40019.1.pdf

FLORIDA TAX EXEMPT

NO.: 858012621681C-8

FACSIMILE: 407-688-5021

VENDOR NO.:

TO: SHIP TO:

APPROVED BY: APPROVED BY:

PURCHASING AGENT CITY MANAGER

DELIVER BY TERMS

DATE:

F.O.B. DESTINATION

UNLESS OTHERWISE INDICATED

BID OR QUOTATION

NO.

PO NUMBER:

REQUISITION NO.

ACCOUNT NO.: PROJECT NO.:

NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD

ITEM NO. DESCRIPTION QUANTITY UNIT OF

ISSUE

UNIT

COST

EXTENDED

COST

All packages and Invoices applicable to this P.O. must bear this P.O. Number. The Vendor shall comply with all specified and reference herein before and after.

Any attempts to insert language to change these terms and conditions are hereby rejected and will be resolved in favor of the City of Sanford. Standard terms and conditions hereby incorporated into this purchase order may be found at http://www.sanfordfl.gov/index.aspex?page=879

PURCHASE ORDER

SUBMIT INVOICES TO:

01/10/24 040019

CHANGE #: 1

DATE CHG: 03/31/25

13078

VEOLIA WATER TECHNOLOGIES INC

DBA: KRUGER

4001 WESTON PARKWAY

CARY, NC 27513

09/30/24 NET

SEE BELOW

* CHANGE ORDER *

1 NWRF IFAS REPAIR 12882.00 EA 1.00 12882.00

QUOTE # 01082024

1 TRIP OF 2 DAY; 3 DAYS ONSITE

SERVICES.

VEOLIA TO ASSIST ON THE MOVING BED

BIOFILM REACTOR

(MBBR) TREATMENT AND MAKING SURE

ITS PERFORMING AS

INTENDED. COST INCLUDES ALL

EXPENSES FOR TRAVEL,

PER DIEM, HOTEL & RENTAL CAR.

EMERGENCY JUSTIFICATON TO SATISFY

FDEP CONSENT

ORDER # OGC 23-0456

2 NWRF IFAS REPAIR 9000.00 EA 1.00 9000.00

QUOTE # 01082024

1 TRIP OF 2 DAY; 2 DAYS ONSITE

SERVICES.

VEOLIA CONTROLS ENGINEER FOR

PROGRAMMING

ASSISTANCE.

COST INCLUDES ALL EXPENSES

* ONE DAY ADDER ADDITIONAL $2,000

EMERGENCY JUSTIFICATON TO SATISFY

FDEP CONSENT

ORDER # OGC 23-0456

We are increasing PO #40019

INVOICE_WP@SANFORDFL.GOV

CITY OF SANFORD

1201 W SEMINOLE BLVD NWRF

SANFORD, FL 32771

FLORIDA TAX EXEMPT

NO.: 858012621681C-8

FACSIMILE: 407-688-5021

VENDOR NO.:

TO: SHIP TO:

APPROVED BY: APPROVED BY:

PURCHASING AGENT CITY MANAGER

DELIVER BY TERMS

DATE:

F.O.B. DESTINATION

UNLESS OTHERWISE INDICATED

BID OR QUOTATION

NO.

PO NUMBER:

REQUISITION NO.

ACCOUNT NO.: PROJECT NO.:

NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD

ITEM NO. DESCRIPTION QUANTITY UNIT OF

ISSUE

UNIT

COST

EXTENDED

COST

All packages and Invoices applicable to this P.O. must bear this P.O. Number. The Vendor shall comply with all specified and reference herein before and after.

Any attempts to insert language to change these terms and conditions are hereby rejected and will be resolved in favor of the City of Sanford. Standard terms and conditions hereby incorporated into this purchase order may be found at http://www.sanfordfl.gov/index.aspex?page=879

PURCHASE ORDER

SUBMIT INVOICES TO:

01/10/24 040019

CHANGE #: 1

DATE CHG: 03/31/25

13078

VEOLIA WATER TECHNOLOGIES INC

DBA: KRUGER

4001 WESTON PARKWAY

CARY, NC 27513

09/30/24 NET

SEE BELOW

* CHANGE ORDER *

SUB-TOTAL 21882.00

TOTAL 21882.00

REQ/ACCT DATE REQ. BY PROJECT AMOUNT

0000071354 01/08/24 RICHARD CASELLA 12882.00

45145275364600

0000072617 01/23/25 RICHARD CASELLA 9000.00

45145205364600

INVOICE_WP@SANFORDFL.GOV

CITY OF SANFORD

1201 W SEMINOLE BLVD NWRF

SANFORD, FL 32771

PURCHASE ORDER TERMS AND CONDITIONS

1. By accepting this Purchase Order (PO) the Vendor accepts all of the Terms and Conditions included herein. The Buyer is the City of Sanford, Florida, hereinafter referred to as the "City". The term "City" is used in a broad sense to include its employees, directors, officers, agents, volunteers, etc.

2. All information referenced is hereby incorporated into the PO. These Terms and Conditions may be varied only by written amendment signed by the parties. All modifications in performance, including but not limited to, extensions of time, renewal, or substitution are void absent dually signed amendment by the parties. Time is of the essence of the lawful performance of the duties and obligations contained in the Purchase Order. The Vendor agrees that Vendor shall diligently and expeditiously pursue Vendor's obligations.

3. Cancellation rights reserved by the City. The City may cancel this PO in whole or in part at any time for default by written notice to the Vendor. The City shall have no liability to the Vendor beyond payment of any balance owing for Material purchased hereunder and delivered to and accepted by the City prior to the Vendor's receipt of the notice of termination.

4. Terms of shipping are F.O.B. the City's delivery location unless otherwise noted within the terms of this PO. Regardless of the indicated F.O.B. point, the City does not accept title until the delivery is acknowledged by an authorized City representative.

5. Prices stated on this PO are firm, all inclusive and consistent with applicable negotiations, bid(s) and/or quotations. The City is exempt from the Florida Sales and Use Tax and will furnish the Vendor with proof of tax exemption upon request. Extra charges for any purpose will not be allowed unless explicitly indicated on the PO. This order is hereby cancelled, if pricing is omitted.

6. The Vendor warrants that any material or equipment supplied hereunder is new, unused condition and free from defects in title, workmanship, defects in design and in full compliance with the specifications defined by the City in the order. The goods or services furnished under this PO are covered by commercial warranties for such goods or services and that the rights and remedies provided therein are in addition to and do not limit those available to the City. A copy of these warranties and all applicable manufacturers warranties shall be furnished at the time of delivery.

7. The City reserves the right to conduct any inspection or investigation to verify compliance of the goods and/or services with the requirements of this purchase order and to reject any delivery not in compliance If any deficiency is not visible at the time of delivery the City reserves the right to take and/or require appropriate corrective action upon the discovery of any deficiency, non-compliance, or defect.

8. All tools or property furnished to the Vendor by the City shall remain the property of the City, be subject to removal upon the City's demand, be used only on behalf of the City, be maintained in good order, and be clearly identified as property of the City. The Vendor assumes any and all liability of whatsoever type or nature for loss or damage to such property.

9. The Vendor agrees to comply with all Federal, State of Florida, Seminole County, City laws, ordinances, regulations, authority and codes and authority having jurisdiction over the purchase.

10. To the fullest extent permitted by law, the Vendor shall indemnify, hold harmless and defend the City, its agents, servants, officers, officials and employees,or any of them, from and against any and all claims, damages, losses, and expenses including, but not limited to, attorney's fees and other legal costs such as those for paralegal, investigative, and legal support services, and the actual costs incurred for expert witness testimony, arising out of or resulting from the performance or provision of services required under this Agreement, provided that same is caused in whole or in part by the error, omission, act, failure to act, breach of contract obligation, malfeasance, officers, officials,employees, or agents.

Additionally, the Vendor accepts responsibilityfor all damages resulting in any way related to the procurement and delivery of goods or services contemplated in this purchase order. Nothing herein shall be deemed to affect the rights, privileges, and immunities of the City as set forth in Section 768.28, Florida Statutes.

11. The Vendor shall not assign this PO, any rights under this PO or any monies due or to become due hereunder nor delegate or subcontract any obligations or work hereunder without the prior written consent of the City.

12. The Vendor shall not disclose the existence of this PO without prior written consent of the City except as may be required to perform this PO.

