Rev. 07/28/2016-8677 Addendum #1.doc

Finance Department David P. Schmiedicke, Finance Director City-County Building, Room 406 Purchasing Services 210 Martin Luther King, Jr. Boulevard Madison, Wisconsin 53703 Phone: (608) 266-4521 Fax: (608) 266-5948 finance@cityofmadison.com www.cityofmadison.com/finance/purchasing

DATE: November 7, 2017

RE: ADDENDUM #1

8677-0-2017-BP

Fleet Fuel Services

Notice to All Bidders:

The new due date and time for this RFB will be Thursday, November 30, 2017 at 9:00am CST.

Please note the following responses to the questions received:

1) Please provide two (2) invoices per month of your current contract delivered by your current vendor(s) and corresponding bill of ladings of gasoline and diesel.

A) Please see the Attachment #1.

2) We believe the LUST tax is $.002143 for diesel and unleaded gasoline, and $.001929 for unleaded gasoline w/ 10% ethanol. Can you confirm?

A) Yes, that is correct. The LUST tax should be:

Option #1 – $.00210/gallon Option #2 – $.00204/gallon Option #3 – $.00193/gallon Option #4 – $.00171/gallon Option #5 – $.00214/gallon Option #6 – $.00214/gallon Option #7 – $.00193/gallon

3) To truly get to a -20 degrees you need to blend in a #1 diesel fuel which also will vary with spot pricing. How am I to bid that section exactly?

A) To-date, we have not received #1 for these orders. There is a winter additive (jugs added proportionately to delivery) and “Performance Gold” which is a pre-blended ultra-low sulfur #2 currently received during winter months by our current vendor. #1 doesn’t come into play with the large order/tanks.

4) Do you want to be priced on OPIS Gross Contract Average for Madison? If other, please explain.

A) Yes, please base your price on the Rack Average for Madison.

5) Will all products price off the corresponding OPIS Product value (i.e. B5 prices off the OPIS B5 value)?

A) Yes, based on the OPIS Rack Average.

6) Will any products price off an OPIS value different than the product delivered?

A) No, all products will price off the OPIS Rack Average.

November 7, 2017

11/7/2017-8677 Addendum #1.doc

7) Please provide a recent invoice and/or bill of lading.

A) Please see Attachment #1.

8) What is the estimated annual volume for each delivery site by product?

A)

Delivered

Diesel Unleaded

First Street N/A 190,000

West Badger Road 312,600 128,000

Olin Transfer Station 96,000 20,500

Sycamore 257,000 68,400

9) Please indicate which tanks are above ground and which are below ground.

A) The 2 tanks at Olin are above ground. Everything else is below.

10) Are material data and spec sheets required to be sent with the bid?

A) The selected vendor will be asked to provide them.

11) Do we need to mail the original signed copy of the bid as well as email it?

A) You do not need to send in the “bid” itself. The only forms that are needed are Forms A-F.

12) Are there any renewal terms?

A) This is to be determined.

13) The bid states that you are asking for an OPIS Spot price. Are you asking for the price the be an overcost spot quote for each delivery or for the bid price to be a set markup over OPIS? If the price is to be set over the OPIS, is it over the LOW or Average?

A) A set mark-up over the Rack Average.

14) If the bid is to be priced on OPIS, the City of Madison does not have a posting for Bio Diesel. What OPIS city should the Bio diesel price be based on?

A) We are in the Chicago/Great Lakes market.

15) Have any addenda been released for this bid?

A) No, this is the first addendum.

16) When is the anticipated award date?

A) November 30 in the afternoon or December 1.

17) When will tabulations be released for this bid?

A) After the bid has been awarded.

18) Will the award be decided at a board meeting? When is the first board meeting after the opening?

November 7, 2017

11/7/2017-8677 Addendum #1.doc

A) No.

19) Would you accept an alternate Firm Fixed Price?

A) Yes, the City of Madison will accept Firm Fixed Pricing. Please see Attachment #3 with Version 2 of Form D. Vendors can bid on one option or both.

20) How much bio diesel do you anticipate using during the next year?

A) That is to be determined.

21) Could we get a copy of the records of last year’s bid?

A) Please see Attachment #2.

22) Are all of the tanks at all locations below ground tanks?

A) Please see question #9.

23) For the diesel, if someone bids a certain bio blend how are you confirming that that is the exact product being brought in?

A) The City reserves the right to inspect any fuel at any time.

24) What is the tabulation that you look at? Do you consider all of the cost of additives, splits, etc? Is that all factored in as a total?

A) All charges will be factored into the decision.

25) Do you actually plan to use b5, b10, b20 all year? I’d assume not, but if not how does one bid that properly if there is no distinction of the percentage of bio/the months being used?

A) City’s intention is to begin using B2 or B5 to manage the impact to fuel tanks and vehicles during cold weather. B10 or B20 is anticipated for use from Spring into Fall (non-alternate-side parking season) returning to B2 or B5 early/mid-November. City retains the right to alter these plans at any time for operational or cost reasons.

26) Can I get a copy of an invoice from July and February?

A) Please see Attachment #1.

Please direct any other questions to the Purchasing contact person below.

Bidders must acknowledge receipt of this addendum accordingly on RFP Form B, Receipt Forms and Submittal Checklist.

Brian Pittelli City of Madison Purchasing Services

PH: (608) 267-4969

bpittelli@cityofmadison.com

ATTACHMENT

#1

19:49:01 AxxisFax -> 6082464585 Axxis

Bill To:

Hartland Fuel Products, LLC P.O . Box 809

Onalaska, WI 54650 Phone: 800-283-4427, Fax: 608-779-6840

Website: www. hartlandfuels. com

INVOICE

Ship To:

City of Madison Fleet Svs 200 N 1st St

City of Madison 1501 W Badger 1501 w Badger Rd

Madison, WI 53704-4705

Invoice No. :

Invoice Date:

Ship Date:

Due Date:

Terms:

SOI1076485

10/27/17 10/26/17 11/05/17 Net 10 days

MM/DD/YY Time BOL# 10/26/17 10:30 210329

Product #2 ULS Clear US Oil Spill Tax Fed LUST Tax WI Diesel Tax WI Insp Fee

Madison, WI 53713-2307

Cust. EPA No.:

Customer No. :

PO Number:

Carrier:

Contract:

Quantity 6,500 6,500 6,500 6,500 6,500

502818001 17000120-00 Fleet Transportation

HFP012479

Split Fee- 2 destinations 0.5

Price 1 . 413415 0.002143 0.001000 0.309000 0 . 020000 50.00000

Amount 9,187.20

13.93 6.50

2,008.50 130.00

25.00

Sales Tax: 0.00

Total amount due for this Invoice: 11,371.13

15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur Diesel Fuel . For use in all diesel vehicle engines.

17000 JzeJ / 3DZSrl..t f \ Fleet Transportation

920 10th Avenue N.

