120_Water_Audit-_Combined_Attachments_.pdf

Attachment 4: Conformance Statements

Solicitation No. BPM004287 Title: Statewide Asbestos, Lead, and Mold Consultant and Abatement Services

Department of Environmental Quality

1110 W. Washington Street Phoenix, AZ 85007

If taking exceptions, the Attachment Supplements must be uploaded as a separate word doc. file titled “Attachment Supplement -”

STATE WILL NOT CONSIDER ANY EXCEPTIONS UNLESS DESIGNATED ON THIS FORM.

READ PARAGRAPH 6.8 OF THE INSTRUCTIONS TO OFFERORS BEFORE TAKING ANY EXCEPTIONS – TAKING EXCEPTIONS

CAN BE GROUNDS FOR STATE REJECTING OR DOWN-GRADING YOUR OFFER IN EVALUATION.

CONFORMANCE TO THE INSTRUCTIONS TO OFFERORS

Check one of the following – if neither is checked, State will assume that as equivalent to “YES”:

X YES – Offeror acknowledges that it has read and understands the Special Instructions to Offerors and Uniform Instructions to Offerors of the Solicitation Documents and attests that its Offer complies.

NO – Offeror acknowledges that it has read and understands the Instructions to Offerors in the Solicitation Documents, and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment Supplement 1.

CONFORMANCE TO SCOPE OF WORK AND PRICING

Check one of the following – if neither is checked, State will assume that as equivalent to “YES”:

YES – Offeror acknowledges that it has read and understands the Scope of Work Document and the Pricing Document of the Solicitation Documents and attests that its Offer complies with both.

X NO – Offeror acknowledges that it has read and understands the Scope of Work Document and the Pricing Document of the Solicitation Documents and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment Supplement 2.

CONFORMANCE TO THE CONTRACT TERMS AND CONDITIONS

Check one of the following – if neither is checked, State will assume that as equivalent to “YES”:

YES – Offeror acknowledges that it has read and understands the Special Terms and Conditions and the Uniform Terms and Conditions, along with their respective Exhibits and Appendices of the Solicitation Documents and attests that its Offer complies with both.

X NO – Offeror acknowledges that it has read and understand the Special Terms and Conditions and the Uniform Terms and Conditions, along with their respective Exhibits and Appendices 2 of the Solicitation Documents and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment Supplement 3.

Attachment 4 Supplemental-

Conformance Statement Exceptions and Abatement Services

Department of Environmental Quality and Abatement Services

Department of Environmental Quality

Exceptions to Contract Terms & Conditions

Article/ Paragraph or

Exhibit Reference

Proposed Changes / Alternate Language RFP Language (Copy and Paste from

Solicitation)

Special Terms & Conditions

3.10.2 Additional names. Contractor shall not enter into a Subcontract with a Subcontractor dedicated to State’s account for any custom services or deliverables specifically purchased only by State pursuant to a separate order form without first obtaining

Procurement Officer’s written consent with any such prospective

Subcontractor that (a) was not listed on the Attachment Proposed

Subcontractors at time of Contract execution or (b) is for any

Materials or Services categories other than the ones for which they were previously consented. For either case (a) or (b), Contractor shall submit a written request sufficiently in advance of the need date for those materials or services so that performance under the

Contract is not impaired. Procurement Officer may request any additional information he or she determines is necessary to assess the submittal, and may withhold consent pending it.

Rationale: 120Water subcontracts several aspects of its services it provides all customers, e.g., to water testing laboratories or software development. 120Water cannot be held up with approvals for such general subcontractors. 120Water is willing to give State the right to approve any Subcontractors used specifically for a project State requests, e.g., custom software development.

Additional names. Contractor shall not enter into a Subcontract without first obtaining Procurement Officer’s written consent with any prospective Subcontractor that (a) was not listed on the Attachment

Proposed Subcontractors at time of Contract execution or (b) is for any Materials or Services categories other than the ones for which they were previously consented.

For either case (a) or (b), Contractor shall submit a written request sufficiently in advance of the need date for those materials or services so that performance under the Contract is not impaired. Procurement

Officer may request any additional information he or she determines is necessary to assess the submittal, and may withhold consent pending it.

3.9.5 Exception: Data. “State Data” means all electronic data or information uploaded by State to Contractor’s software platform.

