Final - RFB for 2025-2028 Sodium Hypochlorite.pdf

Audubon Commission

Request for Bid

SODIUM HYPOCHLORITE AND SULFURIC ACID: SUPPLY & DELIVERY,

EQUIPMENT INSTALLATION AND MAINTENANCE

ISSUING OFFICE:

AUDUBON COMMISSION

Audubon Nature Institute

Denise LeBlanc Assistant Director of Procurement and Risk Management

6500 Magazine Street New Orleans, LA 70118

504-212-5454 Email: dleblanc@auduboninstitute.org mailto:dleblanc@auduboninstitute.org

Subject: NOTICE OF REQUEST FOR BIDS FOR SODIUM

HYPOCHLORITE AND SULFURIC ACID: SUPPLY & DELIVERY,

EQUIPMENT INSTALLATION AND MAINTENANCE

Prospective Bidder’s:

Audubon Commission invites bids from qualified suppliers for the supply, delivery, installation on specified equipment, and maintenance to provide 12.5% Sodium Hypochlorite and Sulfuric Acid at the Audubon Zoo located at 6500 Magazine Street, New Orleans, La.

70118

Bids must be submitted at or before Tuesday, May 20, 2025, at 1:00. Bids shall be submitted in sealed envelopes marked “12.5% SODIUM HYPOCHLORITE AND SULFURIC ACID FOR THE AUDUBON ZOO”. Bidders shall supply one (1) original.

Site visits available upon request by contacting Denise Leblanc at dleblanc@auduboninstitute.org

Bids may be submitted electronically at www.bidnetdirect.com/louisiana/audubonnatureinstitute

It is the vendors’ responsibility to contact BidNet Direct well in advance of the bid opening date if the bid is submitted electronically to establish an account that will allow for secure bidding.

Bids can also be submitted to the following:

Audubon Commission Procurement and Risk Management Department Attn: Denise LeBlanc 6500 Magazine Street New Orleans, LA 70118

Bids, and amendments to bids received after the day and time specified above will be rejected by Audubon Commission as non-responsive and returned to the bidder unopened. All questions regarding this bid invitation shall be addressed in writing, seventy-two hours prior to the bid opening.

Sincerely, Denise LeBlanc Assistant Director of Procurement and Risk Management mailto:dleblanc@auduboninstitute.org http://www.bidnetdirect.com/louisiana/audubonnatureinstitute

SCOPE OF WORK / SPECIFICATIONS

Bidders shall provide bid prices on the bid form including all costs associated with supplying delivery, installation, and maintenance on specified equipment to provide 12.5% Sodium Hypochlorite (Liquid Bleach) and sulfuric acid for the Audubon Zoo located at 6500 Magazine Street, New Orleans, La. 70118.

Bidders shall provide the below rental equipment to include installation and maintenance on equipment including replacement of parts as necessary.

4 - Monitored level tanks: 300-gallon; 225-gallon with deck box (containment deck box prevents the tank from sitting in the sun) 250-gallon for Cool Zoo and a 140-gallon tank with containment for Orangutan.

3- Aquasol XPC or WTC Model Controllers with wifi monitoring to regulate water, ORP/CL and PH.

3 - Safety pressure switches (CZ1, CZ2, Elephant Wading)

3 - Orp and 3- ph probes (CZ1, CZ2, Elephant Wading)

3 - Mounting board (CZ1, CZ2, Elephant Wading)

7 - 85M Stenner pumps, 4 for chlorine, 3 for acid (CZ1, CZ2, Elephant Wading)

3 - Flow cell (CZ1, CZ2, Elephant Wading)

3 - Installation of equipment (CZ1, CZ2 Elephant Wading)

The bidder shall be required to supply annually approximately 15,000 gallons of 12.5% Sodium Hypochlorite (Liquid Bleach) and 2,700 gallons of Sulfuric Acid-35% non-fuming.

Product is to be delivered via a mini-tanker or bobcat truck to Cool Zoo Chemical Storage Location and be able to maneuver tight turns in a driveway entrance.

Availability of Contact – Supplier will ensure that it provides an emergency point of contact to address emergencies related to shipments and deliveries of the chemical and any spillage or failures in supplier provided containers.