P.O. Box 189 Onalaska, WI 54650-0189

(608) 779-6396

Petroleum Truck Operation

Delivery Report

DELIVERY REPORT NO. -------

MANIFEST NO. 7 I O '1 '1}j

. TERMINAL V'{'\{b,~. \ '::,C) ..._ v::> ' SHIPPER --\c,C- ·..._,:\__,,·~t;¥--v'-"· "--------

CONSIGNEE l · \ it , t.)=' ID"'-i~, :::i \) ~ C\JJ "S\J ~ l :e v'\ DESTINATION VY\v, s;\ , '::l ~ ,e, STATE \A)~

Truck No. \ :'1 \.il I 6 Trailer No. _ _._\ ~5~ \ ..... 1.~~....,.·-~-----

-Product Unloaded-

Premium Gas Gals. Ft. Before Ft. After

Midgrade Gas Gals. Ft. Before Ft. After

Regular Unleaded Gas Gals. Ft. Before Ft. After

Gasohol Gals. Ft. Before Ft. After

No. 1 Fuel Gals. Ft. Before Ft. After f:>soo '"1. i .ts ' " 12,.1 Gals. Ft. Before ..., Ft. After

No. 2 Fuel .... (,. . .\

Diesel Gals. Ft. Before Ft. After

Gals. Ft. Before Ft. After

TOTAL GALS. b 5 o g

Manifest Left (whr )

Driver ( At\ [\c •v Remarks: --------------------------

I l ..... , .... ,, LIGHT OIL BILL OF LADING AND/OR PRODUCT RECEIPT

NOT NEGOTIABLE

FOR CHEMICAL EMERGENCY SPILL, LEAK,FIRE EXPOSURE OR ACCIDENT CALL CHEMTREC 800-424-9300 CITGO Petroleum Corp CCN 4886

SEE EMERGENCY RESPONSE, HEALTH AND PHYSICAL HAZARDS

If or when this instrument constitutes a Bill of Lading, the property described below, in Any gasoline listed below is in This is to certify that the herein-named Except when indicated as Shipper, apparent good order, is received by the carrier shown herein, which carrier agrees to compliance with the applicable materials are property classified, Supplier assumes no liability for freight transport to the consignee and destination shown herein subject to the terms and standards for volatility in effect at described, packaged, marked and and other charges. Shipper or its conditions of the special contract between the carrier and the consignor in effect on the the time of the product transfer and labeled, and are in proper condition for designee is liable for freight and other date of the issue of this Bill of Lading. In the absence of a special contract, has been additized, except where transportation according to the charges. Destination, if shown is transportation will be subject to all the terms and conditions of the carrier's tariffs otherwise noted, in accordance applicable regulations of the designated by the Shipper.

legally on file . It is further agreed by the carrier that the transportation of this shipment will be pertormed in compliance with all applicable Rules, Regulations and Laws.

RECEIVED BY CARRIER PER DRIVER

x ARLYN GENSCH with requirements specified under Department of Transportation.

Section 211 of the Clean Air Act.

.. - }~""'l__p . .--. --~---"' _ .4..--••.

BOLNUMBER

RECEIVED AT DESTINATION

CUSTOMER

210329

SUPPLYING

TERMINAL:

CITGO Petroleum Corp EPA#: 404481799 TCN #: T39Wl3067 SPLC #: 338500

PLANT #: 1102

TERMINAL 608.838.4111

4606 Terminal Drive McFarland, WI 53558 PHONE NO.:

····································································································································-: D.O.T. HAZARDOUS MATERIAL DESCRIPTION :

i HM UN/NA Number DOT Shipping Name Hazard Class Packing Group GALLONS LOADED(GL) :

: X NA 1993 DIESEL FUEL 3 PGIII, 1 cargo tank 6500 : Total : 6500 •

CONSIGNEE: HARTLAND FUEL

(SOLD TO) PRODUCTS LLC/

UNBR - ONALASKA,

Wl54650

PO/CUST REF #:

LOAD RACK: Bay 1

LOAD START: 10/26/2017 10:05

LOAD END: 10/26/2017 10:22

Product Description

DESIGNEE: HARTLAND FUEL

(SHIP TO) PRODUCTS LLC/ UNBR -

UNBR/WI DEL, WI

CUSTOMER TYPE: UnBranded

CUSTOMER DEST: 329924

CUSTOMER CARD: 329924

CUSTOMER FEIN:

CARRIER: FLEET

TRANSPORTATION LLC

920 10TH AVE N

ONALASKA, WI 54650

SCAC: FLTQ

CARRIER FEIN: 39-1988139

TRAILER : FLTQ 1253

FINISHED PRODUCT

Gross (GL) Net (GL) API Temp.(F) OCT n3000 MV UNDYED 15ppm Sulfur #2DF 6500 6516 34 54.82 0 nictlll ........ i;,;nn 6516

1.15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur #2 Diesel Fuel. For use in all diesel vehicles and engines.

2.CITGO Petroleum Corporation is responsible for Wisconsin Fuel Tax

SUPPLIER: 9901-CITGO PETROLEUM CORP -

SHIPPER: 9903-CITGO PETROLEUM

UNBRANDED

TAX LICENSE:

DRIVER CARD: 40678

DRIVER NAME: ARLYN GENSCH

VAPOR ID:

RVP Footnotes

0 1 2

EMERGENCY RESPONSE, HEAL TH and PHYSICAL HAZARDS GASOLINE .... UN1203 (ALL GRADES) ETHANOL AND GASOLINE MIXTURE, GREATER THAN 10% ETHANOL .... UN3475 DANGER I HIGHLY FLAMMABLE, HARMFUL OR FATAL IF SWALLOWED FUEL OIL .... NA1993 KEROSENE .... UN1223 FUEL AVIATION .... UN1863 ( TURBINE ENGINE) DANGER I FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED ETHANOL .... UN1170 ( DENATURED ETHANOL) DANGER I FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED. CANNOT BE MADE NON-TOXIC

POTENTIAL HAZARDS

FIRE OR EXPLOSION· •HIGHLY FLAMMABLE: Will be easily ignited by heat, sparks or flames. •Vapors may form e,cplosive mixtures with air. •Vapors may travel to source of ignition and flash back. •Most vapors are heavier than air, they will spread along ground and collect in low or confined areas (sewers, basements, tanks). •Vapor 8>!Plosion hazard indoors, outdoors or in sewers. •Runoff to sewer may create fire or e,cplosion hazard. •Containers may e,cplode when heated. •Many liquids are lighter than water.

HEAJ.1l:t •Fire may produce irritating, corrosive and/or toxic gases. •Vapors may cause dizziness or suffocation. •Runoff from fire control or dilution water may cause pollution.

PUBLIC SAFETY (CALL EMERGENCY RESPONSE TELEPHONE NUMBER 800-424-9300)

•Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. •Keep unauthorized personnel away. •Stay upwind. •Keep out of low areas. •Ventilate closed spaces before entering.

PROTECTIVE CLOTHING· •Wear positive pressure self-contained breathing apparatus (SCBA). •Structural firefighters' protective clothing will only provide limited protection.

EVACUATION· •Large Spit! : -Consider initial downwind evaluation for at least 300 meters (1000 feet). •FIRE: If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meets (1 /2 mile) in all directions:

also, consider initial evacuation for 800 meters (1/2 mile) in all directions.

