ITB-2025-03_Materials_Natural_Gas_Distribution_Infrastructure_Project_-_Main_Doc.pdf

Page 1 of 15 Company Name

City of Milton P.O. Box 909, MILTON, FL 32572

Phone: (850) 983-5480

M E M O R A N D U M TO: Interested Parties FROM: Michele Williams, Purchasing Officer RE: ITB 2025.03 Materials - Natural Gas Distribution Infrastructure Project DATE: February 13, 2025

Notice is hereby given by the City of Milton (City), will receive sealed bids for ITB 2025.03 Materials - Natural Gas Distribution Infrastructure Project. The documents contain the necessary information for preparing and submitting your bid for this effort.

Information is available on the City’s web page at https://MiltonFL.org/322/Purchasing. There you may also register through BidNetDirect.com/florida/city-of-milton (there is no charge to join); and/or through DemandStar.com (there is no charge to join).

All must review the Scope of Work as described in this document to ensure their ability to perform as indicated.

The deadline for submitting your sealed bid/proposal is:

Tuesday, March 18, 2025 at 2:00 p.m. (CST) Hand Delivered: 6738 Dixon Street, Milton, Florida 32570 Mailed: 6738 Dixon Street, Milton, Florida 32570

Bids will be opened on Tuesday, March 18, 2025 at 2:00 p.m. (CST), at the City of Milton Council Chamber located at 6738 Dixon Street, Milton, Florida 32570.

The Project Manager contact is Katie Hall, Florida Gas Utility, 4619 NW 53rd Ave, Gainesville, Florida, 32653, phone number: (352) 334-0779, email: katie@flgas.com.

Questions should be submitted in writing and directed to Florida Gas Utility at (352) 334- 0779; or by e-mail to katie@flgas.com by Monday, February 24, 2025, at 2:00 p.m. (CST).

Answers will be posted by Monday, March 3, 2025, at 2:00 p.m. (CST).

Interpretations, clarification of specifications, and requirements or changes to the documents which have a material effect will be documented and communicated only by written addendum posted on the City’s web page, Bidnet Direct, and DemandStar. All are responsible for checking for any addendums that may be issued, and to obtain such addendums.

Michele Williams Michele Williams, Purchasing Officer https://miltonfl.org/322/Purchasing https://www.bidnetdirect.com/florida/city-of-milton https://network.demandstar.com/ mailto:katie@flgas.com mailto:katie@flgas.com

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INSTRUCTIONS

ITB 2025.03 Materials – Natural Gas Distribution Infrastructure Project

I. Deadlines/Dates:

Invitation to Bid Published: Thursday, February 13, 2025 Questions Deadline: Monday, February 24, 2025 @ 2:00 p.m. (CST) Answers Posted by: Monday, March 3, 2025 @ 2:00 p.m. (CST) Bids Due: Tuesday, March 18, 2025 @ 2:00 p.m. (CST)

II. Contact Information:

Contact: Michele Williams, Purchasing Officer Phone: (850) 983-5480 Email: mwilliams@miltonfl.org

III. Bids Must be Complete and Include:

1. Bidder’s/Proposer’s Declaration (page 3-4)

2. Bid Form (page 7-8)

3. Public Entity Crime Form F.S. 287.133(3)(A) (page 9-10)

4. Drug-Free Workplace Form F.S. 287.087 (page 11)

5. Non-Collusion Affidavit (page 12)

6. Conflict of Interest Disclosure Form (page 13)

7. E-Verify Statement of Compliance (page 14)

8. Certificate Regarding Debarment (page 15)

IV. Copies: Please provide one (1) original, and one (1) copy of your bid/proposal.

V. Faxed or emailed submittals are not accepted.

Submittals can be delivered to: City of Milton

Purchasing Department 6738 Dixon Street Milton, FL 32570

Submittals must be sealed and marked:

To: City of Milton VENDOR Name:

SEALED BID * DO NOT OPEN

Sealed ITB# 2025.03 Title: ITB 2025.03 Materials - Natural Gas Distribution Infrastructure Project

DUE DATE/TIME: Tuesday, March 18, 2025 / 2:00 p.m. (CST) mailto:mwilliams@miltonfl.org

Pag e 3 of 15 Company Name

BIDDER’S/PROPOSER’S DECLARATION

ITB 2025.03 Materials– Natural Gas Distribution

Infrastructure Project

The bidder/proposer understands, agrees, and warrants:

1. These items apply to and become a part of the terms and conditions of the bid/proposal submitted. Any exceptions must be in writing.