DELIVERY

The supplier shall make deliveries before 9:00 am. Monday through Friday. If for any reason the delivery can’t be made during the above stated hour, the contractor shall notify Audubon and an alternate time may be arranged at Audubon’s discretion. No delivery can be made when an Audubon representative is not on site. The successful bidder must notify the Audubon representative of any anticipated late deliveries at least 24 hours in advance of the scheduled delivery time and date, unless delivery delays are the result of in-route transportation delays, then notification must be provided as soon as possible to inform the Audubon representative of the anticipated delivery date and time.

Persistent late deliveries may be used as a basis for contract cancellation. Any deliveries not meeting chemical quality, regulatory, safety, or delivery requirements will be returned to the successful bidder at no cost to Audubon and must be re-delivered by the bidder within 24 hours of the unacceptable delivery.

Delivery Method: Delivery should be made using FRP (Fiber Reinforced Plastic) tank truck pneumatically offloaded based on air pressure and requires no pumps or gravity. Bulk liquid shall be pumped from delivery truck to customer’s tank via air driven pump. A minimum length of a 300’ hose is required.

QUALITY CONTROL

The bidder’s chemical may be inspected and/or sampled before, during, or after any delivery and tested to confirm compliance with all the specifications. Persistent clogging, deliveries containing significate amounts of debris, and/or chemicals not meeting technical specifications will be considered deficient. If deficiencies are detected, the chemical will be rejected, and the bidder will be required to remove and replace all the chemical and clean the associated tanks and piping that are contaminated by a delivery that is determined to be deficient, at no cost to Audubon. If the bidder fails to remove and replace the deficient chemical in a timely manner after being notified of the problem by Audubon, Audubon may remove and dispose of the contaminated chemical and clean the chemical storage tank or tanks and the associated piping all at the bidder’s expense. Payment for the delivered chemical will not be made until the defects are corrected and the chemical is properly replaced and accepted. Repeating failures to comply with the specifications must constitute grounds for termination of the contract. Sodium Hypochlorite should be stored properly by manufacturing specifications and shall be of good quality.

GENERAL TERMS AND CONDITIONS

All terms used in this document are defined by the National Institute of Governmental Purchasing Dictionary of Purchasing Terms. The Audubon Commission is a Political Subdivision of the State of Louisiana subject to The Louisiana Public Bid Law, Title 38 Chapter 10. All applicable statues apply.

PAYMENT TERMS

Payment terms shall be net 20 days unless otherwise specified in this agreement. All invoices shall refer to a Purchase Order number and description of work. Audubon may elect to use an Audubon MasterCard as a form of payment. Credit cards are the preferred method of payment at the point of transaction. If the credit is not accepted, a purchase order will be issued for each transaction.

NON-APPROPRIATION AND PENALTY CLAUSE

This contract is subject to the availability of funds to purchase the specified services and can be terminated at any time if such funds become unavailable without penalty.

The continuation of this Agreement is contingent upon the appropriation of funds to fulfill the requirements of the Agreement by the legislature. If the legislature fails to appropriate sufficient monies to provide for the continuation of the Agreement, or if such appropriation is reduced by the veto of the Governor or by any means provided in the appropriations act to prevent the total appropriation for the year from exceeding revenues for that year, or for any other lawful purpose, and the effect of such reduction is to provide insufficient monies for the continuation of the Agreement, the Agreement shall terminate on the date of the beginning of the first fiscal year for which funds are not appropriated.

TERMINATION FOR DEFAULTS

When the performer has not performed or has unsatisfactorily performed the contract, Audubon Nature Institute may terminate the contract for default. Upon termination default, payment may be withheld at the discretion of the Audubon Nature Institute. Failure on the part of a proposer to fulfill the contractual obligations shall be considered just cause for termination of the contract. The proposer will be paid for work satisfactorily performed prior to termination less any excess cost incurred by the Audubon Nature Institute in re-procuring the completing the work.

TERMINATION FOR CONVENIENCE

The Audubon Commission reserves the right to terminate any resulting order or contract upon thirty days of written notice.

SUBCONTRACTING

The contract or any portion thereof shall not be subcontracted without the prior written approval of the Purchasing Director. No such approval will be construed as making the Audubon Commission a party of or to such sub-contract or subjecting the Audubon Commission to liability of any kind to any sub-contractor. No subcontract shall, under any circumstances, relieve the contractor of his liability and obligation under this contract; and despite any such subletting the Audubon Commission shall deal through the contractor. Sub-contractors will be dealt with as workmen and representatives of the contractor.