EMERGENCY RESPONSE

FIRE: CAUTION: All of these products have a very low flash point: Use of water spray when fighting lire may be inefficient. •Small Fires: •Dry chemical, CO2, water spray or regular foam . Alcohol resistant foam is required for ethanol (Denatured Alcohol) and ethanol and gasoline mixtures. •Large Fires: Water, spray, fog or foam . •Do not use straight streams. •Move containers from fire area if you can do it without risk. •Fire Involving Tank or Car/ Trailer loads: Fight fire from ma><imum distance or use unmanned hose holders or monitor nozzles. -Cool containers with flooding quantities of water until well after fire is out. •Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. •ALWAYS stay away from the ends of tanks. •For massive fire, use unmanned hose holders or monitor nozzles: ~ this is impossible, withdraw from area and let fire bum.

SPILL OR LEAK· •ELIMINATE all ignition sources (no smoking, flares , sparks or flames in immediate area). •All equipment used when handling the product must be grounded. •Do not touch or walk through spill material. •Stop leak if you can do it without risk . •Prevent entry into waterways, sewers, basements or confined areas. •A Vapor suppressing foam may be used to reduce vapors. •Absorb or cover with dry earth, sand or other non-combustible material, transfer to containers. •Use clean non-sparking tools to collect absorbed material. •Large Spltts: •Dike far ahead of liquid spill for later disposal. •Water spray may reduce vapor; but may not prevent ignition in closed spaces.

ElBSI..AU2; •Move victim to fresh air. •Call emergency medical care. •Apply artificial respiration if victim is not breathing. •Administer oxygen if breathing is difficult. •Remove and isolate contaminated cloth ing and shoes. •In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. •Wash skin with soap and water. •Keep victim wann and quiet. •Ensure that medical personnel are aware of the materialCs) involved. and take orecautions to orotect themselves.

Print Time: 10/26/201710:25 Version: 1.0.0.5 Page 1 of 1 i 10/27/17 19:4z:z4 AxxisFax -) 6082464585 Axxis

Hartland Fuel Products, LLC P . 0. Box 809

Onalaska, WI 54650 Phone: 800-283-4427, Fax: 608-779-6840

Website: www.hartlandfuels.com

INVOICE

Ship To:

City of Madison Fleet Svs 200 N 1st St

City of Madison 4602 Sycamore 4602 Sycamore Ave

Madison, WI 53704-4705 Madison, WI 53704-6461

Invoice No. :

Invoice Date:

Ship Date:

Due Date:

Terms:

SOI1076486

10/27/17 10/26/17 11/05/17 Net 10 days

MM./DD/YY Time BOL# 10/26/17 13:00 210334

Product #2 ULS Clear

Sales Tax:

US Oil Spill Tax Fed LUST Tax WI Diesel Tax WI Insp Fee

Total amount due for this Invoice:

Cust. EPA No.:

Customer No. :

PO Nwnber:

Carrier:

Contract:

Quantity 7,500 7,500 7,500 7,500 7,500

15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur Diesel Fuel.

diesel vehicle engines.

~ANNED

/()~ DL1 OA

502818001 17000120-00 Fleet Transportation

HFP012479

Price 1.413415

0. 002143 0 . 001000 0.309000 0.020000

Amount 10,600.61

16.07 7.50

2,317.50 150.00

0.00

13,091.68

For use in all

Fleet Transportation 920 1 Ott, Avenue N.

P.O. Box 189

Petroleum Truck Operation

Delivery Report Onalaska, WI 54650-0189

(608) 779-6396

DELIVERY REPORT NO. ______ _

DATE ) t) - 1 ' ..... 1 ""'\ MANIFEST NO. <. / 0 ~ "1 I TERMINAL Mu. A ',() -" VJ ' SHIPPER _t~1 ...... t~zr .......... u~------ CONSIGNEE G 1 -ry Q £ Mrid. , {J"' [ 5y ~ {,\ ;\ c.. ,-i-> DESTINATION olo o. 1,.C'"' STATE ~W~_"l.. _____ _

Truck No. _ _,/~3..........,L-J,_1~ '"1_, ___ _ Trailer No. ~ /51 2':f 3

-Product Unloaded-

Premium Gas Gals. Ft. Before Ft. After

Midgrade Gas Gals. Ft. Before Ft. After

,, Regular Unleaded Gas Gals. Ft. Before Ft. After

Gasohol Gals. Ft. Before Ft. After

No.1 Fuel Gals. Ft. Before / Ft.After

/_, .) I 3S (2 I

Gals. Ft. Before Ft. After No. 2 Fuel ........ ~ .. / Diesel

Gals. Ft. Before Ft. After

Gals. Ft. Before Ft. After

TOTAL GALS. ..., s .... ~

Manifest Left (where) J I /I

Driver ____ ~ C._.J"""-!'.....,...(bf.,.'-.-ll~_.._./"'-'---;A1,,.._,-+-·• __,/_.,..., ____________ _

Remarks: ------ ' ~1 _V_l,\;-=-s..,C"'-'; (_~_- _ [~ 1~/_/_)_..,_. _.._r _____ /

• ' t'

Received By: -------------------------

I

FOR CHEMICAL EMERGENCY SPILL, LEAK,FIRE EXPOSURE OR ACCIDENT CALL CHEMTREC 8~24-9300 CITGO Petroleum Corp CCN 4886

SEE EMERGENCY RESPONSE, HEALTH AND PHYSICAL HAZARDS

If or when this instrument constitutes a Bill of Lading, the property described below, in apparent good order, is received by the carrier shown herein, which carrier agrees to transport to the consignee and destination shown herein subject to the terms and conditions of the special contract between the carrier and the consignor in effect on the date of the issue of this Bill of Lading. In the absence of a special contract, transportation will be subject to all the terms and conditions of the carrie~s tariffs legally on file . It is further agreed by the carrier that the transportation of this shipment will be pertormed in compliance with all applicable Rules, Regulations and Laws.

RECEIVED BY CARRIER PER DRIVER

X ARLYN GENSCH

C.A .. --·,--0- -")..----··-·

Any gasoline listed below is in compliance with the applicable standards for volatility in effect at the time of the product transfer and has been additized, except where otherwise noted, in accordance with requirements specified under Section 211 of the Clean Air Act.

This is to certify that the herein-named materials are property classi fied, described, packaged, marked and labeled, and are in proper condi tion for transportation according to the applicable regulations of the Department of Transportation.

BOLNUMBER

RECEIVED AT DESTINATION

CUSTOMER

Except when indicated as Shipper, Supplier assumes no liability for freight and other charges . Shipper or its designee is liable for freight and other charges. Destination, if shown is designated by the Shipper.

