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Agenda 05/13/2025 Item #16C 1 (Award Invitation to Bid No. 24-8300, “Reagent Water Purification System Rental Services,” to Thomas Water Purification, LLC., d/b/a Purification Technologies,)5/13/2025 Item # 16.C.1 ID# 2025-1148 Executive Summary Recommendation that Board of County Commissioners, as ex-officio the Governing Board of the Collier County Water- Sewer District award Invitation to Bid No. 24-8300, “Reagent Water Purification System Rental Services,” to Thomas Water Purification, LLC., d/b/a Purification Technologies, and authorize the Chairman to sign the attached Agreement. OBJECTIVE: To establish a rental service contract to provide required routine, preventative maintenance, repair services, and replacements for County Wastewater (Category A) and Water (Category B) Labs. CONSIDERATIONS: High quality water must be utilized when preparing media, reagents, and dilutions to ensure the accuracy and reproducibility of analytical results. The Collier County laboratories produce reagent-grade water in-house. This water is high-quality (Type I) water as defined by Standard Methods for the Examination of Water and Wastewater Online edition, (SM) Section 1080C. On December 17, 2024, the Procurement Services Division released Invitation to Bid No. 24-8300, “Reagent Water Purification System Rental Services,” and received three bids by the February 6, 2025, deadline, as summarized below. Staff reviewed the bids and found Thomas Water Purification LLC. d/b/a Purification Technologies, Inc. (“Thomas Water Purification”) and D.T. Water, LLC d/b/a Culligan Water Conditioning to be responsive and responsible with minor irregularities. Staff found Evoqua Water Technologies LLC non-responsive for failing to submit any of the County’s required bid forms and stating that it would decline the award if it was not awarded both categories. As outlined in the above table, staff recommends awarding both Categories A and B and the attached Agreement No. 24- 8300 to Thomas Water Purification. The County Water Labs have been using Thomas Water Purification LLC for the past two years with satisfactory results. This item is consistent with the Collier County strategic plan objective to plan and build public infrastructure and facilities to effectively, efficiently, and sustainably meet the needs of our community. It is further in support of the Infrastructure and Asset Management Strategic Focus Area’s objectives to optimize the useful life of all public infrastructure resources through proper planning and preventative maintenance. FISCAL IMPACT: Funds are budgeted annually for these services within the Collier County Water-Sewer District Operating Fund (4008). GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this item. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. —SRT RECOMMENDATIONS: Recommendation that Board of County Commissioners, as ex-officio the Governing Board of the Collier County Water-Sewer District award Invitation to Bid No. 24-8300, “Reagent Water Purification System Page 1352 of 5243 5/13/2025 Item # 16.C.1 ID# 2025-1148 Rental Services,” to Thomas Water Purification, LLC., d/b/a Purification Technologies, and authorize the Chairman to sign the attached Agreement. PREPARED BY: Robert VonHolle, Director, Wastewater Division ATTACHMENTS: 1. 24-8300 Insurance Requirements Coversheet 2. 24-8300 - NORA.docx 3. 24-8300 Thomas Water Purification Bid 4. 24-8300 - Solicitation 5. 24-8300 Thomas Water Purification Contract 6. 24-8300 - Bid Tabulation Page 1353 of 5243 INSURANCE REQUIREMENTS COVERSHEET Project Name Vendor Name Solicitation/Contract No. Attachments Risk Approved Insurance Requirements Risk Approved Insurance Certificate(s) Comments Attachments Approved by Risk Management Division Approval: Page 1354 of 5243 Page 1355 of 5243 Page 1356 of 5243 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 3/27/2025 Morrow Insurance Group 18936 NORTH DALE MABRY LUTZ FL 33548 AMIE HICKMAN 813-963-1669 813-961-3743 certificates@morrowinsurance.net GREAT AMERICAN INSURANCE CO.16691 THOMA-6 GEICO Marine Insurance Company 37923THOMASWATERPURIFICATIONLLC DBA PURIFICATION TECHNOLOGIES 10325 WINDHORST RD TAMPA FL 33619 FL Citrus,Business &Ind Fund 15764 223439244 A X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 Y 08-GL-001137123 3/1/2025 3/1/2026 2,000,000 B 1,000,000 X X X Y 9300116573 3/1/2025 3/1/2026 A X X 4,000,00004-XS-00240333 3/1/2025 3/1/2026 4,000,000 C X N 10665329-2024 3/1/2025 3/1/2026 1,000,000 1,000,000 1,000,000 Collier County Board of County Commissioners,OR,Board of County Commissioners in Collier County,OR,Collier County Government,OR,Collier County included as an additional insured under the captioned Commercial General Liability and Automobile Liability Policies on a primary and non-contributory basis if and to the extent required by written contract. COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 3295 TAMIAMI TRAIL E. NAPLES FL 34112 Page 1357 of 5243 Page 1358 of 5243 Notice of Recommended Award Solicitation: 24-8300 Title: Reagent Water Purification System Rental Services Due Date and Time: February 6, 2025, at 3:00 PM EST Respondents: Company Name City County State Bid Amount Responsive/Responsible Thomas Water Purification