MF0826-51_specs.pdf

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CITY OF BEAUMONT

PURCHASING DIVISION

FORMAL BID

BID FOR:

Annual Contract for Wastewater & Water Laboratory

Services

BID NUMBER: MF0826-51

BID CLOSE: THURSDAY, SEPTEMBER 17, 2026 AT 2:00 P.M. (CT)

PRE-BID MEETING: N/A

QUESTION CUTOFF: Thursday, September 10, 2026 at 2:00 P.M. (CT)

SUBMIT BID TO: https://beaumonttexas.ionwave.net/Login.aspx

FOR BID RESULTS:

Go to the City of Beaumont’s e-bids platform at:

https://beaumonttexas.ionwave.net/Login.aspx

FORMAL BIDS are bids the City anticipates that may come in over $50,000 and will require

City Council approval for award of the contract.

INFORMAL BIDS are bids the City anticipates that may come in under $50,000 and will not require City Council approval for award of the contract.

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INVITATION TO BID

Sealed bids will be received by the City of Beaumont, Texas, until 2:00 P.M. (CT)

THURSDAY, SEPTEMBER 17, 2026 and all bids will be opened and publicly read in the City

Council Chambers on that date for:

ANNUAL CONTRACT FOR

WASTEWATER AND WATER

LABORATORY SERVICES

Questions about the Bid must be submitted by 2:00 P.M. (CT) on Thursday September 10, 2026. Answers to the questions may be provided through an Addendum.

Bidding forms, specifications, and all necessary information may be downloaded from the City’s e-bids platform at: https://beaumonttexas.ionwave.net/Login.aspx

Bids must be submitted through the City’s e-bids platform at:

https://beaumonttexas.ionwave.net/Login.aspx Vendors must register to submit a bid.

The City reserves the right to reject any or all bids, or to accept any bid or combination of bids deemed advantageous to it.

Please make reference to Bid Number: MF0826-51

Bid Closing Date: SEPTEMBER 17, 2026

Tina Broussard City Clerk

First Legal Notice Publication: AUGUST 27, 2026

Second Legal Notice Publication: SEPTEMBER 3, 2026

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1. INTENT

It is the intention of the City of Beaumont, Texas to secure a commercial analytical testing laboratory to perform all of the analytical testing described in these specifications for the

Water Utilities Department.

2. CONTRACT TERM

2.1 This contract shall be in effect for a period of one (1) year beginning on the effective date of the award.

2.2 Prices stated in the bid are to be firm for the period of the contract.

2.3 At the end of the initial term, the City may renew this contract for two (2) additional one (1) year terms at the price quoted, not to exceed a total of three (3) years.

2.4 There shall be no increase in price should an extension be granted.

2.5 Any terms and conditions stated in original specifications will apply to any extended periods.

2.6 Approval on behalf of the City to renew this contract shall be made by the City Manager or his designee.

2.7 No minimum or maximum quantities of work are guaranteed.

2.8 This contract may be canceled by either party by providing written notice at least thirty

(30) days in advance.

3. BID DUE DATE

BIDs are due no later than 2:00 P.M. (CT), THURSDAY, SEPTEMBER 17, 2026.

BIDS must be submitted through the City’s e-bids platform at:

Please note if there are any Addendums to this bid, they will be uploaded to the e-bids site and acknowledgement of all Addendums is required.

GENERAL BID INFORMATION

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4. PRE-BID MEETING

None

5. REQUIRED DOCUMENTS FOR BID:

Go to the City’s e-bids platform at: https://beaumonttexas.ionwave.net/Login.aspx

5.1 Vendor must complete all items online under the ATTRIBUTES tab:

5.1.1 Bidder’s Information,

5.1.2 Conflict of Interest Questionnaire,

5.1.3 Addendums (if any).

5.2 Vendors must complete all items online under the LINE ITEMS tab:

5.2.1 Bid Table (pricing)

5.3 Bidders must complete and upload all items listed online under the

RESPONSE ATTACHMENTS as detailed below:

5.3.1 House Bill 1295 (HB1295),

5.3.2 House Bill 89 (HB89),

5.3.3 Bid Sheet Continued,

5.3.4 Statement of City Charter,

5.3.5 Local Vendor Preference, if applicable,

5.4 All portions of this Bid requiring data or information must be filled in completely.

5.5 BID items CANNOT be altered. If Bidder needs to include additional information, it is to be provided on a separate sheet, with the number of the bid included, as well as the bidder’s company name. Bidders may upload separate sheet(s) to the e-bid site at: https://beaumonttexas.ionwave.net/Login.aspx under the Response

Attachments tab.

5.6 All required online entries and required uploaded documents MUST be submitted for bid to be considered. Failure to do so may result in bid rejection due to non-response.

5.7 Certifications, where required, shall accompany the bid submission. They may be uploaded under the Response Attachments tab.

5.8 Bids are to be submitted through online e-bids items only. Oral, telegraphic, e-mail or telephone bids or modifications will not be considered.

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5.9 Failure to comply with information requested on any of these items will result in disqualification of the bid.

6. QUESTIONS

Specific questions concerning items or procedures in this solicitation, shall be submitted on https://beaumonttexas.ionwave.net/Login.aspx. Questions will be answered through an

Addendum and posted on the IONWAVE site. Vendors who received notification of the bid opportunity will be notified of the Addendum via email.

Questions received less than seven (7) calendar days prior to the date of opening bids may not be answered. Only questions that have been resolved by formal written addenda will be binding.

Oral and other interpretations or clarifications will be without legal effect.

7. COMMUNICATIONS PERTAINING TO BID/RFP

Bidders/Proposers shall not attempt to directly contact City Council members, management, or

CITY staff other than the contact person listed within this bid/RFP document, during the pre-proposal or post-proposal period unless and until award has been made, and any resulting contract or agreement has been executed. The CITY intends to respond to all appropriate questions or concerns; however, the CITY reserves the right to decline to respond to any questions or concerns. All material modifications, clarifications or interpretations will be incorporated into an addendum which will be publicly posted. All addenda issued prior to the due date and time for responses are incorporated into the bid/RFP and must be acknowledged in the bid/proposal response. Only the written information provided shall be binding. Oral or other interpretations shall not be binding and are held without legal effect.

8. NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will be made in the form of an Addendum which will be made available online at https://beaumonttexas.gov/departments/purchasing/bid-information/ and will be faxed to the vendors on the bid announcement list.