210334

SUPPLYING

TERMINAL:

CITGO Petroleum Corp EPA#: 404481799 TCN #: T39Wl3067 SPLC #: 338500

PLANT#: 1102

TERMINAL 608.838.4111

4606 Terminal Drive McFarland, WI 53558 PHONE NO.:

,···································································································································-: D.0.T. HAZARDOUS MATERIAL DESCRIPTION :

\ HM UN/NA Number DOT Shipping Name Hazard Class Packing Group GALLONS LOADED(GL) :

: X NA 1993 DIESEL FUEL 3 PGIII , 1 cargo tank 7500 : Total : 7500 :

CONSIGNEE: HARTLAND FUEL

(SOLD TO) PRODUCTS LLC/

UNBR - ONALASKA,

Wl54650

PO/CUST REF#:

LOAD RACK: Bay 1

LOAD START: 10/26/2017 12:33

LOAD END: 10/26/2017 12:53

Product Description

DESIGNEE: HARTLAND FUEL

(SHIP TO) PRODUCTS LLC/ UNBR -

UNBR / WI DEL , WI

CUSTOMER TYPE: UnBranded

CUSTOMER DEST: 329924

CUSTOMER CARD: 329924

CUSTOMER FEIN:

CARRIER: FLEET

TRANSPORTATION LLC

920 10TH AVE N

ONALASKA, WI 54650

SCAC: FLTQ

CARRIER FEIN: 39-1988139

TRAILER: FLTQ 1253

FINISHED PRODUCT

Gross (GL) Net (GL) API Temp.(F) OCT

13900 MV UNDYED 15DDm Sulfur #2DF 7500 7517 34 55.36 0 -.1e•i11.,tP<::· 75(10 7517

1.15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur #2 Diesel Fuel. For use in all diesel vehicles and engines.

2.CITGO Petroleum Corporation is responsible for Wisconsin Fuel Tax

SUPPLIER: 9901-CITGO PETROLEUM CORP -

SHIPPER: 9903-CITGO PETROLEUM

UNBRANDED

TAX LICENSE:

DRIVER CARD: 40678

DRIVER NAME: ARLYN GENSCH

VAPOR ID:

RVP Footnotes

0 1 2

EMERGENCY RESPONSE, HEAL TH and PHYSICAL HAZARDS GASOLINE .... UN1203 (ALL GRADES) ETHANOL AND GASOLINE MIXTURE, GREATER THAN 10% ETHANOL .... UN3475 DANGER I HIGHLY FLAMMABLE, HARMFUL OR FATAL IF SWALLOWED FUEL OIL.. .. NA1993 KEROSENE .... UN1223 FUEL AVIATION .... UN1863 ( TURBINE ENGINE) DANGER f FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED ETHANOL .... UN1170 ( DENATURED ETHANOL) DANGER I FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED. CANNOT BE MADE NON-TOXIC

POTENTIAL HAZARDS

EIRE OR EXPLOSION: •HIGHLY FLAMMABLE: Will be easily ignited by heat, sparks or flames. •Vapors may form explosive mixtures with air. •Vapors may travel to source of ignition and flash back .. •Most vapors are heavier than air, they will spread along ground and collect in low or confined areas (sewers, basements, t&nks). •Vapor explosion hazard indoors, outdoors or in sewers. •Runoff to sewer may create fire or e>:plosion hazard. •Containers may explode when heated. •Many liquids are lighter than water.

1::lEAL.I1:l.i •Fire may produce irritating, corrosive and/or toxic gases. •Vapors may cause dizziness or suffocation. •Runoff from fire control or dilution water may cause pollution.

PUBLIC SAFETY (CALL EMERGENCY RESPONSE TELEPHONE NUMBER 800-424-9300)

•Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. •Keep unauthorized personnel away. •Stay upwind. •Keep out of low areas. •Ventilate closed spaces before entering.

PROTECTIVE CLOTHING· •Wear positive pressure sel f-<:ontained breathing apparatus (SCBA). •Structural firefighters' protective clothing will only provide limited protection.

EVACUATION: •Large Sp\fl : -Consider initial downwind evaluation for at least 300 meters (1000 feet). •FIRE: If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meets (1 /2 mile) in all directions;

also, consider initial evacuation for 800 meters (1/2 mile) in all directions.

EMERGENCY RESPONSE

FIRE: CAUTION: All of these products have a very low flash point: Use of water spray when fighting fire may be inefficient. •Small Fires: •Dry chemical , CO2, water spray or regular foam. Alcohol resistant foam is · required for ethanol (Denatured Alcohol) and ethanol and gasoline mixtures. •Large Fires: Water, spray, fog or foam. •Do not use straight streams. •Move containers from fire area if you can do it without risk.- •Fire Involving Tank or Car/ Trailer loads: Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. •Cool containers with flooding quantities of water until well after fire is out. •Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. •ALWAYS stay away from the ends of tanks. •For massive fire , use unmanned hose holders or monitor nozzles: If th is is impossible, withdraw from area and let fire bum.

SPILL OR LEAK· •ELIMINATE all ignition sources (no smoking, flares , sparks or flames in immediate area). •All equipment used when handling the product must be grounded. •Do not touch or walk through spill material. •Stop leak if you can do it without risk. •Prevent entry into waterways, sewers, basements or confined areas. •A Vapor suppressing foam may be used to reduce vapors. •Absorb or cover with dry earth, sand or other non.,:ombustible material, transfer to containers. •Use clean non-sparking tools to collect absorbed material. •Large Spfffs: •Dike far ahead of liquid spill for later disposal. •Water spray may reduce vapor. but may not prevent ignition in closed spaces.

ElB.SI...Al.12. •Move victim to fresh air. •Call emergency medical care. •Apply artificial respi ration if victim is not breathing. •Admin ister oxygen if breathing is difficult. •Remove and isolate contaminated clothing and shoes. •In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. •Wash skin with soap and water. •Keep victim warm and quiet. •Ensure that medical parsonnel are aware of the material(s) involved. and take orecautions to orotect themselves.

Print Time: 10/26/201712:55 Version: 1.0.0.5 Page 1 of 1

I 09~29/17 22:00:3£, Bill To :

AxxisFax - > 6082464585 Axxis

Hart1and Fuel Products, LLC P. 0. Box 809

Onalaska, WI 54650 Phone: 800-283-4427, Fax: 608-779-6840

Website: www.hart1andfue1s.com

INVOICE

Ship To:

City of Madison Fleet Svs 200 N 1st St

City of Madison Olin - Transfer Station Bill Durkin

Madison, WI 53704-4705

Invoice No. :

Invoice Date:

Ship Date :

Due Date:

Terms:

MM/DD/YY Time 09/27/17 6:34

SOI1061075

09/29/17 09/27/17 10/07/17 Net 10 days

BOL#

843147

Product #2 ULS Clear US Oil Spill Tax Fed LUST Tax WI Diesel Tax WI Insp Fee

121 Olin Ave Madison, WI 53703

Cust . EPA No . :

Customer No. :

PO Number:

Carr ier :

Contract:

Quantity 2,500 2,500 2,500 2,500 2,500

502818001 17000120-00 Fleet Transportation

HFP012479

Split Fee- 2 destinations 0 . 5

Price 1.413415 0.002143 0.001000 0.309000 0.020000 50 . 00000

Amount 3,533.54

5 . 36 2.50

772 . 50 50.00 25.00

Sales Tax: 0.00

Total amount due for this Invoice: 4,388.90

15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur Diesel Fuel . For use in all diesel vehicle engines .