LLC dba Purification Technologies Miami Miami- Dade FL Category A - $13,914.96 Category B - $19,486.68 Yes/Yes D.T. Water, LLC dba Culligan Water Conditioning Naples Collier FL Category A - $31,029.36 Category B - $37,880.04 Yes/Yes Evoqua Water Technologies LLC Naples Collier FL Category A - $12,960.00 Category B - $30,396.00 No/Yes Utilized Local Vendor Preference: Yes No On December 17, 2024, the Procurement Services Division released notices for Invitation to Bid (ITB) No. 24-8300 “Reagent Water Purification System Rental Services”, to two thousand six hundred and twelve (2,612) vendors. Two hundred and eighty-two (282) vendors viewed and three (3) bids were received by the February 6th, 2025, submission deadline. Staff reviewed the bids and found Thomas Water Purification LLC dba Purification Technologies, Inc. and D.T. Water, LLC dba Culligan Water Conditioning to be responsive and responsible with minor irregularities. Evoqua Water Technologies LLC was deemed non-responsive for failing to submit any of the counties required forms stating to the county that they decline the award if they are not being awarded both categories. As outlined in the table above, Staff recommends award for both Categories A and B to Thomas Water Purification LLC dba Purification Technologies. Contract Driven Purchase Order Driven Required Signatures Project Manager: Procurement Strategist: Procurement Services Director: __________________________________ _________________ Docusign Envelope ID: 3E5FB5AF-5638-446F-B375-D1646AC780F6 3/7/2025 3/7/2025 3/7/2025 Page 1359 of 5243 Sandra Srnka Date Docusign Envelope ID: 3E5FB5AF-5638-446F-B375-D1646AC780F6 Page 1360 of 5243 County of Collier, FL Procurement -, - 3299 Tamiami Trail, East Naples, FL 34112 [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT GEN No. 24-8300 Reagent Water Purification System Rental Services RESPONSE DEADLINE: February 6, 2025 at 3:00 pm Report Generated: Tuesday, February 11, 2025 Purification Technologies Response CONTACT INFORMATION Company: Purification Technologies Email: alysont@purification-tech.com Contact: Alyson Thomas Address: 10325 Windhorst Road Tampa, FL 33619 Phone: N/A Website: www.purification-tech.com Submission Date: Feb 5, 2025 9:00 AM (Eastern Time) Page 1361 of 5243 [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT GEN No. 24-8300 Reagent Water Purification System Rental Services [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT undefined - Reagent Water Purification System Rental Services Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed Feb 3, 2025 1:21 PM by Alyson Thomas QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this r esponse on behalf of my company.* Confirmed 2. General Bid Instructions has been acknowledged and accepted.* Confirmed 3. Collier County Purchase Order Terms and Conditions have been acknowledged and accepted.* Confirmed 4. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Confirmed 5. County Required Forms BID SCHEDULE* Please upload completed Bid Schedule in Microsoft Excel format. Page 1362 of 5243 [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT GEN No. 24-8300 Reagent Water Purification System Rental Services [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT undefined - Reagent Water Purification System Rental Services Page 3 Thomas_Water_Purification_24-8300_Bid_Schedule.xlsx VENDOR DECLARATION STATEMENT (FORM 1)* Thomas_Water_Form_1.pdf CONFLICT OF INTEREST CERTIFICATION AFFIDAVIT (FORM 2)* Thomas_Water_Form_2.pdf PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (IF WORK PERFORMED IN THE STATE) - HTTP://DOS.MYFLORIDA.COM/SUNBIZ/ SHOULD BE ATTACHED WITH YOUR SUBMITTAL* Proof_of_Status_2025_Sunbiz.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* Thomas_Water_Form_3.pdf E-VERIFY MEMORANDUM OF UNDERSTANDING OR COMPANY PROFILE PAGE* e-verify_MOU_2025.pdf CERTIFICATION FOR CLAIMING STATUS AS A LOCAL BUSINESS (FORM 4) IF APPLICABLE AND CLAIMING LOCAL VENDOR STATUS. No response submitted BUSINESS TAX RECEIPT Required if claiming Local Vendor Status. No response submitted REFERENCE QUESTIONNAIRES (FORM 5) Completed reference forms. Reference_Questionaire_Form__1_.pdf Page 1363 of 5243 [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT GEN No. 24-8300 Reagent Water Purification System Rental Services [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT undefined - Reagent Water Purification System Rental Services Page 4 Reference_Questionaire_Form_CTS_0203.pdf Thomas_Purification_Reference_Feb_2025_(1).pdf VENDOR W-9 FORM* W-9_Purification_Technologies-_2025_SIGNED.pdf ALL SIGNED ADDENDA, IF APPLICABLE. No response submitted ALL OTHER REQUIRED DOCUMENTATION, AS APPLICABLE. Collier_County_Reagent_Water_Purification_System_Rental_Services-_24-8300_(1).pdf PRICE TABLES TOTAL BID AMOUNT - CATEGORY A - WASTEWATER Submit line-item pricing via Bid Schedule in Microsoft Excel format. Line Item Description Quantity Unit of Measure Unit Cost Total 1 TOTAL BID AMOUNT - CATEGORY A - WASTEWATER 1 EACH $13,914.96 $13,914.96 TOTAL $13,914.96 TOTAL BID AMOUNT - CATEGORY B - WATER Submit line-item pricing via Bid Schedule in Microsoft Excel format. Page 1364 of 5243 [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT GEN No. 24-8300 Reagent Water Purification System