“Derivative Data” means collectively, (i) information derived or generated from or based on State Data, but not containing State Data,

(ii) State Data which has been de-identified or anonymized so that it no longer identifies a specific individual; and, (iii) State Data which has been aggregated with other data but which no longer identifies a specific individual or State. “Usage Data” means statistical data related to State’s access to and use of Contractor’s services and data derived from it, that is used by Contractor, including to compile statistical and performance information related to the provision and operation of Contractor’s services. State retains ownership of all State

Data. Contractor shall irrevocably own all Derivative Data and Usage

Data and may use or disclose it in any way it chooses. Contractor may use State Data internally for developing, training, testing, correcting, and improving Contractor’s software and business processes, and

Contractor shall maintain State Data as confidential pursuant to this

Agreement. This Section 3.9.5 shall survive any expiration or termination of this Agreement.

Not in the included terms and conditions and Abatement Services

Department of Environmental Quality

Rationale: 120Water internally uses large amounts of data

(including customer data) to train, correct, improve, and develop its software algorithms. Once the data is used in this way it cannot be deleted or extricated. Derivative and Usage Data is data that does not contain any personally identifiable information of any State customer.

8.9 Exception: Warranties for third-party products (e.g., water testing kits) are governed under the applicable third party warranty terms, and

State expressly acknowledges that Contractor provides no product warranties related thereto.

EXCEPT FOR THE WARRANTIES EXPRESSLY STATED

HEREIN, CONTRACTOR PROVIDES ALL SERVICES AS-IS,

AND CONTRACTOR DISCLAIMS ALL OTHER WARRANTIES,

EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO,

WARRANTIES OF MERCHANTABILITY, AND FITNESS FOR A

PARTICULAR PURPOSE.

Rationale: 120Water cannot offer warranties on products made by third parties. Such products will carry their own warranty that will run with State.

13 Exception: 13.1 Limitation of Liability. SUBJECT TO SECTION

13.3, IN NO EVENT SHALL EITHER PARTY’S TOTAL

AGGREGATE LIABILITY ARISING OUT OF OR RELATED TO

THIS AGREEMENT, WHETHER IN CONTRACT, TORT OR

UNDER ANY OTHER THEORY OF LIABILITY, EXCEED THE

AMOUNTS PAID BY STATE UNDER THE ORDER FORM FOR

THE SERVICES FOR WHICH LIABILITY IS CLAIMED IN THE

TWELVE (12) MONTHS IMMEDIATELY PRECEDING THE

INCIDENT GIVING RISE TO LIABILITY.

13.2 Exclusion of Consequential Damages. SUBJECT TO SECTION

13.3, AND NOTWITHSTANDING ANYTHING TO THE

CONTRARY IN THIS AGREEMENT, IN NO EVENT SHALL

EITHER PARTY HAVE ANY LIABILITY TO THE OTHER PARTY

FOR ANY LOST PROFITS OR FOR ANY INDIRECT, SPECIAL,

INCIDENTAL, PUNITIVE, CONSEQUENTIAL OR SPECIAL

DAMAGES OF ANY KIND OR NATURE HOWEVER CAUSED,

INCLUDING WITHOUT LIMITATION DAMAGES FOR LOSS OF

GOOD WILL, SUBSTITUTE GOODS OR SERVICES, WORK

STOPPAGE, DATA LOSS, LOST PROFIT OR COMPUTER

FAILURE, INCURRED BY EITHER PARTY OR ANY THIRD

PARTY, WHETHER IN CONTRACT, TORT OR UNDER ANY

OTHER THEORY OF LIABILITY, WHETHER OR NOT THE

PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH

DAMAGES.

13.3. Exceptions to Liability Limitation. The restrictions in Sections

13.1 and 13.2 on the types and amounts of damages for which a party may be liable hereunder shall not apply to intellectual property infringement, breach of confidentiality, or a party’s indemnification obligations.

and Abatement Services

Department of Environmental Quality

Rationale: 120Water has structured pricing of products and services based on standard limitation of liability and risk.

Uniform Terms & Conditions x X Exception:

Rationale:

x x X Exception:

X Rationale:

x

120Water

Company Name Signature of Person Authorized to Sign and Abatement Services

Department of Environmental Quality

Attachment 5 Supplement: Key Personnel

Title: Statewide Asbestos, Lead, and Mold

Consultant and Abatement Services

Department of Environmental Quality

1 Solicitation Attachments

Answer all questions thoroughly in the spaces provided. Complete this form in full for each one of the key personnel proposed to be involved in carrying out the Work. Duplicate as needed. Insert or attach a separate resume if desired, but any attached resumes are supplemental to this form and do not substitute for this form. If there are more than three (3) Key Personnel, please utilize the same form for each additional Personnel.