INDEMNIFY AND HOLD HARMLESS

Contractor further agrees to indemnify, defend, and hold harmless the Audubon Commission against; (1) any and all losses, claims, damages, law suits and liabilities for any personal injury, death, or property damage arising out of, or as a consequence of, any work performed pursuant to the contract; (2) any and all expenses related to claims or lawsuits resulting from the above, including court cost and attorney(s) fees; and (3) any and all penalties and damages incurred by reason of contractor’s failure to obtain any required permit or license, or comply with any applicable laws, ordinances, or regulations. Contractor shall hold the Audubon Commission harmless from any claimants supplying labor or materials to the contractor or sub-contractor in the performance of the work required under this contract. The Audubon Commission reserves the right to request the contractor to provide written certification that all liens against materials and labor have been satisfied, before the Audubon Commission will make payment.

TAX EXEMPTION

The Audubon Commission is Sales Tax Exempt. The Contractor shall be sales tax exempt when making purchases on behalf of the owner for this project. Documentation will be provided to the contractor for this purpose. Sales tax shall not be included when submitting bid cost.

INTEGRATION

These bid documents, the contractor’s response to this solicitation, and subsequent purchase order to the successful contractor contain the entire understanding between the parties and any additions or modification hereto may only be made in writing executed by both parties.

CHANGE ORDERS

All change orders shall be in writing. Any change order outside the scope of the contract limit shall be let out for public bid. Change Orders within the scope of the contract will be negotiated in the best interest of Audubon Commission.

LIABILITY

The contractor shall be liable to the Audubon Commission for any physical damage to Audubon Commission property or for the death of, or personal injury to, Audubon Commission personnel arising out of Contractor’s occupancy, maintenance, repair, replacement, installation and/or any other work performed pursuant to the contract. Contractor agrees to indemnify, defend and hold the Audubon Commission harmless from any claim or loss arising from such damage or injury.

PATENTS

Seller agrees to defend buyer at seller’s own expense, in all suits, actions, or proceedings in which buyer is made a defendant for actual or alleged infringement of any United States of America or foreign letters patent resulting from buyer’s use of goods purchased because of this solicitation. Seller further agrees to pay and discharge all judgments or decrees, which may be rendered in any such suit, action or proceedings against buyer.

Seller agrees to indemnify and hold harmless the buyer from all licenses, royalty and proprietary fees or cost, including legal costs, which may arise out of buyer’s purchase and use of goods supplied by the seller.

SUPPLIER DIVERSITY PARTICIPATION

Audubon Nature Institute continues to acknowledge the desirability of participation by business enterprises owned by members of racial and ethnic minorities, those individuals or businesses defined as economically disadvantaged, women-owned, veteran-owned, LGBT-owned, or small business registered in the State of Louisiana under the Hudson Initiative in all Audubon projects, whether they involve construction, professional services or commodities.

Such participation assists Audubon Nature Institute in its efforts to provide real economic opportunity to those in the community who in the past and now, have not had access to the capital required or to resources needed to acquire or develop ownership interests in the enterprises, firms, or corporations contracting for such projects. In support of Audubon Nature Institute’s Supplier Diversity Policy, the requirements of any contract in excess of Ten Thousand Dollars shall include a commitment to make good faith efforts to comply with the intention of the Plan which is to award contracts to diverse owned business historically underutilized. Contractors are encouraged to when practical to subcontract with diverse companies. Contractors shall provide the name and address of any diverse company who will be involved in the Contract, along with the description of work to be performed.

QUALIFICATIONS

No Contract will be awarded except to responsible bidders capable of supplying specified product. Any property or work to be provided by the bidder under this contract will remain at the bidder’s risk until written acceptance by Audubon Commission; and the bidder will replace, at the bidder’s expense, all property or work damaged or destroyed by any cause whatsoever.

DURATION AND EXTENSION

Audubon Commission, if it chooses to award this bid, will establish a contract for one year with the successful contractor. The contract, upon agreement of both parties, may be extended for two additional one-year periods. Only one year may be extended at a time.

The contract shall cover the period of June 01, 2025, through May 31, 2026, or an equivalent period depending upon the date of the contract award.

This contract may be renewed based on the same terms and conditions at the expiration of its term by agreement of the contractor and Audubon Commission. The renewal may be for up to two additional one-year periods.