Rental Services [PURIFICATION TECHNOLOGIES] RESPONSE DOCUMENT REPORT undefined - Reagent Water Purification System Rental Services Page 5 Line Item Description Quantity Unit of Measure Unit Cost Total 1 TOTAL BID AMOUNT - CATEGORY B - WATER 1 EACH $19,486.68 $19,486.68 TOTAL $19,486.68 Page 1365 of 5243 Page 1366 of 5243 Page 1367 of 5243 10325 WINDHORST RD TAMPA, FL 33619 Current Principal Place of Business: Current Mailing Address: P.O BOX 89097 TAMPA, FL 33689 US Entity Name: THOMAS WATER PURIFICATION LLC DOCUMENT# L21000528734 FEI Number: 87-4157059 Certificate of Status Desired: Name and Address of Current Registered Agent: THOMAS, ALYSON 10325 WINDHORST RD TAMPA, FL 33619 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Authorized Person(s) Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Authorized Person(s) Detail Date FILED Jan 30, 2025 Secretary of State 4022817035CC ALYSON THOMAS OWNER 01/30/2025 2025 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT No Title AMBR Name THOMAS, ALYSON Address 10325 WINDHORST RD City-State-Zip:TAMPA FL 33619 Title AMBR Name THOMAS, CHARLES R Address 10325 WINDHORST RD City-State-Zip:TAMPA FL 33619 Page 1368 of 5243 Page 1369 of 5243 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY The parties to this agreement are the Department of Homeland Security (DHS) and (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1.The Employer agrees to display the following 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: a.Notice of E-Verify Participation b.Notice of Right to Work 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 about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3.The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee’s E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. Page 1 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Thomas Water Purification, LLC 2031933 Page 1370 of 5243 Company ID Number: 4.The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5.The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a.The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6.The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a.If an employee presents a "List B" 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 I-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. b.If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 7.The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 8.The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the anti- discrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a.The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer 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) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly Page 2 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1371 of 5243 Company ID Number: employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b.DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9.The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be 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. 10.The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11.The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12.The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13.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(l)) 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 mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if 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 Page 3 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1372 of 5243 Company ID Number: (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming 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 mismatch 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 (customer service) or 1-888-897-7781 (worker hotline). 14.The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. 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 immigration-related unfair employment practices provisions in section 274B 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 274B of the INA or Title VII 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). 15.The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as 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. 16.The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@uscis.dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 17.The Employer acknowledges that the information 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)). 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. 18.The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon Page 4 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1373 of 5243 Company ID Number: reasonable notice, to review Forms I-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 prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19.The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20.The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21.The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22.The Employer understands that if it 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 participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1.If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2.In addition to the responsibilities of every employer outlined in this MOU, 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). