RFB_7944 _SODIUM_HYPOCHLORITE_1_15_26.pdf

TOWN OF GREENWICH NO.: 7944

PURCHASING DEPARTMENT

101 Field Point Road ISSUE DATE: 01/15/2026

Greenwich, CT 06830

203 622-7881 DEADLINE DATE: 02/05/2026

DEADLINE TIME: 11:00 AM

X REQUEST FOR BID

REQUEST FOR PROPOSAL

PREBID CONFERENCE:

TIME AND DATE:

LOCATION:

RFB/RFP TITLE: 15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

LOCATION: GREENWICH, CT

PREQUALIFICATION

X STANDARDS/SPECIFICATIONS

X INSURANCE REQUIRED

PLEASE NOTE:

1. Sealed Bids/Proposals are due at the Town of Greenwich Purchasing Department on date noted.

NO bids/proposals will be accepted after the date and time specified above. Bidder is responsible for actual delivery of the bid/proposal sent by mail or commercial express service to the PURCHASING

DEPARTMENT before the deadline time. Bids/proposals received after the deadline time will not be considered. PLEASE CLEARLY INDICATE BID/PROPOSAL NUMBER ON LOWER LEFT-HAND

CORNER OF ENVELOPE.

2. BIDS/PROPOSALS ARE NOT ACCEPTED BY FAX OR E-MAIL.

3. COMPANY NAME AND ADDRESS MUST CONFORM ON ALL DOCUMENTS INCLUDING

INSURANCE DOCUMENTS. A POST OFFICE BOX ADDRESS IS NOT ACCEPTABLE.

4. Bid/Proposal number must appear on all bids and related correspondence.

5. The Town of Greenwich is exempt from Federal and State Taxes.

6. The Town will consider an alternate bid only if Bidders have been permitted to provide an alternate bid. An alternate bid must be clearly identified as such in order to be considered by the Town.

7. Stated prices are to be FOB destination inside delivery, unless otherwise specified herein.

8. Terms and Conditions indicated on reverse.

Daniel Centofanti, Procurement Specialist

An Affirmative Action/Equal Opportunity Employer, M/F/H

Terms and Conditions

Bidders shall familiarize themselves with all provisions of the specifications and shall not at any time after submitting bid, dispute any of the specifications or assert that there was any misunderstanding in regard to the furnishing and delivering of the items called for in the proposal.

The Town of Greenwich reserves the right to issue addenda as needed on bids/proposals.

The Town of Greenwich reserves the right to reject any and all bids not deemed to be in the best interest of the Town of Greenwich, or to accept that bid which appears to be in the best interest of the Town of Greenwich. The Town of Greenwich reserves the right to waive any informalities in or reject any or all bids, or any part of any bid.

References to a particular trade name or manufacturer's catalog or model number are made for descriptive purposes to guide the Bidder in interpreting the requirements of the Town of Greenwich. They should not be construed as, nor are they intended to exclude proposals on other types of materials, equipment and supplies.

However, the Bidder, if awarded a contract will be required to furnish the particular item referred to in the specification or description unless a departure or substitution is clearly noted and described in the proposal.

Respondents shall provide one proposal and Bidders one bid price for each specified required line item with no more than one total lump sum bid, unless allowed to do otherwise by the solicitation. Respondents shall provide no more than one bid reply unless allowed by the solicitation. Bidders shall not include in their prices any Federal or State taxes from which the Town of Greenwich is exempt.

The successful Bidder/s shall indemnify the Town of Greenwich against all losses, claims, actions and judgments brought or recovered against the contractor or the Town of Greenwich. Any respondent that takes exception to the insurance requirements set forth by the Town of Greenwich Risk Manager shall be deemed unresponsive.

No proposal shall be received from, or contract awarded to, any person, firm or corporation who is in default or in debt to the Town of Greenwich for non-performance of any contract, or who is a defaulter as surety or otherwise from any obligation to the Town of Greenwich.

Bids must be signed in ink by the vendor. No bids shall be made in pencil. Any bids showing any erasures or alterations must be initialed by the Bidder in ink. Failure to sign and give all information requested in the proposal may result in the bid being rejected.

Quantities as listed on the bid sheets are estimated for bidding purposes only. Award of contract shall be for the quantities actually ordered as needed during the contract period. However, the Town of Greenwich reserves the right to increase or decrease the quantities by 10%.

Unit prices quoted shall be net exclusive of all taxes, and must include all transportation, delivery and unloading costs; fully prepaid F.O.B. destination in place inside delivery. Debris, if any, removed.

The Town of Greenwich reserves the right to make awards on an item by item, total or lump sum basis. Where an award is made on an item by item basis, the unit price prevails. The Town reserves the right to make award in best interest of its own operation. All awards are contingent upon certification by the Town Comptroller that funds are available in appropriate accounts.