Title: Statewide Asbestos, Lead, and Mold

Consultant and Abatement Services

Department of Environmental Quality

1 Solicitation Attachments

Answer all questions thoroughly in the spaces provided. Complete this form in full for each one of the key personnel proposed to be involved in carrying out the Work. Duplicate as needed. Insert or attach a separate resume if desired, but any attached resumes are supplemental to this form and do not substitute for this form. If there are more than three (3) Key Personnel, please utilize the same form for each additional Personnel.

Title: Statewide Asbestos, Lead, and Mold Consultant and Abatement Services

Department of Environmental Quality

2 Solicitation Attachments

1 Name: Marcus Hagberg How long with company? 1.5 years

Current position in company:

Senior Program Consultant

State Programs Practice Lead How long in position? 1 year

Position for the Services:

Program Leader, and primary point of contact for ADEQ

How much of time will be dedicated to the Services?

10 %

What primary functions will be assigned?

Marcus will oversee the entire program, holding internal team members and subcontractors accountable for deliverables. He will be a primary program designer, advising on strategy, ensuring the program is on track, on budget, and operating according to specified SOPs. He will be ADEQs point of contact, communicating regular progress updates, being the escalation point, and collaborating with ADEQ on program direction.

Describe person’s experience in performing services like those that are to be assigned:

Marcus has over a decade of experience managing complex service and data management projects for state and municipal governments both domestically and abroad. He specializes in funding policy and education, and large scale program strategy and design.

He has played a key role in oversight, development, and execution of statewide lead sampling programs with the Indiana Finance Authority, Maryland Department of the Environment, and West Virginia Department of Health. He has been involved in LCR compliance, lead service line inventory development, and LSLR replacement programs with Newark, SUEZ, Veolia/Buffalo, NY, Asheville, NC and a multitude of smaller systems such as Wheeling, WV and Hickory, NC.

Outside of his 120Water experience, Marcus has project managed the creation and implementation of a $5M nationwide public/private partnerships based programs in Ghana that focused on providing equitable education across the country, and scaled the Rockefeller Foundation Global Cities Program to 100 cities in 42 countries.

List person’s job-related training and education:

Marcus’ educational background is in political science, and economics and has spent his career in urban development, and working with key infrastructure providers. He has held a variety of project management, program design & strategy, and program implementation positions exclusively serving government and non for profit entities.

He frequently speaks at industry events, such as the 2022 Water Infrastructure Conference where he led 3 sessions on LCR funding, statewide funding approaches, and LCRR requirements.

Resume: Marcus Hagberg_Resume

2 Name: Savannah Rodrigue, MPA How long with company? 1 year in company:

Program Consulting Manager

LCRR Practice Lead How long in position? 1 year

Title: Statewide Asbestos, Lead, and Mold Consultant and Abatement Services

Department of Environmental Quality

3 Solicitation Attachments

Position for the Services: Senior Program Consultant How much of time will be dedicated to the Services?

10 %

What primary functions will be assigned?

In her role as LCRR practice lead, Savannah is responsible for developing the methodologies used to execute the program. She aligns 120 methods with the policy, and will work with ADEQ so that systems adhere not only to federal guidelines and best practice, but also State guidelines and best practices. She will collaborate with Marcus on program SOP development, data requirements, policy education for systems, and analyze results from cohorts to provide guidance and program direction. She will be heavily responsible for the development of verification plans following the initial records reviews.

Describe person’s experience in performing services like those that are to be assigned:

Savannah has had significant involvement with executing statewide lead programs, corporate wide investor owned utility programs, and experience developing LSLIs for systems of all sizes. She oversaw the national SUEZ LCRR risk assessment program, working with utilities across the country to identify compliance gaps, and recommend action plans. Savannah developed the 120Water LSLI development & verification methodology, that has been completed or is in process successfully with hundreds of systems. She most recently managed the data discovery, analysis, predictive modeling, and verification planning for Citizen’s Energy Group, a water utility serving nearly 1M customers in the greater Indianapolis area.