2. All bids submitted shall be subject to acceptance or rejection. The City of Milton specifically reserves the right to accept or reject any or all bids, to waive any technicalities and formalities in the bid process, and to award the bid in part or in any manner deemed to be in the best interest of the City.

3. All proposals submitted shall be subject to acceptance or rejection. The City of Milton specifically reserves the right to accept or reject any or all proposals, to waive any technicalities and formalities in the proposal process, and to award the proposal in part or in any manner deemed to be in the best interest of the City.

4. The City of Milton is exempt from sales tax.

5. Contractors are responsible for any sales tax on purchases for the project.

6. The City of Milton will receive sealed bids/proposals from interested parties at its offices located at City Hall, Milton, Florida. Any submittal received after the deadline will not be considered.

7. Bids/proposals will be publicly opened and read at the City of Milton, City Hall on the day and at the hour specified.

8. The City of Milton may consider as non-responsive, any bid/proposal in which there is an alteration of, or departure from the bid/proposal form hereto attached.

9. The bid/proposal will be awarded to the lowest most responsive reliable firm complying with the conditions of the bid/proposal. The firm to whom award is made will be notified as soon as possible. The City of Milton reserves the right to reject the bid/proposal of a firm who has previously failed to perform properly or complete on time, contracts of a similar nature, or the bid/proposals of a firm who, in the sole opinion and discretion of the City of Milton is not in a position to perform the contract, or whose name appears on the United States Comptroller General’s list of ineligible contractors.

10. The City of Milton reserves the right to award to multiple vendors.

11. Interested Parties shall submit all required forms and information simultaneously with their sealed bid/proposal. Forms and information become a part of the property of the City of Milton and will not be returned to the firm unless a written request to withdraw is received prior to opening of bids/proposals.

12. For Bids-Additional Quantities: For a period not exceeding 60 days from the day of the solicitation opening, the right is reserved to purchase any number of additional items at the prices offered in this solicitation. If additional quantities are not acceptable, the bid form shall be noted “offer is for specified quantity only.”

13. For Bids/NOTE: Unless stated on the bid form, the bid submitted will assume all specifications will be met. Please note all exceptions on the bid form.

14. The successful bidder/proposer will be required to submit additional forms, which are available on the City’s website at https://MiltonFL.org/322/Purchasing at the bottom of the page.

Certificate of Non-Discrimination W-9 Taxpayer Identification Number Vendor Application Certificates for Liability, Vehicle, and Worker’s Comp Insurance.

(City and FGU are to be named as additional insured.) Limitations are listed online.

Prompt Payment Affidavit https://miltonfl.org/322/Purchasing e 4 of 15 Company Name

15. That they have carefully read and fully understand the full scope of the specifications.

16. That they have the capability to successfully undertake and complete the responsibilities and obligations in said specifications.

17. All bidders/proposers are responsible for checking for any addendums that may be issued. Addendums are posted on the City web page, Bid Net Direct, and DemandStar.

18. If required- That they have Liability Insurance, and/or Vehicle and Workers Comp

Insurance. (A declaration of insurance form must be provided before any work will begin.)

19. (Service Contracts Only) Pursuant to Florida Statute 119, the contractor must follow all public records law. IF THE CONTRACTOR HAS QUESTIONS

REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA

STATUTES, TO THE CONTRACTOR’S DUTY TO PROVIDE PUBLIC

RECORDS RELATING TO THIS CONTRACT, CONTACT THE

CUSTODIAN OF PUBLIC RECORDS AT (850)983-5402,

FOIA@MiltonFL.org OR P.O. BOX 909, MILTON, FL 32572. A contractor who fails to provide the public records to the City within a reasonable time may also be subject to penalties under Florida Statute 119.10.