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a.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 verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin 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. Page 5 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1374 of 5243 Company ID Number: b.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 begin 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 three 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 three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c.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 under 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. Employers in this category must begin 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. d.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 verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i.That Form I-9 is complete (including the SSN) and complies with Article II.A.6, ii.The employee’s work authorization has not expired, and iii.The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f.The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i.The Employer cannot determine that Form I-9 complies with Article II.A.6, ii.The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii.The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9 is otherwise valid and up-to-date and the form otherwise complies with Page 6 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1375 of 5243 Company ID Number: Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g.The Employer agrees not 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 based on this Article. 3. 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. C. RESPONSIBILITIES OF SSA 1.SSA agrees to allow DHS to compare data provided by the Employer against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2.SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify 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 Part 401). 3.SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4.SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1.DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a.Automated verification checks on alien employees by electronic means, and Page 7 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1376 of 5243 Company ID Number: b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. 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 with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4.DHS agrees to train Employers on all important 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 mandatory refresher tutorials. 5.DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. 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. 6.DHS agrees to issue each of the Employer’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7.DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, 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 INA and Federal criminal laws, and to administer Federal contracting requirements. 8.DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9.DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides 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. 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 notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. Page 8 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1377 of 5243 Company ID Number: The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4.The Employer will instruct the employee to visit an SSA office within eight 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. 5.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6.The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1.If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4.If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the Page 9 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1378 of 5243 Company ID Number: employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5.If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6.The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a.Scanning and uploading the document, or b.Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7.The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8.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. 9.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. 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 E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. Page 10 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1379 of 5243 Company ID Number: B. TERMINATION 1.The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2.Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer’s participation in E-Verify, with or without notice at any time 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 E-Verify procedures and/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 the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3.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 cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, 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 p rocedures to verify the employment eligibility of all newly hired employees. 4.The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A.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 necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B.