List person’s job-related training and education:

Savannah’s background is in environmental studies, policy analysis, political science, and natural resource management. She is based in Washington, DC and serves as the 120Water LCRR Practice Lead, and a Senior Program Consultant. She exclusively works on drinking water programs, predominantly focused on Lead and Copper compliance, and lead remediation. Her background in environmental policy and data management provides her the skills necessary to guide clients, deliver project results, and provide program solutions to the problems they’re facing. Savannah is the lead remediation technician on programs in which 120Water is providing remediation guidance, has deep expertise in data management, and SOP development. She regularly attends EPA workshops, and coordinates with regulators to evolve best practices.

Prior to 120Water, Savannah worked as a sustainability consultant, was a Climate Corp Fellow for the Environmental Defense Fund, and was directly employed by the City of Bloomington, IN where she focused on running a program to get the City USGBC LEED certified.

Resume: Savannah Rodrigue_Resume

4 Solicitation Attachments

2 Name: Daniel Lundberg, MPA How long with company? 2 years in company:

Director of Client Support How long in position? 1 year

Position for the Services: Technical & Implementation Support How much of time will be dedicated to the Services?

5 %

What primary functions will be assigned?

Daniel oversees technical support and implementation of the 120Water software platform for all systems and ADEQ. He also manages the logistics and fulfillment of consumables such as sampling kits or public outreach communications. In his role, he is responsible for identifying risks and challenges that could occur, especially in public outreach efforts, verification kit logistics, and more and working with clients to address any technical or logistical elements of the program to enhance the overall experience for all stakeholders (resident, system, ADEQ). Daniel will be responsible for the development of any custom consumables.

Describe person’s experience in performing services like those that are to be assigned:

Daniel has spent over a decade in water resources and infrastructure planning and program management. His experience working for the Indiana Finance Authority, running the statewide lead testing in schools program, designing technical assistance training programs, and developing databases to support programs has been invaluable when applying this expertise to all 120Water customers. He oversaw the Asheville, NC LSLI development and verification program, and manages the distribution of over 20,000 kits to customers of Denver Water for their LSLR program. He is responsible for the customer communication and outreach program strategy to Newark residents for their LSLR program, which includes total remote support for homeowners to perform sampling pre and post line replacement.

He previously worked at Gunn Communications in Phoenix, AZ and was responsible for designing and executing a mass public engagement campaign to support Arizona DOT with the largest highway project build in the history of the State at that time. In this program, he optimized communication between all stakeholders by programming a user friendly data management system & process.

List person’s job-related training and education:

Daniel holds a bachelor’s of Science in Public Affairs, Environmental Management and is a Master of Public Affairs (MPA) and Master of Science in Environmental Science (MSES), Environmental Management, Policy Analysis.

Resume: Daniel Lundberg_Resume

Daniel Lundberg MPA Director Client Support, 120Water

EDUCATION

Indiana University Master of Environmental Science | Environmental Management Master of Public Affairs | Policy Analysis

ROLE AND RESPONSIBILITIES

Daniel is an expert in environmental and water management. After managing water programs and data analysis for entities like Gunn Communications and the Indiana Finance Authority, he joined 120Water to help other water professionals execute and operationalize their drinking water programs. He is passionate about land conservation and strives to accomplish 120Water’s mission of protecting public health.

As a Client Support Director Daniel oversees logistics, public outreach campaign fulfillment, technical support, and resident support. He works proactively to ensure the client understands program status, and is taking the necessary steps to move through the process and achieve the customer’s goals. Through Daniel’s experience from IFA and managing hundreds of programs at 120Water, he offers tips, tricks and best practices to ensure the program meets goals and compliance.

RELEVANT PROGRAM EXPERIENCE

Asheville, NC Comprehensive LCRR Compliance

2020-PRESENT

The City of Asheville engaged 120Water to create and execute a comprehensive plan to prepare the utility to meet the requirements of LCRR. Daniel oversaw day to day operations, including software management, and sampling logistics.

Rowan County, NC LCR Compliance Management

2020-PRESENT

120Water provided Rowan County with a comprehensive response to their elevated lead exceedances. 120Water delivered lead-certified water filters and sample kits to all 160 Rowan County customers. The 120Water team simultaneously coordinated with North Carolina's regulatory agencies, public relation contractors, and county officials to complete Rowan County's ongoing Lead and Copper Rule monitoring period.

Denver Water Lead Service Line Replacement Program

2020-PRESENT

Denver Water engaged 120Water to manage pre and post replacement sampling, pitcher & filter distribution, and resident outreach for their wide scale lead service line replacement program. Daniel oversees the fulfillment and logistics of the program, and has been instrumental in managing/tracking data for the thousands of resident communications.

