R/O Systems, Inc. were deemed non - responsible for not meeting the specifications of the bid, I.S.C. Sales, Inc. were deemed non -responsive and non -responsible due to missing documents and not meeting the specifications of the bid, and Filter Equipment Co. Inc. withdrew their bid due to not being able to comply with the requirements of the bid. Intent of the award was to identify a Primary vendor based on the Lowest Price Per Line Item. Staff recommends Tri-Dim Filter Corp. to be awarded as the primary vendor. Contract Driven = Purchase Order Driven = Required Signatures (—DocuSigned by: roject ManaderfW&4 bmkv, 6/8/2022 '--- F49DF1 3BDDE44B4. (__ DocuSigned by: Procurement Strat4sj�.�waki"- -Moe'. 6/8/2022 1CC6D8B7F455... Procurement Services Director: DocuSigned by: F ""U44 '--§5W&9W6Wera 6/8/2022 Date X Uj 0 Z C*4 04 E U M I Packet Pg. 1125 1 U (SluBidluGWIBGJ.LJOIL'MJOISJGIIIAOBPIJ:PB:0:999ZZ) uoileinqL,.LP!13--PL6L-ZZ:lUGWL13L'Ilv co� cc C) C li 0 4 0 z 0 z 0 z 0 z 0 z 0 z >�ZZZZZZZZZZZ>" 0 0 0 0 0 0 0 0 0 L) 0 lu L) lu L) lu U z z z ca 7:� c� 0 0 cr 0 cu un 7s v >C�l u > 04 7�:! �o po U = 4. 4. 4. > I (.0 CN u m (L --- d"� C:;oT rye,-r C,- 0-14-PIty Procurement Services Division COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR CARTRIDGE FILTERS FOR WATER TREATMENT PLANTS SOLICITATION NO.: 22-7974 CYNTHIA MCCANNA, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8992 Cynthia.McCanna@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word fon-nat. Any alterations to this document made by the Bidder may be grounds for rejection of the bid, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. I Packet Pg. 1127 1 SOLICITATION PUBLIC NOTICE INVITATION TO BID (ITB) NUMBER: 22-7974 PROJECT TITLE: Cartridae Filters for Public Utilities Water Treatment Plants DUE DATE: Tuesday April 7,2022 at 3:00 PM EST PLACE OF BID OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIANH TRAIL EAST, BLDG C-2 NAPLES, FL 34112 All bids shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsyne.com/bidsyne-cas INTRODUCTION As requested by the Water Division (hereinafter, the "Division or Department"), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, "County") has issued this Invitation to Bid (hereinafter, "ITB") with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terms, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $150,000 annually related to this process; however, this may not be indicative of future buying patterns. BACKGROUND The Water Department utilizes reverse osmosis and membrane softening treatment processes. In order to complete these processes, raw water must be pre -filtered prior to contact with the membranes. Efficient cartridge filtration is critical to remove debris and sand, which is found in the raw water supply. TERM OF CONTRACT The contract term, if an award(s) is/are made is intended to be for one (1) year with four (4 ) one (1) year renewal options Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure The County Manager, or designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (180) days. The County Manager, or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. All 2oods are FOB destination and must be suitably packed and prepared to secure the lowest transportation rates and to comply with all carrier re2ulations. Risk of loss of any 2oods sold hereunder shall transfer to the COUNTY at the time and p ace of delivery, provided that risk of loss prior to actual receipt of the 2oods by the COUNTY nonetheless remain with the VENDOR. AWARD CRITERIA ITB award criteria are as follows: )o The County's Procurement Services Division reserves the right to clarify a vendor's submittal prior to the award of the solicitation. )0, It is the intent of Collier County to award to the lowest, responsive, and responsible vendor that represents the best value to the County. �- For the purposes of determining the winning bidder, the County will select the vendor with the lowest price as outlined below: 0 Lowest Price Per Line Item Collier County reserves the right to select one, or more than one supplier's, award on a line -item basis, establish a pool for quoting, or other options that represents the best value to the County; however, it is the intent to: r_ 0 .2 0 co C� cm r_ a) E -W I Packet Pg. 1128 Identify Primary and Secondary Awardees Purchases from the secondary vendor may be made when the primary vendor does not have the desired part in stock or when the primary vendor cannot meet the required delivery time. )�- The County reserves the right to issue a formal contract or standard County Purchase Order for the award of this solicitation. DETAILED SCOPE OF WORK V The following specifications outline the Scope of Services for a prospective vendor to enter into a contract with Collier County. The responsibility to discern the Scope of Services detailed in these specifications shall rest solely with the vendor. A failure of the vendor to accurately assess the Scope shall not relieve any of the responsibilities to perform under the Contract Documents, nor shall it be considered the basis for any claim for additional compensation. 1. Scope of Services for North Collier Regional Water Treatment Plant (NCRWTP) & South Collier Regional Water Treatment Plant (SCRWTP) (a) Delivery of a shipment order of cartridge filters must be completed within two weeks from the date the order is placed. (b) Deliveries shall be Free on Board (FOB) Destination. Unit prices are inclusive of shipping costs. (c) Cartridges must be boxed for easy identification (lot number, quantity, part number and micron rating) and shipped on wooden or plastic pallets with all cardboard cartons of cartridges plastic shrink wrapped. Cartridge filter boxes shall not be stacked higher than seven (7) boxes to avoid crushing the bottom boxes. (d) The successful bidder will ship an estimated 1860 cartridge filters per shipment lot (estimated 7440 annually). — NCRWTP Specific (e) All shipments of cartridge filters must be FOB to North Collier Regional Water Treatment Plant, 8005 Vanderbilt Beach Ext. Road Naples, FL 34120 — NCRWTP Specific (f) The successful bidder will ship an estimated combined 20 10 cartridge filters (1005 each type) per shipment lot (estimated 8040 annually). — SCRWTP Specific (g) All shipments of cartridge filters must be FOB to South Collier Regional Water Treatment Plant, 3851 Utilities Drive, Naples, FL 34117 — SCRWTP Specific 2. Vendors Specific Requirements (a) All cartridges must be compatible for use in the existing Parker Fulflo cartridge filter housings (NCRWTP 8 and SCRWTP 4) 10 LO and must be compatible for use in the existing Cuno Fluid Purification cartridge filter housings (SCRWTP 4). W cm (b) All cartridges must be a ridged, melt blown FDA grade CFR 21 polypropylene in a one-piece self-supporting (coreless) depth structure. (c) All cartridges for the Parker housings shall be single open end with Buna N 222 O-rin s on the open end and an integral 9 .2 cylindrical spring on the closed end. .3 (d) All cartridges manufactured for the Cuno housings shall be single open end with Buna N 222 O-rings on the open end with a -2 flat cap on the closed end. — SCRWTP Specific 6 (0 (e) Cartridge dimensions shall be 40 inches in length. The outer diameter must be 2.5 inches max, and the inside diameter m st be I inch (+/- 1/8 inch). Cn (f) All cartridges shall have grooved surfaces resulting in a cartridge filter surface area of greater than 600 sq inches (— 4.2 sq. cm ft.) for a 40-inch length cartridge. cm (g) All cartridges shall have a void volume of greater than 70%. Manufacturer must provide written verification that the selected r- cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. E (h) All cartridges shall be of rigid construction. For a 40-inch length cartridge, the center point deflection shall be less than I inch for a 2000-gram centered load (substantiated by available test data). (i) All cartridges shall provide a minimum of 90% removal efficiency nominally rated at 5 microns over the life of the cartridge. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. All cartridges shall be able to operate to a terminal pressure drop of 25 PSI without deformation. Cartridge specific clean pressure drop shall be less than 0.05 pressure per square inch differential/gallons per minute (psid/gpm) (per 1 0-inch equivalents). Manufacturer must provide written verification that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (k) All cartridge materials shall be NSF Standard 61 certified for use in potable water. No adhesives, binders, lubricants, surfactants shall be used in the manufacturing of the cartridges and/or the raw materials. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (1) Cartridge shall have proven performance on equivalent source water chemistry/quality. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Packet Pg. 1129 Recommended Award. (m) All cartridges shall be embossed with grade information on a minimum of one location. 3. Affidavits of Compliance (a) The cartridges must be manufactured of materials recommended or approved by the Food and Drug Administration, the National Sanitation Foundation, the Florida Department of Environmental Protection, and the Environmental Protection Agency for potable water use. (b) Affidavits of compliance shall be provided to Collier County Public Utilities Division upon request. (c) Prior to Notice of Recommended Award Collier County reserves the right to request a sample of no less than fifteen (15) 40-inch individual cartridge filters of the model number offered. Other pertinent information demonstrating compliance with this specification is also recommended. (d) Acceptable cartridge filters will be manufactured by Global Filter Corporation, 3M / Cuno, Pall Corporation, Parker Corporation and/or others meeting the written specifications. (e) Bidder must provide evidence that the cartridge model proposed has operated successfully as pretreatment to membrane treatment facilities in Florida. A list of references is required and will be used to determine if an award of a contract will be made. See Required Form 5 Reference Questionnaire, bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed (please see, Vendor Check List)*** The County requires that the vendor submits no fewer than three (3) and no more than ten (10) completed reference forms from clients (during the last 5 years) whose projects are of a similar nature to this solicitation as a part of their proposal. Bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. Provide information on the services completed by the vendor that best represent services of similar size, scope and complexity of this scope using Form 5 provided in BidSync as part of the Required Forms. Vendors may include two (2) additional pages for each reference to illustrate aspects of the completed services that provides the information to assess the experience of the Proposer on relevant work. I Packet Pg. 1130 1 Email: € ynthia.McC°anrtaf tcolliert�ur�t ti.frc�v Telephone: (239) 252 -8992 Addendum t Date: March 10, 2022 From: Cynthia McC'anna, Procurement Strategist To: Interested Bidders Subject: Addendum # ] Solicitation ##22-7974 - Cartridge Filters For Public Utilities Water Treatment Plants The following clarifications are issued as an addendum identifying the following clarification to the scope of work, changes, deletions, Or additions to the original Solicitation document fete the referenced solicitation: Clarify: Unable to correct the characters in. the answer to question 1. Please see the answer to question 1 below; Parker Filter Housing ##328r62A-6LMP23iH-4-14Fi(1 IN. Plant RO) Parker Filter Housing,#32962A-6LS231H,4-14F1C1 (N. Plant MS) Parker Filter Housing ## 36141-6LMP218H-4-14FK1 (S. Plant R©) Cuno Filter House Model ## ES48 (S. Plant RO) These housings hold 218 to 231 Filters Per Specific Housing, Filters Must be 40" Long Rated Flaw Per Filter is Approximately 10.8 GPM, (2500GPM Total Per Housing) The Current Housings are 316 Stainless Steel The Inlet/outlet's are both 14' The Drain Connection's are 6" Flanged Connections Main and 2" PVC @ N. Plant We replace the filters based on differential pressure or time. if you require additional information, please port. a question on our Bid Sync wwLw—bh .sarc,com) bidding, Platform under the solicitation for this project. Please sign below and roolu i 4 SPY oftbis Addendum with your stibmittal for the above referenced solte tio'm 414{23 i:3ii9 �5 Tri-Dire Filter Corporation (Name of, Firm) Collier County Solicitation 22-7974 Solicitation 22-7974 Cartridge Filters for Public Utilities Water Treatment Plants Solicitation Designation: Public 0 ler County Collier County 3/7/2022 7:29 AM P. 1 Collier County Solicitation 22-7974 Solicitation 22-7974 Cartridge Filters for Public Utilities Water Treatment Plants Solicitation Number 22-7974 Solicitation Title Cartridge Filters for Public Utilities Water Treatment Plants Solicitation Start Date Mar7, 2022 9;2325 AM EST Solicitation End Date Apr 7,20223:001)0 PM EDT Question & Answer Mar31, 2022 SA0:00 PM EDT End Date Solicitation Contact Cynthia McCanna Procurement Strategist 239-252-8992 Cyn th i a. M cCa n n a@ col I i e rc ou n tyfl ,g ov Contract Duration 1 year Contract Renewal 4 annual renewals Prices Good for 180 days Solicitation Comments As requested by the Water Division (hereinafter, the "Division or Department"), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, "County") has issued this Invitation to Bid (hereinafter, "ITB") with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terns, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $150,000 annually related to this process; however, this may not be indicative of future buying patterns. The Water Department utilizes reverse osmosis and membrane softening treatment processes. In order to complete these processes, raw water must be pre -filtered prior to contact with the membranes. Efficient cartridge filtration is critical to remove debris and sand, which is found in the raw water supply. Item Response Form Item 22-7974-01-01- Cartridge Filters for Public Utilities Water Treatment Plants Quantity 1 each Prices are not requested for this item. Delivery Location Collier County 1. Procurement Services 3295 E. Tamiami Trail Building C2 Naples FL 34112 Qty 1 3/7/2022 7:29 AM p 2 Collier County Solicitation 22-7974 Description Provide pricing via Bid Schedule. 3/7/2022 7:29 AM P. 3 Collier County Solicitation 22-7974 Procurement Services Division COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR CARTRIDGE FILTERS FOR WATER TREATMENT PLANTS SOLICITATION NO.: 22-7974 CYNTHIA MCCANNA, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAM)<AMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8992 Cynthia.McCanna@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format. Any alterations to this document made by the Bidder may be grounds for rejection of the bid, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. 317I2022 7:29 AM p• 4 Collier County SOLICITATION PUBLIC NOTICE Solicitation 22-7974 All bids shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsti•nc.com/bidsync-cas/ INTRODUCTION As requested by the Water Division (hereinafter, the "Division or Department"), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, "County") has issued this Invitation to Bid (hereinafter, "ITB") with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terms, conditions and specifications statcd or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately S150,000 annually related to this process; however, this may not be indicative of future buying patterns. BACKGRtJUND The Water Department utilizes reverse osmosis and membrane softening treatment processes. In order to complete these processes, raw water must be pre -filtered prior to contact with the membranes. Efficient cartridge filtration is critical to remove debris and sand, which is found in the raw water supply. TERM OF CONTRACT The contract term, if an award(s) is/are made is intended to be for one (1) year with four (4 ) one (t) year renewal options. Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. The County Manager, or designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (1 80) days. The County Manager, or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. All goods are FOB destination and must be suitabIX Packed and prepared to secure the lowest transportation rates and to comply with all carrier regulations. Risk �of loss of any goods sold hereunder shall transfer to the COUNTY at the time and place of delivery., orovided that risk of loss prior to actual receipt of the zoods by the COUNTY nonetheless remain with the VENDOR. AIVA C;RI ER ;E1A ITB award criteria are as follows: ➢ The County's Procurement Services Division reserves the right to clarify a vendor's submittal prior to the award of the solicitation. ➢ It is the intent of Collier County to award to the lowest, responsive, and responsible vendor that represents the best value to the County. ➢ For the purposes of determining the winning bidder, the County will select the vendor with the lowest price as outlined below: • Lowest Price Per Line Item ➢ Collier County reserves the right to select one, or more than one supplier's, award on a line -item basis, establish a pool for quoting, or other options that represents the best value to the County; however, it is the intent to: 317l2022 7:29 AM P. 5 Collier County Identify Primary and Secondary Awardees Solicitation 22-7974 ➢ Purchases from the secondary vendor may be made when the primary vendor does not have the desired part in stock or when the primary vendor cannot meet the required delivery time, "v The County reserves the right to issue a formal contractor standard County Purchase Order for the award of this solicitation. DFTAII.ED SCOPE OF WORK The following specifications outline the Scope of Services for a prospective vendor to enter into a contract with Collier County. The responsibility to discern the Scope of Services detailed in these specifications shall rest solely with the vendor. A failure of the vendor to accurately assess the Scope shall not relieve any of the responsibilities to perform under the Contract Documents, nor shall it be considered the basis for any claim for additional compensation. 