20. For all Contracts - Contractors should take all necessary affirmative steps to assure that minority businesses, women’s business enterprises, and labor surplus area firms are used when possible. (Appendix II Part 200 of 2 CFR 200 (B) gov.info)

21. That this bid/proposal may be withdrawn by requesting such withdrawal in writing at any time prior to opening date, but may not be withdrawn after such date and time.

22. That by submission of this bid/proposal the firm acknowledges that the City of Milton has the right to make any inquiry or investigation it deems appropriate to substantiate or supplement information supplied by the firm.

23. If a partnership, a general partner must sign. If a corporation, the authorized corporate officer(s) must sign, and the corporate seal must be affixed to this bid/proposal.

24. Recommendations are posted on City’s web page via agendas prior to award.

25. Any protests are handled per the City’s Purchasing Policy and F.S. 120.57(3).

26. All pipes, fittings, and materials must meet ASTM standards.

Bidder

Company Name

Address, City, State, Zip

Phone Email

Contact Name Title

Representative Signature Date mailto:FOIA@MiltonFL.org https://www.govinfo.gov/app/details/CFR-2014-title2-vol1/CFR-2014-title2-vol1-part200-appII e 5 of 15 Company Name

ITB 2025.03 MATERIALS - NATURAL GAS DISTRIBUTION

INFRASTRUCTURE PROJECT

SCOPE OF WORK

WORK OBJECTIVE

Supply 28,500 feet of 2-inch DriscoPlex MDPE pipe, 7,500 feet of 4-inch DriscoPlex MDPE pipe, 10,000 feet of ¾-inch DriscoPlex MDPE pipe, and other appurtenances. The City of Milton reserves the right to purchase more or less quantity to conform to the actual need.

SPECIFICATIONS

All materials must be DriscoPlex brand and meet ASTM D3350 material grades for SDR 11 yellow PE2708 gas pipe (see Exhibit A). The majority of the MDPE pipe will be in coils; and approximately 10% will be stick pipe.

WARRANTY

All materials will be warrantied for one (1) year from the date of receipt.

DELIVERY

The delivery point (destination) shall be:

Laydown yard in the City of Milton, FL. Exact address to be provided upon notice of award.

Delivery shall be made FOB Destination with the following requirements:

• Delivery to be offloaded, in conjunction with Milton personnel and contractor

• Normal delivery hours will be between 7:30 AM and 4:30 PM, Monday through Friday

REJECTION

The City reserves the right to reject, at the vendor’s expense, any shipment which fails to meet the product packaging and/or physical requirements of this specification.

SAFETY DATA SHEET, if applicable In compliance with Occupational Safety and Health Administration (OSHA) Hazardous Communications CFR 1910.1200, any commodity delivered as a result of this bid must be accompanied by a Safety Data Sheet (SDS), and the current SDS must be provided with the bid package.

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BID FORM

Bidder to provide:

• Vendor pricing, per unit, for quantities listed above that shall include delivery

• An extended total price based on approximate quantity requested

• Number of calendar days for delivery after receipt of order (ARO)

• Orders shall include delivery with FOB destination.

Any additional information that the Bidder considers pertinent for consideration, should be referenced on the Bid Form.

BUY AMERICA PREFERENCE REQUIREMENTS

The Buy America Preference applies to all federally funded infrastructure projects unless otherwise specified. Each article, material, or supply that is consumed in, incorporated into, an integral part of, or affixed to an infrastructure project must be classified into one of the following categories and subject to its Buy America Preference requirements:

• All iron and steel used in the project are produced in the United States. This means all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States.

• All manufactured products used in the project are produced in the United States.

This means the manufactured product was manufactured in the United States, and the cost of the components of the manufactured product that are mined, produced, or manufactured in the United States is greater than 55 percent of the total cost of all components of the manufactured product, unless another standard for determining the minimum amount of domestic content of the manufactured product has been established under applicable law or regulation.

• All construction materials are manufactured in the United States. This means that all manufacturing processes for the construction material occurred in the United States.