Pittsburgh Water and Sewer Authority Lead & Copper Rule Compliance Program

2018-PRESENT

PWSA has been using 120Water to manage lead and copper rule compliance, and to handle data management, sampling, and pitcher filter logistics for their lead service line replacement program. Daniel has been leading the technical software delivery, and resident support for sampling and pitcher/filter distribution.

Marcus Hagberg Senior Program Consultant, State Program Practice Lead ㅡ

EDUCATION

School of Oriental & African Studies (SOAS), University of London Master of Economics

Butler University Bachelor of Political Science

ROLE AND RESPONSIBILITIES

Marcus is a project management and operations leader who has spent his career managing multi-faceted, fast-moving projects and operationalizing scalable programs for government, education, and nonprofits.

As a program consultant, Marcus oversees program progress, ensures program milestones are on time and on budget, and is the main point of contact for the decision makers throughout the length of the contract. Marcus serves as the client’s advocate ensuring they are getting the most of the partnership, leveraging all available program resources, and achieving their desired goals. He is heavily involved in the planning and strategy deliverables. In his position as Practice Lead for State Programs, Marcus specializes in funding policy and education, and large scale program strategy and design.

ㅡ

CORE SKILLS

Servant Leadership Program Management Service Delivery Budget Management Funding & Grant Administration Public Administration

ㅡ

120WATER

Program Consulting 2021–Present

ㅡ

PREVIOUS EXPERIENCE

Yurgosky Consulting Project Manager 2019–2020

The Rockefeller Foundation - 100 Resilient Cities Manager, City Resilience Delivery 2015–2019

Educational Development Projects Trust Project Manager 2012-201

RELEVANT PROGRAM EXPERIENCE

120Water Program Management, 2020

● Maryland Department of the Environment, 2020-PRESENT

All Maryland schools must sample for lead at drinking fixtures every three years. The Maryland Department of the Environment ("MDE") selected 120Water to manage data for over 2,000 schools and tens of thousands of samples. In addition, 120Water provided strategic recommendations to MDE as Maryland transitioned from a 20 ppb action level to 5 ppb. Marcus coordinated a statewide campaign to help individual schools manage sampling and community communication, in addition to coordinating with MDE team members on overall program progress.

● Citizens Energy Group, Lead Service Line Inventory 2021-PRESENT One of the largest water systems in the country, CEG engaged 120Water to complete their LSLI, apply predictive modeling, and support their replacement plan, with the intent to use 120 to execute the replacement plan once approved. Marcus has overseen the program, specifically focused on building the replacement plan, and funding application to approve the replacement plan. This includes a customer outreach program for both inventory verifications, and replacement efforts.

● West Virginia Health & Human Resources, 2020 - PRESENT WVDHHR engaged 120Water to manage their statewide lead testing in childcare facilities Program. Marcus leads the team delivering the program, including statewide data management and software deployment, program planning & strategy guidance, sample plan development, sampling at all schools, community outreach, and remediation guidance.

● SUEZ, Lead & Copper Rule Revision (LCRR) Compliance Assessments, 2021-PRESENT Analyzing data, processes, and resources in over 30 public water systems in seven (7) states to evaluate their ability to comply with changes to EPA’s Lead & Copper Rule Revisions and state and local regulations regarding service line management, infrastructure funding and school/childcare sampling requirements. Providing recommendations on how each system can uniquely prepare to be compliant.

The Rockefeller Foundation / Global Cities Program 2015-2019

100 Resilient Cities was The Rockefeller Foundation’s largest grant program ever ($162 M).

When the program was initially scaling their technology solutions were disjointed and siloed, creating workflow bottlenecks and data inconsistencies. Marcus led a cross-functional team to design, test, and operationalize appropriate technology solutions and processes that enabled the program to scale to 100 cities in 42 countries.

Savannah Rodrigue, MPA LCRR Practice Lead and Senior Program Consultant

EDUCATION

Indiana University O’Neill School Masters of Public Affairs in Environmental Policy, Natural Resource Management & Policy Analysis

Florida State University Bachelor of Science Degree in Environment and Society & Political Science

ROLE AND RESPONSIBILITIES

Savannah Rodrigue is based in Washington, DC and serves as the 120Water LCRR Practice Lead, and a Senior Program Consultant. She exclusively works on drinking water programs, predominantly focused on Lead and Copper compliance, and lead remediation. Her background in environmental policy and data management provides her the skills necessary to guide clients, deliver project results, and provide program solutions to the problems they’re facing. Savannah is the lead remediation technician on programs in which 120Water is providing remediation guidance, has deep expertise in data management, SOP development.