1. Scope of Services for North Collier Regional Water Treatment Plant (NCRWTP) & South Collier Regional Water Treatment Plant (SCRWTP) (a) Delivery of a shipment order of cartridge filters must be completed within two weeks from the date the order is placed. (b) Deliveries shall be Free on Board (FOB) Destination. Unit prices are inclusive of shipping costs. (c) Cartridges must be boxed for easy identification (lot number, quantity, part number and micron rating) and shipped on wooden or plastic pallets with all cardboard cartons of cartridges plastic shrink wrapped. Cartridge filter boxes shall not be stacked higher than seven (7) boxes to avoid crushing the bottom boxes. (d) The successful bidder will ship an estimated 1860 cartridge fitters per shipment lot (estimated 7440 annually). — NCRWTP Specific (e) All shipments of cartridge filters must be FOB to North Collier Regional Water Treatment Plant, 8005 Vanderbilt Beach Ext. Road Naples, FL 34120 — NCRWTP Specific (f) The successful bidder will ship an estimated combined 2010 cartridge filters (t005 each type) per shipment lot (estimated 8040 annually). — SCRWTP Specific (g) All shipments of cartridge filters must be FOB to South Collier Regional Water Treatment Plant, 3851 Utilities Drive, Naples, FL 34117 — SCRWTP Specific 2. Vendors Specific Requirements (a) All cartridges must be compatible for use in the existing Parker Fulflo cartridge filter housings (NCRWTP 8 and SCRWTP 4) and must be compatible for use in the existing Cuno Fluid Purification cartridge filter housings (SCRWTP 4). (b) All cartridges must be a ridged, melt blown FDA grade CFR 21 polypropylene in a one-piece self-supporting (coreless) depth structure. (c) All cartridges for the Parker housings shall be single open end with Buna N 222 0-rings on the open end and an integral cylindrical spring on the closed end. (d) All cartridges manufactured for the Cuno housings shall be single open end with Buna N 222 0-rings on the open end with a flat cap on the closed end. — SCRWTP Specific (e) Cartridge dimensions shall be 40 inches in length. The outer diameter must be 2.5 inches max, and the inside diameter must be 1 inch (+1-1/8 inch). (f) All cartridges shall have grooved surfaces resulting in a cartridge filter surface area of greater than 600 sq inches (-- 4.2 sq. ft.) for a 40-inch length cartridge. (g) All cartridges shall have a void volume of greater than 70%. Manufacturer must provide written verification that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (h) All cartridges shall be of rigid construction. For a 40-inch length cartridge, the center point deflection shall be less than 1 inch for a 2000-gram centered load (substantiated by available test data). (i) All cartridges shall provide a minimum of 90% removal efficiency nominally rated at 5 microns over the life of the cartridge. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (j} All cartridges shall be able to operate to a terminal pressure drop of 25 PSI without deformation. Cartridge specific clean pressure drop shall be less than 0.05 pressure per square inch differential/gallons per minute (psid/gpm) (per 10-inch equivalents). Manufacturer must provide written verification that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (k) All cartridge materials shall be NSF Standard 61 certified for use in potable water. No adhesives, binders, lubricants, surfactants shall be used in the manufacturing of the cartridges and/or the raw materials. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of Recommended Award. (1) Cartridge shall have proven performance on equivalent source water chemistry/quality. Manufacturer must provide written documentation that the selected cartridge will meet this requirement upon submittal of bid or prior to Notice of 3/712022 7:29 AM p• 6 Collier County Solicitation 22-7974 Recommended Award. (m) All cartridges shall be embossed with grade information on a minimum of one location. 3. Affidavits of Compliance (a) The cartridges must be manufactured of materials recommended or approved by the Food and Drug Administration, the National Sanitation Foundation, the Florida Department of Environmental Protection, and the Environmental Protection Agency for potable water use. (b) Affidavits of compliance shall be provided to Collier County Public Utilities Division upon request. (c) Prior to Notice of Recommended Award Collier County reserves the right to request a sample of no less than fifteen (15) 40-inch individual cartridge filters of the model number offered. Other pertinent information demonstrating compliance with this specification is also recommended. (d) Acceptable cartridge filters will be manufactured by Global Filter Corporation, 3M 1 Cuno, Pall Corporation, Parker Corporation and/or others meeting the written specifications. (e) Bidder must provide evidence that the cartridge model proposed has operated successfully as pretreatment to membrane treatment facilities in Florida. A list of references is required and will be used to determine if an award of a contract will be made. See Required Form 5 Reference Questionnaire, bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. VENWR CHC'K JST ***Vendor should check off each of the following items as the necessary action is completed (please see, Vendor Check List)*** The County requires that the vendor submits no fewer than three (3) and no more than ten (10) completed reference forms from clients (during the last 5 years) whose projects are of a similar nature to this solicitation as a part of their proposal. Bidder must meet this requirement upon submittal of bid or prior to Notice of Recommended Award. Provide information on the services completed by the vendor that best represent services of similar size, scope and complexity of this scope using Form 5 provided in BidSync as part of the Required Forms. Vendors may include two (2) additional pages for each reference to illustrate aspects of the completed services that provides the information to assess the experience of the Proposer on relevant work. 3/7/2022 7:29 AM p. 7 Collier County Solicitation 22-7974 _._ GENERAL BID INSTRUCTIONS 1. PURPOSE/OBJECTIVE As requested by the Collier County departments or divisions identified, the Collier County Board of County Commissioners Procurement Services Division (hereinafter, the County) has issued this Invitation to Bid (hereinafter, the "ITB", or "Bid") with the sole purpose and intent of obtaining bid responses from interested and qualified Firms/Vendors/Contractors in accordance with the terms, conditions, and specifications stated and/or attached herein/hereto. The successful Vendor will hereinafter be referred to as the "Vendor". All bids must be submitted on the Bid forms furnished by the County noted in Attachments of this ITB. Bidder may be deemed non -responsive if the Bid forms are not properly executed. Vendor is responsible to read and follow the instructions very carefully, as any misinterpretation or failure to comply with these instructions could lead to the bid submitted as being rejected as non -responsive. 2. QUESTIONS 2.1 Direct questions related to this Bid to the Collier County Procurement Services Division Online Bidding System website: https;//w-%vA,.bidsync.comfhidsvnc-cast. 2.2 Bidders must clearly understand that the only official answer or position of the County will be the one stated on the Collier County Procurement Services Division Online Bidding System website. For general questions, please call the referenced Procurement Strategist noted on the cover page. 3. COMPLIANCE WITH THE BID Bidders must be in strict compliance with this ITB. Failure to comply with all provisions of the ITB may result in disqualification. 4. AMBIGUITY, CONFLICT, OR OTHER ERRORS IN THE RFP It is the sole responsibility of the vendor if they discover any ambiguity, conflict, discrepancy, omission or other error in the ITB, to immediately notify the Procurement Professional, noted herein, of such error in writing and request modification or clarification of the document prior to submitting the bid. The Procurement Professional will make modifications by issuing a written revision and will give written notice to all parties who have received this ITB from the Procurement Services Division. 5. PRICING Vendors must provide rp ices using the unit of measure specified by the County. All prices will remain firm for a period of one hundred and eighty (180) calendar days from date of bid opening. After award by the Board of County Commissioners, prices may only be adjusted as outlined. fi. ALTERNATE BID PRICING In the event that alternate pricing is requested, it is an expressed requirement of the bid to provide pricing for all alternates as listed. The omission of a response or a no -bid or lack of a submitted price may be the basis for the rejection of the submitted bid response. All bids W12022 7:29 AM P. 8 Collier County Solicitation 22-7974 responses received without pricing for all alternates as listed may be considered technically non -responsive. 7. EQUAL PRODUCT Manufacturer's name, brand name and/or model number are used in these specifications for the purpose of establishing minimum requirements of level of quality, standards of performance and/or design required, and is in no way intended to prohibit the bidding of other manufacturer's items of equal or similar material. An equal or similar product may be bid, provided that the product is found by the County to be equal or similar in quality, standard of performance, design, etc. to the item specified. Where an equal or similar is bid, the Bid must be accompanied with two (2) complete sets of factory information sheets (specifications, brochures, etc.) and test results, if applicable, of unit bid as equal or similar. Equal product samples, if required for evaluation, and at no cost to the County, the Vendor must contact the Procurement Services Division for instructions on submittal. The County shall be sole judge of equality or similarity, and its decision shall be final in the best interest. 8. DISCOUNT Any discounts or terms must be shown on the Bid form. Such discounts, if any, may be considered in the award of tie bids. In no instance should payment terms less than fifteen (15) calendar days be offered. 9. ADDENDA The County reserves the right to formally amend and/or clarify the solicitation where it deems necessary. Any such addendum/clarification shall be in writing and notifications shall be distributed electronically to all parties who received the original bid specifications prior to the deadline for submission of Bids. All changes to this ITB will be conveyed electronically through a notice of addendum or questions and answers to all Vendors registered under the applicable commodity code(s) at the time when the original ITB was released, as well as those Vendors who downloaded the ITB document. All addendums are posted on the Collier County Procurement Services Division Online Bidding System websitc: littps://www.bidsvnc.coin/bids�,,ne-cast. Before submitting a bid response, please make sure that you have read all documents provided, understood clearly and complied completely with any changes stated in the addenda as failure to do so may result in deeming your submittal non -responsive. 10. BID SUBMISSION All electronic bids shall be submitted online via the Collier County Procurement Services Division Online Bidding System: h_tips://www.hidsync.com/bidsvne-cas/ 11. QUESTIONS If the Vendor should be of the opinion that the meaning of any part of the Bid Document is doubtful, obscure or contains errors or omissions it should report such opinion to the Procurement Strategist before the bid opening date. Direct questions related to this ITB only to the Collier County Procurement Services Division Internet website: https://www.bidsync.com/bidsync-cas/. Questions will not be answered after the date and time noted. 3/7/2022 T29 AM P. 9 Collier County Solicitation 22-7974 Vendors must clearly understand that the only official answer or position of the County will be the one stated on the Collier County Procurement Services Division Online Bidding System website. For general questions, please call the referenced Procurement Strategist identified in the Public Notice. 12. PROTESTS PROCEDURES 12.1 Any Vendor who alleges to be aggrieved in connection with the solicitation or award of a contract, may protest to the Procurement Services Director, who shall serve as the sole receipt of the any and all notices of intent to protest and all formal protests. 12.2 With respect to a protest of the terms, conditions and specifications contained in a solicitation, including any provisions governing the methods for evaluation of bids, proposals or replies, awarding contracts, reserving rights for further negotiation or modifying or amending any contract, the protesting party shall file a notice of intent to protest within three (3) days, excluding weekends and County holidays, after the first publication, whether by posting or formal advertisement of the solicitation. The formal written protest shall be filed within five (5) days of the date the notice of intent is filed. Formal protests of the terms, conditions and specifications shall contain all of the information required for the Procurement Services Director, to render a decision on the formal protest and determine whether postponement of the bid opening or proposal/response closing time is appropriate. The Procurement Services Director's decision shall be considered final and conclusive unless the protesting party files an appeal of the Procurement Services Director's decision. 12.3 Any actual proposer or respondent to who desires to protest a recommended contract award shall submit a notice of intent to protest to the Procurement Services Director within three (3) calendar days, excluding weekends and County holidays, from the date of the initial posting of the recommended award. 12.4 All formal protests with respect to a recommended contract award shall be submitted in writing to the Procurement Services Director for a decision. Said protests shall be submitted within five (5) calendar days, excluding weekends and County holidays, from the date that the notice of intent to protest is received by the Procurement Services Director, and accompanied by the required fee. 12.5 Complete instructions for formal protest are set forth in Section 23 of Collier County Procurement Ordinance 2017-08, as amended. The protesting party must have standing as defined by established Florida case law to maintain a protest. 13. IMMIGRATION AFFIDAVIT CERTIFICATION 13.1 Statutes and executive orders require employers to abide by the immigration laws of the United States and to employ only individuals who are eligible to work in the United States. The Employment Eligibility Verification System (E-Verify) operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA), provides an Internet -based means of verifying employment eligibility of workers in the United States; it is not a substitute for any other employment eligibility verification requirements. The program will be used for Collier County formal Invitations to Bid (ITB) and Request for Proposals (ITB) including professional services and construction services. 3/7/2022 7:29 AM P. 10 Collier County Solicitation 22-7974 (1) Exceptions to the program: (a) Commodity based procurement where no services are provided. (b) Where the requirement for the affidavit is waived by the Board of County Commissioners. 13.2 Vendors are required to be enrolled in the E-Verify program at the time of submission of the bid. Acceptable evidence of your enrollment consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor's proposal/bid or within five (5) day of the County's Notice of Recommend Award. FAILURE TO EXECUTE THIS AFFIDAVIT CERTIFICATION AND SUBMIT WITH VENDOR'S PROPOSAL/BID MAY DEEM THE VENDOR'S AS NON -RESPONSIVE. 13.3 Additionally, vendors shall require all subcontracted vendors to use the E-Verify system for all purchases not covered under the "Exceptions to the program" clause above. All vendors shall familiarize themselves with the statutory requirements set fort in the Florida Statutes §448.095 pertaining to the responsibilities of Public Employers, Contractors and Subcontractors. 13.4 For additional information regarding the Employment Eligibility Verification System (E-Verify) program visit the following website: http://w-vrny.diis.gov/E-Verify. It shall be the vendor's responsibility to familiarize themselves with all rules and regulations governing this program. 13.5 Vendor acknowledges, and without exception or stipulation, any firm(s) receiving an award shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et sec and regulations relating thereto, as either may be amended and with the provisions contained within this affidavit. Failure by the awarded firm(s) to comply with the laws referenced herein or the provisions of this affidavit shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said agreement immediately. 14. LOBBYING After the issuance of any solicitation, no current or prospective Vendor or any person acting on their behalf, shall contact, communicate with or discuss any matter relating to the solicitation with any Collier County employee or elected or appointed official, other than the Procurement Services Director or his/her designees. This prohibition ends upon execution of the final contract or upon cancellation of the solicitation. Any current or prospective Vendor that lobbies any Collier County employee or elected or appointed official while a solicitation is open or being recommended for award (i) may be deemed ineligible for award of that solicitation by the Procurement Services Director, and (ii) will be subject to Suspension and Debarment outlined in section Twenty -Eight of Procurement Ordinance 2017-08, as amended. 317/2022 7:29 AM p. 11 Collier County Solicitation 22-7974 15. CERTIFICATE OF AUTHORITY TO CONDUCT BUSINESS IN THE STATE OF FLORIDA FL STATUTE 607.1501 In order to be considered for award, firms must be registered with the Florida Department of State Divisions of Corporations in accordance with the requirements of Florida Statute 607.1501 and provide a certificate of authority (.ww-w.sunbiz.org/search.htinl) prior to execution of a contract. A copy of the document should be submitted with the solicitation response and the document number should be identified. Firms who do not provide the certificate of authority at the time of response shall be required to provide same within five (5) days upon notification of selection for award. If the firm cannot provide the document within the referenced timeframe, the County reserves the right to award to another firm. 16. LOCAL VENDOR PREFERENCE VP Any Vendor claiming local vendor preference must complete the required form and submit a Collier or Lee Business Tax receipt with their submission. 17. GENERAL INFORMATION When it is deemed by the County that a bid cannot be awarded as originally intended, the County reserves the right to award this bid through an approach which is the best interest of the County. Alternate bids will not be considered unless authorized by the ITB. In case of identical bids tying as low bid, the County shall conduct a random selection (coin toss) by the Procurement Services Director before at least three witnesses. 18. BID AWARD PROCESS Award shall be made in a manner consistent with the County's Procurement Ordinance. Award recommendations will be posted on the Collier County Procurement Services Online Bidding system Online Bidding system website: httDs://www.bidsync.coiii/bidsyne-cas/. 19. RESERVED RIGHTS Collier County reserves its right in any solicitation to accept or reject any or all bids, proposals or offers; to waive minor irregularities and technicalities; or to request resubmission. Also, Collier County reserves the right to accept all or any part of any bid, proposal, or offer, and to increase or decrease quantities to meet the additional or reduced requirements of Collier County. Collier County reserves its right to cancel, extend or modify any or all bids, proposals or offers; to award to one or more vendors; to award all or part of a solicitation; and to award by individual line items when it is deemed to be in the best interest of the County. Collier County reserves its right to reject any sole response. 20. INSURANCE AND BONDING REQUIREMENTS 20.1 The Vendor shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in the Insurance and Bonding attachment of this solicitation. The Vendor shall be required to provide the Certificate of Insurance(s) with the limits set forth in the solicitation within five (5) days upon notification of selection for award. If the Vendor cannot provide the document within the referenced timeframe, the County reserves the right to award to another Vendor. The Vendor shall procure and maintain property insurance upon the entire project, if required, to the full insurable value of the scope of work. 3/7/2022 T29 AM p. 12 Caliier County Solicitation 22-7974 20.2 The County and the Vendor waive against each other and the County's separate Vendors, Contractors, Design Consultant, Subcontractors agents and employees of each and all of them, all damages covered by property insurance provided herein, except such rights as they may have to the proceeds of such insurance. The Vendor and County shall, where appropriate, require similar waivers of subrogation from the County's separate Vendors, Design Consultants and Subcontractors and shall require each of them to include similar waivers in their contracts. 