9. All mathematical calculations will be verified. In the event of an error by bidder, City calculation shall be considered correct. In the event of discrepancies, the unit price stated by vendor shall be considered the bid price.

10. The City reserves the right to accept or reject any response or combination of responses deemed advantageous to it.

https://beaumonttexas.gov/departments/purchasing/bid-information/

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11. STATEMENT OF BILLS PAID Bidder may not be more than sixty (60) days past due on any debt to the City, including but not limited to: water bills, licenses, permits or fees, or more than ninety (90) days past due on property taxes.

12. EQUAL OPPORTUNITY EMPLOYER

The successful bidder shall warrant and agree that he/she is an Equal Opportunity Employer.

Should complaints of any form of discrimination, either in dispensation of the service, or within company hiring policies be substantiated, this contract may be terminated immediately.

13. LOCAL VENDOR PREFERENCE

The Texas Local Government Code, Sections 271.905(a) and 271.9051 allow the City to consider a vendor’s principal place of business in awarding certain contracts by way of competitive bids.

This consideration is in effect to promote economic development opportunities through the contract by employing local residents and increasing tax revenue. If you are a Beaumont vendor and wish to be considered for application of this preference, fill in the forms at the end of this package and return with your bid.

14. H.B. 1295 COMPLIANCE –

Texas Ethics Commission Certificate Number

The Awarded Vendor for the contract shall comply with the requirements of Section

2252.908 of the Texas Government Code as adopted in 2015 as House Bill 1295. The law requires that a governmental entity may not enter in certain contracts with a business entity unless the business entity submits a Disclosure of Interested Parties to the governmental entity. The law applies only to a contract that either (1) requires an action or vote by the governing body of the entity or agency before the contract may be signed or (2) has a value of at least $1 million.

Compliance with the law requires that the awarded Vendor utilize the Texas Ethics

Commission website to enter the required information on Form 1295 and print a copy of the complete form. The form must be signed, notarized and submitted to the contracting government entity.

The City of Beaumont, in the case of contracts formalized by Purchase Order or by other written contract, will notify the Vendor of Award by Council and request the completed

Form 1295 within five (5) working days thereafter.

H.B. 1295 SIGNATURE FORM provided within these specifications.

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15. H.B. 89 COMPLIANCE –

Verification –

The Awarded Vendor for the contract shall comply with the requirements of Section 252

Ch. 2252 Certification: Texas Government Code, Chapter 2252, Section 2252.152 and section 2252.153 of the Texas Government Code as adopted in 2017 as House Bill 89

(HB89).

The law requires that a governmental entity may not enter in certain contracts with a business entity unless the business entity submits an executed HB89 Compliance form to the governmental entity.

Compliance with the law requires that the awarded Vendor complete the form and submit with bid or proposal. The form must be signed, notarized and submitted to the contracting government entity.

See H.B. 89 SIGNATURE FORM within these specifications.

16. EXPERIENCE AND CAPABILITY

Bidder shall include the following information to describe the experience and capability of the company:

16.1 Kind of company, i.e., corporation, partnership or sole proprietor. If corporation, please list names and addresses of three top corporate officers. If partnership, please list names and addresses of partners.

16.2 Number of years in operation.

16.3 Gross revenues of past two (2) years.

16.4 Number of employees currently employed.

16.5 Largest dollar amount of contract currently in effect with a business.

16.6 Has your organization ever failed to complete any work awarded to it?

16.7 Provide any information concerning any judgments, disbarments, probations, claims, arbitration proceedings or suits filed as a result of work performed.

16.8 References from at least three (3) references with whom your company has completed similar type work within the last eighteen (18) months, name, address, phone number and contact person shall be stated for each reference. If possible, references should include at

Page 8 – Wastewater & Water Lab Services – MF0826-51 least one (1) contact of similar type, size and price of this contract.

NOTE: These factors will be evaluated to determine your capability as a supplier.

This information shall be submitted by all bidders.

17. AWARD FACTORS

17.1 The City reserves the right to waive bid informalities, to reject any or all bids, and to award to the most responsible bidder making the most satisfying offer to the City.

17.2 Contract awards will be based upon the low total bid per section which meets the specifications for all items listed in that section of the bid sheet.

17.2.1 Bids may be awarded to one (1) vendor for each section as indicated on the Bid

Sheets. A single vendor may be awarded multiple sections.

17.2.2 Vendors not bidding all items in a section will not be considered for award of that section.

17.3 The Contractor may not assign (subcontract) all or part of this contract to any other person, firm, or corporations without prior consent in writing by the City Manager or his designee.

17.4 The contract may be awarded either to the lowest responsible bidder or to the bidder who provides goods or services at the best value for the municipality.

17.5 In determining the best value for the municipality, the municipality may consider;

17.5.1 the purchase price;

17.5.2 the reputation of the bidder and of the bidder’s goods or services;

17.5.3 the quality of the bidder’s goods or services;

17.5.4 the extent to which the goods or services meet the municipality’s needs;

17.5.5 the bidder’s past relationship with the municipality;

17.5.6 the impact on the ability of the municipality to comply with laws and rules relating to contracting with historically underutilized businesses and nonprofit organizations employing persons with disabilities;

17.5.7 the total long-term cost to the municipality to acquire the bidder’s goods or services;

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17.5.8 any relevant criteria specifically listed in the request for bids or proposals.

18. BID TABULATION

Bid Tabulation will be available on the City of Beaumont e-bids platform at:

https://beaumonttexas.ionwave.net/Login.aspx. Bid tabulations will not be provided via any other means. Furnishing of tabulations prior to Council action or by means other than City e-bids platform is not authorized.

19. LIABILITY

THE CONTRACTOR AGREES TO INDEMNIFY, DEFEND AND HOLD

HARMLESS THE CITY OF BEAUMONT AND ITS OFFICERS, AGENTS, AND

EMPLOYEES FROM ANY AND ALL CLAIMS, CAUSES OR ACTION, AND

DAMAGES OF EVERY KIND, FOR INJURY TO OR DEATH OF ANY PERSON

AND DAMAGES TO PROPERTY ARISING OUT OF OR IN CONNECTION

WITH THE WORK DONE BY THE CONTRACTOR UNDER THIS

CONTRACT, AND INCLUDING ACTS OR OMISSIONS OF THE CITY OF

BEAUMONT OR ITS OFFICERS, AGENTS OR EMPLOYEES IN

CONNECTION WITH SAID CONTRACT. THE PARTIES INTEND THIS

INDEMNIFICATION TO APPLY REGARDLESS OF WHETHER THE CLAIM,

DAMAGE, LOSS, OR EXPENSE IS CAUSED, OR ALLEGED TO BE CAUSED,

IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE SUBCONTRACTOR

OR ANY INDEMNITEE.