[The balance of this page is intentionally blank]

BID FORM

The City of Milton is seeking to purchase materials only for:

2025.03 Materials - Natural Gas Distribution Infrastructure Project

The offeror agrees to furnish and deliver to the City of Milton to the place specified, the following items or services in accordance with the Scope of Work herein at the prices quoted below:

Description Quantity Unit Price Total Price

2” DriscoPlex MDPE 28,500’ $ $

4” DriscoPlex MDPE 7,500’ $ $

¾” DriscoPlex MDPE 10,000’ $ $

2” DriscoPlex Ball Valve 29 $ $

4” DriscoPlex Ball Valve 4 $ $

¾” PE End Cap 1 $ $

1 ¼” PE End Cap 1 $ $

2” PE End Cap 1 $ $

4” PE End Cap 1 $ $

¾” Steel End Cap 1 $ $

1” Steel End Cap 1 $ $

1 ¼” Steel End Cap 1 $ $

2” Steel End Cap 1 $ $

4” Steel End Cap 1 $ $

6” Steel End Cap 1 $ $

2” x ¾” PE Tapping Tee w/EFV 1 $ $

2” x 1 ¼” PE Tapping Tee w/EFV 1 $ $

4” x ¾” PE Tapping Tee w/EFV 1 $ $

2” x 2” PE Tee 1 $ $

2” x 4” PE Tee 1 $ $

4” x 4” PE Tee 1 $ $

45° PE Elbow 1 $ $

90° PE Elbow 1 $ $

2” Transition Fitting 1 $ $

4” Transition Fitting 1 $ $

2” x 4” Reducer 1 $ $

Tracer Wire 46,000’ $ $

Marker Poles 1 $ $

Caution Tape 46,000’ $ $

¾” Risers 1 $ $

#________ OF CALENDAR DAYS FOR DELIVERY AFTER RECEIPT OF ORDER (ARO),

DELIVERY MUST BE F.O.B. CITY OF MILTON, FLORIDA.

Note: Quantities will be determined when the order is placed.

ADDENDUM NO. ADDENDUM DATE

Additional Costs, Special Exceptions, Note or Comments:

Vendor____________________________________________________________________________________

Address_________________________________ City, State, Zip Code ________________________________

Email Address______________________________________Telephone________________________________

Typed Name, Title___________________________________________________________________________

Signature_______________________________________________Date_______________________________

The Bidder hereby acknowledges receipt of the following addenda:

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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(A).

FLORIDA STATUTES ON PUBLIC ENTITY CRIME

THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER

OFFICIAL AUTHORIZED TO ADMINISTER OATHS.

1. This sworn statement is submitted to

By

(print this individual’s name and title) for (print name of entity submitting statements) whose business address is and if applicable whose Federal Employer Identification Number (FEIN) is

If the entity has no FEIN, include the Social Security Number of the individual signing this sworn Statement:

2. I understand that a “public entity crime” as defined in paragraph 287.133(1)(a), Florida Statutes, mean a violation of any state or federal law by a person with respect to and directly related to the transactions of business with any public entity or with an agency or political subdivision of any other state or with the United States including, but not limited to any bid or contract for goods or services to be provided to any public entity or any agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

3. I understand that “convicted” or “convection” as defined in Paragraph 287.133(1)(b), Florida Statutes means a finding of guilt or a conviction of a public entity crime, with or without adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a Jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.

4. I understand that an “affiliate” as defined in paragraph 287.133(1)(a), Florida Statutes, means:

1. A predecessor or successor of a person convicted of public entity crime; or

2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term “affiliate” includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm’s length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate.

5. I understand that a “person” as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term “person” includes those officers, executives, partners, shareholders, employees, members, and agents who are active in management of an entity.

6. Based on information and belief, the statement which I have marked below is true in a relation to the entity submitting this sworn statement. (Please indicate which statement applies).

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Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or any affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months.

The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months. AND (Please indicate which additional statement applies).

The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months. However, there has been a subsequent proceeding before a Hearing Officers of the State of Florida, Division of Administrative Hearings and the Final Order by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attached is a copy of the final order).

I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER

FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THE PUBLIC

ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE

CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE PERIOD OF THE CONTRACT

ENTERED INTO, WHICHEVER PERIOD IS LONGER. I ALSO UNDERSTAND THAT I AM

REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN

EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA

STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED

IN THIS FORM.