20.3 Collier County shall be responsible for purchasing and maintaining, its own liability insurance. 20.4 Certificates issued as a result of the award of this solicitation must identify "For any and all work performed on behalf of Collier County." 20.5 The General liability Policy provided by Vendor to meet the requirements of this solicitation shall name Collier County, Florida, as an additional insured as to the operations of Vendor under this solicitation and shall contain a severability of interests provisions. 20.6 Collier County Board of County Commissioners shall be named as the Certificate Holder. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. The "Certificate Holder" should read as follows: Collier County Board of County Commissioners Naples, Florida 20.7 The amounts and types of insurance coverage shall conform to the minimum requirements set forth in Insurance and Bonding attachment, with the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Vendor has any self -insured retentions or deductibles under any of the below listed minimum required coverage, Vendor must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide satisfactory evidence of financial responsibility for such obligations. All self -insured retentions or deductibles will be Vendor's sole responsibility. 20.8 Coverage(s) shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the scope of work by the County or as specified in this solicitation, whichever is longer. 20.9 The Vendor and/or its insurance carrier shall provide 30 days written notice to the County of policy cancellation or non -renewal on the part of the insurance carrier or the Vendor. The Vendor shall also notify the County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non -renewal or material change in coverage or limits received by Vendor from its insurer and nothing contained herein shall relieve Vendor of this requirement to provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by Vendor hereunder, Vendor shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. 3/7/2022 T29 AM p. 13 Collier County Solicitation 22-7974 20.10 Should at any time the Vendor not maintain the insurance coverage(s) required herein, the County may terminate the Agreement or at its sole discretion shall be authorized to purchase such coverage(s) and charge the Vendor for such coverage(s) purchased. If Vendor fails to reimburse the County for such costs within thirty (30) days after demand, the County has the right to offset these costs from any amount due Vendor under the Agreement or any other agreement between the County and Vendor. The County shall be under no obligation to purchase such insurance, nor shall it be responsible for the coverage(s) purchased or the insurance company or companies used. The decision of the County to purchase such insurance coverage(s) shall in no way be construed to be a waiver of any of its rights under the Contract Documents. 20.11 If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Vendor shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Vendor to provide the County with such renewal certificate(s) shall be considered justification for the County to terminate any and all contracts. 21. ADDITIONAL ITEMS AND/OR SERVICES Additional items and/or services may be added to the resultant contract, or purchase order, in compliance with the Procurement Ordinance. 22. VENDOR PERFORMANCE EVALUATION The County has implemented a Vendor Performance Evaluation System for all contracts awarded in excess of $25,000. The County reserves the right to take into consideration a Vendor's past performance under a prior or current County contract when it is considering the granting of a new contract, the assignment of a work order, or any additional work. 23. ADDITIONAL TERMS AND CONDITIONS OF CONTRACT 23.1 The selected Vendor may be required to sign a standard Collier County contract or accept the County's Purchase Order terms and conditions to serve as a formal contact. 23.2 The resultant contract(s) may include purchase or work orders issued by the County's Project Manager (a/k/a Contract Administrative Agent). 23.3 The County reserves the right to include in any contract document such terms and conditions, as it deems necessary for the proper protection of the rights of Collier County. A sample copy of this contract is available upon request. The County will not be obligated to sign any contracts, maintenance and/or service agreements other documents or agree to any exceptions to the County's terms and conditions provided by the Vendor. 23.4 The County's Project Manager shall coordinate with the Vendor / Contractor the return of any surplus assets, including materials, supplies, and equipment associated with the scope or work. 3l712022 7 29 AM p. 14 Collier County Solicitation 22-7974 24. PUBLIC RECORDS COMPLIANCE 24.1 Florida Public Records Law Chapter 119, including specifically those contractual requirements in I I9.0701(2)(a)-(b) as follows: IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Communications, Government & Public Affairs Division 3299 Tamiami Trail East Suite 102 Naples, FL 34112-5745 Telephone: (239) 252-8999 24.2 The Contractor must specifically comply with the Florida Public Records Law to: 24.2.1 Keep and maintain public records required by the public agency to perform the service. 24.2.2 Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 24.2.3 Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the Contractor does not transfer the records to the public agency. 24.2.4 Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the Contractor or keep and maintain public records required by the public agency to perform the service_ If the Contractor transfers all public records to the public agency upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. 25. PAYMENT METHOD Payments are made in accordance with the Local Government Prompt Payment Act, Chapter 218, Florida Statutes. Vendor's invoices must include: Purchase Order Number and description and quantities of the goods or services provided per instructions on the County's purchase order or contract. Invoices shall be sent to: 3R/2022 T29 AM P. 15 Collier County Solicitation 22-7974 Board of County Commissioners Clerk's Finance Department ATTN: Accounts Payable 3299 Tamiami Trail East, Suite 700 Naples FL 34112 Or Emailed to: beta clerku.collierclerk.com 25.1 Payments will be made for articles and/or services furnished, delivered, and accepted, upon receipt and approval of invoices submitted on the date of services or within six (6) months after completion of contract. Any untimely submission of invoices beyond the specified deadline period is subject to non-payment under the legal doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with respect to the timely submission of invoices under the agreement. 25.2 In instances where the successful Vendor may owe debts (including, but not limited to taxes or other fees) to Collier County and the contractor has not satisfied nor made arrangement to satisfy these debts, the County reserves the right to off -set the amount owed to the County by applying the amount owed to the vendor or contractor for services performed of for materials delivered in association with a contract. 25.3 Invoices shall not reflect sales tax. After review and approval, the invoice will be transmitted to the Finance Division for payment. Payment will be made upon receipt of proper invoice and in compliance with Chapter 218 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Collier County reserves the right to withhold and/or reduce an appropriate amount of any payment for work not performed or for unsatisfactory performance of Contractual requirements. 26. ENVIRONMENTAL HEALTH AND SAFETY 26.1 All Vendors and Sub Vendors performing service for Collier County are required and shall comply with all Occupational Safety and Health Administration (OSHA), State and County Safety and Occupational Health Standards and any other applicable rules and regulations. Vendors and Sub Vendors shall be responsible for the safety of their employees and any unsafe acts or conditions that may cause injury or damage to any persons or property within and around the work site. All firewall penetrations must be protected in order to meet Fire Codes. 26.2 Collier County Government has authorized OSHA representatives to enter any Collier County facility, property and/or right-of-way for the purpose of inspection of any Vendor's work operations. This provision is non-negotiable by any department and/or Vendor. 26.3 All new electrical installations shall incorporate NFPA 70E Short Circuit Protective Device Coordination and Arc Flash Studies where relevant as determined by the engineer. 26.4 All electrical installations shall be labeled with appropriate NFPA 70E arch flash boundary and PPE Protective labels. 317/2022 7:29 AM p. 16 Collier County Solicitation 22.7974 27. LICENSES 27.1 The Vendor is required to possess the correct Business Tax Receipt, professional license, and any other authorizations necessary to carry out and perform the work required by the project pursuant to all applicable Federal, State and Local Law, Statute, Ordinances, and rules and regulations of any kind. Additionally, copies of the required licenses must be submitted with the proposal response indicating that the entity proposing, as well as the team assigned to the County account, is properly licensed to perform the activities or work included in the contract documents. Failure on the part of any Vendor to submit the required documentation may be grounds to DEEM VENDOR NON -RESPONSIVE. A Vendor, with an office within Collier County is also required to have an occupational license. 27.2 All State Certified contractors who may need to pull Collier County permits or call in inspections must complete a Collier County Contractor License registration form and submit the required fee. After registering the license/registration will need to he renewed thereafter to remain "active" in Collier County. 27.3 If you have questions regarding professional licenses contact the Contractor Licensing, Community Development and Environmental Services at (239) 252-2431, 252-2432 or 252-2909. Questions regarding required occupational licenses, please contact the Tax Collector's Office at (239) 252-2477. 28. SURVIVABILITY The Vendor agrees that any Purchase Order/Work Order/Solicitation Documents that extends beyond the expiration date of the original Solicitation will survive and remain subject to the terms and conditions of that Agreement until the completion or termination. 29. RELATION OF COUNTY It is the intent of the parties hereto that the Vendor shall be legally considered an independent Vendor, and that neither the Vendor nor their employees shall, under any circumstances, be considered employees or agents of the County, and that the County shall be at no time legally responsible for any negligence on the part of said Vendor, their employees or agents, resulting in either bodily or personal injury or property damage to any individual, firm, or corporation. 30. TERMINATION Should the Vendor be found to have failed to perform services in a manner satisfactory to the County, the County may terminate this Agreement immediately for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non-performance. In the event that the award of this solicitation is made by the Procurement Services Director, the award and any resultant purchase orders may be terminated at any time by the County upon thirty (30) days written notice to the awarded vendor(s) pursuant to the Board's Procurement Ordinance. 311. PUBLIC ENTITY CRIME A person or affiliate who has been placed on the convicted Vendor list following a conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit 3/7/2022 7:29 AM p, 17 Collier County Solicitation 22-7974 bids, proposals, or replies on leases of real property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or vendor under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in s. 287.017 for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted Vendor list. 32. SECURITY AND BACKGROUND CHECKS 32.1 The Contractor is required to comply with County Ordinance 2004-52, as amended. Background checks are valid for five (5) years and the Contractor shall be responsible for all associated costs. if required, Contractor shall be responsible for the costs of providing background checks by the Collier County Facilities Management Division for all employees that shall provide services to the County under this Agreement. This may include, but not be limited to, checking federal, state and local law enforcement records, including a state and FBI fingerprint check, credit reports, education, residence and employment verifications and other related records. Contractor shall be required to maintain records on each employee and make them available to the County for at least four (4) years. 32.2 All of Contractor's employees and subcontractors must wear Collier County Government Identification badges at all times while performing services on County facilities and properties. Contractor ID badges are valid for one (1) year from the date of issuance and can be renewed each year at no cost to the Contractor during the time period in which their background check is valid, as discussed below. All technicians shall have on their shirts the name of the contractor's business. 32.3 The Contractor shall immediately notify the Collier County Facilities Management Division via e-mail (DL-FMOPS@colliergov.net) whenever an employee assigned to Collier County separates from their employment. This notification is critical to ensure the continued security of Collier County facilities and systems. Failure to notify within four (4) hours of separation may result in a deduction of $500 per incident. 32.4 Collier County Sheriffs Office requires separate fingerprinting prior to work being performed in any of their locations. This will be coordinated upon award of the contract. if there are additional fees for this process, the vendor is responsible for all costs. 33. CONFLICT OF INTEREST Vendor shall complete the Conflict of Interest Affidavit included as an attachment to this ITB document. Disclosure of any potential or actual conflict of interest is subject to County staff review and does not in and of itself disqualify a Vendor from consideration. These disclosures are intended to identify and or preclude conflict of interest situations during contract selection and execution. 34. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter 112, Part II1, Florida Statutes, the current Collier County Ethics Ordinance and County Administrative Procedure 5311. Violation of this provision may result in one or more of the following consequences: a. Prohibition by the individual, firm, and/or any employee of the 3/7/2022 7:29 AM p. 18 Collier County Solicitation 22-7974 firm from contact with County staff for a specified period of time; b. Prohibition by the individual and/or firm from doing business with the County for a specified period of time, including but not limited to: submitting bids, ITB, and/or quotes; and, c. immediate termination of any contract held by the individual and/or firm for cause. 35. DEDUCTION FOR NON-PERFORMANCE The County reserves the right to deduct a portion of any invoice for goods not delivered, or services not performed in accordance with requirements, including required timeframe. The County may also deduct, or chargeback the Vendor the costs necessary to correct the deficiencies directly related to the Vendor's non-performance. 36. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES Collier County encourages and agrees to the successful vendor extending the pricing, terms and conditions of this solicitation or resultant contract to other governmental entities at the discretion of the successful vendor. 37. FLORIDA WOOD PRODUCTS The Vendor agrees to comply with Florida Statute 255.20 to provide lumber, timber and other forest products produced and manufactured in the State of Florida as long as the price, fitness and quality are equal. 38. STANDARDS OF CONDUCT The Vendor shall employ people to work on County projects who are neat, clean, well- groomed and courteous. Subject to the American with Disabilities Act, Vendor shall supply competent employees who are physically capable of performing their employment duties. The County may require the Vendor to remove an employee it deems careless, incompetent, insubordinate or otherwise objectionable and whose continued employment on Collier County projects is not in the best interest of the County. 39. PROTECTION OF PROPERTY The Vendor shall ensure that the service is performed in such manner as to not damage any property. In the event damage occurs to any property as a direct result of the Vendor or their Sub vendor in the performance of the required service, the Vendor shall repair/replace, to the County's satisfaction, damaged property at no additional cost to the County. if the damage caused by the Vendor or their Sub vendor has to be repaired/replaced by the County, the cost of such work will be deducted from the monies due the Vendor. The County's project manager shall coordinate with the Vendor the return of any surplus assets, including materials, supplies, and equipment associated with the scope or work. 40. COLLIER COUNTY INFORMATION TECHNOLOGY REQUIREMENTS All vendor access will be done via VPN access only. All access must comply with current published County Manager Agency (CMA) policies. Current policies that apply are CMAs 5402, 5403 and 5405. These policies will be available upon request from the Information Technology Department. All vendors will be required to adhere to IT policies for access to the County network. Vendors are required to notify the County in writing twenty-four (24) hours in advance as to when access to the network is planned. Included in this request must be a 31712022 7:29 AM P. 19 Collier County Solicitation 22-7974 detailed work plan with actions that will be taken at the time of access. The County IT Department has developed a Technical Architecture Requirements Document. 41. MAINTENANCE OF TRAFFIC POLICY For all projects that are conducted within a Collier County Right -of -Way, the Vendor shall provide and erect Traffic Control Devices as prescribed in the current edition of the Manual on Uniform Traffic Control Devices (MUTCD), where applicable on local roadways and as prescribed in the Florida Department of Transportation's Design Standards (DS) on state roadways. These projects shall also comply with Collier County's Maintenance of Traffic Policy, #5807, incorporated herein by reference. Copies are available through the Risk Management and/or Procurement Services Division and are available on-line at colliergov.net/purchasing. The Vendor will be responsible for obtaining copies of all required manuals, MUTCD, FDOT Roadway & Traffic Design Standards Indexes, or other related documents, so to become familiar with their requirements. Strict adherence to the requirements of the Maintenance of Traffic ("MOT") policy will be enforced under this Contract. All costs associated with the Maintenance of Traffic shall be included on the line item on the bid page. If MOT is required, MOT is to be provided within ten (10) days of receipt of Notice of Award. 