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. C.The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D.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. Page 11 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1380 of 5243 Company ID Number: E. The Employer understands that 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). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer’s Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. Page 12 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1381 of 5243 Company ID Number: Approved by: Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date Page 13 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 USCIS Verification Division 11/30/2022 Alyson Thomas Electronically Signed Thomas Water Purification, LLC 11/30/2022 Electronically Signed 2031933 Page 1382 of 5243 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for Page 14 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Thomas Water Purification, LLC HILLSBOROUGH 221 5 to 9 2031933 10325 Windhorst Road Tampa, FL 33619 874157059 1 site(s) Page 1383 of 5243 Company ID Number: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: Page 15 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 FL 1 2031933 Page 1384 of 5243 Company ID Number: Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Page 16 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Email 6174137509 Alyson Thomas 2031933 Name Phone Number Fax alysonT@purification-tech.com Page 1385 of 5243 Company ID Number: This list represents the first 20 Program Administrators listed for this company. Page 17 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2031933 Page 1386 of 5243 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: (Evaluator completing reference questionnaire) Company: (Evaluator’s Company completing reference) Email: FAX: Telephone: 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 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual 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: ___________________________ Completion Date: _____________________________ Project Budget: _______________________________ Project Number of Days: _______________________ Item Criteria Score (must be completed) 1 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. 5 Professionalism and ability to manage personnel. 6 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 24-8300 Thomas Water Purification, LLC DBA Purification Technologies Christopher Harris Polk County Board of County Commissioners ChrisHarris@polk-county.net 863.534.7377863.534.7368 Annual System Maintenance Recurring annual work Less than $5000 n/a 10 10 10 10 10 10 10 10 10 10 100 Polk County Board of County Commissioners Page 1387 of 5243 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: (Evaluator completing reference questionnaire) Company: (Evaluator’s Company completing reference) Email: FAX: Telephone: 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 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual 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: ___________________________ Completion Date: _____________________________ Project Budget: _______________________________ Project Number of Days: _______________________ Item Criteria Score (must be completed) 1 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. 5 Professionalism and ability to manage personnel. 6 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 Page 1388 of 5243 Thomas Water Purification, LLC DBA Purification Technologies $53,000 Hillsborough County Board of County Commissioners Page 1389 of 5243 Form W-9 (Rev. March 2024) Request for Taxpayer Identification Number and Certification Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.Print or type. See Specific Instructions on page 3.1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.) 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor C corporation S corporation Partnership Trust/estate LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) (Applies to accounts maintained outside the United States.) 5 Address (number, street, and apt. or suite no.). See instructions. 6 City, state, and ZIP code Requester’s name and address (optional) 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid 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 Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number –– or Employer identification number – Part II Certification Under penalties of perjury, I certify that: 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. I 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. I 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 are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person Date 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. What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) Thomas Water Purification, LLC Purification Technologies S P.O. Box 89097 Tampa, FL 33689 8 7 4 1 5 7 0 5 9 Verified by pdfFiller 01/06/2025 01/06/2025 Page 1390 of 5243 10325 Windhorst Rd Tampa, FL 33619 O: 813-620-3922 Proposal For: Collier County Reagent Water Purification System Rental Services Description of Included Items The following is to show what items and quantities are included