(Signature)

City of

STATE OF FLORIDA

Sworn and subscribed before me this day of , 20 by who is Personally known to me

Or who produced identification - (Type of Identification)

(Signature) Notary Public—State of Florida

(Printed, typed or stamped commissioned name of notary public)

My commission expires (SEAL) e 11 of 15 Company Name

DRUG-FREE WORKPLACE (F.S. 287.087)

Preference to businesses with drug-free workplace programs.—Whenever two or more bids, proposals, or replies that are equal with respect to price, quality, and service are received by the state or by any political subdivision for the procurement of commodities or contractual services, a bid, proposal, or reply received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process.

In order to have a drug-free workplace program, a business shall:

(1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.

(2) Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

(3) Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).

(4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than 5 days after such conviction.

(5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community by, any employee who is so convicted.

(6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

Vendor Name Date:

We have a drug-free workplace program. □yes; or □no (check one)

Vendor’s Signature

P.O. Box 909 ● 6738 Dixon Street● Milton, Florida 32572 ● (850) 983-5400● Fax (850) 983-5415 ~Established 1844~ e 12 of 15 Company Name

NON-COLLUSION AFFIDAVIT

STATE OF

COUNTY OF

Owner, Partner or Officer of Firm

Company Name, Address, City and State

Being of lawful age, being first duly sworn, on oath says that he/she is the agent authorized by the bidder to submit the attached bid. Affidavit further states as proposer, that they have not been a party to any collusion among bidders in restraint of competition by agreement to bid at a fixed price or to refrain from bidding; or with any officer of the City of Milton or any of their employees as to quantity, quality or price in the prospective contract; or any discussion between bidders and any official of the City of Milton or any of their employees concerning exchange of money or other things of value for special consideration in submitting a sealed bid for:

FIRM NAME:

SIGNATURE:

TITLE:

The foregoing instrument was acknowledged before me this day of , 20 by the above signed acting on behalf of the organization/company.

He/she is personally known to me or has produced as identification and did (did not) take an oath.

Signature of Notary

SEAL

P.O. Box 909 ● 6738 Dixon Street● Milton, Florida 32572 ● (850) 983-5400● Fax (850) 983-5415 ~Established 1844~ e 13 of 15 Company Name

CONFLICT OF INTEREST DISCLOSURE FORM

For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose if any City of Milton, employee(s), elected officials(s), of if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business.

Indicate either “yes” (a City employee, elected official, or agency is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.

YES NO

NAME(S) POSITION(S)

Firm Name By (Printed):

By (Signature): Title

Address Phone No.

E-Mail:

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E-VERIFY STATEMENT OF COMPLIANCE

Contractor hereby certifies compliance with the following:

Pursuant to § 448.095(2) Florida Statutes (2020), Contractor shall register with and use the E- Verify system operated by the United States Department of Homeland Security to verify the work authorization status of all new employees hired by Contractor while performing work or providing services for the City of Milton. Contractor shall also include in any related subcontracts a requirement that subcontractors performing work or providing services for the City of Milton on its behalf register with and use the E-Verify system to verify the work authorization status of all new employees hired by the subcontractor while performing work or providing services for the City of Milton. Additionally, Contractor shall include in any related subcontracts a requirement that subcontractors performing work or providing services for the City of Milton on its behalf provide Contractor with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with any unauthorized alien as defined in 8 U.S.C. § 1324a(h)(3). Contractor shall maintain a copy of such affidavit for the duration of its contract with the City of Milton.

FIRM NAME

SIGNATURE

TITLE

P.0. Box 909 • 6738 Dixon Street • Milton, Florida 32572

Phone (850) 983-5400 • Fax (850)983-5415 Established 1844

Company Name e 15 of 15

Certification Regarding Debarment, Suspension, And Other Responsibility Matters Primary

Covered Transactions

1. The prospective primary participant certifies to the best of its knowledge and belief that it and its principals:

a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;

b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or Local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

d. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or Local) terminated for cause or default.

2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Name Project Name

Title Project Number

Firm Street Address

City, State, Zip

EXHIBIT A

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©2023 Chevron Phillips Chemical Company LP Please visit www.performancepipe.com for the most up-to-date information.