RELEVANT PROGRAM EXPERIENCE

Citizens Energy Group Lead Service Line Inventory

2021-PRESENT

Citizens Energy Group is one of the largest water providers in the state of Indiana, and looked to Indiana-based 120Water to accurately develop their Lead Service Line Inventory. Savannah has supported the program by cleaning and organizing lead service line inventory data and preparing it for import into the client’s software account. She also monitors the data import process, ensuring data quality and completeness.

SUEZ

LCRR Compliance Assessment

2021-PRESENT

In the wake of the passage of LCRR, Suez sought to assess the Lead and Copper Rule Revisions' risk impact on their utility systems across the nation. 120Water was responsible for creating a revised Lead & Copper Assessment for all regulated systems across 8 states. Savannah developed discovery surveys, managed project progress for specific systems, developed the risk assessment framework, and created the final risk assessment reports. She is currently in the process of developing action plans, and providing strategic guidance to action the findings.

Indiana Finance Authority (IFA) Lead Sampling in Schools and Daycares

2021-PRESENT

Throughout phase 2 of the IFA’s statewide facility sampling program, Savannah has provided remediation guidance and support to Indiana schools and childcare centers. She has also used lead sampling results to protect public health by determining lead source locations and recommending effective, efficient remediation actions.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

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9/20/2022

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70306458

PEO Client: 120WaterAudit, Inc. Effective 12/01/2020

Solicitation No : BPM4287 Statewide Asbestos, Lead and Mold Consultant and Abatement Services

Arizona Department of Environmental Quality 1110 W Washington Street Phoenix AZ 85007

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70306458 | Master WITH BWOS | Pam Summers | 9/20/2022 12:03:03 PM (EDT) | Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates.

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120 Water Audit, Inc.

P.O. Box 604

Zionsville IN 46077

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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

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

Attachment 7: Organization Profile and Abatement Services

Department of Environmental Quality

Firm Name 120Water Audit, Inc. d/b/a 120Water Year established 2016

Principal address (street, city, state)

250 S Elm Street Zionsville, IN 46077

Entity type: Corporation Structure: Corporation

Branch or Division: n/a Parent: n/a

Years of experience providing goods similar in type and quantity as required by this Solicitation.

Years of experience performing services similar in size and scope as required by this Solicitation.

Years the organization has conducted business in Arizona. 1

Contract Representatives to Contact

Name Title Telephone Number E-Mail Address

1. Paul Schuler Director Enterprise Sales 317.501.3188 paul.schuler@120water.com

2. Sarah Young Chief of Staff 317.727.6980 sarah@120water.com

3.

Licenses/Certifications

Description Issuer Number Expiration

4. Certificate of Good Standing State of Arizona 23252258 7/25/2022

5.

6.

7.

8.

Capacity

Location Work Performed Number Staff

Capacity (Percentage (%) of staff available to perform the work as stated at that location)

9. Indianapolis, IN Program consulting, data engineering, associate program consulting

18 25%

Attachment 7: Organization Profile and Abatement Services

Department of Environmental Quality

10. Washington, DC Program Consulting, Policy and methodology guidance

1 15%

11. Austin, TX Program consulting 1 25%

Boston, MA Program consulting management

1 20%

Chicago, IL Program consulting, and associate program consulting

2 25%

Pittsburgh, PA Client experience 1 20%

Knoxville, TN Program consulting 1 25%

11. Arizona, multiple cities Subcontractors, with personnel contracted specifically for this program.

4 80%

Attachment 8: Proposed Subcontractors and Abatement Services

Department of Environmental Quality

NO, the Offeror will not subcontract any portion of the Work.

If you WILL subcontract any portion of the Work, check “YES” below and list name(s) of persons or companies you propose to use as subcontractors.

1. Fill in the information for every significant subcontractor – indicate the type of work the subcontractor will perform under the Contract, and their approximate percentage of the total Contract work.

2. Provide copies of relevant certifications each one possesses in the Attachment Supplements section.

3. Provide description of quality assurance methods and quality control measures that you will use to ensure that Subcontractor work meets the Contract requirements.