1 ,r~'.NI}J~L~.

Shippers BOL No . Revision

843147 1 Bill of Lading

Ship Date : 09/27/2017

EMERGENCY CONTACT: CHEMTREC (CCN 8586) 1-800-424-9300 (US/CAN)

SHIPPER/OFFEROR: FHR PINE BEND, LLC CARECHEM24 (NCEC-FlintHills29003) 52-555-004-8763 (MEXICO)

RECElVED in apparent good order, exceptions noted and subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper , if applicable, otherwise to the rates , classifications and rules that have been established by the carrier and are available to the shipper upon request.

NON-RECOURSE: if this shipment is to be delivered to the consignee without recourse on Flint Hills Resources, the carrier may decline to make delivery of this shipment without payment of freight and lawful charges. Signature : FLINT HILLS RESOURCES , LP and affilia t e s .

If the cargo tank for the shipment is supplied by the Carrier , Carrier certifies that the cargo tank is a proper container for the transportation of this commodity. Carrier acknowledges that it has, or has been offered and accepted the required hazardous materials placards and emergency response information. The undersigned driver/carrier certifies compliance with a ll applicable rules of any government entity having jurisdiction over the transportation of products , including the State and federal Departments of Transportation.

Signature of Carrier UtW~ Signed 09/27/2017

Supplier : FHR PINE BEND , LLC I EPA #: 407181621 I PO# :

Origin Customer/Consignee/Sold To Destination/Ship To

MADISON FUELS TERMINAL HARTLAND FUEL PRODUCTS 45812 HARTLAND FUELS WI

FHR PINE BEND , LLC

4405 Terminal Drive P . O. Box 385

McFarland

WI 53558 Lacrosse , WI 54601 VAR WISCONSIN , WI ( 60 8) 838-3370

~erm# TCN# Carrier Driver Load Time Bay

1290 T39WI3072 5003 - FLEET TRANSPORTATION ,

Pkg I : I Proper Shipping Description

1-T/T TRAILER - #151253

X NA1993, ruEL OIL, CCMBUSTIBLE LIQUID , III

Diesel Sl5 MV No. 2-D + LUBRICITY Rl See N·otes ( 8101 8701

Product Totals

2754 Diesel S15 MV No . 2-D + LUBRICITY Rl

Comments :

Notes :

156 - GENSCH , ARLYN In 0 6: 3 4 I Out

I Temp

I

API

I Gross

Grav Gals

62 . 8 35 . 0 2500 internal

- This diesel fuel does not contain biodiesel and cannot be sold to the ultimate consumer in Minnesota for use in combustion engines , except as allowed by Minnesota Statutes sec . 239 . 77 and applicable waivers.

- 15 ppm sulfur Undyed ULSD .

06:47 3

I Net Gals

@60 F

The~e cotn1noditi e s , technology, or software were shtpped from the United States in accordance with the E,cpor t Adm i n ii. trat ion Regulationi.. Diver:jlon contrary to U.S. l aw is proh1bited.

To request a current SDS in non-emergency situations , please call 316-828-7988 Page 1 of 1 QR Revision: 09.30.2016 14:45 FHR RP BOL QRD Revision : 06.20 . 2014 16:00

I

*FOR ADDITIONAL INFORMATION, SEE PRODUCT'S SAFETY DATA SHEET*

EMERGENCY ASSISTANCE CALL

CHEMTREC(CCN 8586) 1-800-424-9300 (US/CAN)

CARECHEM24 (NCEC-FlintHills29003) 52-555-004-8763 (MEXICO)

JET FUEL, DIESEL/FUEL OIL #1/#2, ARCTIC DIESEL, DK 45, TRANSMIX, GASOLINE, GASOLINE BLENDSTOCKS, AVIATION GASOLINE, ETHANOL, DENATURANT, DILUENT

HEAL TH HAZARDS

Harmful if inhaled (Diesel/Fuel Oil #2, Jet Fuel) Causes serious eye irritation (Ethanol) Causes skin irritation (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent) May cause genetic defects (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent) May cause cancer (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent) Suspected of causing cancer (Jet Fuel, Diesel/Fuel Oil #2) Suspected of damaging fertility or the unborn child (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent) May cause respiratory irritation (Ethanol) May cause drowsiness or dizziness (all) May cause damage to organs (liver, thymus, bone marrow) through prolonged or repeated exposure (Diesel/Fuel Oil #2, Transmix, Jet Fuel) May be fatal if swallowed and enters airways (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent)

PHYSICAL HAZARDS

Extremely flammable liquid and vapor (Denaturant, Diluent, Aviation Gasoline) Highly flammable liquid and vapor (Gasoline, Ethanol) Flammable liquid and vapor (Diesel/Fuel Oil #1/#2, Jet Fuel) Static accumulating flammable liquid (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasolir:!,e Blendsto~ks, A"'.iation ~asoline, _ De~aturant, Diluent) ----·~---~

EMERGENCY RESPONSE

FIRE: Shut off source of flow, if possible. Evacuate area and fight fire from a safe distance. If leak or spill has not ignited, ventilate area and use water spray to disperse gas or vapor, cool adjacent structures, and to protect personnel attempting to stop a leak. Containers can build up pressure if exposed to heat (fire). Always stay away from tanks engulfed in flame. (all) IMMEDIATE PRECAUTIONS: Eliminate and/or shut off ignition sources and keep ignition sources out of the area. Keep unnecessary people away; isolate hazard area and deny entry. For spills in confined areas, ensure adequate ventilation. For spills outdoors, stay upwind. IF TANK, RAILCAR OR TANK TRUCK IS INVOLVED IN A FIRE, isolate for 800 meters (1/2 mile) in all directions. Evacuate area endangered by release as required. Wear appropriate personal protective equipment. (all) SPILLS OR LEAKS: Keep unnecessary people away. Isolate area for at least 50 meters (164 feet) in all directions to preserve public safety. For large spills, if downwind consider initial evacuation for at least 300 meters (1000 feet). Keep ignition sources out of area and shut off all ignition sources. Use non-sparking tools and grounded equipment for clean-up. Small Spills: Absorb spill with inert material (e.g., dry sand or earth), then place in a chemical waste container. Large Spills: Dike far ahead of liquid spill for later disposal. Use vapor suppressing foam to reduce vapors. Avoid clean up procedures that may result in water pollution. Do not touch or walk through spilled material. Stop leak when safe to do so. (all)

FIRST AID

Inhalation: Remove to fresh air. If not breathing, institute rescue breathing. If breathing is difficult, ensure airway is clear and give oxygen. If heart has stopped, immediately begin cardiopulmonary resuscitation (CPR). Keep affected person warm and at rest.