PP308 – January 2023

MODEL SPECIFICATION

DriscoPlex® MDPE and HDPE Pipe for Gas Distribution

The user may choose to adopt part or all of this Model Specification; however, the user should ensure that all parts used are appropriate for the user’s purpose.

polyethylene (MDPE) and high-density polyethylene (HDPE) pipe and fittings for underground gas distribution systems. All work shall be performed in accordance with these specifications.

1.2 Engineered and Approved Plans. Underground gas distribution piping construction shall be performed in accordance with engineered construction plans for the work prepared under the direction of a professional engineer. Plans shall conform to the standards and regulations for gas distribution piping. Pipe, fittings and the installation shall meet the applicable requirements of the U. S. Department of Transportation, Pipeline Safety Regulations, Title 49, Code of Federal Regulations, and Part 192. Private systems shall meet relevant requirements of NFPA 54/ANSI Z223.1, NFPA 58 or ASME B31.8.

1.3 Referenced Standards. Where all or part of a Federal, ASTM, ANSI, NFPA, etc., standard specification is incorporated by reference in this document, the reference standard shall be the latest edition and revision unless otherwise noted.

1.4 Licenses and Permits. A licensed and bonded contractor shall perform all underground gas distribution piping construction work. The contractor shall secure all necessary permits before commencing construction.

1.5 Inspections. All work shall be inspected by an authorized representative of the owner or operator who shall have the authority to halt construction if, in his opinion, these specifications or standard construction practices are not being followed. Whenever any portion of these specifications is violated, the project engineer or his authorized representative shall, by written notice, order further construction to cease until all deficiencies are corrected. A copy of the order shall be filed with the contractor’s license application for future review. If the deficiencies are not corrected, performance shall be required of the contractor’s surety.

facilities that are capable of producing and assuring the quality of the pipe and fittings required by these specifications. The manufacturer’s production facilities shall be open for inspection by the customer or his authorized representative. The pipe and fitting manufacturer shall be ISO certified in accordance with the current edition of ISO 9001 and a documented quality management system that defines product specifications and manufacturing and quality assurance procedures that assure conformance with customer and applicable regulatory requirements. Upon request, the manufacturer shall provide a current Certificate of Compliance form and independent ISO 9000 Registrar.

2.2 Approved Manufacturers. Manufacturers that are qualified and approved by the project engineer are listed below. Products from unapproved manufacturers are prohibited.

Performance Pipe, a division of Chevron Phillips Chemical Company LP

2/5

MODEL SPECIFICATION

DriscoPlex® MDPE and HDPE Pipe for Gas Distribution

Please visit www.performancepipe.com for the most up-to-date information.

PP308 – January 2023

2.3 Material. The pipe and fitting manufacture shall use virgin resin, 0% regrind, in the production of MDPE and HDPE pipe and fittings.

2.3.1 MDPE materials used for the manufacture of polyethylene pipe and fittings shall be PE 2708 MDPE meeting cell classification 234373E per ASTM D 3350; and shall be listed in PPI (Plastics Pipe Institute) TR-4 with standard grade HDB ratings of 1250 psi at 73°F and 800 psi at 140°F. All MDPE pipe and fittings materials shall be yellow in color.

2.3.2 HDPE materials used for the manufacture of polyethylene pipe and fittings shall be PE 4710/PE 100 meeting the cell classification of 445574C and 445576C per ASTM D3350; and shall be listed in PPI (Plastics Pipe Institute) TR-4 with standard grade HDB ratings of 1600 psi at 73°F and 1000 psi at 140°F. The material shall also be listed in the same PPI document as a PE 100 with a MRS (Minimum Required Strength) of 10 Mpa (1450 psi) at 20°C (68°F).

2.3.3 Materials with an ASTM D3350 material designation code of “E” shall be stabilized against ultraviolet deterioration and shall be suitable for unprotected outdoor storage for at least three (3) years.

2.3.3 Materials with an ASTM D3350 material designation code of “C” shall contain 2% to 3% of finely dispersed carbon black which provides a minimum of 10 years outdoor weather ability.

2.4 Polyethylene Pipe. Pipe shall be manufactured and tested in accordance with ASTM D 2513 incorporated by reference in 49 CFR Part 192.