42. DEBRIS Vendor shall be responsible for the removal and disposal of all debris from the site and the cleaning of the affected areas. Vendor shall keep the premises free of debris and unusable materials resulting from their work and as work progresses; or upon the request of the County's representative, shall remove and dispose such debris and materials from the property. The Vendor shall leave all affected areas as they were prior to beginning work. 43. DIRECT MATERIAL PURCHASE 43.1 The County reserves the right to require Vendor to assign some or all of its agreements with material suppliers directly to the County. Any such goods and/or materials purchased by the County pursuant to such an assignment of a material supply agreement shall be referred to as "County Furnished Materials" and the responsibilities of both the County and the Vendor relating to said materials shall be governed by the terms and conditions of this solicitation. Additionally, the County at its sole option may choose to purchase some or all of the goods and/or materials from other suppliers. In either instance the County may require the following information from the Vendor: 43.1.1 Required quantities of material 43.1.2 Specifications relating to goods and/or materials required for job including brand and/or model number or type if applicable 43.1.3 Pricing and availability of goods and/or materials provided under Vendor's agreements with material suppliers 44. GRANT COMPLIANCE The purchase of any goods and/or services that are funded through Federal Grant Appropriations, the State of Florida, or any other public or private foundations shall be subject to the compliance and reporting requirements of the granting agency. The Vendor agrees 317/2022 7:29 AM p. 20 Collier County Solicitation 22-7974 include with the bid submission all the completed and fully executed Grant documents provided as an attachment to the solicitation, or you may BE DEEMED NON- RESPONSIVE. 45.E UIPMENT Vendor shall have available and in good working condition, the necessary equipment to perform the required service. If required by the County, the Vendor shall supply a list of equipment and an hourly rate for each. Hourly rates will commence once equipment arrives at the service site, unless otherwise agreed in writing by the Project Manager. In the event that additional specialized and/or heavy equipment (backhoe, crane, mudhog, etc.) is needed, the Project Manager must be notified in advance for approval. The reimbursement of additional equipment expense shall be at cost and will commence once equipment arrives at the service site, unless otherwise agreed in writing by the Project Manager. The County reserves the right to request and obtain documentation of the Vendor's cost for time and material projects, and to withhold payments until documentation is provided. All County -purchased equipment must be new and of current manufacture in production at the time of bid opening, and carry industry standard warranties. At the time of delivery, at least two (2) complete shop repair manuals and parts lists must be furnished with each type of equipment. Vendor must service all equipment prior to delivery and/or acceptance by the County. The scope of these specifications is to ensure the delivery of a complete unit ready for operation. Omission of any essential detail from these specifications does not relieve the Vendor from furnishing a complete unit. 46. STORAGE TANK INSTALLATION AND CLOSURE RE UIREMENTS 43-46 where applicable) The contractor shall ensure compliance with all NFPA regulations: specifically, 110 & 30/30A; FDEP chapter 62 regulations: specifically, 761, 762, 777, and 780; 376 & 403 Florida Statutes; and STI, UL, PEI, ASME, NACE, NLPA, NIST & API referenced standards pertaining to the storage of hazardous materials and petroleum products. The contractor shall notify the Solid& Hazardous Waste Management Department (SHWMD) prior to the installation, removal, or maintenance of any storage tank, including day tanks for generators, storing / will be storing petroleum products or hazardous materials. The contractor shall provide a 10 day and 48-hour notice to SHWMD 239-252-2508 prior to commencement. The contractor shall provide the plans pertaining to the storage tank systems containing hazardous materials / petroleum products to the SHWMD prior to plans submittal to a permitting entity and then SHWMD must approve the plans prior to contractor's submittal for permitting. 47.62-761.300 APPLICABILITY 47.1 General Requirements: 47.1.1 Underground storage tank systems: The requirements of this Chapter, unless specified otherwise, apply to owners and operators of facilities, or owners and 3/7/2022 7:29 AM p• 21 Collier County Solicitation 22-7974 operators of UST systems with individual storage tank capacities greater than I 10 gallons that contain or contained: (1) Vehicular fuel, subject to Chapter 17-61, F.A.C., after May 21, 1984 (2) Pollutants or hazardous substances after December 10, 1990; or (3) Regulated substances in unmaintained storage tank systems. 47.1.2 This rule is applicable to non-residential facilities. Under 40 C.F.R. 280, residential tanks greater than 1100 gallons containing motor fuels are subject to Federal UST rules (advisory information only -not required by this Chapter). 48.62-762.301, F.A.C. APPLICABILITY 48.1 General Requirements: 48.1.1 Aboveground storage tank systems: The requirements of this chapter, unless specified otherwise, apply to owners and operators of facilities, or owners and operators of aboveground stationary storage tank systems with individual storage tank capacities greater than 550 gallons that contain or contained: Vehicular fuel, subject to Chapter 17-61, F.A.C., after May 21, 1984 (1) Vehicular fuel, subject to Chapter 17-61, F.A.C., after May 21, 1984; (2) Pollutants after March 12, 1991; or (3) Pollutants in unmaintained storage tank systems. 48.1.2 Aboveground compression vessels and hazardous substance storage tank systems: Owners and operators of compression vessels and hazardous substance storage tanks with capacities of greater than 110 gallons containing hazardous substances are only required to comply with subsections 62- 762.401(1)-(2), F.A.C. 48.1.3 Aboveground mineral acid storage tank systems: Owners and operators of facilities, or owners and operators of aboveground mineral acid storage tank systems with capacities of greater than 110 gallons containing mineral acids are only required to comply with Rule 62-762.891, F.A.C. 49. POLLUTION PREVENTION The Vendor is required to implement industry relevant pollution prevention and best management practices. Should pollution incidents occur, Collier County Pollution Control must be notified immediately. 50. DEFINITIONS 62-761.200(l 1) and 62-762.201(16), F.A.C.: "County" means a locally administered program under contract with the Department to perform compliance verification activities at facilities with storage tank systems. 62-761.200 48 and 62-762.201 62 F.A.C.: "Pollutants" includes any "product" as defined in Section 377.19(11), F.S., pesticides, ammonia, chlorine and derivatives thereof, excluding liquefied petroleum gas. 3/7/2022 7:29 AM p. 22 Collier County Solicitation 22-7974 62-761.200 5 l and 62-762.201 65 F.A.C.: "Product" as defined in Section 377.19(l 1), F.S., means any commodity made from oil or gas and includes refined crude oil, crude tops, topped crude, processed crude petroleum, residue from crude petroleum, cracking stock, uncracked fuel oil, fuel oil, treated crude oil, residuum, gas oil, casing head gasoline, natural gas gasoline, naphtha, distillate, condensate, gasoline, used oil, kerosene, benzene, wash oil, blended gasoline, lubricating oil, blends or mixtures of oil with one or more liquid products or byproducts derived from oil or gas, and blends or mixtures of two or more liquid products or byproducts derived from oil or gas, whether hereinabove enumerated or not. 62-76] (73) and 62-762(84), F.A.C.: "Vehicular fuel" means a petroleum product used to fuel motor vehicles, including aircraft, watercraft and vehicles used on and off roads and rails. Certification: The Vendor hereby agrees to comply with the instructions above, by submission of a bid/proposal. 3/7/2022 T29 AM p. 23 roT R!I t3 a � oR 6 V U D w w CA 0 TZ co Q `0 U = O :• = L Z =3 o = ii =_ LL 0 a: a U d o o co '� o 5 U a a o c c ea a c) a o � �` `� U = a copier County Soildlattan 22-7074 i.i i� C;""ty Procurement Services Division Vendor Cbeck List IMPORTANT,. Please review carefully and submit with your ProposaVRid. All applicable documents shall be submitted electronically through B1dSyne- Vendor should checkoff each of the following items: Ei mineral Bid Instructions has been acknowledged and accepted. Collier Cotutty Purchaw Order Terms and Conditions have been ,acknowledged and accepted. (� Fornt 1: Vendor Declaration Statement Form ?: Conflict of latmst Certification ❑ Proof of status from Division of Corporations - Florida Defuirtment of State (lfwork performed in the State) hit :; dc3s.nt llr;rida.ccim suni shau3d be attaci��d withsatrr sulttittal. ® Vendor MUST be enrolled in the ! -Verify - httfss:, the time of submission of the proposaVbid. ❑ Form 3: Immigration Affidavit C"lific atian MUSThe sued and attached with your submittal or you MAY be lilrlrl:ILD NON -RESPONSIVE ❑ E-Wrify Memorandum of Understanding or Company Profile page should be attached with your submitted. ❑ Forth 4: Certification for Claiming Status as a Local Business, if applicabte, has been executed and returned. Collie' or Lee County Businm Tax Receipt should be attached with your submittal to be emsidered. ❑ Farm S: Peterence Ouestionnaire thrm roust be utilized for each requested reference and included with your submittal, if applicable to the solicitation. ❑ Form b: Grant Provisions and Asswiinces {package in its entirety, it applicable, are executed and shmid be included with your submittal. All farms must be executed, or yott MAY be DEEMED NON -RESPONSIVE. ❑ Vendty W-9 Farm. ❑ Vendor acknowledges Insurance Beyuirements and is prepared to produce the required insurance certificate(s) within five (5) days of the Ctsatty's issuance of a Notice of Recommend Award. ❑ The Bid Schedule has been completed and attached with your submittal, applicable to bids. ❑ Copies of all requested licenses and/o, c erti Fcatiarss to complete the requirements of the project. ❑ All addenda have been siped and attached, or you MAV be DEEMED NON-RESK)NSIVE. ❑ County's IT Technical Architecture Requirements has been acknowledged and accepted, ifapplicablec ❑ Any and all wpplementaal requirements and terms has been acknowledged and acctsted, if applicable. 317=2 7.29 AM p. 25 uIlief cour4y Sobvtatkm 22-7874 corilear County Procurement Services Division 1°orm .i: Vendor Declaration Statewwnt BOARD OF COUNTY COMMISSIONERS Collier County Cmvermnent Complex Naples, Florida 34112 Dear Commissioners: fhe undersigned, as Vendor clec:iares that this response is made without coon ion or arrangement with any other person and this proposal is in every respect fair and rustle in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Carder as a farm of a formal contract or to execute a Collier County formal c mtrae-t for purges of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is baseed upon the domments limed by the above referenced solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor's bids. Further, the Vendor agrees that if awarded a contract for them goods andlor services, the Vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub -vendor for any future associated work that is a result of this awarded contract. IN WITNESS WHEREOF, WE have hereunto suhsc-ribed our names on this 4th day of . April 202�n the County of Martin in the State of Florida Firm's Legal Namc: Address: City, Sty, Zip Code: Florida C:erti ficate of Authcg 4y Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded Telephone: Signature by: (Typed and written) Title: Tri-Dim Filter Corporation 1337 SE Dixie Hwy. Stuart, FL 34994 52-1551452 800-937-1450 cathca / Florida District Manager Jim Cathcart 3912022 T 29 AM P 26 Collier County Solicitation 22-7974 Additional Contact Information Stad payments tw Tri-Dim Filter Corporation (required if different from Company name laW a; payee above) Chrissy Robinson Contact name. Accounts Receivable Supervisor Title: Address. PO Box 734485 City State, ;ail, Chicago, IL 60673-4485 Telephone: 540-967-4802 lvrnail. c.robinson2@tridim.com Office ser°vieing Collier Tri-Dim Filter Corporation County to Place orders (required ifdiftrent from above) Contact name. John Kirkpatrick Title: Sales Address-, 1337 SE Dixie Hwy. City. State, ZIP Stuart, FL 34994 Telephone: 239-540-9856 Ernail: j.kirkpatrick@tridim.com Y7i2022 7:29 AM R. 27 COtl i Cowry Solicitation 22-7974 cd MY aunty Procurement Services Division Form 2. Conflict cif luttrest Certification Affidavit The Vendor certifies that, to the best of its knowledge and belief; the pas€ and current wort; on any Collier County project affiliated With this solicitation dears not post an or srtizatisarcai conflict as described by one of the three categories glow: Biased grouted rules -'The ftmt has nix set the "ground rules" for affiliated past or current Collier County project identified above (e.g., writing a procurement's statement of work, specifications, or performing systems engintering and technical direction for the procurement) which appears to skew the competition in favor of my firm. Impaired objectivity -'liae firth has not performed work on an affiliated past or current Collier County project identified above to evaluate proposals J past performance of itsclf or a competitor, which calls into question the contractor's ability to render impartial advice to the government, Unqual access to information -The firm has not had access to nonpublic information as W of its performance of a Collier County project identified above; which shay have provided the contractor (or an affiliate) with an unfair competitive advantage in current or future solicitations and contracts. in addition to this signed affidavit, the contractor r v=endor must provide the following: 1, All documents produced as a result of the work completed in the past or currently being; worked on for the above -mentioned project; and, 1 lridie ate if the information rxoduced was obtained as a matter of public_ record (in the "stmFihine') or throw nor, -public Ool in the "sunshine") conversations (s), mceting(s), document(s) an&or other means. Failure to disclose all material or having an organizational corsflict in one or more of the three categcarics shave be identified, may result in the disqualification for future solicitations affiliated with the above referenced project(s). By the signature below, the firm (employees, officers andfor agents) certifies, and hereby discloses, that, to the best of their knowledgc and belief, all relevant facts concerning pa!A, pr-smt, or currently planned intorest or activity (finartcial, contractual, organizational, or otherwise) which relates to the project identified above has been t'ttlly disclosed and does not pose an organizational conflict. Tri-Dire Filter Corporation (company Name SignatureVimCathcart, FL District Mgr. Print Nta a and Title State of Florida County of Martin The f Doing instr ent acknowl e d before me by s f h 'Ctl pr se car ® carhline notarization, this ofay o _. __., (month), _s�a .iy ?, ta}� � (name of person acknowledging,}, (Signature of Notary Public) (print. 'type, or Stet n p Commissioned Name of Notary Public) Personally Known OR Produced ldwtific atio n Type of 1de;rhtr6caticsa l'rcacii>Ice d W712022 7:29 AM :' '• HEIDI S. CUATT MY COMMISSION it HH 221056 EXPfRES' January 26, 2026 p. 28 Comer County 50iicdtation 22-7974 convity Procurement t Sotvices Division Form 3: Iutt ration Affidavit Cerflilkatiion This Affidavit is required and should be signed, by an authorized principal of the farm and submitted with fbrmal solicitation submittals. Further, Vendors are required to be enrolled in the E-Verify program ittt �s:::"�vwys.s-veri(y.�ovv{ at the time of the submission of the Vendor's proposal/bid. Acceptable evidence of your enrolimcrit consists of a copy of the properly completed E- verify Company Profile page or a copy of the fully executed E-Verity Memorandum of Understanding for the company which will be produced at the done of the submix0on of the Vendor's proposabbid or within five (5) dw vfthe County s Notice r�Rccr mmmd A»irrd. FAILURE TO EXECUTE THIS AFFIDAVIT CEWFI `ICATION AND SUBMIT WIT" VENDOWS PROPOSA"ID "1 AY DEEM THE VENDOR'S ASNON-RESPONSIVE. Collier Cotenty will ncA intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C, Section 1324 a(e) motion 274A(e) of the Immigration and Nationality Act ("INA"). Collier County may consider the employment by any vendor of unauthorized aliens a violation of Section 274A (e) of the; INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the costtract by Collier County. Vendor attests that tangy are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Antendrnent(s), that it is aware of and in compliance with the requirements set tonal in Florida Statutes ".095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Wrify and to provide proof of enrollment in The Employment Eligibility verification System (I -Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor's proposalibid. State of Florida Colinty of Martin Tri-Dim Filter Corporation C nmpany Name Signature Jim Cathcart, FL District Mgr. Print Nance and Title The foregoing instrument was acknowledged before true by s o sic presence Q online notarization, this 4th day of_A{aril (month}, 2022__. (year), by AAA (name of person acknowledging,), Ait),6 4& 1�� Sigtiart✓ of Notary Public) -44A &— t _ (Print. Type, ssr Stamp (ornmissioneci Name of Nary Public) ally Known OR Prod ed Identification VA o� Type of Identification uced HEIDI B. CUATr MY COMMISSION # HH 2210M EXPtRES;Janu�ry26,2026 3fTt2i?22?:29,4NI t<.� Calher County 5n1idtatian 22-7974 Procurement rement Services Division Form 4: Bettor Sabrlait M - Loocal Vendor Prrekrence Certification (Me ck Appropriate Boxes below) State of Florida (Select County if Vendor is described as a Local Busine ) Collier County ❑ 1,te County Vendor affirms that it is a local business as defined by the Prm-ure rent Ordinance of the Collier Counq hoard of County Commissioners and the regulations Thereto. As defined in Section Fifteen of the Collie' County Procurement Ordinance. Local business means, the vendor has a cun•ent Business Tax Receipt issued by the Collier County Tux Collector prior to bid or pr%K)sal submission to do liminess within Collier County, and that identifies the business with a permanent physical business address located within the; litnits of Collier County burn which the vendor's .staff operates and perfcrtns business in an area z4aned for the conduuctof stich business. A lost Office Box or a facility that receives mail, or a non-pe rnumertt structure such as a construction trailer, storage shed, or otfter non-permanem structure shall not be used for the pure of establishing said physical address. In addition to the foregoing, a vender shall not be considered a "local business" unless it contributes to the ecoiiomie development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion ofemployment opportunities, suppm and increase to the County 9 tax bast:, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County wilt low the privilegrre to claim Lkval Preference status for a period of up to one year under this section, Vendor must complete the fallawing information: Year Business Established in ®Collies County or ❑ Lee County: Number of Employees (including Ownerts) or Corporate Ofiims):_ Number of Employces Living in [I Collier County or ❑ Lee (including Owner(s) or Corporate Officers).