GET IMMEDIATE MEDICAL ATTENTION. (all) Skin contact: Immediately wash skin with plenty of soap and water after removing contaminated clothing and shoes. Get medical attention if irritation develops or persists. Place contaminated clothing in closed container for storage until laundered or discarded. If clothing is to be laundered, inform person performing operation of contaminant's hazardous properties. Discard contaminated leather goods. (all) Eye contact: Flush immediately with large amounts of water for at least 15 minutes. Eyelids should be held away from the eyeball to ensure thorough rinsing. GET IMMEDIATE MEDICAL ATTENTION. (all) Ingestion: Do not induce vomiting because of danger of aspirating liquid into lungs, causing serious damage and chemical pneumonitis. If spontaneous vomiting occurs, keep head below hips to prevent aspiration and monitor for breathing difficulty.

Never give anything by mouth to an unconscious person. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION. (Jet Fuel, Diesel #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent) Never give anything by mouth to an unconscious person. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION. (Ethanol)

Hevised 04.2017 PS-5493 Backer i 09/29/17 zz:BS:41 AxxisFax -> 6082464585 Axxis

Hartland Fuel Products, LLC P.O . Box 809

Onalaska, WI 54650 Phone: 800-283-4427, Fax: 608-779-6840

Website: www . hart1and£uels . com

INVOICE

Ship To:

City of Madison Fleet Svs 200 N 1st St

City of Madison 1501 w Badger 1501 w Badger Rd

Madison, WI 53704-4705

Invoice No. :

Invoice Date:

Ship Date :

Due Date:

Terms:

MM/DD/YY Time 09/27/17 6:34

SOI1061074

09/29/17 09/27/17 10/07/17 Net 10 days

BOL#

843146

Product #2 ULS Clear US Oil Spill Tax Fed LUST Tax WI Diesel Tax WI Insp Fee Split Fee-2 destinations

Madison, WI 53713-2307

Cust. EPA No.:

Customer No. :

PO Number:

Carrier :

Contract:

Quantity 5,000 5,000 5,000 5,000 5,000

0 . 5

502818001 17000120-00 Fleet Transportation

HFP012479

Price 1.413415

0. 002143 0.001000 0.309000 0.020000 50 . 00000

Amount 7,067.08

10.72 5.00

1,545.00 100.00

25 . 00

Sales Tax: 0 . 00

Total amount due for this Invoice : 8,752.80

15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur Diesel Fuel. For use in all diesel vehicle engines.

I

L

Fleet Transportation 92010th Avenue N.

P.O. Box 189 Onalaska, WI 54650-0189

(608) 779-6396

Petroleum Truck Operation

Delivery Report

DELIVERY REPORT 0. ______ _

DATE ,\ .,. L..} - \ l MANIFEST NO. 'i 5' f 'i 6 TERMINAL °\'S\IA,~ \ "'0\1\. ~ SHIPPER _ f~{~-1~R ______ _ CONSIGNEE _ (_ ,:\--+-, - ~-_f'----'-N\---'--'CA.--=~-' .....,_') -"-,i· '1\,-'---_,( __ vJ.:.._· _ , --'-(\..L.e, ~-~--1y,___ti t__,)'--- DESTINATION {\J\o_ ~· \ .,_, ri 1,o. STATE ~J~~\--~-------

Truck No. __ \_?:>_ <::\~ '")_ t,~----- Trailer No.

-Product Unloaded-

Premium Gas Gals. Ft. Before Ft. After

Midgrade Gas Gals. Ft. Before Ft. After

Regular Unleaded Gas Gals. Ft. Before Ft. After

Gasohol Gals. Ft. After

6f.( V1-No.1 Fuel > Fibfore

Ft. After ---~ Gals.

ro ou C. ( No.2 Fuel Gals. Ft. Before Ft. After

Diesel Gals. Ft. Before Ft. After

Gals. Ft. Before Ft. After

TOTAL GALS.

MonlfM;I Left (whe,e) t.4 o {' Cl-" l tl\ P' ,~\ f, /

Driver a/i. 1 -4.A'd!,I .

Remarks: --------------------------

Received By: -------------------------

..J i 1r~~u~1cL!1, Shippers BOL No . Revision

Bill of Lading 843146 1

Ship Date : 09/27/2017

EMERGENCY CONTACT: CHEMTREC (CCN 8586) 1-800-424-9300 (US/CAN)

SHIPPER/OFFEROR: FHR PINE BEND, LLC CARECHEM24 (NCEC-FlintHills29003) 52-555-004-8763 (MEXICO)

RECEIVED in apparent good order , exceptions noted and subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper , if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper upon request.

NON-RECOURSE: if this shipment is to be delivered to the consignee without recourse on flint Hills Resources , the carrier may decline to make delivery of this shipment without payment of freight and lawful charges. Signatu re : FLI NT HILLS RESOORCES , LP a nd af f i lia t e s .

If the cargo tank for the shipment is supplied by the Carrier , Carrier certifies that the cargo tank is a proper container for the transportation of this commodity. Carrier acknowledges that it has, or has been offered and accepted the required hazardous materials placards and emergency response information. The undersigned driver/carrier certifies compliance with all applicable rules of any government entity having jurisdiction over the transportation of products , including the State and Federal Departments of Transportation.

Signature of Carrier UAMJ~ Signed 09/27/2017

Supplier : FHR PINE BEND , LLC I EPA # : 407181621 I PO# :

Origin Customer/Consignee/Sold To Destination/Ship To

MADISON FUELS TERMINAL HARTLAND FUEL PRODUCTS 45810 HARTLAND FUELS WI

FHR PINE BEND , LLC

4405 Terminal Drive P.O . Box 385

McFarland

WI 53558 Lacrosse , WI 54601 VAR WISCONSIN , WI

(608) 838 - 3370

~erm# TCN# Carrier Driver Load Time Bay

1290 T39WI3072 5003 - FLEET TRANSPORTATION ,

Pltg I : I Proper Shipping Description

1-T/T TRAILER - #151253

X NA1993, roEL OIL , CO!BUSTIBLE LIQUID , III

Diesel Sl5 MV No. 2 - 0 + LUBRICITY Rl See Notes ( 8101 8701

X NA1993, roEL OIL, CO!BUSTIBLE LIQUID , III

Diesel Sl5 MV No . 2-0 + LUBRICITY Rl See Notes ( 8101 8701

Product Totals

2754 Diesel Sl5 MV No . 2 - D + LUBRICITY Rl

Comments :

Notes :

156 - GENSCH , ARLYN In 06:34 10ut

I Temp

I

API

I Gross

Grav Gals

62 . 8 35 . 0 1500

62 . 7 35 . 0 3500 internal

- Th i s diesel fuel does not contain biodiesel and cannot be sold to the ultimate consume< in Minnesota foe use in combustion engines , except as allowed by Minnesota Statutes sec. 239.77 and applicable waivecs .

- 15 ppm sulfuc Undyed ULSD.

06:47 3

I Net Gals

@60 F

These convnod i t i es , technology, or software were shipped from the Un i ted States in a ccordance with the Export Adm i n i strat i on Regulati o ns. Diversion cont r ary to U.S. l aw is prohibited.