4. State may demand additional information about proposed subcontractors as a precondition of award.

✓ YES, the Offeror will use the Subcontractors listed below:

Name and contact information

Small Business Work to be performed %

1. Rural Water Association of Arizona Tamara De Leon-Baeza, Executive Director t.deleon@rwaaz.org 928-707-3721

No Training, landowner surveys, field visits to systems, onsite water system support, onsite resident support, and sequential sampling. All efforts will be tracked by the program consultants, and/or in the 120 platform.

~20

2.

KHAFRA Operations Isaiah “Ike” Moss, General Manager imoss@khafra.com 216-308-9662

Yes KHAFRA is a small, minority owned business that will support field visual excavation inspections and landowner surveys. Work performed will be based on how many unknown are left to validate following alternate methods.

*subject to the results of the records review, and first tier verification effort results All efforts will be tracked by the program consultants, and/or in the 120 platform.

~5%

Name select

Name select

Name select

Name select

Name select

Name select mailto:t.deleon@rwaaz.org

(C): 678.463.2596 email: williamsutilities@yahoo.com

Different project of Work include:

2000-2004

Certification and License

Alabama

· Alabama Department of Transportation- Disadvantaged Business Enterprise (DBE)

· Mobile Area Water and Sewer System- Minority Business Enterprise (MBE)

Connecticut

· Connecticut Department of Transportation- Disadvantaged Business Enterprise (DBE)

District of Columbia

· District of Columbia Department of Transportation- Disadvantaged Business Enterprise (DBE)

Georgia

· City of Atlanta- African American Business Enterprise (AABE)

· Fulton County- Minority Business Enterprise (MBE)

· Georgia Department of Administrative Services- Minority Business Enterprise (MBE)

· Georgia Department of Transportation- Disadvantaged Business Enterprise (DBE)

· Georgia Minority Supplier Development Council- Minority Business Enterprise (MBE)

· Metropolitan Atlanta Rapid Transit Authority- Minority Business Enterprise (MBE)

· Metropolitan Atlanta Rapid Transit Authority- Disadvantaged Business Enterprise (DBE)

Indiana

· Indiana Department of Transportation- Disadvantaged Business Enterprise (DBE)

Kentucky

· Kentucky Transportation Cabinet- Disadvantaged Business Enterprise (DBE)

· Kentucky Transportation Cabinet- Small Business Enterprise (SBE)

· Louisville/Jefferson County Metropolitan Sewer District- Minority Business Enterprise (MBE)

Louisiana

· Louisiana Department of Transportation- Disadvantaged Business Enterprise (DBE)

Maryland

· Baltimore County- African American Business Enterprise (AABE)

· City of Baltimore- Minority Business Enterprise (MBE)

· Howard County- Minority Business Enterprise (MBE)

· Maryland Department of Transportation- Disadvantaged Business Enterprise (DBE)

· Maryland Washington Minority Companies Association- Minority Business Enterprise (MBE)

New Jersey

· New Jersey Department of Transportation- Disadvantaged Business Enterprise (DBE)

North Carolina

· North Carolina Department of Transportation- Disadvantaged Business Enterprise (DBE)

· North Carolina Department of Transportation- Minority Business Enterprise (MBE)

Oklahoma

· Oklahoma Department of Transportation- Disadvantaged Business Enterprise (DBE)

Pennsylvania

· City of Philadelphia- Minority Business Enterprise (MBE)

· Pennsylvania Department of Transportation- Disadvantaged Business Enterprise (DBE)

South Carolina

· South Carolina Department of Transportation- Disadvantaged Business Enterprise (DBE)

Tennessee

· State of Tennessee- Minority Business Enterprise (MBE)

· Tennessee Department of Transportation- Disadvantaged Business Enterprise (DBE)

· Tennessee Governor’s Office- Minority Business Enterprise (MBE)

Texas

· Dallas Fort Worth Minority Supplier Development Council

· North Central Texas Regional Certification Agency- Disadvantaged Business Enterprise (DBE)

· Texas Department of Transportation- Disadvantaged Business Enterprise (DBE)

Virginia

· City of Richmond- Minority Business Enterprise (MBE)

· Virginia Department of Transportation- Disadvantaged Business Enterprise (DBE)

· Virginia Department of Transportation- Minority Business Enterprise (MBE)

August 23, 2018

Mr. Valentino Bates KHAFRA Operations, LLC 25 Peachtree Street. N.E Suite 1600 Atlanta, GA 30303

Dear Mr. Bates:

The Fulton County Office of Contract Compliance has reviewed your application for Minority/Female Business Enterprise (“MFBE”) recertification. Based on our evaluation of the information submitted, your firm has met the requirements for certification renewal.