2.4.1 Pipe should be marked with a 1-Dimension bar code and a 16-Digit alpha numeric code that identifies the manufacturer, production run number, date of manufacture, pipe type and material grade per ASTM F 2897.

2.5 Polyethylene Fittings. Polyethylene fittings shall be manufactured and tested in accordance with ASTM D 2513 incorporated by reference in 49 CFR Part 192.

2.5.1 Fittings should be marked with a 2-Dimension DataMatrix code that identifies the manufacturer, production run number, date of manufacture, fitting type and material grade per ASTM F 2897.

2.6 Manufacturer’s Material Quality Control. The pipe and fitting manufacturer shall have an established quality control program responsible for inspecting incoming and outgoing materials.

2.6.1 Incoming polyethylene materials shall be inspected for density, melt flow rate and contamination.

The supplier shall certify the cell classification properties of incoming material. Incoming materials shall be approved by quality control before processing into finished goods.

2.6.2 Outgoing materials shall be checked for diameter, wall thickness, roundness, concentricity, toe-in, inside and outside surface finish, markings and end cut. Quality control shall verify production checks and test for density, melt flow rate, hoop tensile strength and ductility. X-ray inspection procedures shall be used to inspect molded fittings for voids and knit line strength shall be tested.

All fabricated fittings shall be inspected for joint quality and alignment. Representative tests to verify long-term performance shall include pipe inside surface ductility, ambient and elevated temperature sustained pressure testing.

2.6.3 Permanent Records. The manufacturer shall maintain records of manufacturing location, pipe production and resin lots for at least 50 years.

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MODEL SPECIFICATION

DriscoPlex® MDPE and HDPE Pipe for Gas Distribution

Please visit www.performancepipe.com for the most up-to-date information.

PP308 – January 2023

2.7 Manufacturer’s Process Quality Control. The pipe and fitting manufacturer shall have machines, tools and engineering systems in place for process control.

2.7.1 Manufacturers shall have extrusion lines equipped with automatic process control capabilities which include 100% pipe wall and outside diameter monitoring.

2.8 Compliance Tests. The manufacturer shall certify the inspection and testing of the materials and products.

In case of conflict with manufacturer’s certifications, the contractor, project engineer or operator may request retesting by the manufacturer or have retests performed by an outside testing service. All retesting shall be at the requestor’s expense, and shall be performed in accordance with the specifications.

3. Joining

3.1 Heat Fusion Joining. Butt, socket and saddle fusion joints in polyethylene gas piping shall be made using procedures that have been qualified and approved by the operator in accordance with Title 49, CFR and Part 192.283.

3.1.1 In accordance with CFR. 49, part 192, Section 192.285, the operator shall ensure that all persons making heat fusion joints have been qualified to make joints in accordance with the operator’s approved qualified fusion procedures. The operator shall maintain records of qualified personnel and shall certify that qualification training was received not more than 12 months before commencing construction. The contractor shall ensure that all persons making heat fusion joints are qualified in accordance with this section.

3.1.2 The manufacturer shall offer qualified fusion procedures and training materials for the use of the operator.

3.1.3 Butt Fusion of Unlike Wall Thickness. Butt fusion shall be performed between pipe ends or pipe ends and fitting outlets that have the same outside diameter and are not different in wall thickness by more than one standard DR, for example, SDR 9 (9.3, 9.33) to SDR 11 (11.5) or SDR 11 (11.5) to SDR 13.5. Transitions between unlike wall thickness greater than one SDR shall be made with a transition nipple (a short length of the heavier wall pipe with one end machined to the lighter wall) or by mechanical means or electrofusion. Standard DR’s for polyethylene pipe are 7.3, 9, 11, 13.5, 17 and 21.

3.2 Joining by Other Means. Polyethylene gas pipe and fittings may be joined together or to other materials by transition fittings, fully restrained mechanical couplings or electrofusion. These devices shall be designed for joining polyethylene to another material and shall be approved by the operator for use in his gas distribution system. When joining by other means, the installation instructions of the joining device manufacturer shall be observed.

3.2.1 When mechanical OD compression couplings are used, polyethylene gas pipe shall be reinforced with a stiffener in the pipe bore. Stiffeners shall be properly sized for the diameter and wall thickness of polyethylene pipe being joined. For service pipe connections, the stiffener length shall match the pipe end penetration depth into the coupling.