To request a current SDS in non-emergency situations , please call 316-828-7988 Page 1 of 1 QR Revision : 09.30 . 2016 14:45 FHR RP BOL QRD Revision: 06.20.2014 16:00

*FOR ADDITIONAL INFORMATION, SEE PRODUCT'S SAFETY DATA SHEET*

EMERGENCY ASSISTANCE CALL

CHEMTREC(CCN 8586) 1-800-424-9300 (US/CAN)

CARECHEM24 (NCEC-FlintHills29003) 52-555-004-8763 (MEXICO)

JET FUEL, DIESEL/FUEL OIL #1/#2, ARCTIC DIESEL, DK 45, TRANSMIX, GASOLINE, GASOLINE BLENDSTOCKS, AVIATION GASOLINE, ETHANOL, DENATURANT, DILUENT

HEALTH HAZARDS

Harmful if inhaled (Diesel/Fuel Oil #2, Jet Fuel)

• Causes serious eye irritation (Ethanol)

• Causes skin irritation (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation

Gasoline, Denaturant, Diluent)

• May cause genetic defects (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent)

May cause cancer (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent)

• Suspected of causing cancer (Jet Fuel, Diesel/Fuel Oil #2)

• Suspected of damaging fertility or the unborn child (Transmix, Gasoline, Gasoline Blendstocks, Ethanol, Denaturant, Diluent)

• May cause respiratory irritation (Ethanol)

May cause drowsiness or dizziness (all)

• May cause damage to organs (liver, thymus, bone marrow) through prolonged or repeated exposure

(Diesel/Fuel Oil #2, Transmix, Jet Fuel) May be fatal if swallowed and enters airways (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent)

PHYSICAL HAZARDS

• Extremely flammable liquid and vapor (Denaturant, Diluent, Aviation Gasoline)

• Highly flammable liquid and vapor (Gasoline, Ethanol)

• Flammable liquid and vapor (Diesel/Fuel Oil #1/#2, Jet Fuel)

• Static accumulating flammable liquid (Jet Fuel, Diesel/Fuel Oil #1/#2, Arctic Diesel, DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent)

EMERGENCY RESPONSE

• FIRE: Shut off source of flow, if possible. Evacuate area and fight fire from a safe distance. If leak or spill has not ignited, ventilate area and use water spray to disperse gas or vapor, cool adjacent structures, and to protect personnel attempting to stop a leak. Containers can build up pressure if exposed to heat (fire). Always stay away from tanks engulfed in flame. (all) IMMEDIATE PRECAUTIONS: Eliminate and/or shut off ignition sources and keep ignition sources out of the area. Keep unnecessary people away; isolate hazard area and deny entry. For spills in confined areas, ensure adequate ventilation. For spills outdoors, stay upwind. IF TANK, RAILCAR OR TANK TRUCK IS INVOLVED IN A FIRE, isolate for 800 meters (1/2 mile) in all directions. Evacuate area endangered by release as required. Wear appropriate personal protective equipment. (all)

• SPILLS OR LEAKS: Keep unnecessary people away. Isolate area for at least 50 meters (164 feet) in all directions to preserve public safety. For large spills, if downwind consider initial evacuation for at least 300 meters (1000 feet). Keep ignition sources out of area and shut off all ignition sources. Use non-sparking tools and grounded equipment for clean-up. Small Spills: Absorb spill with inert material (e.g., dry sand or earth), then place in a chemical waste container. Large Spills: Dike far ahead of liquid spill for later disposal. Use vapor suppressing foam to reduce vapors. Avoid clean up procedures that may result in water pollution. Do not touch or walk through spilled material. Stop leak when safe to do so. (all)

FIRST AID

Inhalation: Remove to fresh air. If not breathing, institute rescue breathing. If breathing is difficult, ensure airway is clear and give oxygen·. ff heart has stopped, immediately begin cardiopulmonary resuscitation (CPR). Keep affected person warm and at rest.

GET IMMEDIATE MEDICAL ATTENTION. (all)

• Skin contact: Immediately wash skin with plenty of soap and water after removing contaminated clothing and shoes. Get medical attention if irritation develops or persists. Place contaminated clothing in closed container for storage until laundered or discarded. If clothing is to be laundered, inform person performing operation of contaminant's hazardous properties. Discard contaminated leather goods. (all) Eye contact Flush immediately with large amounts of water for at least 15 minutes. Eyelids should be held away from the eyeball to ensure thorough rinsing. GET IMMEDIATE MEDICAL ATTENTION. (all) Ingestion: Do not induce vomiting because of danger of aspirating liquid into lungs, causing serious damage and chemical pneumonitis. If spontaneous vomiting occurs, keep head below hips to prevent aspiration and monitor for breathing difficulty.

Never give anything by mouth to an uncoPrscious person. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION. (Jet Fuel, Diesel #1/#2, Arctic Diesel , DK 45, Transmix, Gasoline, Gasoline Blendstocks, Aviation Gasoline, Denaturant, Diluent) Never give anything by mouth to an unconscious person. Keep affected person warm and at rest. GET IMMEDIATE MEDICAL ATTENTION. (Ethanol) f~evised 04.2017 PS-5493 Backer

,.J /

~ 0B~17/17 20:113:31 AxxisFax -) 6082464585 Axxis

Hartland Fuel Products, LLC P. 0. Box 809

Onalaska, WI 54650 Phone: 800-283-4427, Fax: 608-779-6840

Website: www.hartlandfuels.com

INVOICE

Ship To:

City of Madison Fleet Svs 200 N 1st St

City of Madison 1501 w Badger 1501 W Badger Rd

Madison, WI 53704-4705

Invoice No. :

Invoice Date:

Ship Date:

Due Date:

Terms:

SOI1039463

08/17/17 08/16/17 08/26/17 Net 10 days

MM/DD/YY Time BOL# 08/16/17 7:58 207501

Product #2 ULS Clear US Oil Spill Tax Fed LUST Tax WI Diesel Tax WI Insp Fee Split Fee

Madison, WI 53713-2307

Cust. EPA No.:

Customer No.:

PO Number:

Carrier:

Contract:

Quantity 6,504 6,504 6,504 6,504 6,504

0.5

502818001 17000120-00 Fleet Transportation

HFP012479

Price 1.413415 0.002143 0.001000 0.309000 0.020000 50.00000

Amount 9,192.85

13.94 6.50

2,009.74 130.08 25.00

Sales Tax: 0.00

Total amount due for this Invoice: 11,378.11

15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur Diesel Fuel. For use in all

Pdge 001

. Fleet Transportation l

920 10th Avenue N.