Notice of intent to renew will be given to the Contractor in writing by Audubon Commission;

normally 90 days before the expiration date the current contract. This notice will not be deemed to commit Audubon Commission to renew the contract for the renewal period, until Audubon Commission takes official action to commit to such a renewal.

RETURN OF BID

One (1) entire set of the offer package shall be submitted. Bids shall be submitted on the official attached Bid Form. Failure to return the required documents may be cause for rejection of the bid.

Any bid submitted that is not on this form will be declared irregular and rejected.

Bid documents shall be submitted to Audubon Commission, Procurement & Risk Management Department, 6500 Magazine Street, New Orleans, LA 70118. Bid package should be clearly marked

“12.5% SODIUM HYPOCHLORITE (LIQUID BLEACH) AND SULFURIC ACID FOR

AUDUBON ZOO”

The submission of a BID on this service will be considered as a representation that the bidder has carefully investigated all conditions which affect or may, at some future date, affect the performance of the work as described in the attached specifications and other contract documents and that the bidder is fully informed concerning the conditions to be encountered, character quality and quantity of work to be performed and equipment and items to be furnished; also, that the bidder is familiar with all Federal , State, and local laws, all codes and ordinances of the city which in any way affect the prosecution of the work or persons engaged or employed in the work or the materials and equipment used in the work.

EFFECTIVE PERIOD OF OFFER

This bid shall remain in effect for a period of (45) calendar days from the bid opening date.

AWARD

Bids will be opened and publicly read. Bid will be awarded the lowest responsive and responsible bidder. Audubon Commission will consider quality as well as price and will award to the lowest responsible bidder to meet the specifications. Records of reliability of supply and timely delivery upon request will be an essential part in the evaluation process.

VENDOR PERFORMANCE

Prior bidder performance regarding product, service, or representation of/from the bidder may be used in evaluation of this offer. Unsatisfactory performance to Audubon Commission may be considered enough grounds for rejection of this offer. No offer will be awarded to any bidder who is in default on any contract with Audubon Commission.

BRAND NAME & OR EQUAL

If specifications preclude an otherwise qualified bidder from submitting an offer, written request for modification, must be received by the Buyer at least Seven (7) “working” days prior to the bid opening will be notified by an addendum to the solicitation of any approved changes. Brands, manufacturers, devices, specifications, materials are denoted only to set forth and convey to prospective bidders the general style, type character, and quality of the item desired. Brand name is specified to denote the quality standard of product desired and does not restrict the bidder to the specific brand, make and manufacturer, or specification named; they are only used to set forth and convey the general style, type, character, and quality of product desired. It shall be the responsibility of Audubon Commission to determine what is considered equivalent.

CONTRACT QUANTITIES

The quantities specified in this contract are estimated only for a 12-month period. They do not indicate the actual quantity which will be ordered, since such volume will depend on the actual operating conditions and demands during the contract term. Quantities shown shall not be construed to represent an amount which Audubon Commission shall be obligated to purchase under the contract or relieve the contractor of his obligation to fill all orders placed by Audubon Commission. No price adjustments will be allowed because of an increase or decrease in the quantity purchased.

BID WITHDRAWAL

A bid may be withdrawn by the bidder if done by affidavit within 48 hours of bid opening, but only for patently obvious, unintentional, and substantial mechanical, clerical, or mathematical errors.

BID CANCELLATION

Bid solicitation may be cancelled for any reason before the bid opening but only after bids are opened for just cause. Just cause includes, but is not limited, to unavailability of funds for the project or purchase, all bids come in over budget; substantial change in scope or design of project; or decision not to go forward with the project for at least 12 months.

REJECTION OF OFFERS

Audubon Commission reserves the right to reject any or all offers, or any part thereof; to accept any offer or any part thereof; or to waive any informality when it is deemed to be in Audubon Commission’s best interest.

TAX EXEMPTION

Audubon Commission is exempt from paying Louisiana sales tax and will furnish an exemption certificate upon request.

OFFEROR ERRORS OR OMMISSION

Audubon Commission is not responsible for any bidders’ errors or omissions.