in the monthly price per each location. Please note all quantities listed. Category A: South Wastewater Facility 5600 Warren St. Naples, FL 34113 Category B: North Collier Region Water Plant 8005 Vanderbilt Beach Rd. Naples, FL 34120 QTY: Description Frequency 12 each MBR-1447 3.6 cu. Ft. mixed-bed deionizer unit 1 exchanged monthly 4 each AN-1447 3.6 cu ft. anion tank 1 exchanged quarterly 4 each CAT-1447 3.6 cu. Ft. cation tank 1 exchanged quarterly 2 each CAR-1447 3.6 cu ft. carbon tank 1 exchanged every 6 months 1 each In-line conductivity meter n/a 1 each Ultraviolet light- 3gpm unit 1 UV bulb exchanged annually 1 each Recirculation pump n/a 12 each Trip Charge monthly 12 each Equipment Rental Service Report monthly Monthly Rental Fee: $1,159.58 QTY: Description Frequency 12 each MBR-844 1 cu. Ft. mixed-bed deionizer unit 2 exchanged quarterly 1 each CAR-844 1 cu ft. carbon tank 1 exchanged annually 4 each 10” 1.0um prefilter 1 exchanged quarterly 1 each In-line conductivity meter n/a 1 each Totalizing meter n/a 4 each Trip Charge quarterly 4 each Equipment Rental Service Report quarterly Monthly Rental Fee: $481.66 Page 1391 of 5243 10325 Windhorst Rd Tampa, FL 33619 O: 813-620-3922 Proposal For: Collier County Reagent Water Purification System Rental Services Description of Included Items The following is to show what items and quantities are included in the monthly price per each location. Please note all quantities listed. Category B: South Collier Region Water Plant 3851 City Gate Drive Naples, FL 34116 Category B: Carica Pump Station 7200 Goodlette Fank Rd. Naples, FL 34119 QTY: Description Frequency 8 each MBR-1047 1.5 cu. Ft. mixed-bed deionizer unit 2 exchanged quarterly 1 each CAR-1047 1.5 cu ft. carbon tank 1 exchanged annually 1 each MBR-1047 (P) 1.5 cu. Ft mixed-bed polishing unit 1 exchanged annually 1 each In-line conductivity meter n/a 1 each Totalizing meter n/a 4 each Trip Charge quarterly 4 each Equipment Rental Service Report quarterly Monthly Rental Fee: $437.91 QTY: Description Frequency 6 each MBR-1047 1.5 cu. Ft. mixed-bed deionizer unit 2 exchanged semi-annually 1 each CAR-1047 1.5 cu ft. carbon tank 1 exchanged annually 1 each MBR-1047 (P) 1.5 cu. Ft mixed-bed polishing unit 1 exchanged annually 1 each In-line conductivity meter n/a 1 each Totalizing meter n/a 4 each Trip Charge semi-annually 4 each Equipment Rental Service Report semi-annually Monthly Rental Fee: $352.16 Page 1392 of 5243 10325 Windhorst Rd Tampa, FL 33619 O: 813-620-3922 Proposal For: Collier County Reagent Water Purification System Rental Services Description of Included Items The following is to show what items and quantities are included in the monthly price per each location. Please note all quantities listed. Category B: Goodland Repump Station 2559 San Marco Rd. Marco Island, FL 34145 *All items are leased and remain the property of Purification Technologies. Monthly price for all systems includes ONLY the quantities listed which were calculated using data provided by Collier County in reference to usage. Thank you, Alyson Thomas AlysonT@purification-tech.com QTY: Description Frequency 6 each MBR-1047 1.5 cu. Ft. mixed-bed deionizer unit 2 exchanged semi-annually 1 each CAR-1047 1.5 cu ft. carbon tank 1 exchanged annually 1 each MBR-1047 (P) 1.5 cu. Ft mixed-bed polishing unit 1 exchanged annually 1 each In-line conductivity meter n/a 1 each Totalizing meter n/a 4 each Trip Charge semi-annually 4 each Equipment Rental Service Report semi-annually Monthly Rental Fee: $352.16 Page 1393 of 5243 Page 1394 of 5243 Page 1395 of 5243 Page 1396 of 5243 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR Reagent Water Purification System Rental Services SOLICITATION NO.: 24-8300 MATTHEW WEBSTER, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8491 Matthew.Webster@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. Page 1397 of 5243 SOLICITATION PUBLIC NOTICE INVITATION TO BID (ITB) NUMBER: 24-8300 PROJECT TITLE: Reagent Water Purification System Rental Services PRE- BID MEETING: January 7, 2025 at 9:00 AM EST LOCATION: North Collier Region Water Plant: 8005 Vanderbilt Beach Road Naples, FL 34120 DUE DATE: January 23, 2025 at 3:00 PM EST PLACE OF BID OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI 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://procurement.opengov.com/ INTRODUCTION As requested by the Public Utilities 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 $55,000; however, with aging equipment and County growth, it is anticipated future spend will exceed this amount. BACKGROUND High quality water must be utilized when preparing media, reagents, and dilutions to ensure the accuracy and reproducibility of analytical results. The Collier County laboratories produce reagent-grade water in-house. This water is high-quality (Type I) water as defined by Standard Methods for the Examination of Water and Wastewater Online edition, (SM) Section 1080C. TERM OF CONTRACT The contract term, if awards are made is intended to be for (3) years with two (2) one (1) year renewal options. Prices shall remain firm for the initial term of this contract. A Purchase Order shall survive Contract expiration to allow completion of work commenced prior to the contract expiration date. 