4/5

MODEL SPECIFICATION

DriscoPlex® MDPE and HDPE Pipe for Gas Distribution

Please visit www.performancepipe.com for the most up-to-date information.

PP308 – January 2023

4. Installation

4.1 General. Polyethylene gas distribution piping shall be installed in accordance with CFR 49, Part 192, Subpart G (mains), Subpart H (service lines), applicable codes and regulations and ASTM D 2774.

4.1.1 When delivered, a receiving inspection shall be performed and any shipping damage shall be reported to the manufacturer within 7 days.

4.2 Burial Depth. All polyethylene gas distribution piping shall be installed in accordance with applicable federal, state and local codes and shall have at least 12" of cover in private property and at least 18" of cover in streets and roads.

4.3 Excavation. Trench excavations shall conform to the plans and drawings, as otherwise authorized in writing by the project engineer or his approved representative and in accordance with all applicable codes. The contractor shall remove excess groundwater. Where necessary, trench walls shall be shored or reinforced, and all necessary precautions shall be taken to ensure a safe working environment.

4.4 Foundation & Bedding. Pipe shall be laid on grade and on a stable foundation. Unstable trench bottom soils shall be removed and a 6" foundation or bedding of compacted Class I material shall be installed to pipe bottom grade. A trench cut in rock or stony soil shall be excavated to 6" below pipe bottom grade and brought back to grade with compacted Class I bedding. All ledge rock, boulders and large stones shall be removed.

4.5 Pipe Handling. Pipe shall be handled in a safe manner that avoids damage to the product. When lifting with slings, only wide fabric choker slings capable of safely carrying the load shall be used to lift, move or lower pipe and fittings. Wire rope or chain shall not be used. Slings shall be of sufficient capacity for the load and shall be inspected before use. Worn or damaged equipment shall not be used.

4.6 Backfilling. Embedment material soil type and particle size shall be in accordance with ASTM D 2774.

Embedment shall be placed and compacted to at least 90% Standard Proctor Density in 6" lifts to at least 6" above the pipe crown. During embedment placement and compaction, care shall be taken to ensure that the haunch areas below the pipe springline are completely filled and free of voids.

4.7 Protection against shear and bending loads. In accordance with ASTM D 2774, connections shall be protected where an underground polyethylene branch or service pipe is joined to a branch fitting such as a service saddle, branch saddle or tapping tee on a main pipe and where pipes enter or exit casings or walls. The area surrounding the connection shall be embedded in properly placed, compacted backfill preferably in combination with a protective sleeve or other mechanical structural support to protect the polyethylene pipe against shear and bending loads.

4.8 Final Backfilling. Final backfill shall be placed and compacted to finished grade. Native soils may be used provided the soil is free of debris, stones, boulders, clumps, frozen clods or the like larger han 8" in their largest dimension.

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MODEL SPECIFICATION

DriscoPlex® MDPE and HDPE Pipe for Gas Distribution

5. Testing

5.1 Fusion Quality. The contractor shall ensure the field set-up and operation of the fusion equipment and the fusion procedure used by the contractor’s fusion operator while on site. Upon request by the owner, the contractor shall verify field fusion quality by making and testing a trial fusion. The trial fusion shall be allowed to cool completely; then test straps shall be cut out and bent strap tested in accordance with ASTM D 2657. If the bent strap test of the trial fusion fails at the joint, the field fusions represented by the trial fusion shall be rejected. The contractor at his expense shall make all necessary corrections to equipment, set-up, operation and fusion procedure, and shall re-make the rejected fusions.

5.2 Leak Testing. Polyethylene gas distribution systems that are subject to D.O.T. Pipeline Safety Regulations shall be tested in accordance CFR 49, Part 192, Sections 192.509, 192.511 or 192.513 as applicable.

5.2.1 The contractor shall take all precautions to eliminate hazards to persons near lines being tested.

Pipes being tested shall be supervised at all times.

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PP308 – January 2023 ©2023 Chevron Phillips Chemical Company LP https://www.cpchem.com/what-we-do/solutions/performance-pipe

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