Contractor waives all rights of recovery, and its insurers also waive all right of subrogation of damages against the City and its agents, officers, directors and employees for damages covered by the workers’ compensation and employers liability or commercial umbrella or excess liability or business automobile coverage obtained by Contractor required in this Agreement, where permitted by law. This waiver must be stated on the City’s approved Certificate of Insurance.

The fact that insurance is obtained by Contractor on behalf of City will not be deemed to release or diminish the liability of Contractor, including, without limitation, liability under the indemnity provisions of this Agreement. Damages recoverable by City from Contractor or any third party will not be limited by the amount of the required insurance coverage.

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20. INVOICES

20.1 Payment by City to Vendor shall be made in accordance with the requirements of Texas

Government Code §2251.021.

20.2 Invoices must reference a Purchase Order number and the Department or Division for which goods or services are provided.

20.3 The Contractor shall submit an accurate invoice within five (5) working days from the date of delivery.

20.4 Invoices may be submitted via email to: invoices@beaumonttexas.gov

20.5 Invoices may be submitted via U.S. Mail to:

ATTN: Accounting Division

City of Beaumont

P. O. Box 3827

Beaumont, TX 77704-3827

20.6 Faxed invoices will not be accepted.

21. FUNDS FOR PAYMENT

Funds for payment are provided by the City of Beaumont budget approved by City Council for the current budget year only. The State of Texas statutes prohibit the obligation and expenditure of public funds beyond the fiscal year for which a budget has been approved.

Obligations beyond the end of the current City of Beaumont fiscal year will be subject to budget approval.

22. CONTRACT TERMINATION

The City, besides all other rights or remedies it may have, shall have the right to terminate this agreement upon thirty (30) days’ written notice from the City Manager or his designee, of its election to do so, or if the successful bidder fails to perform the services or breaches this agreement, including the following:

22.1 By failing to pay insurance premiums, liens, claims or other charges.

22.2 By failing to pay any payments due the City, State, or Federal Government from the successful Proposer or its principals, including, but not limited to, payments identified in the Agreement or taxes, fees, assessments, or liens.

file:///C:\Users\cynthiam\Desktop\invoices@beaumonttexas.gov

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22.3 Upon the institution of voluntary or involuntary bankruptcy proceedings against the successful bidder or upon dissolution of the firm or business.

22.4 By violation of any provision or non-performance of the Agreement.

22.5 By death of the Contractor, or dissolution of the Contracting firm or business.

22.6 By violation of any provisions or non-performance of the Agreement.

23. CONTACT INFORMATION

If any information is needed concerning specifications, please contact:

Christy Williams, Buyer III

Purchasing Division / Finance Department

Physical Address:

801 Main St., Suite 315, Beaumont, TX 77701

Mailing Address:

P.O. Box 3827, Beaumont, TX 77704-3827

Phone # (409) 880-3758

E-mail: christy.williams@beaumonttexas.gov mailto:christy.williams@beaumonttexas.gov

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GENERAL SPECIFICATIONS

1.0 It is the intention of the City of Beaumont, Texas to secure a commercial analytical testing laboratory to perform all of the analytical testing described in these specifications for the Water

Utilities Department.

2.0 Factors to be used in awarding this bid will be:

2.1 Capability and experience of the laboratory. The laboratory will provide information on all licenses, certifications, and/or accreditations held by the lab.

2.1.1 Bidders shall have at least five (5) years of analytical testing experience related to water, domestic wastewater, and industrial wastewater analysis.

2.1.2 Services shall be provided by an Environmental Analytical Laboratory with the State of Texas NELAP accreditation for wastewater, solids, and drinking water. The laboratory must have an adequate written QA/QC Manual and

Standard Operating Procedures in place.

2.1.3 An inspection of the laboratory shall be performed by representatives of the

Water Utilities Department. The laboratory, QA/QC, and waste characterization and disposal procedures shall be reviewed in accordance with federal and state regulations.

2.1.4 Vendor shall make available the most recent results of proficiency testing conducted on all parameters requested. The proficiency testing shall include results from participation in EPA’s DMR-QA study if applicable

2.1.5 The Vendor must provide Level 4 reporting upon request.

2.1.6 Vendor must have and be able to provide on demand by City, instrument calibration records of all equipment, which are traceable to NIST certified standards, together with historical records of such calibrations.

2.2 Vendor shall utilize a LIMS system that allows quick tracing/tracking of sample from arrival to analysis as well as obtain QA/QC on the sample.

2.2.1 Vendor LIMS system must be capable of providing real-time, secure online access by City for monitoring of tests.

2.3 Price.

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3.0 All sampling shall commence upon issuance of a Purchase Order to the laboratory. Samples from the wastewater treatment plant and other samples as needed will be taken at various times throughout the year.

4.0 Laboratories outside this delivery area shall assume all costs related to shipment of samples to their respective facility/facilities. The laboratory shall have its own representative(s) or contractor(s) pick up the samples and deliver them; or the City of Beaumont shall pack and ship samples, provided the drop off location of the shipper is located in Beaumont. Strict chain of custody procedures must be followed to ensure validity of samples, failure to do so will result in termination of the contract. Arrangements for transporting samples shall be coordinated with the

Water Quality Manager or their appointed designee to ensure holding times are not exceeded for any analytical parameter. The transporter shall be responsible for transporting samples at required preservation temperatures as specified in Standard Methods for the Examination of Water and

Wastewater most recent EPA approved edition.

4.1 Chain of Custody Procedures. The contract laboratory shall comply with the City of

Beaumont's Chain of Custody (COC) Procedures for the delivery of the samples. The laboratory shall use the Chain of Custody Form furnished by the City or a form with the same fields. When the sample is delivered to the contract laboratory or is picked up by the contract laboratory representative, the City’s representative shall sign as relinquishing the sample to the contract laboratory representative along with the date and time. The contract laboratory representative shall sign as accepting the sample along with the City representative. The original chain of custody shall stay with the sample. If the contract laboratory representative has picked up the sample from the City and delivers the sample to the contract laboratory, the laboratory representative shall sign as relinquishing the sample to the contract laboratory along with the date and time. The contract laboratory receiving person shall sign the chain of custody as receiving it along with the date and time. The original completed chain of custody shall be included with the final laboratory report.