ADDENDA

The Audubon Institute shall not be responsible for any oral instructions made by any employees or officers of Audubon Commission regarding the instructions, drawings, specifications, or contract documents. Any changes to the plans and specifications will be in the form of an addendum, which will be furnished to all bidders who are listed with Audubon Commission as having received the Solicitation or to any other bidders who request an addendum. Offers will be modified by issuance of an addendum by Purchasing Management.

OFFER IDENTIFICATION

Audubon Commission is not responsible for the pre-opening of, post-opening of, or the failure to open, an offer not properly addressed or identified.

OFFER MODIFICATION

Audubon Commission will not be responsible for bidders adjusting their offer based on oral instructions by any member of Audubon Commission staff or by contracted consultant or agent. Offers will be modified by issuance of an addendum by Purchasing Management.

OSHA GUIDELINES & TRANSPORTATION REGULATIONS

The vendor shall be familiar with and operate within the guidelines set forth by the Occupational Safety and Health Act. Delivery shall be made by a licensed company authorized to handle hazarder’s material. Should a chemical spill or leak result due to negligence, faulty equipment, or inferior packaging on the part of the bidder or the agents, the bidder and their agents must be responsible for cleaning the spill or leakage and for bearing any cost incurred due to spill or leakage clean-up. It must be the bidder’s responsibility to effect immediate containment, clean-up, disposal, and restoration activities in accordance with the individual facility requirements and all applicable laws and regulations. All material associated with such clean-up operations must be hauled away and lawfully disposed of at no charge to Audubon where the delivery is being made. The property of Audubon where the delivery is being made must not be used for such disposal. If the spill is not cleaned up, Audubon will hire a certified hazardous material handling company to clean up the spill, and the costs incurred, including any fines or penalties which may be imposed by regulating authorities, will be charged to the bidder. Chemicals must stay in the possession of the bidder and must not be unloaded until accepted by Audubon representative. All chemicals must be delivered in accordance with DOT regulations.

Packaging and shipment of Product and placarding of delivery truck shall conform to the current regulations of the U.S. Department of Transportation and other federal, state, and local requirements

LIABILITY

The contractor shall be liable to Audubon Commission for any physical damage to Audubon Commission property or for the death of, or personal injury to, Audubon Commission personnel arising out of Contractor’s occupancy, maintenance, repair, replacement, installation and/or any other work performed pursuant to the contract.

Contractor agrees to indemnify, defend, and hold Audubon Commission harmless from any claim or loss arising from such damage or injury.

PRICE ADJUSTMENT

The contract may be increased or decreased for each contract period. The increase/decrease shall be the same increase/decrease as the latest Producer Price Index (PPI) for 12.5% Sodium Hypochlorite Bleach (ID No. WPU067201) and Sulfuric Acid (ID No. WPU0613020TI) for the Southeast region.

If tariffs imposed by superseding governmental authorities change during the term of the contract and directly impact the cost of a product or a clearly defined component part thereof, either party may request a price adjustment if the next change in cost is attributable solely to such tariff change exceeds 5% of the total contract price. Any such adjustment shall be limited to the lesser of (i) 20% of the original contract price or (ii) one half (50%) of the net increase by the tariff. The basis date for evaluating eligibility for tariff adjustments should be the latest 5 days prior to the bid submission date, on the basis form.

Request for tariff adjustments:

1. This must be submitted in writing and includes a comprehensive cost breakdown detailing how the tariff has impacted on the total cost of the finished product.

2. Must include official importer receipts of custom documentation showing proof of tariff payment and transaction date.

3. Will only be considered if they clearly demonstrate a direct impact from the tariff on the specific goods or components being purchased under this contract.

4. Are subject to Audubon’s sole discretion and written approval are required prior to implementation of any price change.

In the event Audubon requests a tariff adjustment, the contractor shall provide all required supporting documentation, as outlined above, within 30 calendar days of the request.

No retroactive adjustment shall be allowed for tariff changes prior to the applicable basis date.

INSURANCE

1. All contractors who are to perform work at an Audubon property shall be required to carry the following insurance coverage. This includes but is not limited to construction contractors and any others who are performing services on Audubon property.

2. Audubon Commission/Audubon Nature Institute/City of New Orleans shall be listed as a certificate holder. Audubon Commission/Audubon Nature Institute shall, be notified of any termination, of these stated insurance requirements within 30 days and 10 days for non-payment of premium. Certification must include name and address of insurance company (must be authorized by an Insurance Department in Louisiana to transact business in the State of Louisiana): policy number, and liability coverage, limits, deductible (if applicable) along with special endorsements requested (ie:

Additional Insured on a Primary & Non-Contributor basis, Waiver of Subrogation and Cancellation Clause).