13. All Material purchased hereunder must be packaged to ensure its security and delivery in accordance with the City's shipping and packaging specification and good commercial practice. Each package shall be labeled indicating the addressee of each package or shipment and the applicable PO number. All shipmentsshall comply with HAZMAT requirements including, but not limited to, (DOT) regulations published in 49CFR 1399, OSHA regulations 29 CFR 4999.

14. The Vendor shall perform the obligations of this PO as an independent contractor and under no circumstances shall it be considered as agent or employee of the City.

15. The Vendor ensures that its personnel shall comply with reasonable conduct guidelines and City policies and procedures.

16. After each delivery, the Vendor shall provide to the bill to address an original, proper invoice (single copy) which includes: a) Vendor's name(dba), telephone number, mailing address; b) City's P.O. Number; c) Date of invoice; d) Shipping date; e) Delivery date; f) Payment terms; g) Description of goods/services; h) quantity; i) Unit price; j) Extended price; k) Total. The City has the right to reconcile invoice with the PO and adjust payment accordingly to comply with the PO. Payment will be made only to the Vendor identified on the PO and for received and accepted goods/services. The City shall have right at any time to set-off any amounts due to the Vendor against any amounts owed to the City by the Vendor and shall in the case of Vendor default retain the right to further adjust payments as consistent with the best interests of the City.

17. Payment of invoices will be in compliance with Chapter 218, Part VII of Florida Statutes, City Ordinance No. 3029, Purchasing Policy of the City and the stipulations, terms and conditions of this PO. Any cash discount period will date from receipt of invoice, receipt of actual delivery or date of invoice, which ever is later.

18. If this PO involves the Vendor's performance on the City's premises or at any place where the City conducts operations, the Vendor shall request information from the Purchasing Manager regarding insurance coverage requirements. In circumstances where insurance is required, Vendor shall provide proofs of insurance required by the City, or City reserves the right to cancel this Purchase Order, immediately suspend performance by the Vendor atVendor's expense and prohibit access to City premises until such proofs of insurance is verified. Noncompliance with this item shall place the Vendor in default and subject to disbarment from the City's Vendor List.

19. The failure of the city to enforce any provision of this PO, exercise any right or privilege granted to the City hereunder shall not constitute or be construed as a waiver of any such provision or right and the same shall continue in force.

20. The Vendor shall notify the Purchasing Manager of any inherent hazard and applicable precautions, protective measures and provide any additional relevant information, including MSDS, related to the Material being purchased herein.

21. The City shall have the right at no additional charge to use all or portions of material found in the Vendor's applicable literature relevant to the purchase. The Vendor agrees to advise the City of any updated information relative to the foregoing literature and documentation with timely written notice.

22. A person or affiliate who has been removed from the City's Vendor List may not submit a bid or transact business with the City in excess of Category Two for a period of thirty-six (36) months from the date of being removed from the City's Vendor List.

23. In compliance with 8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act (INA)], the City will not intentionally make an award or upon discovery of a violation will unilaterally cancel this PO with any contractor who knowingly employs unauthorized alien workers.

24. This PO shall be governed by and interpreted in accordance with the laws of the State of Florida.

In any action or proceeding required to enforce or interpret the terms of this Agreement, venue shall be of the Eighteenth Judicial Circuit in and for Seminole County, Florida

Finance/Purchasing Division, Tel 407.688.5028 or 5030 (300 N Park Ave Sanford, FL 32771 Ste. 236)

Purchasing Division

Requisition Form

Department PW/ UTILITIES - PLANTS contact Person RICHARD CASELLA vendor VEOLIA WATER TECHNOLOGIES

SANFORD

FINANCE DEPARTMENT

Address 1500 GARNER RD #C RALEIGH, NC 27610

City of Sanford PO Box 1788

Sanford, FL Seminole

32772 Phone: 407-688-5030

Fax: 407-688-5021 Email:

purchasi ng@sanfordfl.gov www.sanfordfl.gov

Contact Person IToM O'SHEA

Tel 1980-201-1951 Email f OM.O'SHEA@VEOLIA.COM

Requisition# [2617

Line Item Account Code Description

PO# 40019 Date E23/2025

Quantity Unit Extended Price

1 451-4527-536-46.00 NWRF IFAS SYSTEM REPAIR $9,000.00

Delivery Instructions:

Finance Manager

IBudget Transfer ....._____________ ___, Override

IAccounts (initials)�-------------�

TOTAL

Additional Comments:

QUOTE 1072025

PENDING CC APPROVAL 2.10.25

ss 24/25-110

Internal Use Only

IAmountPald IChe<k No.