5.0 REPORTS

The laboratory shall complete all analytical work and submit a completed report to the City within fourteen (14) days of receipt of each sample unless authorized, in writing, prior to receiving the samples.

Each report will be forwarded to:

Water Utilities Department

Attn: Cory Sellers, Water Quality Control

P.O. Box 3827

Email: cory.sellars@beaumonttexas.gov mailto:cory.sellars@beaumonttexas.gov

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The laboratory shall retain all samples for a period of sixty (60) days following the submittal of the analysis report to the Water Quality Manager or their appointed designee. This time period shall allow sufficient time for a report review and possible retesting. All reports submitted shall list the specific methodology used for each analysis and a copy of the QA-QC analysis report and the original chain of custody shall also be attached.

The City may submit quarterly blind Quality Assurance/Quality Control samples to insure that accurate and reliable analytical data is being reported.

6.0 The contract laboratory shall provide all sample containers with appropriate preservatives. Ice chests shall also be provided for maintaining preservation temperatures.

All sample containers used for this study shall either be new containers or if used shall be analytically washed within parameter requirements and/or 1:1 HC1, triple rinsed with tap water and triple rinsed with distilled or deionized water.

7.0 No subcontractor shall be used to analyze any samples for parameters listed in these specifications unless authorized, in writing, by City, prior to awarding of the contract. Such authorization shall only be granted in special and unusual circumstances.

7.1 If authorized by City, the Contractor shall provide complete contact listing for all subcontractors to be used for services proposed.

7.2 All subcontractors must be certified and compliant with all NELAP standards and conditions as of January 31, 2020.

8.0 Failure to meet the method detection limits listed or failure to analyze water or wastewater samples in accordance with 40 CFR Part 136 and 261 will result in forfeiture of payment for those services and/or possible termination of contract.

9.0 INVOICES

9.1 Reference Invoices under the General Bid Information section for more invoicing information.

9.2 The Contractor shall invoice the City on a monthly basis for services rendered or a bill shall be included with each analytical report sent to the City. All fees shall be itemized for each test procedure conducted during each billing period. The City will pay for actual work performed on an item-by-item basis. Prices quoted to the City shall remain firm even if the number of samples brought to the laboratory for analysis does not meet or exceeds what the City has estimated.

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TECHNICAL SPECIFICATIONS

1.0 SCOPE OF SERVICES

The City of Beaumont is requesting bids for analytical services to meet the federal standards pertaining to the City's Wastewater and Water Monitoring Program as follows:

1.1 Significant Industrial User (SIU) Monitoring of Conventional Parameters:

Description of Conventional Estimated Number of

Analysis

Biochemical Oxygen Demand – 5 Day 28

Chemical Oxygen Demand 28

Total Suspended Solids 28

Oil and Grease 28

Total Cyanide 28

Total Phenol 28

Total Metals (Arsenic, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, Selenium, Silver, and Zinc)

Nonylphenol 28

1.1.1 Significant Industrial User (SIU) Monitoring of Survey Parameters:

Description of Survey

Number of

Analysis

Ammonia as Nitrogen 19

Total Kjedahl Nitrogen 19

Total Phosphate 19

SGT-HEM 5

Hexavalent Chromium 5

Toxic Pollutants 30TAC 307 Attachment I 5

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GC/MS scans for the following pollutants listed in 40 CFR, Part 122, Appendix D, Table V:

Dimethyl Amine, Epichlorohydrin, Formaldehyde, and Xylene

GC/MS scan Xylene, Acetone, and Dioxane 1

1.1.2 Significant Industrial User (SIU) Monitoring of

“Specific” Pollutants of Concern:

Description of SIU Specific

Number of Analysis

1,2-Benzisothiazolin-3-one 6

GC analysis for total Petroleum Hydrocarbons (TPH) and total BTEX (Benzene, Toulene, Ethylbenzene, and Xylene)

GC/MS scans for priority pollutants listed in 40 CFR, Part 122, Appendix D, Table II

Total Phosphate 5

Formaldehyde 4

1.1.3 Categorical Industrial User Monitoring Metal Finishing:

The Total Toxic Organic, TTO, shall include the list below which is the summation of all the quantifiable values greater than 0.01 mg/L.