3. Insurance certificates shall be provided for Procurement & Risk Management prior to the start of any work, at the address given below:

Audubon Nature Institute Attn: Procurement & Risk Management 6500Magazine Street New Orleans, LA 70118

4. All contractors who are to perform work at an Audubon property shall be required to carry insurance coverage based on their tier assignment in the chart below. This includes but is not limited to construction contractors and any others who are performing services on Audubon property.

5. Additional Insured, Waiver of Subrogation and Primary and Non-Contributory endorsements required below shall all name and/or be provided in favor of Audubon Commission, Audubon Nature Institute and City of New Orleans.

6. There is an “Artist” exception to this policy. Artistic projects that require substantial construction or the use of heavy equipment should fall under a general contractor who will carry the required insurance. Artistic Services such as painting or where the artwork is being created off-property, Audubon will review the need for insurance on a case-by-case basis.

7. Contractor Insurance Training is available on the Audubon Vendor Portal.

8. The chart below should be used to determine the insurance requirements based on the type of contract.

Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Tier 6 General Contractor and all subcontractors on construction projects

Trade Contractors under direct contract with ANI for installation or major repair work

Service and maintenance contractors

Commercial non- contractor vendors

Sole proprietors, performers, caterers, artists

Sole Proprietors, events at park facilities

General Liability Limit

Each Occurrence $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $500,000

General Aggregate $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $500,000

Products/Completed Operations Aggregate $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $500,000

Personal/Advertising Liability $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $500,000

ANI as Additional Insured when required by written contract Yes Yes Yes Yes Yes Yes

ANI Additional Insured Completed Operations Yes Yes Yes No No No

Waiver of Subrogation in favor of ANI Yes Yes Yes Yes No No

Primary and Non-Contributory endorsement in favor of ANI Yes Yes Yes No No No

30-day notification of cancellation of policy to ANI Yes Yes Yes Yes No No Definition of "Insured Contract" may not be redefined such that it removed assumption of tort liability of another party

Yes Yes Yes Yes Yes Yes

Exception to Exclusion e. of the General Liability policy relative to assumption of liability shall not be altered or deleted

Yes Yes Yes Yes No No

Aggregate per location or per project endorsement

Yes Yes No No No No

Workers Compensation

Coverage for work performed in Louisiana Statutory Benefits Statutory Benefits Statutory Benefits

Statutory Benefits

Policy or Waiver Waiver

Employer's Liability

Bodily Injury By Accident $1,000,000 $1,000,000 $100,000 $100,000 Policy or Waiver

Waiver

Bodily Injury By Disease - Policy Aggregate $1,000,000 $1,000,000 $500,000 $500,000

Bodily Injury By Disease - Each Employee $1,000,000 $1,000,000 $100,000 $100,000

Waiver of Subrogation in favor of ANI Yes Yes Yes Yes No No USL&H Coverage If applicable (work on piers, wharves, docks, etc.)

If applicable (work on piers, wharves, docks, etc.)

BID FORM

The contractor certifies that they have read, understand, and will fully and faithfully comply with this solicitation, its attachments, and any referenced documents. Contractor also certifies that the prices offered were independently developed without consultation with any of the other Contractors or potential Contractors.

Bid Title: SODIUM HYPOCHLORITE AND SULFURIC ACID: SUPPLY & DELIVERY, EQUIPMENT INSTALLATION AND MAINTENANCE

Name of Authorized Bidder: _____________________________________

Authorized Signature ___________________________________________

Title ________________________________________________________

Email________________________________________________________

Company’s Legal Name_________________________________________

Printed Name & Address ________________________________________

Telephone Number ________________________

Federal Taxpayer ID Number ___________________

1. One Time fee for install of rented equipment $____________________

2. Rented Equipment (Included Maintenance) monthly cost: $________________

3. 15,000 estimated gallons of 12.5 % Sodium Hypochlorite (Liquid Bleach) Cost per gallon $__________________ Total Cost per gallon based on 15,000 gallons $_________________

4. 2,700 estimated gallons of Sulfuric Acid Cost per gallon $_________________ Total Cost per gallon based on 2,700 gallons $___________________