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 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. Page 1398 of 5243 AWARD CRITERIA 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(s) 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 Total Bid per Category  Collier County reserves the right to select one, or more than one suppliers, 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:  Identify Single Awardee per Category  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 The Division is seeking qualified Vendors to establish a rental service contract to provide required routine, preventative maintenance, repair services, and replacements for County Wastewater (Category A) and Water (Category B) Labs. Vendors may bid on one or both Categories. 1. CATEGORIES CATEGORY A: South Wastewater Facility: 5600 Warren St. Naples, FL 34113  Deionizer Unit o One 3.6 cubic foot (CF) anion tank o One 3.6 CF cation tank o One 3.6 CF carbon tank o Two 3.6 CF mixed bed tanks  In-line conductivity meter  Ultraviolet light  Recirculation pump  The system must be capable of producing approximately 1,000 gallons of DI water per month at a minimum flow rate of 10 liters per minute. CATEGORY B: North Collier Region Water Plant: 8005 Vanderbilt Bech Road Naples, FL 34120  Deionizer Unit o Three 1 cubic foot (CF) mixed bed DI water tanks o One 1 CF activated carbon tank o One 10” 1.0um prefilter  Totalizing meter  In-line conductivity meter  The system must be capable of providing a flow rate of 1.25 gallons per minute. South Collier Region Water Plant: 3851 City Gate Drive Naples, FL 34116  Deionizer Unit o Two 1.5 cu. Ft. mixed-bed deionizer units o One 1.5 cu. Ft. activated carbon unit o One 1.5 cu. Ft. mixed-bed polishing unit Page 1399 of 5243  Totalizing meter  In-line conductivity meter Carica Pump Station: 7200 Goodlette Frank Road Naples, FL 34119  Deionizer Unit o Two 1.5 cu. Ft. mixed-bed deionizer units o One 1.5 cu. Ft. activated carbon unit o One 1.5 cu. Ft. mixed-bed polishing unit  Totalizing meter  In-line conductivity meter Goodland Repump Station: 2559 San Marco Road Marco Island, FL 34145  Deionizer Unit o Two 1.5 cu. Ft. mixed-bed deionizer units o One 1.5 cu. Ft. activated carbon unit o One 1.5 cu. Ft. mixed-bed polishing unit  Totalizing meter  In-line conductivity meter 2. PREVENTATIVE MAINTENANCE 2.1. Preventative maintenance shall be performed with each visit and may include:  Evaluate overall equipment condition and ensure the system is operational.  Inspect gauges and verify that there are no leaks.  Provide training to personnel on site during the visit.  Verify area near equipment is clear of debris or improperly stored material.  All deficiencies communicated and solutions discussed. 2.2. Preventative maintenance shall be included in the rental unit fee for all items and shall be inclusive of all labor, tools, material, parts, equipment, and all necessary resources to complete the work. 2.3. Material used during preventative maintenance (i.e., hoses, gaskets, sundries) that would be considered part of the service by industry standards shall not be invoiced to the County and shall be included in the rental unit price provided on the awarded Bid Schedule. 2.4. The Vendor must provide an estimated annual maintenance schedule. 2.5. For each site visit, the awarded Vendor will provide an Equipment Service Report. The Report should include the following:  Record of inspection including all findings/remarks for each piece of equipment  All preventative maintenance items completed  Recommend repairs, if applicable The Equipment Service Report must be completed and submitted by Vendor to County Representative upon preventative maintenance completion or within three (3) business days if repairs are recommended. Note: Failure to provide the completed, signed and dated report may delay the Vendor’s payment. 2.6. The Vendor shall use a County provided Equipment Service Report if requested to do so by the County. Page 1400 of 5243 3. Delivery 3.1. The Contractor warrants that upon delivery, the equipment rented hereunder shall be in good working condition. If the equipment is not in good working condition upon delivery, the Contractor shall promptly repair or replace the equipment at its sole expense. 3.2. If the equipment requires repair or replacement during the rental period, the Contractor shall promptly repair or replace the equipment at its sole cost and expense; however, if the repair or replacement is due to the County’s abuse, misuse, or neglect, the County shall be responsible for the cost of such repair or replacement. 3.3. Some County sites may be unmanned at time of delivery. The Contractor shall confirm with the Division Representative or designee on arranging delivery services to these sites. 3.4. The Contractor shall coordinate delivery with the Division Representative or designee so there is minimal to no interruption to daily work at any location. 4. EQUIPMENT & PARTS 4.1. All equipment and parts provided and installed by the Vendor under the awarded contract shall be new and free of defects and may require County approval prior to installation. All equipment must meet or exceed the requirements of the following: 5. WORK HOURS AND CONTRACTOR CONTACT 5.1. Normal business hours shall be 7:00am to 5:00pm, Monday through Friday, excluding County observed holidays. After hours are considered to be requests outside of the normal business hours, weekends, and County observed holidays, or in the event of a declared local state of emergency. 