___ If requested by the County, Vendor will be required to provide documentation substantiating the information given in this certiflc4aion. Failure to do so will result in vendor's submission bring deemed not applicable. Sites► and Bate Certification: (hater pemdfisx r fr riary ! certify drat the ire urntatic»t shown on this form is correct tv krtorvlerl e. Company blame: Address in Collier or Let County: Signature: bate: Title: 2022 7:29 AM P.M Coltier County C 7e.'r G01414ty Procurement Services Division Form S Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) of Individuals Requesting Reference Information) Name: Company: (Evaluator completing reference questionnaire) (Evaluator's Company completing reference) Email: FAX: Solicitation 22-7974 Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of l to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and I representing that you were very unsatisfied (and would never hire the firm/indivdival again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored "0." Project Description: Project Budget: __ _ Completion Date: Project Number of Days: Item Criteria Score must be comp Ieted I Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on -time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. Professionalism and ability to manage personnel. b Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc, 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS 31712022 7:29 AM p. 31 Collier County Solicitation 22-7974 FORM 6 IF APPLICABLE GRANT PROVISIONS AND ASSURANCES FORMS ARE PROVIDED IN SEPARATE PACKAGE AND MUST BE COMPLETED AND EXECUTED IN ITS ENTIRTY AND RETURNED WITH THE SUBMISSION OF THE BIDIPROPOSAL. FAILURE TO DO SO MAY DEEM YOU NON -- RESPONSIVE. 317/2022 7:29 AM p. 32 Collier County Solicitation 22-7974 CONFIRM ALL REQUIRED LICENSES AND FORMS ARE COMPLETED AND EXECUTED IN ITS ENTIRTY AND RETURNED WITH THE SUBMISSION OF THE BIDIPROPOSAL. FAILURE TO DO SO MAY DEEM YOU NON- RESPONSIVE. 3/7/2022 7:29 AM p. 33 Collier County Solicitation 22-7974 I Collier County Purchase Order Terms and Conditions a� 1. Offer This offer is subject to cancellation by the COUNTY without notice if not accepted by VENDOR within fourteen (14) days of issuance 2. Acceptance and Confirmation This Purchase Order (including all documents attached to or referenced herein) constitutes the entire agreement between the parties, unless otherwise specifically noted by the COUNTY on the face of this Purchase Order. Each delivery of goods and/or services received by the COUNTY from VENDOR shall be deemed to be upon the terms and conditions contained in this Purchase Order. No additional terms may be added and Purchase Order may not be changed except by written instrument executed by the COUNTY. VENDOR is deemed to be on notice that the COUNTY objects to any additional or different terms and conditions contained in any acknowledgment, invoice or other communication from VENDOR, notwithstanding the COUNTY'S acceptance or payment for any delivery of goods and/or services, or any similar act by VENDOR. 3. Inspection All goods and/or services delivered hereunder shall be received subject to the COUNTY'S inspection and approval and payment therefore shall not constitute acceptance. All payments are subject to adjustment for shortage or rejection. All defective or nonconforming goods will be returned pursuant to VENDOR'S instruction at VENDOR'S expense. To the extent that a purchase order requires a series of performances by VENDOR, the COUNTY prospectively reserves the right to cancel the entire remainder of the Purchase Order if goods and/or services provided early in the term of the Purchase Order are non -conforming or otherwise rejected by the COUNTY. Shipping and Invoices a) All goods are FOB destination and must be suitably packed and prepared to secure the lowest transportation rates and to comply with all carrier regulations. Risk of loss of any goods sold hereunder shall transfer to the COUNTY at the time and place of delivery, provided that risk of loss prior to actual receipt of the goods by the COUNTY nonetheless remain with VENDOR. b) No charges will be paid by the COUNTY for packing, crating or cartage unless otherwise specifically stated in this Purchase Order. Unless otherwise provided in Purchase Order, no invoices shall be issued nor payments made prior to delivery. Unless freight and other charges are itemized, any discount will be taken on the full amount of invoice. c) All shipments of goods scheduled on the same day via the same route must be consolidated. Each shipping container must be consecutively numbered and marked to show this Purchase Order number. The container and Purchase Order numbers must be indicated on bill of lading. Packing slips must show Purchase Order number and must be included on each package of less than container load (LCL) shipments and/or with each car load of equipment. The COUNTY reserves the right to refuse or return any shipment or equipment at VENDOR'S expense that is not marked with Purchase Order numbers. VENDOR agrees to declare to the carrier the value of any shipment made under this Purchase Order and the full invoice value of such shipment. d) All invoices must contain the Purchase Order number and any other specific information as identified on the Purchase Order. Discounts of prompt payment will be computed from the date of receipt of goods or from date of receipt of invoices, whichever is later. Payment will be made upon receipt of a proper invoice and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act," and, pursuant to the Board of County Commissioners Purchasing Policy, 5, Time Is Of the Essence Time for delivery of goods or performance of services under this Purchase Order is of the essence. Failure of VENDOR to meet delivery schedules or deliver within a reasonable time, as interpreted by the COUNTY alone, shall entitle the COUNTY to seek all remedies available to it at law or in equity. VENDOR agrees to reimburse the COUNTY for any expenses incurred in enforcing its rights. VENDOR further agrees that undiscovered delivery of nonconforming goods and/or services is not a waiver of the COUNTY'S right to insist upon further compliance with all specifications. 3/7/2022 7:29 AM G/ operations/Document Approved by Attorney Reviewed 12118113: 515110p 34 Collier County Solicitation 22-7974 6. Changes The COUNTY may at any time and by written notice make changes to drawings and specifications, shipping instructions, quantities and delivery schedules within the general scope of this Purchase Order. Should any such change increase or decrease the cost of, or the time required for performance of the Purchase Order, an equitable adjustment in the price and/or delivery schedule will be negotiated by the COUNTY and VENDOR. Notwithstanding the foregoing, VENDOR has an affirmative obligation to give notice if the changes will decrease costs. Any claims for adjustment by VENDOR must be made within thirty (30) days from the date the change is ordered or within such additional period of time as may be agreed upon by the parties. 7. Warranties VENDOR expressly warrants that the goods and/or services covered by this Purchase Order will conform to the specifications, drawings, samples or other descriptions furnished or specified by the COUNTY, and will be of satisfactory material and quality production, free from defects and sufficient for the purpose intended. Goods shall be delivered free from any security interest or other #ien, encumbrance or claim of any third party. These warranties shall survive inspection, acceptance, passage of title and payment by the COUNTY. 8, Statutory Conformity Goods and services provided pursuant to this Purchase Order, and their production and transportation shall conform to all applicable laws, including but not limited to the Occupational Health and Safety Act, the Federal Transportation Act and the Fair Labor Standards Act, as well as any law or regulation noted on the face of the Purchase Order. 9. Advertising No VENDOR providing goods and services to the COUNTY shall advertise the fact that it has contracted with the COUNTY for goods and/or services, or appropriate or make use of the COUNTY'S name or other identifying marks or property without the prior written consent of the COUNTY'S Purchasing Department. 10. Indemnification VENDOR shall indemnify and hold harmless the COUNTY from any and all claims, including claims of negligence, costs and expenses, including but not limited to attorneys' fees, arising from, caused by or related to the injury or death of any person (including but not limited to employees and agents of VENDOR in the performance of their duties or otherwise), or damage to property (including property of the COUNTY or other persons), which arise out of or are incident to the goods and/or services to be provided hereunder. 11. Warranty of Non -Infringement a) VENDOR represents and warrants that all goods sold or services performed under this Purchase Order are: a) in compliance with applicable laws; b) do not infringe any patent, trademark, copyright or trade secret; and c) do not constitute unfair competition. b) VENDOR shall indemnify and hold harmless the COUNTY from and against any and all claims, including claims of negligence, costs and expense, including but not limited to attorneys' fees, which arise from any claim, suit or proceeding alleging that the COUNTY'S use of the goods and/or services provided under this Purchase Order are inconsistent with VENDOR'S representations and warranties in section 11 (a). c) If any claim which arises from VENDOR'S breach of section 11 (a) has occurred, or is likely to occur. VENDOR may, at the COUNTY'S option, procure for the COUNTY the right to continue using the goods or services, or replace or modify the goods or services so that they become non -infringing, (without any material degradation in performance, quality, functionality or additional cost to the COUNTY) 12. Insurance Requirements The VENDOR, at its sole expense, shall provide commercial insurance of such type and with such terms and limits as may be reasonably associated with the Purchase Order. Providing and maintaining adequate insurance coverage is a material obligation of the VENDOR. All insurance policies shall be executed through insurers authorized or eligible to write policies in the State of Florida. 13. Compliance with Laws In fulfilling the terms of this Purchase Order, VENDOR agrees that it will comply with all federal, state, and local laws, rules, codes, and ordinances that are applicable to the conduct of its business. By way of non -exhaustive example, this shall include the American with Disabilities Act and all prohibitions against discrimination on the basis of race, religion, sex creed, national origin, handicap, marital status, or veterans status. Further, VENDOR acknowledges and without exception or stipulation shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seg and regulations relating thereto, as either may be amended. Failure by the awarded firm(s) to comply with the laws referenced herein shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said G1 Operations/Document Approved by Attorney 3/7/2022 7,29 AM Reviewed 12118/13 515110p- 35 Collier County Solicitation 22-7974 agreement immediately. Any breach of this provision may be regarded by the COUNTY as a material and substantial breach of the contract arising from this Purchase Order 14. Force Majeure Neither the COUNTY nor VENDOR shall be responsible for any delay or failure in performance resulting from any cause beyond their control, including, but without limitation to war, strikes, civil disturbances and acts of nature. When VENDOR has knowledge of any actual or potential force majeure or other conditions which will delay or threatens to delay timely performance of this Purchase Order, VENDOR shall immediately give notice thereof, including all relevant information with respects to what steps VENDOR is taking to complete delivery of the goods and/or services to the COUNTY. 15. Assignment VENDOR may not assign this Purchase Order, nor any money due or to become due without the prior written consent of the COUNTY. Any assignment made without such consent shall be deemed void. 16. Taxes Goods and services procured subject to this Purchase Order are exempt from Florida sales and use tax on real property, transient rental property rented, tangible personal purchased or rented, or services purchased (Florida Statutes, Chapter 212), and from federal excise tax. 17. Annual Appropriations The COUNTY'S performance and obligation to pay under this Purchase Order shall be contingent upon an annual appropriation of funds. 18. Termination This Purchase Order may be terminated at any time by the COUNTY upon 30 days prior written notice to the VENDOR, This Purchase Order may be terminated immediately by the COUNTY for breach by VENDOR of the terms and conditions of this Purchase Order, provided that COUNTY has provided VENDOR with notice of such breach and VENDOR has failed to cure within 10 days of receipt of such notice. 19. General a) This Purchase Order shall be governed by the laws of the State of Florida. The venue for any action brought to specifically enforce any of the terms and conditions of this Purchase Order shall be the Twentieth Judicial Circuit in and for Collier County, Florida b) Failure of the COUNTY to act immediately in response to a breach of this Purchase Order by VENDOR shall not constitute a waiver of breach. Waiver of the COUNTY by any default by VENDOR hereunder shall not be deemed a waiver of any subsequent default by VENDOR. c) All notices under this Purchase Order shall be sent to the respective addresses on the face page by certified mail, return receipt requested, by overnight courier service, or by personal delivery and will be deemed effective upon receipt. Postage, delivery and other charges shall be paid by the sender. A party may change its address for notice by written notice complying with the requirements of this section. d) The Vendor agrees to reimbursement of any travel expenses that may be associated with this Purchase Order in accordance with Florida Statute Chapter 112 061, Per Diem and Travel Expenses for Public Officers, employees and authorized persons. e) In the event of any conflict between or among the terms of any Contract Documents related to this Purchase Order, the terms of the Contract Documents shall take precedence over the terms of the Purchase Order, To the extent any terms and for conditions of this Purchase Order duplicate or overlap the Terms and Conditions of the Contract Documents, the provisions of the Terms and/or Conditions that are most favorable to the County and/or provide the greatest protection to the County shall govern. 3/7/2022 T29 AM GI Operations/Document Approved by Attorney Reviewed 12118113; 515110p. 36 Collier County Solicitation 22-7974 Question and Answers for Solicitation #22-7974 - Cartridge Filters for Public Utilities Water Treatment Plants There are no questions associated with this Solicitation. Question Deadline: Mar 31, 2022 5A0:00 PM EDT 317)2022 T29 AM P 37 M VrAoilMm Porch 3 Refeience Survey IA ,e County Procurement Munagetnerrt Rt erence Survey Reference surueyy submitted can be a li aximmon of twelve (12) months ok If "using u previous reference, ftopo rV »rust clearlt, identify the projetl a~ and number the rejerrrtct, is being vubmit4rdlim. Project Name & Nrrrrrher: CTr /0KE- A;/ -"lam' ,410 " section I `" Please r0arn c(rilpivieit form to: � sl�..f,q)<AlT!eI.,Cr_ ._ Bidder/Proposer; CIMPANI'; Ii--a k-�_-__-_.�. Due Date:PHONE #: r{p " Total b Fees: I FAX #: "7 -' 2 2 8 -7 Phone #; th EMAIL: J. ail � 1'r= �� �1G%�%�! Pf eC-V3Q Bigler/Proposer -Maiit s iaa 1 peg :r i idder/Proposer Nance: Ka -e.----------- �,_r�_k ,9rfrf°� You as an individual or your company has been given as a reference on the prof ct ideatirled above. Please -� . rridtClfCc "i'dl" K "kn" 1. laid this company have the proper resources and personnel by which to get the job done? 2. Were any problems encountered with the e arnpany's work performance? �J O 3, Were any change orders or contract amendments issued, other than owner initiated? KJd 4. Was the job completed on tune" �6s:5 'i. Was the job completed within budget`'., i4S 6, On a scale of one to ten, ten being lest, how would you rate the overall work performance, considcring profcsionalism; final product, peraoiancl; resources. 1 0 _ R_ atc how ! to 10, 10 huin hi h. yij i. If the opportunity were to prescnt itself, would you rehire this company" 8. Please provide any additional comments pertinent to this company and the -work performed for you: V-t I> ivy k-z\5 A (Z;�Air A ca4;,�- 'icase irarinrtaitc non-"e County employees as references 19f.klz-�el "211KIMt - f'arirkine Fibres for Wafer PisuH - Annual John Kirkpatrick From: Robert Woods <(woods[0capecoral.gov> Sent: Tuesday, January 04, 2022 1:13 PM To: Jahn Kirkpatrick Subject: Form Attachments: Tri Dim.pdf Hi John, Hope you had a Happy New Year. Attached is the form. Do you have any new update on filter ETA? Thanks, Bob Woods Chief Operator North RO Punt City of Cape Coral (239)242-3427 rrmaodstdicaDKoral,ctov * * My email address has recently changed to EwoqdsQ Capecorai.� please ensure you are using this entail address going forward. *** INOI L Florida has a very broad public: records law, and unger flerid,a taw, most written cacnrnursiuA ures to or f orro oty staff raprdmg my busir3ess to include your e-mail address is cow4tred public records and w0l be rnade avAfthlo w she public and t►re media upon roquo5t. if you do not want your ema+l message and or your a -mail address released in response to a {public records request, dta not semi electronic mail to this wntity. Instead, contact this ofirce by phone or in writing, Additionally, this communication is Intended only for the iiddrt-ssee, tf you are not the intoncdrd reeit iew. do not: wpy_dFsciose, or tiM Bute this message to anyone ease. if you have receivr'rl thix communlration in error, plea,e contact the slender of the message to inferm hi,r, or her of the error are# then &4etethis tnessagr. �AkW i4Mll rrw,r; I Re{Prronto i,mev Lee ceyu tn' ,W,inagenleal Reference Survey KcjCtetrre ar�rvc}x sr€brnil�cd can be a maximum of twelve (12) mnrtrlrs sold Jf avilig a pre'vluus reference, Nvp#Nvn Mug Cleat& idtntlfy the projeetr Name and numher the reference is being tuttm&,.d for. Project Nome,* Nuwthe _ /IFi -rAl0 eat �&W_92 9 _ A2 FROM: PHONE #: FAX M 7-7Z 27 3 CMAIL, zr, +4 le- 71.71 ulninu.�iM!�I�I�rY Pieaec return c.ompleled form in: Bidder/Proposer: Due gate: Total # Pages: I 9`l Mont4: Fax � 9101F". L01M Ridder/Proposer E-Mail: F3 � �ItI erf t'rapuser Atntnt': /7I 7�i t7 1-TN ,> You as un individual Or ywtr company but, been given ox st reference an the Project Identifier! ahlovt, Pteuae I . Did this company have the proper resources and personnel by which to gm the jrah done'? �%QS v problems cnrnunteTed Wilh the company's work performance? Nrs 2. Were r►n_�.. 3. Were arty change. orders or contract amcndmenLs issued, other than owner initiated? �Jo 4. Was the job completed on time? 5. Was the job curripleted within budget? 