DESCRIPTION OF TTO

ESTIMATED

NUMBER OF

ANALYSES

Acenaphthene 2

Acrolein 2

Acrylonitrile 2

Benzene 2

Benzidine 2

Carbon tetrachloride (tetrachloromethane) 2

Chlorobenzene 2

1,2,4-Trichlorobenzene 2

Hexachlorobenzene 2

1,2,-Dichloroethane 2

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ESTIMATED

NUMBER OF

ANALYSES

1,1,1-Trichloroethane 2

Hexachloroethane 2

1,1-Dichloroethane 2

1,1,2-Trichloroethane 2

1,1,2,2-Tetrachloroethane 2

Chloroethane 2

Bis (2-chloroethyl) ether 2

2-Chloroethyl vinyl ether (mixed) 2

2-Chloronaphthalene 2

2,4,6-Trichlorophenol 2

Parachlorometa cresol 2

Chloroform (trichloromethane) 2

2-Chlorophenol 2

1,2-Dichlorobenzene 2

1,3-Dichlorobenzene 2

1,4-Dichlorobenzene 2

3,3-Dichlorobenzidine 2

1,1-Dichloroethylene 2

1,2-Trans-dichloroethylene 2

2,4-Dichlorophenol 2

1,2-Dichloropropane 2

1,3-Dichloropropylene (1,3-dichloropropene) 2

2,4-Dimethylphenol 2

2,4-Dinitrotoluene 2

2,6-Dinitrotoluene 2

1,2-Diphenylhydrazine 2

Ethylbenzene 2

Fluoranthene 2

4-Chlorophenyl phenyl ether 2

4-Bromophenyl phenyl ether 2

Bis (2-chloroisopropyl) ether 2

Bis (2-chloroethoxy) methane 2

Methylene chloride (dichloromethane) 2

Methyl chloride (chloromethane) 2

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ESTIMATED

NUMBER OF

ANALYSES

Methyl bromide (bromomethane) 2

Bromoform (tribromomethane) 2

Dichlorobromomethane 2

Chlorodibromomethane 2

Hexachlorobutadiene 2

Hexachlorocyclopentadiene 2

Isophorone 2

Naphthalene 2

Nitrobenzene 2

2-Nitrophenol 2

4-Nitrophenol 2

2,4-Dinitrophenol 2

4,6-Dinitro-o-cresol 2

N-nitrosodimethylamine 2

N-nitrosodiphenylamine 2

N-nitrosodi-n-propylamine 2

Pentachlorophenol 2

Phenol 2

Bis (2-ethylhexyl) phthalate 2

Butyl benzyl phthalate 2

Di-n-butyl phthalate 2

Di-n-octyl phthalate 2

Diethyl phthalate 2

Dimethyl phthalate 2

1,2-Benzanthracene (benzo(a)anthracene) 2

Benzo(a)pyrene (3,4-benzopyrene) 2

3,4-Benzofluoranthene (benzo(b)fluoranthene) 2

11,12-Benzofluoranthene (benzo(k)fluoranthene) 2

Chrysene 2

Acenaphthylene 2

Anthracene 2

1,12-Benzoperylene (benzo(ghi)perylene) 2

Fluorene 2

Phenanthrene 2

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ESTIMATED

NUMBER OF

ANALYSES

1,2,5,6-Dibenzanthracene (dibenzo(a,h)anthracene) 2

Indeno(1,2,3-cd) pyrene (2,3-o-phenlene pyrene) 2

Pyrene 2

Tetrachloroethylene 2

Toluene 2

Trichloroethylene 2

Vinyl chloride (chloroethylene) 2

Aldrin 2

Dieldrin 2

Chlordane (technical mixture and metabolites) 2

4,4-DDT 2

4,4-DDE (p,p-DDX) 2

4,4-DDD (p,p-TDE) 2

Alpha-endosulfan 2

Beta-endosulfan 2

Endosulfan sulfate 2

Endrin 2

Endrin aldehyde 2

Heptachlor 2

Heptachlor epoxide 2

Alpha-BHC 2

Beta-BHC 2

Gamma-BHC 2

Delta-BHC 2

PCB-1242 (Arochlor 1242) 2

PCB-1254 (Arochlor 1254) 2

PCB-1221 (Arochlor 1221) 2

PCB-1232 (Arochlor 1232) 2

PCB-1248 (Arochlor 1248) 2

PCB-1260 (Arochlor 1260) 2

PCB-1016 (Arochlor 1016) 2

Toxaphene 2

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1.2 Commercial Wastewater Discharges:

DESCRIPTION OF COMMERCIAL

NUMBER OF

ANALYSES

Oil and Grease 60

Note: The quantity of the industrial and commercial user analyses is approximated. The actual number of samples may vary + 20%

1.3 Raw Wastewater Influent:

DESCRIPTION

NUMBER OF

ANALYSES

Table II (40 CFR, Part 122, Appendix D), Toxic Pollutants (30TAC 307) see Attachment I, and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

Table III (40 CFR, Part 122, Appendix D), and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

1.4 Constructed Wetland Effluent:

NUMBER OF

ANALYSES

Table II (40 CFR, Part 122, Appendix D), Toxic Pollutants (30TAC 307) see Attachment I, and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

Table III (40 CFR, Part 122, Appendix D), and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

Glyphosate 4

1.5 Dewatered Bio-solids:

NUMBER OF

ANALYSES

40 CFR, Part 122, Appendix D, Table II 1

40 CFR, Part 122, Appendix D, Table III 1

Page 21 – Wastewater & Water Lab Services – MF0826-51

Molybdenum 1

Complete TCLP (Toxicity Characteristic Leachate Procedure)

1.6 Drinking Water

Scope of Services

The City of Beaumont is requesting bids for analytical services to meet the federal standards pertaining to the City's Drinking Water Monitoring Program as follows:

DESCRIPTION OF DRINKING WATER

NUMBER OF

ANALYSES

Bromide 12

Sulfide, Sulfur, Sulfate 12

Manganese 12

Iron 12

Ammonia as Nitrogen 12

Nitrate / Nitrite 12

Fluoride 12

Total Phosphate 12

Orthophosphate 12

Total Copper 12

Dissolved Copper 12

Lead 12

Alkalinity 12

Calcium 12

Silica 12

Total Aluminum 12

1.7 LABORATORY ANALYTICAL SPECIFICATIONS

1.7.1 Water and Wastewater analysis must be in accordance with 40 CFR Part 136.

The method chosen must meet the detection limits specified.

1.7.2 Biosolids analysis must be in accordance with the latest edition of the ATest

Methods for Evaluating Solid Waste, Physical/Chemical Methods@, EPA

Publication SW-846. The analysis must meet the detection limits specified.

1.7.3 The following detection limits shall apply to the analyses for the Significant

(Major) Industrial User Monitoring Survey, the Minor Commercial/Industrial

User Monitoring Survey, and the Dewatered Biosolids.

Page 22 – Wastewater & Water Lab Services – MF0826-51

1.7.4 Totals metals (mg/L)

DESCRIPTION DETECTION LIMIT

Arsenic 0.01

Cadmium 0.01

Chromium 0.01

Copper 0.01

Lead 0.01

Mercury 0.002

Molybdenum 0.01

Nickel 0.01

Selenium 0.01

Silver 0.01

Zinc 0.01

1.7.4.1 ORGANICS: Many industrial samples and biosolids contain complex matrices, thus creating difficulty in reaching the typically low detection limits associated with the EPA organics analysis methods. In recognition of this problem the City will allow a tenfold maximum detection limit over the limits cited in Attachment I for EPA test methods 608.3, 624.1, and 625.1.

1.7.5 The Minimum Quantification Levels (MQL) and Minimum Analytical Levels

(MALs) are required by the City=s TPDES permit. The minimum detection limits must be met as listed in Attachment I for the analyses performed on the

Raw Wastewater Influent, Constructed Wetland Influent, and Constructed

Wetland Effluent.

2.0 Quality Assurance/Quality Control

(QA/QC Procedures must conform with EPA and NELAP requirements.)

2.1 Trip blanks shall be required for every set of VOA samples collected.

2.2 Field (Reagent) Blanks shall be required once a month or for every ten (10) samples collected, whichever comes first.

3.0 The Contract Laboratory will be required to submit a signed statement stating that all wastewater and water analysis from the City’s treatment plant were performed in accordance with 40 CFR.

Page 23 – Wastewater & Water Lab Services – MF0826-51

ATTACHMENT I

NOTE: PRICING TO BE ENTERED ONLINE UNDER THE LINE ITEMS TAB.