5.2. The Vendor shall provide a company contact name, phone number and email address for all requests and shall be available twenty-four (24) hours per day, 365 days per year. 5.3. The County will issue a Purchase Order prior to commencement of work. No work shall be performed until the Vendor is in receipt of an approved purchase order. 6. RESPONSE TIMES FOR SERVICE 6.1. Normal Request  Vendor shall acknowledge a request for service via email or phone call within twenty-four (24) hours from the time the County issued the request.  Vendor shall schedule the service within three (3) business days of the initial request, via email. 6.2. Urgent Request Urgent requests may consist of system malfunctions, inability to produce reagent grade water, severe leaks, etc.  Vendor shall acknowledge an urgent request via email or phone call within twelve (12) hours of the request being sent by the County.  County and Vendor shall agree to an appropriate arrival time based on the urgency. Page 1401 of 5243  A one-time two hundred dollar ($200.00) urgent service call fee is allowed when responding to an urgent request, in addition to the regular hourly rates. 7. PRICE MODIFICATIONS 7.1 The vendor may request a price modification no less than one hundred twenty (120) days prior to the end of the initial contract period for consideration.  Retroactive price adjustments are not authorized.  Submit price increase requests in writing by email to the County Representative or designee no less than 120 days before the end of the initial contract period.  Vendor shall provide supporting documentation justifying price increases (examples: Vendor's material agreements, distributor invoices, proof of fuel increases, etc.). If there is no documented proof, price modifications will not be considered.  County Representative or designee shall analyze prices to determine if increases are fair and reasonable.  During the review process, the Vendor shall continue to fill all purchase orders received at the current agreement prices.  Price modification requests are not guaranteed. If approved, the Procurement Director or designee will notify the Vendor in writing with the effective date of an approved price modification.  The Procurement Director has the authority to approve price adjustments in accordance with the Procurement Ordinance, as amended. The Fee Schedule shall be modified with the price increases, or an amendment process as required, and uploaded into the County's Finance system. The County may, after examination, refuse to accept the adjusted costs if they are not properly documented, considered excessive, or if decreases are deemed insufficient. In the event the County does not wish to accept the adjusted costs and the matter cannot be resolved to the satisfaction of the County, a contract termination will have to be processed. VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed (please see, Vendor Check List)*** Page 1402 of 5243 Page 1403 of 5243 Page 1404 of 5243 Page 1405 of 5243 Page 1406 of 5243 Page 1407 of 5243 Page 1408 of 5243 Page 1409 of 5243 Page 1410 of 5243 Page 1411 of 5243 Page 1412 of 5243 Page 1413 of 5243 Page 1414 of 5243 Page 1415 of 5243 Page 1416 of 5243 Page 1417 of 5243 Page 1418 of 5243 Page 1419 of 5243 Page 1420 of 5243 Page 1421 of 5243 Page 1422 of 5243 Page 1423 of 5243 Page 1424 of 5243 Page 1425 of 5243 Page 1426 of 5243 Bid Tabulation # 24-8300 Reagent Water Purification System Rental & Services Provide all inclusive pricing for all line items in one or both Categories. All lines must be completed for the Category in which they are bidding, or Bidder may be deemed non-responsive. *Estimated quantities are for award determination purposes only. Thomas Water Purification LLC dba Purification Technologies D.T. Water, LLC dba Culligan Water Conditioning Item Number Description Estimated Annual Quantity* Unit Unit Price Total Unit Price CATEGORY A - WASTEWATER 1 Monthly rental--Deionizer Unit Includes: In-line conductivity meter, Ultraviolet light, Recirculation pump 12 ea $1,159.58 $13,914.96 $2585.78 Total for Category A - Wastewater $13,914.96 $31,029.36 Item Number Description Estimated Annual Quantity* Unit Unit Price Total Unit Price CATEGORY B - WATER 1 North Collier Regional Water Plant Monthly rental--Deionizer Unit Includes: In-line conductivity meter 12 ea $481.66 $5,779.92 $701.68 2 South Collier Regional Water Plant Monthly rental--Deionizer Unit Includes: In-line conductivity meter 12 ea $437.91 $5,254.92 $976.14 3 Carica Pump Station Monthly rental--Deionizer Unit 12 ea $352.16 $4,225.92 $976.14 4 Goodland Repump Station Monthly rental --Deionizer Unit 12 ea $352.16 $4,225.92 $502.71 Total for Category B - Water $19,486.68 $37,880.04 Bid Opened By: Matt Webster Witnessed By: Barbara Lance Date: January 14, 2025 3:00:00 PM EDT Note: A one time $200.00 Urgent Service Call fee is allowed when responding in addition to the hourly rates. Thomas Water Purification LLC dba Purification Technologies D.T. Water, LLC dba Culligan Water Conditioning Page 1427 of 5243