$9,000.00

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-MAIL

ADDRESS:

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

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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

3,000,000

01/01/2026

RM5GL00068-251

RM5WC00095-251 (WI, MA)

CHI-010531859-03

1,000,000

RM5WC00094-251 (FL, ME, NJ)

X

N/A

AggregateSIR: $25,000,000

Attn: Veolia.CertRequest@marsh.com | Fax: 212-948-5053

N

01/01/2025

X01/01/2025

01/01/2026

01/01/2025

A

39462

RM5CA00066-251 (AOS)

E&O

C

3,000,000

3,000,000

16045 N/A

1,000,000

X

D

X

12/11/2024

VWTI

1,000,000

01/01/2025

1,000,000

01/01/2025

RE: City of Sanford FL Aftermarket.

City of Sanford is included as additional insured (except as respects all coverage afforded by workers' compensation) where required by written contract but only for liability arising out of the operations of the named

X

01/01/2025

Sanford, FL 32771

City of Sanford

Berkley Assurance Company insured. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract.

Contd. on Acord 101

A

C

Everest Premier Insurance Company

Per Claim

10,000

01/01/2026

1,000,000 01/01/2026

C

RM5CA00065-251 (MA)

3,000,000

10120

1,000,000

CARY

1,000,000

01/01/2026

RM5WC00092-251 (AOS)

155 N. WACKER, SUITE 1200

MARSH USA, LLC.

Chicago, IL 60661

4001 Weston Parkway

Veolia Water Technologies, Inc.

Cary, NC 27513

PCAB-5026762-0125

01/01/2025

300 N. Park Ave

A

01/01/2026

01/01/2026

Everest National Insurance Company

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Chicago coverage, it will not extend any policy cancellation date and it will not negate any cancellation of the policy. Failure to provide a copy of such notice to the Certificate Holder shall impose no obligation or liability Veolia Water Technologies, Inc. or its designee will send such notice to the Certificate Holder of this Certificate. Such notice is not a right or obligation within the policies, it does not alter or amend any of any kind upon the insurer or its agents or representatives.

COIs with a lower SIR can be generated if requested by Veolia.��

Veolia Water Technologies, Inc. has agreed to provide 30 days notice of cancellation of the insurance policies referenced above and 10 days notice in the event of cancellation due to non-payment of premium.

Certificate of Liability Insurance

CN102584993

MARSH USA, LLC.�

4001 Weston Parkway� Veolia Water Technologies, Inc.�

Cary, NC 27513

040019.1 Final Audit Report 2025-04-02

Created: 2025-03-31

By: Frank Mascola (frank.mascola@sanfordfl.gov)

Status: Signed

Transaction ID: CBJCHBCAABAAcjabvpnfKjPvTOWyhnf0z1gHsYwWRn8h

"040019.1" History Document created by Frank Mascola (frank.mascola@sanfordfl.gov)

2025-03-31 - 1:14:18 PM GMT

Document emailed to MARISOL ORDONEZ (marisol.ordonez@sanfordfl.gov) for signature

2025-03-31 - 1:14:29 PM GMT

Email viewed by MARISOL ORDONEZ (marisol.ordonez@sanfordfl.gov)

2025-04-01 - 10:12:06 PM GMT

Document e-signed by MARISOL ORDONEZ (marisol.ordonez@sanfordfl.gov) Signature Date: 2025-04-01 - 10:12:35 PM GMT - Time Source: server

Document emailed to Craig Radzak (craig.radzak@sanfordfl.gov) for signature

2025-04-01 - 10:12:38 PM GMT

Email viewed by Craig Radzak (craig.radzak@sanfordfl.gov)

2025-04-02 - 11:18:45 AM GMT

Document e-signed by Craig Radzak (craig.radzak@sanfordfl.gov) Signature Date: 2025-04-02 - 11:18:55 AM GMT - Time Source: server

Agreement completed.

2025-04-02 - 11:18:55 AM GMT