Page 24 – Wastewater & Water Lab Services – MF0826-51

TOXIC POLLUTANTS 30 TAC CHAPTER 307

Parameter

MAL(ug/L)

Aluminum

Barium

Carbaryl

Chloropyrifos

0.05

Cresols

2,4 D

Demeton

0.20

Diazinon

0.5

Dicofol

Diuron

0.09

Fluoride

Guthion

0.1

Hexachlorophene

Malathion

Methoxychlor

2.0

Methyl Ethyl Ketone

Mirex

0.2

Nitrate-Nitrogen n-Nitrosodiethylamine n-Nitroso-di-n-Butylamine

Parathion

Pentachlorobenzene

Pyridine

1,2-Dibromoethane

1,2,4,5-Tetrachlorobenzene

BIDDER'S WORKSHEET

Page 25 – Wastewater & Water Lab Services – MF0826-51

2,4,5-TP (Silvex)

2.0

2,4,5-Trichlorophenol

ADDITIONAL ANALYSIS

Cyanide, Amenable to Chlorination

Hexavalent Chromium

Ammonia as Nitrogen

Total Phosphorus

MDL

Phosphate

Surfactant

Molybdenum

1,2-Benzisothiazolin-3-one

Carbozole n-Decane n-Octadecane

Formaldehyde

Page 26 – Wastewater & Water Lab Services – MF0826-51

Table II and III

METALS AND CYANIDE

Antimony (Total)

Arsenic (Total)

Beryllium (Total)

Cadmium (Total)

Chromium (Total)

Chromium (3+)

Chromium (6+)

Copper (Total)

Lead (Total)

Mercury (Total)

0.2

Nickel (Total)

Selenium (Total)

Silver (Total)

Thallium (Total)

Zinc (Total)

Cyanide (Total)

Phenol (Total)

VOLATILE COMPOUNDS

Acrolein

Acrylonitrile

Benzene

Bromoform

Carbon Tetrachloride

Chlorobenzene

Chlorodibromomethane

Chloroethane

2-Chloroethyl Vinyl Ether

Chloroform

Dichlorobromomethane

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1,1-Dichlorethane

1,2-Dichlorethane

1,1-Dichlorethylene

1,2-Dichloropropane

1,3-Dichloropropylene

Ethylbenzene

Methyl Bromide [Bromomethane]

Methyl Chloride

Methylene Chloride

1,1,2,2-Tetrachlorethane

Tetrachloroethylene

Toluene

1,2-trans-Dichlorethylene

1,1,1-Trichloroethane

1,1,2-Trichlorethane

Trichloroethylene

Vinyl Chloride

ACID COMPOUNDS

2-Chlorophenol

2,4-Dichlorophenol

2,4-Dimethylphenol

4,6-Dinitro-o-Cresol [2-Methyl-4,6-dinitrophenol]

2,4-Dinitrophenol

2-Nitrolphenol

4-Nitrophenol p-Chloro-m-Cresol [4-Chloro-3-Methylphenol

Pentachlorophenol

Phenol

2,4,6,-Trichlorophenol

Page 28 – Wastewater & Water Lab Services – MF0826-51

BASE/NEUTRAL COMPOUNDS

Acenaphthene

Acenaphthylene

Anthracene

Benzidine

Benzo(a)anthracene

Benzo(a)pyrene

3,4-Benzofluoranthene

Benzo(ghi)perylene

Benzo(k)fluoranthene

Bis(2-chloroethoxy) Methane

Bis(2-choroethyl) Ether

Bis(2-chloroisopropyl) Ether

Bis(2-ethylhexyl) Phthalate

4-Bromophenyl Phenyl Ether

Butyl Benzyl Phthalate

2-Chloronapthalene

4-chlorophenyl Phenyl Ether

Chrysene

Dibenzo(a,h) anthracene

1,2-Dichlorobenzene

1,3-Dichlorobenzene

1,4-Dichlorobenezene

3,3'-Dichlorobenzidine

Diethyl Phthalate

Dimethyl Phthalate

Di-n-Butyl Phthalate

2,4-Dinitrotoluene

2,6-Dinitrotoluene

Di-n-octyl Phthalate

1,2-Diphenylhydrazine

Fluoranthene

Fluorene

Hexachlorobenzene

Page 29 – Wastewater & Water Lab Services – MF0826-51

Hexachlorobutadiene

Hexachlorocyclopentadiene

Hexachloroethane

Indeno (1,2,3-cd) Pyrene [2,3-o-Phenylene Pyrene]

Isophorone

Naphthalene

Nitrobenzene n-Nitrosodimethylamine n-Nitrosodi-n-Propylamine n-Nitrosodiphenylamine

Phenanthrene

Pyrene

1,2,4-Trichlorobenzene

PESTICIDES

Aldrin

Alpha-BHC

Beta-BHC

Gamma-BHC [Lindane]

Delta-BHC

Chlordane

0.15

4,4'-DDT

4,4'-DDE [p,p-DDX]

4,4'-DDD [p,p-TDE]

Dieldrin

Alpha-Endosulfan

Beta-Endosulfan

Endosulfan Sulfate

Endrin

Endrin Aldehyde

Heptachlor

Heptachlor Epoxide [BHC-Hexachlorocyclohexane]

1.0

PCB-1242

Page 30 – Wastewater & Water Lab Services – MF0826-51

PCB-1254

PCB-1221

PCB-1232

PCB-1248

PCB-1260

PCB-1016

Toxaphene

5.0

Page 31 – Wastewater & Water Lab Services – MF0826-51

Bid Worksheets and Required Documents

DISCLAIMER:

All worksheets within bid specifications are for vendor’s use only in building pricing and will NOT be accepted or considered for use for award of contract by the City of Beaumont. Pricing entered into IONWAVE under LINE ITEMS will be FINAL and the ONLY pricing considered for award of bid.

Page 32 – Wastewater & Water Lab Services – MF0826-51

BIDDER'S INFORMATION SHEET

NOTE: THIS FORM TO BE COMPLETED ONLINE UNDER THE ATTRIBUTES TAB.

1. Kind of Company (check one): Corporation Partnership Sole Proprietor

If corporation, please list names and addresses of three (3) top corporation officers.

If partnership, please list names and addresses of partners.

Include Federal Tax I.D. Number: __________________________________________________

Name / Position

Address

2. Number of years in operation.

(Bidding company must have been in verifiable business under current company name for a minimum of eighteen (18) months.)