4S fs. Qn s ,scale of one: to ten, ten being best, how would you rate the overall work performance, considering professionalism, final product; personnel; resources. ii Mate t'rom 3 !r. io {IObcinrcht�t 7, if the Upportunity were to present itsalf, would you rehire this company`' Y Pleaw prtMdo :any addiknal commem.; penincnt Ira this company and the work performed For you. _._. lease submit non -Lae County employees as rei'ereures -To Ntn+ n Rslerarrr. ar flbAa J Ntiprws ta�eatwe . ca'nridgt Filter Mr Water Ptmb - Annaal W fl A.#W d wal, cats, Or John Kirkpatrick From: Jorge Marin <J0MARIN@ho1IywoodfI.org? Sent: Tuesday, January 04, 2022 2:09 PM To: John Kirkpatrick Subject: RE: [EXT]Lee County Ref sheet Attachments: Ca€ Scanner 01-04-2022 14.06.pdf Happy New year John. Attached the Reference Survey requested Have a goad day, Jorge Marin Guzman Operations Superintendent Water Treatment Plant 3441 Hollywood Blvd. Hollywood, FL 33021 Phone: (954) 967-4230 Ext. 4243 Fax: (954) 967-4232 Entail: jortiarm(a�holly odfl.org From: John Kirkpatrick <J.Kirkpatrick@tridim.com> Sent: Tuesday, January 4, 2022 9:15 AM To: Jorge Marin <JOMARIN@hollywoodfl.org> Subject: [EXT]Lee County Ref sheet Jorge, could you please answer questions 1 thru 8 on the attached , sign and send it back to me. Thank you, JOHN KIRKPATRICK Ply. (239) 540-9856 Cell (540) 894-6133 j kirk atriclC tridim.cctm ;nrww.tridim.com — www.mann-hurnmel.com CAUTION: This email originated from outside of the organization. 0o not click links or open attachments unttss you recognize the sender and know the content is., safe. t Y V.R G1-11.7021 ,Form 3 Reference Survey Lee County Procurement Management Kcference Survey Reference suntys subirsttted can he a maximum of twelve (12) months old If using a previous reference, Proposers must clearly ident� the project name and number the reference is bring submitted for. Project Name, & Mumber. ^X TA1-0 �� �/ , (- 71t; E P L L 1 4 u N our r 1. Did this co=haveproperresources and personnel by which to get the job done? 2. Were any problems encountered with the company's work perf'nrmance? p 3. Were any change orders or contract amendments issued, other than owner initiated? Was the job completed on time. 5. WJ pbudget?as the ob completed within E5 6. On a scale of one to ten, ten being best, how would you rate the overall work performance, considering professionalism; final product; personnel; resources. -- i. Ratt� from i to 10. tip bcin hi est If the opportunity were to present itself, would you rehire this company? C� �. Please provide any additional comments pertinent to this company and the work performed for vou: submit nou-Lee'Cowaty employees as references d rt B2105I9MIF -Cartridge Filters for Water I'iaaL, - Anual John Kirk atrick From: Brogdonhloward Howard.Brogdon@coliiercountyti.gov} Sent: Tuesday, January 04, 2022 12:58 PM To: John Kirkpatrick Subject: RE: Lee County Ref. sheet Attachments, Collier County Ref Sicined.pdf John, Per your request. Respectfully, Howard Brogdon Plant Manager —Collier County North Regional Water Treatment Plant C * C07414t Public Uiillties Deportment Water Division 3339 Torniaml Trail East, Suite 303, Naples Florida 34112 Phone: 239.252.5252 Cell: 239.580.9459 fax: 239.252,6450 From: John Kirkpatrick <JXrkpatrickCa tridim.com> Sent: Tuesday, January 4, 2022 9.20 AM To: BrogdonHoward <Howard.Brogdon@colliercountyfl.gov> Subject: Lee County Ref. sheet ! :NlAl I_: This email is from an extemal source. Confirm this is a trusted sender and use exttenic caution when cpenin attachrr�e �s or cmlickirig links, I X 1 FRNAl. I;,N,[All ; This email i.s from an external statue:. Co li:irm this isa trusted'sender and use extreme caution When opening attachments or clicking fink, Howard, could you please answer questions 1 thru 8 on the attached, sign and send it back to me. Thank you, TRDIM A, JOHN KIRKPATRICK Ph, (239) 540-9856 Cell (540) 894-6133 l.kirk.patricit �tridirn.�orn www.tridim.corn www, mann-hummel.com Filter Data Sheet • Graded pore structure enhances dirt holding capacity • 100% polypropylene construction • Free of surfactants & binders • All end -configurations available • Water Grade, High Performance, and Absolute Grade cartridges available to fit all application requirements Maximum Recommended Operating Conditions Forward...........................................................35 PSID Reverse............................................................25 PSID Change Out Differential Pressure......20 PSID FDA listed Materials Manufactured from materials which are listed for food contact applications in Title 21 of the U.S. Code of Federal Regulations. NSF/ANSI 61 All cartridges certified by NSF for contact with drinking water components. NSF. C-Ufhd to NSF ANSI 51 Ordering Information Dimensions (Nominal) Length .........9.75 to 40 inches (24.8 to 125 cm) Outside Diameter.................2.5 inches (6.4 cm) Inside Diameter ............................1 inch (2.7 cm) Construction Materials Filtration Media............................Polypropylene End Caps...........................................Polypropylene O-Rings/Gaskets..............................................8u na Performance Specifications Micron Ratings:1, 5, 10, 25,50 Efficiencies: 90% Typical Flow vs. Differential Pressure for Application Sizing Water Flow Rate (LPM) (per 10'cartridge) 0 3.8 7.6 11.4 15.2 19D 22.8 26.6 30.4 45 4 Cl .35 03 D2 0 0 1 2 3 4 5 6 7 8 Flow Rate (GPM), Water at 68' (20°C) C;CTB High Performance Grade Rating (p) 1 A A ?.517 Length 9.75 (Z4.7&cm) End Cap Style O-Rings l3tank = NnnF- Ink —N)ne (i3£1E, nv gaskets} -MC MrC T NSF/ANSI 61 Certified Surface Blank =Stanitarcl 3 W' (25.4 CM} 3 -= 222 w/F;n B - Bunn-N Gm Grooved 5 I9.5" (49.53 cm) 4 = M w/flat Cap 1t] 20"(50.8cm) 5=-222.w/Spring 25 29.25'(74.29cm) 6 226wirlatCap 5C1. 3€)"(7ra.Z (-ni) 7 � 226 w/fin 39° (95,1 crw 8 = 226 w/Spri uy 40'(101.6 ern) 9 .- SOE w/ Spring 10 : - DOE w/Gore Extfndei LL13 S0EPP Ext. w/Spring r)l $CI.A IAfER, Filtration data presented is rcpresentat,,e of performance obe—,6 in controlled lahnratory testing. It is not giv n as a warranty, specification. or statement of fitness for use Specilie ficr>urmance can vary widely depending on mittaminant type, fluid properties, Flow rates, and environmental conditions. It is recommended that users conduct thorough qualification testing to assure the Product unctions as required. 3/15122. 8A3 AM Listing Category Search Page I NSF International NSF The Public Health and Safety Organization NSF Product and Service Listings These NSF Official Listings are current as of Tuesday, March 15, 2o22 at 12:15 a.m. Eastern Time. Please contact NSF to confirm the status of any Listing, report errors, or make suggestions. Alert: NSF is concerned about fraudulent downloading and manipulation of website text. Always confirm this information by clicking on the below link for the most accurate information: http:J/infonsf.org/Certified/PwsComponentsLListings.asp?Company=Coo55$7o&Standard=o61& NSF/ANSI/CAN 61 Drinking Water System Components - Health Effects NOTE: Unless otherwise indicated for Materials, Certification is only for the Water Contact Material shown in the Listing. Click here for a list of Abbreviations used in these Listings. Click here for the definitions of Water Contact Temperatures denoted in these_ Listings. Global Filter, LLC. 7201 Mount Vernon Road SE Cedar Rapids, IA 52403 United States 319-743-0110 Visit this comp-annyr we site {http: / /www.globalfiltercorp.com_ Facility: Cedar Rapids, IA Mechanical Devices Water Water Contact Contact Trade Designation Size Temp Material Filtration Devices/Components GBFE4111 [2] 5" x 24" CLD 23 MLTPL GBFV8[1] [3] 8" x 251,- 35" CLD 23 MLTPL GFHD1[i] E41 4" x 811 - 34P1 CLD 23 MLTPL GMBE[1] [5] 26" - 40" x 72" CLD 23 MLTPL https:llinfo.nsf.org/Certified/PwsComponents/Listings.asp?Company=CO055870&Standard=061 115 3115/22, 9:43 AM Listing Category Search Page j NSF International GMBV[i] [6] 26" - 40" x 72" CLD 23 MLTPL GTCHW [7] 8" - 18" x 28" - 40" CLD 23 MLTPL GTCHB[x] [8] 8" - 18" x 28" - 40" CLD 23 MLTPL Municlear-MB[g] [l0] CLD 23 MLTPL Municlear-SW[9] [10] CLD 23 MLTPL PG -Series Filter Cartridges[ii] [12] CLD 23 MLTPL PP -Series Filter Cartridges[n] [12] CLD 23 MLTPL PPE -Series Filter Cartridges[11] [12] CLD 23 MLTPL [1] Certified for point -of -entry (POE) and municipal end uses. [2] GBFE4-[basket size] -[port size] -[part style]-joutlet]-[material]-[P-rating]-[finish]-[MC] [basket size] - 12 (Size #4) [port size] - 1N (1"FNPT) [outlet] - 3 (bottom & opposite side outlet)[material] - 4 (304SS), 6 (316SS) [P-rating] - 30 (300psi) [finish] - GB (glass bead) [MC] - NSF-61 certified [3] GBFV8-[basket size] -[port size] -[port style]-[outlet]-[material]-[P-rating]-[finish]-[ASME status] -[MC] [basket size] - 15 (Size #1), 30 (Size #2), 230 (twin Size #2) [port size] - 1 through 8 (1" through 8") [port style] - N (NPT), F (flange), T (sanitary ferrule) [outlet] - 1 (bottom outlet), 2 (opposite side outlet), 3 (bottom & opposite side outlet), 5 (same side outlet) [material] - 4 (304SS), 6 (316SS) [P-rating] - 15 (150psi) [finish] - GB (glass bead), EP (electropolished) [ASME status] - U (ASME Code), blank (non -code) [MC] - NSF-61 certified [4] GFHD1-[length]-[port size] -[adapter type]-[material]-[P-rating]-[MC] [length] - 5, 10, 20, 30 (5", 10", 20", 30") [port size] - 75N (3/4"NPT), 1N (1"NPT), 75B (3/4"BSPP), 1B (1" BSPP) [adapter type] - D (DOE), 2 (222), 6 (226) [material] - 4 (304), 6 (316) [P-rating] - 30 (300psi) [MC] - NSF-61 certified [5] GMBE-[basket quantity] -[basket size] -[port size & style]-[material]-[P-rating]-[finish]-[MC] [basket quantity] - 4, 6, 8, or 12 [basket size] - 30 (Size #2) [port size & style] - 4, 6, 8, or 10 (4", 6", 8", or 10" flange) [material] - 4 (304SS), 6 (316SS) [P-rating] - 15 (150psi) [finish] - GB (glass bead) [MC] - NSF-61 certified httpsJiinfo.nsf.orglCertifiedlPwsComponentslListings.asp?Company=C00558708Standard=061 215 3115122, 9:43 AM Listing Category Search Page I NSF International [6] GMBV-[basket quantity] -[basket size] -[port size & style]-[material]-[P-rating]-[finish]-[ASME status] -[MC] [basket quantity] - 4, 6, 8, or 12 [basket size] - 30 (Size #2) [port size & style] - 4, 6, 8, or 10 (4", 6", 8", or 10" flange) [material] - 4 (304SS), 6 (316SS) [P-rating] - 15 (150psi) [finish] - GB (glass bead) [ASME status] - U (ASME Code), blank (non -code) [MC] - NSF-61 certified [7] GTCH-[qty of cartridges] -[length] -[port size]-[outlet]-[material]-[P-rating]-[finish]-[ASME status] -[MC] [quantity of cartridges] - 3, 5, 7, 12, 21 [length] - 1 (10"), 2 (20"), 3 (30"), 4 (40" [port size] - 1 through 8 (1" through 8") [port style] - N (NPT), F (flange), T (sanitary ferrule) [outlet] - 1 (bottom outlet), 2 (opposite outlet) [material] - 4 (304SS), 6 (316SS) [P-rating] - 15 (150psi) [finish] - GB (glass bead), EP (electropolished) [ASME status] - U (ASME Code), blank (non -code) [MC] - NSF-61 certified [8] GTCHB-[qty of cartridges] -[length] -[port size] -[outlet location]-[material]-[P-rating]-[finish]-[MC] [quantity of cartridges] - 3, 4, 5, 7, 12, 22 [length] - 1 (10"), 2 (20"), 3 (30"), 4 (40") [port size] - 1 through 8 (1" through 8") [port style] - M (NPT), F (flange), T (sanitary ferrule) [outlet location] - 1 (bottom outlet), 2 (opposite outlet) [material] - 4 (304SS), 6 (316SS) [P-rating] - 15 (150psi) [finish] - PC (polycoat) [MC] - NSF-61 certified (9] Certified for the following part numbers: Municlear MB GWTB[BB][Micron]A[Length][End Cap Code][0-ring][Bond][Core][Suffix] GCTB[Micron]A[Length][End Cap Code][0-ring][Bond][Core] GATB[Micron]A[Length][End Cap Code][0-ring][Bond][Core] [BB] - Blank (2.5" OD), BB (4" OD) [Bond] - Blank (adhesive bond), TS (thermally bonded) [Core] - Blank (no core), PC (polypropylene core) [Suffix] - Blank (standard), MC (MC trade name) Municlear SW GP[Micron]A[Length]P[End Caps][0-ring]-MC https:tiinfo.nsf.org/CertifiediPwsComponents/Listings.asp?Company=CO055870&Standard=061 315 3/15/22, 9A3 AM Listing Category Search Page I NSF international [Micron] - 1, 3, 5, 10, 25, 50 [Length] - 9.75" - 60" [End Cap] - Blank (None; DOE, No gaskets), 3 (222 w/fin), 4 (222 w/flat cap), 5 (222 w/spring), 6 (226 w/flat cap), 7 (226 w/fin), 8 (226 w/spring), 9 (SOE w/spring), 10 (DOE w/PP Core extender), 13 (SOE w/ PP Core Ext/Spring) [0-ring] - 8 (Buns N), E (EPDM), S (Silicone), Blank (None) [101 Certified for a minimum daily flow of 4,320 gallons per 10" equivalent. [11] Certified for the following part numbers: [Series][Micron][Efficiency][Length]C[End Cap Code][0-ring] [Series] - PP (2.7"OD); PPE (2.5"OD); PG (2.7"OD with reduced area) [Micron] - 0.1 to 40 [Efficiency] - A (absolute), N (nominal) [Length] - 9.75" to 40" [Options] - I (stainless steel inserts), SS (stainless steel core), R (18 mega -ohm rinse), CS (stainless steel spring) [End Cap] - 2 (DOE with gaskets), 3 (222 w/fin), 4 (222 w/flat cap), 5 (222 w/spring), 6 (226 w/flat cap), 7 (226 w/fin), 8 (226 w/spring), 16 (213 with flat cap), 28 (222 with tabs) [0-ring] - B (Buna N), E (EPDM), S (silicone) [12] Certified for a minimum daily flow of 600 gallons per day. Certified for use in municipal water treatment facilities only. Microfiltration Devices EHF3-Series Filter Cartridges[131 1147 CLD 23 MLTPL HF-Series Filter Cartridges[131 1141 CLD 23 MLTPL HF3-Series Filter Cartridges[131 1141 CLD 23 MLTPL HFB-Series Filter Cartridges[15] [161 CLD 23 MLTPL [13] Model number format: [series] [media] [micron rating] [efficiency] [length] [top type] [hardward] [oring] [series] - "WF", "HF3", "EHF3" [media] - PP (polypropylene) [micron rating] - 0.2 to 100um [efficiency] - A (absolute), N (nominal) [length] - 10" to 60", "1" (size #1), "2" (size #2) [top type] - none, or "A", "B", "C", "D", "E", or "S" [hardware] - none, or "P" (polypropylene) [oring] - B (buna), E (EPDM), S (silicone) Certified for a minimum daily flow of 2,000 gallons [14] HF-Series Filter Cartridges- Diameter: 6" Length : 20" to 80" EHF3-Series Filter Cartridges- Diameter: 6" Length :20" to 60" HF3-Series Filter Cartridges- Diameter: 6" Length : 20" to 60" [15] Model number format: https:liinfo.nsf.org/CerLifiedIPwsComponentsIListings.asp?Company=CD055870&Standard=061 415 311522, 9:43 AM Listing Category Search Page I NSF International [series] [media] [micron rating] [efficiency] [length] [top type] [hardward] [oring] [series] - "HFB" [media] - PP (polypropylene) [micron rating] - 0.2 to 1OOum [efficiency] - A (absolute), N (nominal) [length] - 10" to 60", "1" (size #1), "2" (size #2) [top type] - none, or "A", "B", "C", "D", "E", or "S" [hardware] - none, or "P" (polypropylene) [oring] - B (buna), E (EPDM), S (silicone) Certified for a minimum daily flow of 2,000 gallons [16] HFB-Series Filter Cartridges - Diameter:6" Length: 12" to 24". NOTE: Only products bearing the NSF Mark on the product, product packaging, and/or documentation shipped with the product are certified. Number of matching Manufacturers is z Number of matching Products is 16 Processing time was o seconds https:liinfe.nsf.org/Certified/PwsComponents/Listings.asp?Company-00055870&Standard=061 515 61' Fm -Ve r �. fy. Company ID Number: 256324 THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION MEMORANDUM OF UNDERSTANDING ARTICLE I PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and Tri Dim Filter Corporation (Employer) regarding the Employer's participation in the Employment Eligibility Verification Program (E-Verify), This MOU explains certain features of the E-Verify program and enumerates speck responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E- Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (11RlRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S-C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contractor") to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive Order 12989, as amended. ARTICLE 11 FUNCTIONS TO BE PERFORMED A. RESPONSIBILITIES OF SSA 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S,C. 1306(a)), and SSA regulations (20 CFR Part401). Page 1 o€131E-Venfy MOU fcr EmpfoyelRevision ate 10J2-9/03 a E—Verify a-v&�in �s a. scPov�ea of .uhs Company ID Number: 256324 4. SSA agrees to provide a means of automated verification that is designed (in conjunction with DHS's automated system if necessary) to provide confirmation or tentative nonconfirmation of U.S. citizens' employment eligibility within 3 Federal Government work days of the initial inquiry. 5. SSA agrees to provide a means of secondary verification (including updating SSA records as may be necessary) for employees who contest SSA tentative nonconfrmations that is designed to provide final confirmation or n on confirmation of U.S. citizens' employment eligibility and accuracy of SSA records for both citizens and aliens within 10 Federal Government work days of the date of referral to SSA, unless SSA determines that more than 10 days may be necessary. In such cases, SSA will provide additional verification instructions. B. RESPONSIBILITIES OF DHS 1. After SSA verifies the accuracy of SSA records for aliens through E-Verify, DHS agrees to provide the Employer access to selected data from DHS's database to enable the Employer to conduct, to the extent authorized by this MOU: • Automated verification checks on alien employees by electronic means, and • Photo verification checks (when available) on employees. 2. DHS agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer a manual (the E-Verify User Manual) containing instructions on E-Verify policies, procedures and requirements for both SSA and DHS, including restrictions on the use of E-Verify. DHS agrees to provide training materials on E-Verify. 4. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in the E-Verify program. DHS also agrees to provide to the Employer anti- discrimination notices issued by the Office of Special Counsel for immigration -Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. S, DHS agrees to issue the Employer a user identification number and password that permits the Employer to verify information provided by alien employees with DHS's database. 6. DHS agrees to safeguard the information provided to DHS by the Employer, and to limit access to such information to individuals responsible for the verification of alien employment eligibility and for evaluation of the E-Verify program, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security Numbers and employment eligibility, to enforce the Immigration and Nationality Act (INA) and Federal criminal laws, and to administer Federal contracting requirements. 7. DHS agrees to provide a means of automated verification that is designed (in conjunction with SSA verification procedures) to provide confirmation or tentative Page 2 of 13JE-Ve6ty MOU Ecr Ernnioyerinevision Date W29108 - TAi Iy i ke:i zt `,kllllll� E-Vefy. ri..,am AE -�EPI:Y :3 A 1474 SGPVI�[ hT py Company ID Number: 256324 nonconfirmation of employees' employment eligibility within 3 Federal Government work days of the initial inquiry. 8. DHS agrees to provide a means of secondary verification (including updating DHS records as may be necessary) for employees who contest DHS tentative nonconfrmations and photo non -match tentative nonconfirmations that is designed to provide final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases,. DHS will provide additional verification instructions. C. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system. 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted regarding E-Verify. 