Your firm’s certification will last for a period of two (2) years beginning with the effective date of this letter. You may apply for recertification as a MFBE three months prior to the certification expiration date. Failure to recertify your company within six

(6) months after certification has expired will require your company to repeat the certification process in its entirety. If at any time during your certification period there is a change in management, ownership or control of your firm, you are required to update your firm’s profile. If your firm relocates during the certification period please update your profile as well. Failure to maintain accurate information on your firm may result in removal of your firm from the Minority/Female Business Enterprise (MFBE) Directory.

If you have any questions or require further assistance, please feel free to contact our office at (404) 612-6300. We wish you continued success in your business endeavors.

Your firm is certified under the following commodity code description: .

Sincerely, Rholanda M. Stanberry

ISAIAH “IKE” MOSS

General Manager, Vice President and Principal

KHAFRA Operation Services

KEY EXPERIENCE

Top-performing executive in the utility industry for more than 40 years with a proven record of success in business development, project management, software solutions, spearheading strategic energy initiatives and innovative sales plans that generated exceptional revenue and market share gains.

Mr. Moss is a Principal, General Manager and Vice President of

KHAFRA Operation Services. He specializes in partnering with clients to analyze their needs and find appropriate solutions to benefit the end users.

Developed smart network solutions for Advance Metering

Infrastructure, Demand Response, Smart Grid Applications, Smart

Metering, Leak Detection, Software Solutions, Consumer

Engagement, Meter Data Management and Load Research

Engineering.

Facilitated project management setting of technical, functional and business requirements with key customers to design and specify the complete system needs for new system deployments, water / wastewater facility management and infrastructure solutions. Main accountabilities included managing the planning, deployment and installation of data systems (hardware and software) and water/wastewater plant operations.

Provided subject matter expertise and consulting services for Water

Research, Complex Billing, Regulatory Activities, Customer

Information Systems, Metering, Meter Data Management and Web

Portal applications.

RELEVANT EXPERIENCE

AMI/AMR Standardization for Water Utilities, Voorhees, NJ Co-

Principle Investigator, Mr. Moss served as one of the investigators commissioned by the Water Research Foundation to identify requirements and specification criteria for water utility AMR/AMI systems and to outline approaches to develop and implement standards that address water utility needs.

Recommendations provided are grounded by continuous input from many utilities with vendor feedback on a variety of issues, identifying requirements and specifications found in the broader utility industry.

The need for meeting the project objectives were underscored by the absence of an AWWA standard for mobile and network collection of meter readings and related system data and the perceived inability of the industry at large to establish criteria for meter data

CONTACT:

225 Peachtree Street, NE

Suite 1600

Atlanta, GA 30303

404-525-2120 Phone

404-525-3611 Fax

216-308-9662 Mobile imoss@khafra.com

EDUCATION:

BS Professional

Mathematics, South

Carolina State University

PROFESSIONAL AFFILIATIONS:

American Water Works Association

(AWWA)

Water Environmental Federation

(WEF)

United States Conference of

Mayors (USCM)

PROFESSIONAL EXPERIENCE:

Duke Energy Manager, Load

Research Engineering

Lodestar Corporation Vice

President, Business Development and Sales

American Management Systems, Director, Business Development

Aclara, Executive Director, Strategic New Business transmitting products that can vary in methodology and performance. Mr. Moss and the research team conducted numerous surveys and held various meetings and webinars during the course of this two year project with nearly 100 water utilities and a dozen vendors. The focus on the issues that should be standardized and added resolve to the need for interoperability are well underway to establish standards for AMI/AMR for water utilities. Other key issues for utilities relate to the robustness of the transmitters in the various environments in which they operate, the effectiveness of the data collection systems (AMR and AMI) and the quality of the data management systems.

M3 - Mobile Meter Management for Small and Medium Utilities, Atlanta GA Program Manager, Mr.

Moss designed and implemented a software platform developed and hosted by Field2Base Inc., a recognized leader in Mobile Data Capture solutions for more than 10 years. Field data is sent to an online secure database which is created and tailored to each customer’s specifications.