3. Gross revenue for the past two (2) years. $

4. Number of employees currently employed.

5. Largest dollar amount of contract currently in effect with a business. $

6. Has your organization ever failed to complete any work that it was awarded? Yes ___ No ___

If Yes, provide explanation. _______________________________________________________

Page 33 – Wastewater & Water Lab Services – MF0826-51

7. Provide information concerning any judgments, claims arbitration proceedings or suits filed as a result of projects performed. ______________________________________________________

8. Has your organization (including owners, partners, and or officers) ever been put on probation or disbarred from doing business with ANY governmental agency? If so, please list organization, time, and length of disbarment or probation. (Failure to provide this information may result in the

City not awarding the contract to your company).

Yes No

If marked Yes, list required information. ____________________________________________

9. REFERENCES

List three (3) businesses or governmental entities for whom your company has provided similar services with. List a contact name, address and phone number for each.

REFERENCE #1

Company Name:

Contact Person:

Phone Number:

Dates of Service:

Value of Service:

REFERENCE #2

Page 34 – Wastewater & Water Lab Services – MF0826-51

REFERENCE #3

10. Business telephone number answered Monday – Friday, 8:00 AM – 5:00 PM:

11. IN CASE OF EMERGENCY:

Contact Name(s) and Phone Numbers:

Page 35 – Wastewater & Water Lab Services – MF0826-51

BID TABLE WORKSHEET

Item No.

Question Yes No

Is your laboratory NELAP accredited with the State of Texas?

Do you have an approved written QA/QC Standard Operating Procedures Manual in Place?

Can you provide LEVEL 4 reporting?

Does your laboratory utilize the a fully functional LIMS system and is it capable of providing real-time online access by customer for monitoring?

Does your laboratory have a fully traceable set of calibration standards for your instrumentation?

Can you provide, on demand, historical records of instrumentation calibration?

Can your laboratory perform each and every contemplated test Ain-house@?

Do you propose to sub-contract any of the contemplated testing?

Has your laboratory ever been cited, violated, fined or reprimanded, for any cause, by any governmental agency either state or federal?

Number of years as an analytical testing lab for water and domestic and industrial wastewater analysis.

_______ years

Findings of most recent laboratory inspection:

Page 36 – Wastewater & Water Lab Services – MF0826-51

BID PRICING WORKSHEET

Section 1 Significant Industrial User (SIU) Monitoring of Conventional Parameters - Data Outline

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Biochemical Oxygen Demand - 5 Day 28 $ /ea. $

Chemical Oxygen Demand

28 $ /ea. $

Total Suspended Solids

Oil and Grease

Total Cyanide

Total Phenol

Total Metals (Arsenic, Cadmium, Chromium, Copper, Lead, Mercury, Nickel, Selenium, Silver, and Zinc)

Nonylphenol 28 $ /ea. $

TOTAL PRICE SECTION 1: $

Page 37 – Wastewater & Water Lab Services – MF0826-51

Section 2 Significant Industrial User (SIU) Monitoring of Survey Parameters

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Ammonia as Nitrogen 19 $ /ea. $

Total Kjedahl Nitrogen 19 $ /ea. $

Total Phosphate 19 $ /ea. $

SGT-HEM 5 $ /ea. $

Hexavalent Chromium 5 $ /ea. $

Toxic Pollutants 30TAC 307 Attachment I 5 $ /ea. $

GC/MS scans for the following pollutants listed in 40 CFR, part 122, Appendix D Table V: Dimethyl Amine, Epichlorohydrin, Formaldehyde, and Xylene

1 $ /ea. $

GC/MS Scan for Xylene, Acetone, and Dioxane

1 $ /ea. $

TOTAL PRICE SECTION 2: $

Page 38 – Wastewater & Water Lab Services – MF0826-51

Section 3 Significant Industrial User (SIU) Monitoring of “Specific” Pollutants of Concern

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

1,2-Benzisothiazolin-3-one 6 $ /ea. $

GC analysis for total Petroleum Hydrocarbons (TPH) and total BTEX (Benzene, Toluene, Ethylbenzene, and Xylene)

22 $ /ea. $

GC/MS scan for priority pollutants listed in 40 CFR, Part 122, Appendix D, Table II

5 $ /ea. $

Total Phosphate 5 $ /ea. $

Formaldehyde 4 $ /ea. $

TOTAL PRICE ON SECTION 3: $

Section 4 Categorical Industrial User Monitoring Centralized Waste Treatment, CWT

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Cobalt, Tin, Bis (2-ethylhexyl) phthalate, Carbozole, n-Decane, Fluoranthene, n- Octadecane

2 $ /ea. $

TOTAL PRICE ON SECTION 4: $

Page 39 – Wastewater & Water Lab Services – MF0826-51

Section 5 Categorical Industrial User Monitoring Metal Finishing

(The Total Toxic Organic, TTO, shall include the list below which is the summation of all the quantifiable values greater than 0.01 mg/L.)

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Total Toxic Organic List (See Technical Specifications, pages 16 - 19, Section 1.1.3)

2 $ /ea. $

TOTAL PRICE ON SECTION 5: $

Section 6 Commercial Wastewater Discharges – Data Outline

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Oil and Grease 60 $ /ea. $

TOTAL PRICE SECTION 6: $

Page 40 – Wastewater & Water Lab Services – MF0826-51

Section 7 Raw Wastewater Influent

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Table II (40 CFR, Part 122, Appendix D), Toxic Pollutants (30TAC 307) see Attachment I, and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

2 $ /ea. $

Table III (40 CFR, Part 122, Appendix D), and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

4 $ /ea. $

TOTAL PRICE SECTION 7: $

Section 8 Constructed Wetland Effluent

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Table II (40 CFR, Part 122, Appendix D), Toxic Pollutants (30TAC 307) see Attachment I, and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

2 $ /ea. $

Table III (40 CFR, Part 122, Appendix D), and Cyanide Amenable to Chlorination, Hexavalent Chromium, and Molybdenum