3. The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 4. The Employer agrees that any Employer Representative who will perform employment verification queries will complete the E-Verify Tutorial before that individual initiates any queries. A. The Employer agrees that all Employer representatives will take the refresher tutorials initiated by the E-Verify program as a condition of continued use of E- Verify, including any tutorials for Federal contractors if the Employer is a Federal contractor. B. Failure to complete a refresher tutorial will prevent the Employer from continued use of the program. 5. The Employer agrees to comply with current Form 1-9 procedures, with two exceptions: If an employee presents a "List 8" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form 1-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. If an employee presents a DHS Form 1-551 (Permanent Resident Card) or Form I-766 (Employment Authorization Document) to complete the Form 1-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee's Form 1-9. The employer will use the photocopy to verify the photo and to assist DHS with its review of photo non -matches that are contested by employees. Note that employees retain the right to present any List A, or List B and List C, documentation to complete the Form 1-9. DHS may in the future designate other documents that activate the photo screening tool. Pap 3 of 1 ]iE-Ve,! y'MOU fwx EmployefiRa istor Date 10i29.10fi q '- E-Verify. G-of}[fY [3 A 9ER't[ct OF CMA Company ID Number: 256324 6. The Employer understands that participation in E-Verify does not exempt the Employer from the responsibility to complete, retain, and make available for inspection Forms 1-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274E of the INA with respect to Form 1-9 procedures, except for the following modified requirements applicable by reason of the Employer's participation in E-Verify: (1) identity documents must have photos, as described in paragraph 5 above; (2) a rebuttable presumption is estab€ished that the Employer has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of any individual if it obtains confirmation of the identity and employment eligibility of the individual in compliance with the terms and conditions of E-Verify; (3) the Employer must notify DHS if it continues to employ any employee after receiving a final nonconfirmation, and is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) the Employer is subject to a rebuttable presumption that it has knowingly employed an unauthorized alien in violation of section 274A(a)(1)(A) if the Employer continues to employ an employee after receiving a final nonconfirmation; and (5) no person or entity participating in E-Verify, is civilly or criminally liable under any law for any action taken in good faith based on information provided through the confirmation system. DHS reserves the right to conduct Form 1-9 compliance inspections during the course of E-Verify, as well as to conduct any other enforcement activity authorized by law. 7. The Employer agrees to initiate E-Verify verification procedures for new employees within 3 Employer business days after each employee has been hired (but after both sections 1 and 2 of the Form 1-9 have been completed), and to complete as many (but only as many) steps of the E-Verify process as are necessary according to the E-Verify User Manual. The Employer is prohibited from initiating verification procedures before the employee has been hired and the Form 1-9 completed. If the automated system to be queried is temporarily unavailable, the 3-day time period is extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. In all cases, the Employer must use the SSA verification procedures first, and use DHS verification procedures and photo screening tool only after the SSA verification response has been given. Employers may initiate verification by notating the Form 1-9 in circumstances where the employee has applied for a Social Security Number (SSN) from the SSA and is waiting to receive the SSN, provided that the Employer performs an E-Verify employment verification query using the employee's SSN as soon as the SSN becomes available. 8. The Employer agrees not to use E-Verify procedures for pre -employment screening of job applicants, in support of any unlawful employment practice, or for any other use not authorized by this MOU. Employers must use E-Verify for all new employees, unless an Employer is a Federal contractor that qualifies for the exceptions described in Article II.D.1.c. Except as provided in Article II.D, the Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. The Employer understands that if the Employer uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its access to SSA and DHS information pursuant to this MOU. 9. The Employer agrees to follow appropriate procedures (see Article Ili. below) regarding tentative nonconftrmations, including notifying employees of the finding, providing written referral instructions to employees, allowing employees to contest the finding, and not taking Pago 4 of UIE.-Veniv MQU for EmployetlResisim Elate 10129109 F.-Verify. ry SA�sv!5 t"N 1A SE711'ICL 4F SHE Company ID Number. 256324 adverse action against employees if they choose to contest the finding. Further, when employees contest a tentative nonconfirmation based upon a photo non -match, the Employer is required to take affirmative steps (see Article III.S. below) to contact DHS with information necessary to resolve the challenge. 10, The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(1)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo non -match, does not establish, and should not be interpreted as evidence, that the employee is not work authorized. In any of the cases listed above, the employee must be provided a full and fair opportunity to contest the finding, and it he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee's perceived employment eligibility status (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, refusing to assign the employee to a Federal contract or other assignment, or otherwise subjecting an employee to any assumption that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo non -match or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee's employment, Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464-4218 or OSC at 1-•800- 255-8155 or 1-800-237-2515 (TDD). 11. The Employer agrees to comply with Title VI of the Civil Rights Act of 1964 and section 274E of the INA by not discriminating unlawfully against any individual in hiring, firing, or recruitment or referral practices because of his or her national origin or, in the case of a protected individual as defined in section 2748(a)(3) of the INA, because of his or her citizenship status. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound "foreign" or have received tentative nonconfirmations. The Employer further understands that any violation of the unfair immigration -related employment practices provisions in section 274E of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274E of the INA or Title Vil may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti -discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 12. The Employer agrees to record the case verification number on the employee's Form 1-9 or to print the screen containing the case verification number and attach it to the employee's Form 1-9. 13. The Employer agrees that it will use the information it receives from SSA or DHS pursuant to E-Verify and this MOU only to confirm the employment eligibility of employees as Page 5 of 131E •Vetif}r MOU for E mpbyeii Revisvi -Date 1Gi29(W E-VerifA : lilil C—VeDtff 25 A SEA�'!CC 'C nws Company ID Number: 256324 authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords) to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 14. The Employer acknowledges that the information which it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)), and that any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 15. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, including by permitting DHS and SSA, upon reasonable notice, to review Forms 1-9 and other employment records and to interview it and its employees regarding the Employer's use of E-Verify, and to respond in a timely and accurate manner to DHS requests for information relating to their participation in E-Verify. D. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1, The Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any "employee assigned to the contract" (as defined in FAR 22.1801) in addition to verifying the employment eligibility of all other employees required to be verified under the FAR. Once an employee has been verified through E-Verify by the Employer, the Employer may not reverify the employee through E-Verify. a. Federal contractors not enrolled at the time of contract award: An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to use E-Verify to initiate verification of employment eligibility of new hires of the Employer who are working in the United States, whether or not assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within 3 business days after the date of hire. Once enrolled in E-Verify as a Federal contractor, the Employer must initiate verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee's assignment to the contract, whichever date is later. b. Federal contractors already enrolled at the time of a contract award: Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to initiate verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within 3 business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within 3 business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must initiate verification of each employee assigned to the Page 6 of 131;E-Vsdfy i'A0U fcr ErrployerlRevisroa Date 71-09109 „"a , 6 s ^Ya'= 1fti .l� V r rp Is E-�ila1:Y i5 A 5iNYtCC 0'' Cfl3 Company ID Number: 256324 contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. G. Institutions of higher education, State, local and tribal governments and sureties: Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), State or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency pursuant to a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986, The provisions of Article II.D, paragraphs 1.a and I of this MOU providing timeframes for initiating employment verification of employees assigned to a contract apply to such institutions of higher education, State, local and tribal governments, and sureties. d. Verification of all employees, Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to do so only in the manner designated by DHS and initiate E-Verify verification of all existing employees within 180 days after the election. e. Form 1-9 procedures for Federal contractors: The Employer may use a previously completed Form 1-9 as the basis for initiating E-Verify verification of an employee assigned to a contract as long as that Form 1-9 is complete (including the SSN), complies with Article 11.C,5, the employee's work authorization has not expired, and the Employer has reviewed the information reflected in the Form 1-9 either in person or in communications with the employee to ensure that the employee's stated basis in section 1 of the Form 1-9 for work authorization has not changed (including, but not limited to, a lawful permanent resident alien having became a naturalized U.S. citizen). If the Employer is unable to determine that the Form 1-9 complies with Article II.C.5, if the employee's basis for work authorization as attested in section 1 has expired or changed, or if the Form 1-9 contains no SSN or is otherwise incomplete, the Employer shall complete a new 1-9 consistent with Article II.C.5, or update the previous 1-9 to provide the necessary information. If section 1 of the Form 1-9 is otherwise valid and up-to- date and the form otherwise complies with Article 11.C.5, but reflects documentation (such as a U.S. passport or Form 1-551) that expired subsequent to completion of the Form 1-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.C.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. Nothing in this section shall be construed to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU, or to authorize verification of any existing employee by any Employer that is not a Federal contractor. 2. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer's compliance with Federal contracting requirements. PAge 7 of 13iE-Vet" 1140L) for Err3Pr0y1,r1Pevi%0r Date 10129i08 E-Verify. . r. IN i-YERI PY �®A Ier. tk, stMti'ICL QP :iM6 Company ID Number'. 255324 ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the tentative nonconfirmation. 2. The Employer will refer employees to SSA field offices only as directed by the automated system based on a tentative nonconfirmation, and only after the Employer records the case verification number, reviews the input to detect any transaction errors, and determines that the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security Number to SSA for verification again if this review indicates a need to do so. The Employer will determine whether the employee contests the tentative nonconfirmation as soon as possible after the Employer receives it. 3. If the employee contests an SSA tentative nonconfirmation, the Employer will provide the employee with a system -generated referral letter and instruct the employee to visit an SSA office within 8 Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. The Employer agrees to check the E-Verify system regularly for case updates. 4, The Fmployer agrees not to ask the employee to obtain a printout from the Social Security Number database (the Numident) or other written verification of the Social Security Number from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must print the tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the tentative nonconfirmation. 2. If the Employer finds a photo non -match for an employee who provides a document for which the automated system has transmitted a photo, the employer must print the photo non - match tentative nonconfirmation notice as directed by the automated system and provide it to the employee so that the employee may determine whether he or she will contest the finding, 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation received from DHS automated verification process or when the Employer issues a tentative nonconfirmation based upon a photo non -match. The Employer will determine whether the employee contests the tentative nonconfirmation as soon as possible Page 8 of 131E `Jerry,.MOU fcr Em.loyer;Revision Date 10,2W 8 °pa ':.-- , ,:.�,r� ;,� , f , r i /// illllll S ,+ry Nla il�. 1 Verify- ti Ek14P U A 5UA ICE -f LN' Company ID Number; 256324 after the Employer receives it. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will provide the employee with a referral letter and instruct the employee to contact DHS through its toll -free hotline (as found on the referral letter) within 8 Federal Government work days, 5. If the employee contests a tentative nonconfirmation based upon a photo non -match, the Employer will provide the employee with a referral letter to DHS. DHS. will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. The Employer agrees to check the E- Verify system regularly for case updates. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo non -match, the Employer will send a copy of the employee's Form 1-551 or Form 1-766 to DHS for review by: • Scanning and uploading the document, or • Sending a photocopy of the document by an express mail account (furnished and paid for by DHS). 7. The Employer understands that if it cannot determine whether there is a photo match/non-match, the Employer is required to forward the Employee's documentation to DHS by scanning and uploading, or by sending the document as described in the preceding paragraph, and resolving the case as specified by the Immigration Services Verifier at DHS who will determine the photo match or non -match. ARTICLE IV SERVICE PROVISIONS SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access the E-Verify System, an Employer will need a personal computer with Internet access. ARTICLE V PARTIES A. This MOU is effective upon the signature of all parties, and shall continue in effect for as long as the SSA and DHS conduct the E-Verify program unless modified in writing by the mutual consent of all parties, or terminated by any party upon 30 days prior written notice to the others. Any and all system enhancements to the E-Verify program by DHS or SSA, including but not limited to the E-Verify checking against additional data sources and instituting new verification procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. DHS agrees to train employers on all changes made to E- Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take Pago 9 of 131E-Verity MC)U fo( EmployerlRevisun Date M25'Y08 E-Verify Company ID Number: 256324 '/EM[fY l= A $[A'f�66 OF NIS mandatory refresher tutorials. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such a circumstance, the Federal contractor must provide written notice to DHS, If an Employer that is a Federal contractor fails to provide such notice, that Employer will remain a participant in the E-Verify program, will remain bound by the terms of this MOU that apply to non -Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. B. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established procedures or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect its performance of its contractual responsibilities, C. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as they may determine necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. D. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. E. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. F. The Employer understands that the fact of its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. H. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. Page 10 of 131E-Vemly MOU tar EmployegRL- isw Elate 1012$J08 ''` a-,r=fy E-Verify. Company ID Number: 255324 ?