P.O. Box 189

Petroleum Truck Operation

Delivery Report Onalaska, WI 54650-0189

(608) 779-6396

DELIVERY REPORT NO. ______ _

DATE ~ - J (;;) - J -, --~.--------- MANIFEST NO. G.0 "J :5° 0 )

TERMINAL V'\,l'\ q ~ ·, <.;,(j"' ~.J. SHIPPER --C.L.,_,\_+_,.;,/', .... ,~J------

CONSIGNEE (., '\ + , , o-< VY'\ ,..,c\ , ,., "" l W ~ o ~ ~,I v-'~

DESTINATION ·~ l,..,~ \ .., O "'"' STATE W._

Truck No. __ I _~"'----'LJ_ ~_~ _'::>_,,.....____ Trailer No. I t; 1 ·t,.. >!> -Product Unloaded-

Premium Gas Gals. Ft. Before Ft. After

Midgrade Gas Gals. Ft. Before Ft. After

Regular Unleaded Gas Gals. Ft. Before Ft. After

Gasohol Gals. Ft. Before Ft. After

No. 1 Fuel

C.. I No. 2 Fuel b Gals. (b8')':: Ft.~

'.5 O 4 b-, 'I ,1

Gals. Ft. Before Ft. After

Diesel Gals. Ft. Before Ft. After

Gals. Ft. Before Ft. After

TOTAL GALS. 6 i; 0 \.,t

Manifest Left (where) I c-.. p \. "'. 1< '{V\ ~ 1.1,-\. ~

Driver ~ C~ .,,._ j'\_,,_~ r

Remarks: l Y v...L,\-<. '> ~ \ \ l - • 'f\ \/

Received By: -------------------------

NOT NEGOTIABLE

FOR CHEMICAL EMERGENCY SPILL, LEAK,FIRE EXPOSURE OR ACCIDENT CALL CHEMTREC 8~24-9300 CITGO Petroleum Corp CCN 4886

SEE EMERGENCY RESPONSE, HEALTH AND PHYSICAL HAZARDS

If or wren th is instrument constitutes a Bill of Lading, the property described below, in apparent good order, is received by the carrier shown herein, which carrier agrees to transport to the consignee and destination shown herein subject to the terms and conditions of the special contract between the carrier and the consignor in effect on the date of the issue of this Bill of Lading. In the absence of a special contract, transportation will be subject to all the terms and conditions of the carrie~s tariffs legally on file. It is further agreed by the carrier that the transportation of th is shipment will be performed in compliance with all applicable Rules, Regulations and Laws.

Any gasoline listed below is in compliance with the applicable standards for volatility in effect at the lime of the product transfer and has been additized, except where otherwise noted, in accordance with requirements specified under Section 211 of the Clean Air Act.

This is to certify that the herein-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.

Except when indicated as Shipper, Supplier assumes no liability for freight and other charges. Shipper or its designee is liable for freight and other charges. Destination, if shown is designated by the Shipper.

RECEIVED BY CARRIER PER DRIVER

X ARLYN GEN SCH

C A .... -, __ Q __ '),-------- ..... >=:"> ..,. ....... --•~·--"' -~·L ----.

BOLNUMBER

RECEIVED AT DESTINATION

CUSTOMER

207501

SUPPLYING CITGOPetroleumCorp EPA#: 404481799 TCN#: T39Wl3067 SPLC#: 338500 TERMINAL 608.838.4111 TERMINAL: 4606 Terminal Drive McFarland, WI 53558 PLANT#: 1102 PHONE NO.: r • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • o.o:t~ H1z9AR·oous MATER1AL ·cEsc·RiPtiC)N. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • -j HM UN/NA Number DOT Shipping Name Hazard Class Packing Group GALLONS LOADED(GL) :

: X NA 1993 DIESEL FUEL 3 PGIII, 1 cargo tank 6504 ~ ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• ~~t~~~ ••••••••• ~~~1 ........ ~

CONSIGNEE: HART LAND FUEL DESIGN EE: HARTLAND FUEL CARRIER: FLEET

(SOLD TO) PRODU CTS LLC/ (SHIP TO) PRODUCTS LLC/ UNBR - TRANSPORTATION LLC

UNBR- ONALASKA, UNBR / WI DEL , WI 920 10TH AVE N

Wl546 50 CUSTOMER TYPE: UnBranded ONALASKA, WI 54650

PO/CUST REF #: CUSTOMER DEST: 329924 SCAC: FLTQ

LOAD RACK: Bay2 CUSTOMER CARD: 329924 CARRIER FEIN: 39-1988139

LOAD START: 8/16/2 017 07:31 CUSTOMER FEIN: TRAILER : FLTQ 1253

LOAD END: 8/16/2 017 07:49

FINISHED PRODUCT

Product Description API Temp.(F) t-1~3900---=M-V~U~N=D~YED 15 m Sulfur #2DF 32.1 67.04

1.15 ppm sulfur (maximum) Undyed Ultra-Low Sulfur #2 Diesel Fuel. For use in all diesel vehicles and engines.

2.CITGO Petroleum Corporation is responsible for Wisconsin Fuel Tax

OCT

SUPPLIER: 9901-CITGO PETROLEUM CORP -

SHIPPER: 9903-CITGO PETROLEUM

UNBRANDED

TAX LICENSE:

DRIVER CARD: 40678

DRIVER NAME: ARLYN GENSCH

VAPOR ID:

RVP Footnotes

0 1 2

EMERGENCY RESPONSE, HEAL TH and PHYSICAL HAZARDS GASOLINE .... UN1203 (ALL GRADES) ETHANOL AND GASOLINE MIXTURE, GREATER THAN 10% ETHANOL.. .. UN3475 DANGERI HIGHLY FLAMMABLE, HARMFUL OR FATAL IF SWALLOWED FUEL OIL.. .. NA1993 KEROSENE .... UN1223 FUEL AVIAT10N .... UN1863 ( TURBINE ENGINE) DANGER I FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED ETHANOL .... UN1170 ( DENATURED ETHANOL) DANGER I FLAMMABLE LIQUID, HARMFUL OR FATAL IF SWALLOWED. CANNOT BE MADE NON-TOXIC

POTENTIAL HAZARDS

EIRE OR EXPLOSION· •HIGHLY FLAMMABLE: W ill be easily igni ted by heat, sparks or flames. •Vapors may form explosi\19 mixtures with air. •Vapors may travel to source of ignition and flash back. •Most vapors are heavier than air, they will spread along ground and collect in low or confined areas (sewers, basements, tanks). •Vapor 0>1;:>losion hazard indoors, outdoors or in sewers. •Runoff to sewer may create fire or explosion hazard. •Containers may e>cplode when heated. •Many liquids are lighter than water.

HEA.Lil:l.;. •Fire may produce irritating, corrosive and/or toxic gases. •Vapors may cause dizziness or suffocation . •Runoff from fire control or dilution water may cause pollution.

PUBLIC SAFETY (CALL EMERGENCY RESPONSE TELEPHONE NUMBER 800-424,9300)

•Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. •Keep unauthorized personnel away. •Stay upwind. •Keep out of low areas. •Ventilate closed spaces before entering.

PROTECTIVE CLOTHING· •Wear positi\19 pressure self-contained breathing apparatus (SCBA). •Structural firefighters' protective clothing will only provide limited protection .

EVACUATION· •Large Spill : -Consider initial downwind evaluation for at least 300 meters (1000 feet). •FIRE: If tank, rail car or tank truck is invol119d in a fire, ISOLATE for 800 meets (1 /2 mile) in all directions:

also, consider initial evacuation for 800 meters (1/2 mile) in all directions.

EMERGENCY RESPONSE

E!B.E; CALmON: All of these products ha\19 a 119ry low flash point: Use of water spray when fighting fire may be inefficient. •Small Fires: •Dry chemical , CO2 , water spray or regular foam .