4 $ /ea. $

Glyphosate 4 $ /ea. $

TOTAL PRICE SECTION 8: $

Page 41 – Wastewater & Water Lab Services – MF0826-51

Section 9 Dewatered Bio-Solids

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

40 CFR, Part 122, Appendix D, Table II

1 $ /ea. $

40 CFR, Part 122, Appendix D, Table III

1 $ /ea. $

Molybdenum 1 $ /ea. $

Complete TCLP

(Toxicity Characteristic Leachate Procedure) including pesticides/herbicides

$ /ea. $

TOTAL PRICE SECTION 9: $

Page 42 – Wastewater & Water Lab Services – MF0826-51

Section 10 Drinking Water

DESCRIPTION

ESTIMATED

NUMBER OF

ANALYSES

UNIT

PRICE

TOTAL

PRICE

Bromide 12 $ /ea. $

Sulfide, Sulfur, Sulfate 12 $ /ea. $

Manganese 12 $ /ea. $

Iron 12 $ /ea. $

Ammonia as Nitrogen 12 $ /ea. $

Nitrate/ Nitrite 12 $ /ea. $

Fluoride 12 $ /ea. $

Total Phosphate 12 $ /ea. $

Orthophosphate 12 $ /ea. $

Total Copper 12 $ /ea. $

Dissolved Copper 12 $ /ea. $

Lead 12 $ /ea. $

Alkalinity 12 $ /ea. $

Calcium 12 $ /ea. $

Silica 12 $ /ea. $

Total Aluminum 12 $ /ea. $

TOTAL PRICE SECTION 10: $

Page 43 – Wastewater & Water Lab Services – MF0826-51

BID SUMMARY

SECTIONS TOTAL

SIGNIFICANT INDUSTRIAL USER (SIU) MONITORING OF

CONVENTIONAL PARAMETERS - DATA OUTLINE

SIGNIFICANT INDUSTRIAL USER (SIU) MONITORING OF

SURVEY PARAMETERS

SIGNIFICANT INDUSTRIAL USER (SIU) MONITORING OF

“SPECIFIC” POLLUTANTS OF CONCERN

CATEGORICAL INDUSTRIAL USER MONITORING

CENTRALIZED WASTE TREATMENT, CWT

CATEGORICAL INDUSTRIAL USER MONITORING METAL

FINISHING

COMMERCIAL WASTEWATER DISCHARGES – DATA

OUTLINE

7 RAW WASTEWATER INFLUENT $

8 CONSTRUCTED WETLAND EFFLUENT $

9 DEWATERED BIO-SOLIDS $

10 DRINKING WATER $

TOTAL BID AMOUNT - ALL SECTIONS: $

DISCLAIMER:

All worksheets within bid specifications are for vendor’s use only in building pricing and will NOT be accepted or considered for use for award of contract by the City of Beaumont.

Pricing entered into IONWAVE under LINE ITEMS will be FINAL and the ONLY pricing considered for award of bid.

Page 44 – Wastewater & Water Lab Services – MF0826-51

HOUSE BILL 1295 (HB1295) VERIFICATION

Texas Ethics Commission Certificate Number

NOTE: THIS FORM TO BE COMPLETED AND UPLOADED ONLINE

UNDER THE RESPONSE ATTACHMENTS TAB.

HB 1295 -- Section 2252.098 of the Government Code states “a contract that requires an action or vote by the governing body of the entity or agency, or the value of the contract is at least one million dollars ($1,000,000), must provide a Disclosure of

Interested Parties Form on the Texas Ethics Commission website”.

Within five (5) working days after the award of contract by Beaumont City

Council, the awarded vendor must complete the information requested on the Texas

Ethics Commission website and provide the certificate number to the Purchasing

Department. The Texas Ethics Commission website is: www.ethics.state.tx.us

At the home page, click on Form 1295 Filing Application, and follow the instructions.

Upon completion of the information on the website, provide the completed form and certificate number to the following Purchasing e-mail addresses:

terry.welch@beaumonttexas.gov

I understand the requirement as stated above and will comply within five (5) working days after the award of contract by Beaumont City Council.

Signature Company Name

Printed Name Date Signed

Title

Revised 4/29/16 /bd http://www.ethics.state.tx.us/ mailto:terry.welch@beaumonttexas.gov

Page 45 – Wastewater & Water Lab Services – MF0826-51

HOUSE BILL 89 (HB89) VERIFICATION

NOTE: THIS FORM TO BE COMPLETED, NOTORIZED AND

UPLOADED ONLINE UNDER THE RESPONSE ATTACHMENTS TAB.

I, _____________________________________________________________________________, the undersigned representative of

, (Company or Business Name)

(Company or Business Name) (hereafter referred to as “Company”), being an adult over the age of eighteen (18) years of age, verify that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270:

1. Does not boycott Israel currently; and

2. Will not boycott Israel during the term of the contract the above-named Company, business or individual with the

City of Beaumont, Texas.

Pursuant to Section 2270.001, Texas Government Code:

1. “Boycott Israel” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes; and

2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly- owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit.

DATE SIGNATURE OF COMPANY

REPRESENTATIVE ON THIS THE ________ day of ___________________________, 20______, personally appeared

_________________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.

NOTARY SEAL ____________________________________

NOTARY SIGNATURE

Senate Bill 252 Ch. 2252 Certification Pursuant to Texas Government Code, Chapter 2252, Section 2252.152 and Section 2252.153, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section

806.051, Section 807.051 or Section 2252.153. I further certify that should the above-named company enter into a contract that is on said listing of companies on the website to the Comptroller of the State of Texas which do business with Iran, Sudan or any foreign terrorist organization, I will immediately notify the City of Beaumont’s Purchasing Department.

Date Signed Signature of Company Representative

Name in Printed Form

Page 46 – Wastewater & Water Lab Services – MF0826-51

PLEASE CHECK THE FOLLOWING THAT WILL APPLY TO YOUR COMPANY

Ownership of Firm (51% or more) Non-Minority Hispanic Black Other

Minority (please specify) Female Owned Handicapped Owned

Small Business (less than $1,000,000 annual receipts or 100 employees)

CERTIFICATE OF CORPORATE BIDDER

I, , CERTIFY THAT I AM , (title)

OF THE CORPORATION NAMED AS BIDDER HEREIN; THAT , WHO

SIGNED THIS BID ON BEHALF OF THE BIDDER, WAS THEN , (title)

OF SAID CORPORATION; THAT SAID BID WAS DULY SIGNED FOR AND ON BEHALF OF SAID

CORPORATION BY AUTHORITY OF ITS GOVERNING BODY AND IS WITHIN THE SCOPE OF ITS

CORPORATE POWERS.

SIGNATURE OF OFFICER

TYPE OR PRINT NAME

TITLE OF OFFICER

BIDDERS

The undersigned affirms that they are duly authorized to execute this contract, that this…