� .y e-AWY 15 R iMA%- t 0 D4S To be accepted as a participant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464.4218. Employer Tri Dim Filter Corporation Aleks Ku cis N amo (?lease Type ar Print) Electrw icafl Sy igned m $i[�at3iur@� Department of Homeland Security -- Verification Division USCiS Verification Division Name (pievse Type or Print) Electronically Signed Signature Title 0912.:d2009 Date Title 0912312009 Date Page I of 131E-Verify MOU for Employer!.Re%iriwi Date tO M08 www,4,Ci . OVlE-`'ri,. E-Verif . Company ID Number; 256324 Information Required for the E-Verify Program Information relating to your Company: Company Name: Tri Dim Filter Corporation Company Facility Address: 93 Industrial Drive Louisa, VA 23093 Company Alternate Address: County or Parish: LOUISA Emptoyer Identification Number: 52155145 Narth American Industry Classification Systems Code: 333 Parent Company: Number of Employees: 100 to 499 Number of Sites Verified for: 16 Y--rY r5 A 5EWICE Vi MC Are you verifying for more than t site? If yes, please provide the number of sites verified for in each State: �Al.Ze]Prlr l 2 site(s) 'd Page 12 of 131E-Verify MOU far EmployelRevision Gate 10i29sfiis E-Verify. Ortiz �� s nti-a e-ven:e•! is n sca�r:se es rsrx Company ID Number: 256324 + NORTH CAROLINA 1 site(s) + WASHINGTON 1 site(s) ILLINOIS 2 site(s) + MICHIGAN 1 site(s) + NEW JERSEY 1 site(s) . OHi© 2 site(s) CALIFORNIA 3 site(s) + FLORIDA 1 site(s) MISSOURI 1 site(s) PENNSYLVANIA 1 site(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name; Kim A Foster Telephone Number. (540) 967 - 6794 Fax Number: (540) 967 - 5831 E-mail Address: k.foster@tridim.com Narne: Chereese Jackson Telephone Number. (540) 967 - 2600 Fax Number: (540) 967 - 5831 E-mail Address: c.jackson@tridim.com Name: Craig Sackett Telephone Number. (540) 967 - 4808 Fax Number: (540) 967 - 4403 E-mail Address: c.sackett@tridim.com Name: Alsks Kupcis Telephone Number: (640) 967 - 2600 ext 5760 Fax Number. (540) 967 - 6831 E-mail Address: a.kupcis@tridim.com Page 13 of 13jE Vedfy MOU fur EmployeriRevision Date 100!'08 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDCIYYYY) 03�2312022 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: tf the certificate holder is an ADDITIONAL INSURED, the policylies) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polictes may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsemsnt(s), PRODUCER ADn Risk Services Central, Inc. Philadelphia PA Office 100 North 18th street CONTACT NAME' NE tare N..Eat: (866) 283-7122 FAX Nd: (800) 363-0105 E.MJUL 15th Floor ADDRESS- Philadelphia PA 19103 USA IRSUNER(SI AFFOROING COVERAGE NAIC R INSURED INSURERA: Travelers Property Cas Co of America 25674 Tri-Dim Filter Corporation 93 Industrial ❑rive INSURER a: XL Insurance America Inc 24554 INsURERC: Farmington casualty company 41483 Louisa VA 23093 USA INSLRER D: The Standard Fire Ins CO 19070 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 570092118563 RFVIStr1N NIIMRFR- 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 IN8R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POL[CY FIP LIMITS B X COMMERCIAL GENERAELIABILITY F US000095 L12 A 01/01 2022 O1 01 023 EACHOCCLIRRENGI= $1,000,005 BI C-AIMS-MADE I X I OC6FJR DAMAGE TO RENTED PREMISES Eaoccunence $300,000 �l MEO EXP (Any rme pe,sdn) $ 5 , ODD PERSONAL 3 ADV INJURY $1,000,0D0 GEN'L AGGREGATE LIMIT APi-UES PER GENERAL AGGREGATE $1,000,000 X POLICY �JECr ❑ LOC P40DUCT5-COMPlOPAGG $1,000,000 OTHER A AUTOMOBILE LIABILITY Y TC23CAP-2G401459-TIL-22 01/01/2022 01/01/2023 COMBINED SINGLE LIMIT $2,000, DDD BODILY INJURY (P& Berson) X ANY AUTO OWNED SCHEDULED BODILY INJURY(Per arddem) AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED PROPERTY OAMAGE ONLY AUTO5 ONLY Per accident B x OCCUR Us00009509L222A 01/01/2022 01/01/2023 EACH OCCURRENCE 35,ODO,DDD I'Ma"L CLAIMS -MADE AGGREGATE $S,Daa,DOD ETENTION 110,000 C WORKERS COMPENSATION AND UB8R2646192251K 01/01/2022 01/01/2023 X PER STATUTE OTH EMPLOYERS• LIABILITY YIN (ADS) E.L. EACH ACCIDENT S 1 , ODD , D00 D ANY PROPRIETOR! PARTNER! EXECUTIVE OFFiCE"FMBER€XCLUDEO? N MIA USSR27031322SIR 01/01/2022 01/01/2023 E.L. D 4SEASEEAEMPLOYEE S1,000,00O (Mandatary 1n NHi (AZT 14A, WIC It yes, tlescrlde under E.L. DISEASE4�OLICY LIMIT 51.000,000 DESCRIPTION OF OPERATIONS below ORSCRIPTI13N OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORO iU1, Additional R.—k. S�hedUM, may be attached If more space ke required) RE: Contract No. 16-6542 "Cartridge Filters", For any and all work performed an behalf of Collier county. Collier county Boar of County Commissioners, Board of county Commissioners in Collier County, Collier county Government and Collier County are included as Additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability policy evidenced herein is Primary and Nan -contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier county Board AUTHORIZED REPRESENTATIVE of county Commissioners FTaTrail East Naples Napless 3 FL 4112 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD W-9 Request for Taxpayer Give Form to the Identification Number and Certification requester. Do not Rev. October2018) )apartment of the Treasury send to the IRS. nternal Revenue service ► Go to www.irs.govlForm4V9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Tri-Dim Filter Corporation 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federate tax classification of the person whose name is entered on line 1 . Check only one of the 4 Exemptions (codes apply only to 00 seven boxes. individuals; see certain entities, not insee a instructions on page 3): p :1Individual sole proprietor or Z C Corporation ❑ s Corporation ❑ Partnership ❑ Trust/estate c single -member LLC Exempt payee code (if any) ,2❑ Limited tiabillty company. Enter the tax classification (C=O corporation, S=S corporation, P=Partnership) I► c Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting c LLC if the LLC is classrfied as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code (if any) — another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that n is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) ► (goprres ro acmunrs ma n!a nadaurs de me us) CL 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 93 Industrial Dr Remit to: Po Box 734485 rh 6 City, state, and ZIP code Louisa, VA 23093 Chicago, IL 60673-4485 7 List account numbers) here (optiona) Taxpayer Identification Number- (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on tine 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Pats I, later. For other -mai— i+ i. i omnlnvar iriantificatinn mirnhpr (FIN) If voii do not have a number. see Now to oeta TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. FT Ma Certification Under penalties of perjury, I certify that: or identification number ©©MM©©W0Mu 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you ate not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Hersignature of Here U.S. person ► General instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (FIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns 'Include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date► 116ir2022 • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MtSC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Form W-9 (Rev. 10-20i8) Page 2 By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct, See What is FATCA reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined In Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases whore a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and • In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the instructions for Part II for details), 3. The IRS tells the requester that you furnished an incorrect TIN, 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or 5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only). Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships, earlier. What is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. if you tail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penatty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Form W-9 (Rev. 10-2019) Page 3 Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINS. If the requester discloses or uses TINS in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line, do not leave this Ilne blank. The name should match the name on your tax return. If this Form W-9 is far a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U,S. person must provide a Form W-9. a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1 a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. b. Sole proprietor or single -member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or "doing business as" (DBA) name on line 2. c. Partnership, LLC that is not a single -member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2. d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2. e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a "disregarded entity." See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, "Business name/disregarded entity name." If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Dine 2 If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2. Line 3 Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3. IF the entity/person on line 1 is THEN check the box for ... ail ... • Corporation Corporation • Individual Individual/sole proprietor or single- • Sole proprietorship, or member LLC • Single -member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes. • LLC treated as a partnership for Limited liability company and enter U.S. federal tax purposes, the appropriate tax classification. • LLC that has filed Form 8832 or (P= Partnership; C- C corporation; 2553 to be taxed as a corporation, of S= S. corporation) or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes. • Partnership Partnership • Trust/estate Trust/estate Line 4, Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding, Enter the appropriate code in the space in line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(t)(2) 2—The United States or any of its agencies or instrumentalities 3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession 7—A futures commission merchant registered with the Commodity Futures Trading Commission 8—A real estate investment trust 9—An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial institution 12—A middleman known in the investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described in section 4947 Form W-9 (Rev. 10-2018) Page 4 The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for ... THEN the payment is exempt for... Interest and dividend payments All exempt payees except for 7 Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Barter exchange transactions and Exempt payees 1 through 4 patronage dividends Payments over $600 required to be Generally, exempt payees reported and direct sales over 1 through 52 $5,000' Payments made in settlement of Exempt payees 1 through 4 payment card or third party network transactions t See Form 1099-MISC, Miscellaneous Income, and its instructions. ` However, the following payments made to a corporation and reportable on Form 1099 MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045 ft and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with "Not Applicable" (or any similar indication) written or printed on the line for a FATGA exemption code. A —An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) B—The United States or any of its agencles or instrumentalities C--A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(1) E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1,1472-1(c)(1)(i) F--A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state G—A real estate investment trust H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 I —A common trust fund as defined in section 584(a) J—A bank as defined in section 581 K—A broker i trust exempt from tax under section 664 or described in section 4947(a)(1) M—A tax exempt trust under a section 403(b) plan or section 457(g) plan Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address wilt be used until the payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. if you are a resident aiien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (iTIN). Enter it in the social security number box. If you do not have an TIN, see Now to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single -member i that is disregarded as an entity separate from its owner, enter the owner's SSN (or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the ULC is classified as a corporation or partnership, enter the entity's EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ]TIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.govlForms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days. If you are asked to complete Form W-9 but do not have a TIN. apply for a TIN and write "Applied For" in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering "Applied For" means that you have already applied for a TIN or that you intend to apply for one soon, Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-B. Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if Item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements, Complete the certification as indicated in items 1 through 5 below. Form W-9 (Rev, 10-2018) Page 5 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. if you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account: I Give name and SSN of 1. Individual 2. Two or more individuals (iolnt account) other than an account maintained by an FFI 3. Two or more U.S. persons Qoint account maintained by an FFI) 4. Custodial account of a minor (Uniform Gift to Minors Act) 5. a, The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state haw 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing under Optional Farm 1099 Filing Method 1 (see Regulations section 1,671-4(b)(2)O (A)) The Indlvlduai The actual owner of the account or, if combined funds, the first individual on the account Each holder of the account The mincrz For this type of account: I Give name and EIN of: 14. Account with the Department of The public entity Agriculture in the name of a public entity (such as a state or local government, school district, or prison} that receives agricultural program payments 15. Grantor trust filing under the Form The trust 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(1)(e)) ' List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. Circle the minor's name and furnish the minor's SSN. 3 You must show your individual name and you may also enter your business or DBA name on the "Business name/disregarded entity" name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier. *Note: The grantor also must provide a Form W-9 to trustee of trust. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and ■ Be careful when choosing a tax preparer. The grantor -trustee' If your tax records are affected by identity theft and you receive a notice from the IRS, respond fight away to the name and phone number The actual owner printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you The owner' think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline The grantor' at 1-800-908-4490 or submit Form 14039. For this type of account: I Give name and EIN of: 8. Disregarded entity not owned by an individual 9. A valid trust, estate, or pension trust 10. Corporation or l-LC electing corporate status on Form 8832 or Form 2553 11. Association, club, religious, charitable, educational, or other tax- exempt organization 12. Partnership or multi -member i 13. A broker or registered nominee The owner Legal entity° The corporation The organization The partnership The broker or nominee For more information, see Pub. 5027, Identity Theft Information for Taxpayers. Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll -free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. Form W-9 (Rev. 10-2018) Page 6 The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishingOirs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (fiGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheff or 877-IDTHF-F F (877-438-4338). If you have been the victim of identity theft, see www.ldentityThef.gov and Pub. 5027. Visit www,irs.gov//dentityTheft to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Cotumbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information. 4/12/2022 EVedff Home Employers Employees AboutE-VerifymyE-Verify Search =, Harnr; About E-Venfy! E-Verity Data Haw Ta Fmd Participaring EmpEoyers p Share Thls Page HOW TO FIND PARTICIPATING EMPLOYERS Use uie E-Verity search tool m find employerswho arecuirentry enrolled In E-Verffy-YOur search will display the fol[awing lnformawn- Employer name -The name the employer used when theyenm€led In E-verify. This can be the business, legal name, atrade name, or an abbreylatlon. Doing suslness As (DOA) name- The name an employer uses publltly. The public. may see the Dea, but the emplover may have used another name whenthey enrolled m E-verify. • AcoountStatus. -Ind[cateswhethertheaccount lscurrerrllyenrokclorterminated. • Enrollment date -The date the E-verify Memorandum ofunderstanding Is signed- . Terminanon Date - rtre E-verify Memorandum of understandrng termination date - workforce size - Appears as long asthe employer reported they have at least five employees. Number of hiring sites - The locatlans where employers hve employees and where they complete r-0tm 1-9. • Hiring site iocatlonsIbystate) - The geograph[clocation(s)ofhldngsltes,bystate,reported bytheomployer. Parameters: VSCIS updatesthe search tool data every quarter. However, employer status may be updated as needed. Emoloyersreporrtherrowndata at the limptheyenm€I In E-verify. The accuracy and mmpletenessoithe data depend on what was submitted by employers at the time of enrollment and as reported throughout the employer's relationship with E-Verify- RPYIew En1pOYef Data Pardmet2rS Search &usi ness Name to drrn filter Primary Industry Type 5dr d ind L" Typ&4 _ Hiring Site Locations (by motel ACC80nt StatUS .Any. s Items per page 11) it i ddklai Hiring Site Actoum Gate Date workforce Numberoi ERf lj�Vi r�Pr + D61A$ ausims5 AS LOCatons (by Status Enrolled Terminated 5¢e Hiring Sites state} Tfl Dim Rlter Corporatlon open 0912312009 163 to 499 15 CA FL, IL. MI, MO. NC, "jr OH, PA, VAr WA 4/12/22, 3:50 PM Detail by FEI/EIN Number DIVISION OF CORPORATIONS T Divi'v1f»`I JJ org 1 0'- an offrial .Suuy of Flimid j ss Department of State / Division of Corporations / Search Records / Search by FEI/EIN Number / Detail by FEI/EIN Number Foreign Profit Corporation TRI-DIM FILTER CORPORATION Filing Information Document Number P17925 FEI/EIN Number 52-1551452 Date Filed 02/08/1988 State DE Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 03/06/1990 Event Effective Date NONE Principal Address 93 INDUSTRIAL DRIVE LOUISA, VA 23093 Changed: 07/05/2007 Mailing Address P O BOX 466 LOUISA, VA 23093 Changed: 10/07/1991 Registered Agent Name & Address CT CORPORATION SYSTEM 1200 S PINE ISLAND RD PLANTATION, FL 33324 Name Changed: 11/04/2014 Address Changed: 11/04/2014 Officer/Director Detail Name & Address Title President King, Mark https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=FeiNumber&directionType=Initial&searchNameOrder=52155145... 1 /3 4/12/22, 3:50 PM 93 Industrial Dr Louisa, VA 23093 Detail by FEI/EIN Number Title VP HERNANDEZ,DARREN 600 RYERSON RD SUITE F LINCOLN PARK, NJ 07035 Title Director of Finance Kuebler, Matthias 93 INDUSTRIAL DRIVE LOUISA, VA 23093 Annual Reports Report Year Filed Date 2019 03/19/2019 2020 04/28/2020 2021 04/21 /2021 Document Images 04/21/2021 --ANNUAL REPORT View image in PDF format 04/28/2020 -- ANNUAL REPORT View image in PDF format 03/19/2019 -- ANNUAL REPORT View image in PDF format 02/28/2018 -- ANNUAL REPORT View image in PDF format 01/20/2017 -- ANNUAL REPORT View image in PDF format 04/08/2016 -- ANNUAL REPORT View image in PDF format 04/06/2015 -- ANNUAL REPORT View image in PDF format 11/04/2014 -- Reg. Agent Change View image in PDF format 04/21/2014 -- ANNUAL REPORT View image in PDF format 04/09/2013 -- ANNUAL REPORT View image in PDF format 04/11/2012 -- ANNUAL REPORT View image in PDF format 03/29/2011 --ANNUAL REPORT View image in PDF format 04/08/2010 -- ANNUAL REPORT View image in PDF format 04/24/2009 -- ANNUAL REPORT View image in PDF format 01/23/2008 -- ANNUAL REPORT View image in PDF format 12/28/2007 -- Reg. Agent Change View image in PDF format 07/05/2007 -- ANNUAL REPORT View image in PDF format 02/13/2006 -- ANNUAL REPORT View image in PDF format 01/12/2005 -- ANNUAL REPORT View image in PDF format 08/03/2004 -- ANNUAL REPORT View image in PDF format 01/14/2003 -- ANNUAL REPORT View image in PDF format 02/27/2002 -- ANNUAL REPORT View image in PDF format 03/29/2001 --ANNUAL REPORT View image in PDF format 03/29/2000 -- ANNUAL REPORT View image in PDF format 05/06/1999 -- ANNUAL REPORT View image in PDF format https:Hsearch.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=FeiNumber&directionType=Initial&search NameOrder=52155145... 2/3 4/12/22, 3:50 PM 04/15/1998 -- ANNUAL REPORT View image in PDF format Detail by FEI/EIN Number 09/10/1997 -- ANNUAL REPORT View image in PDF format 06/21/1996 -- ANNUAL REPORT View image in PDF format 02/21/1995 -- ANNUAL REPORT View image in PDF format Florida Department of State, Division of Corporations https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=FeiNumber&directionType=Initial&searchNameOrder=52155145... 3/3