It is understood that prices shall hold firm and prevail for the actual quantities required or ordered as needed during the life of the contract whether more or less than estimated quantities. Unit prices shall not be subject to any increase during the life of the contract.

All deliveries are to be made within the time period specified in the bid proposal upon receipt of written purchase order or authorized verbal requests except as may be otherwise arranged by Supplier and Purchaser.

Receipt of contract is not authority to ship. Emergency deliveries are to be made within twenty-four (24) hours from receipt of a telephone request from the Town of Greenwich. All deliveries are to be made on business weekdays between the hours of 9:00 A.M. and 4:00 P.M. except as may be otherwise arranged by the Supplier and Purchaser.

In the event deliveries are not made as specified to a Town delivery point, the Town of Greenwich shall reserve the right to purchase any such bid item on the open market and to charge any increase in price paid over the current contract price to the account of the vendor.

All bids will be awarded or rejected within sixty (60) days of bid opening date or for the stated period of validity, if different. Therefore, Bidder agrees that prices will remain firm for acceptance for that period.

Terms of payment to the Contractor shall be net/30 days after receipt of invoice and acceptance and approval of the services by the Town of Greenwich.

The contractor will not discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin. The contractor, however, will take affirmative action to insure that minority group members are employed and are not discriminated against during employment. Such actions shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection of training, including apprenticeship.

The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion, color, sex or national origin. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract of understanding, a notice advising the labor union or worker's representative of the contractors' commitments under this specification and under rules, regulations and orders promulgated by the State.

"Affirmative Action" means procedures which establish hiring and employment goals, timetables, and practices to be implemented, with good faith efforts, for minority group members.

"Minority Group Members" as identified in EEO-4 reports shall mean Black, Hispanic, Asian or Pacific Islanders, American Indian, and Alaskan Natives.

The contractor or subcontractor offers and agrees to assign to the public purchasing body all right, title and interest in and to all causes of action it may have under Section 4 of the Clayton Act, 15 U.S.C. Section 15, or under Chapter 624 of the General Statutes of Connecticut, arising out of the purchase of services, property or intangibles of any kind pursuant to a public purchase contract or subcontract. This assignment shall be made and become effective at the time the public purchasing body awards or accepts such contract, without further acknowledgment by the parties.

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TOWN OF GREENWICH, CT

REQUEST FOR BID #7944 DEADLINE: 02/05/2026 AT 11:00 AM

15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

BACKGROUND

The Town of Greenwich Purchasing Department, on behalf of the Sewer Division of the

Department of Public Works (DPW), is soliciting bids for the supply of 15% Liquid Membrane

Grade Sodium Hypochlorite.

GENERAL INFORMATION

The intention of this Request For Bid (RFB) is to establish a Commodity Award with one (1) or more Vendors who will, upon request, provide the Town with the products described in the

Specifications of this Request For Bid. There is no guarantee as to the amount of product that the

Town may purchase during the term of the Commodity Award.

The Commodity Award will have an initial term of one (1) year, from March 1, 2026, through

February 28, 2027. In addition, there will be three (3) optional years that may be engaged through the mutual consent of both parties on an annual basis.

Bid prices shall remain fixed for the initial term of the Commodity Award.

SPECIFICATIONS

1. All deliveries shall be requested via phone call by the Town facility on an as needed basis. The awarded Vendor shall:

(1) complete the delivery within two (2) weeks of the request

(2) confirm that the Bidder’s dispatcher is aware of this requirement

2. Prior to submitting a bid, Bidders shall be responsible for visiting the Town Waste Water

Treatment facility to observe the valve setup arrangement to ensure that the Bidder’s tanker truck is compatible with the Town’s off-loading manifold. Please coordinate a site visit with the Town of Greenwich – DPW Sewer Division Process Control Manager – Alyssa Beck at

(203) 622-0963 ext. 3.

3. The Bidder shall provide Material Safety Data Sheets (MSDS) with the bid.

4. The Sodium Hypochlorite shall be a membrane grade with a Na content of 1000-2000 ppm.

5. Quantities indicated in this RFB are approximate. The Town may purchase more or less than the estimated amounts.

6. The Sewer Division ordered a total of 12,327 gallons in Fiscal Year 2024, and a total of 9,939 gallons in Fiscal Year 2025. The typical range was between 2,000 and 2,500 gallons per delivery, however more or less may be requested. The 15% Liquid Membrane Grade Sodium

Hypochlorite shall be delivered by a tanker truck to:

Waste Water Treatment Plant

Grass Island, 250A Shore Road

Greenwich, CT 06830

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7. Bids shall be submitted to the Town of Greenwich Purchasing Department, First Floor, Town

Hall, 101 Field Point Road, Greenwich, CT 06830 by February 5th, 2026 at 11:00 AM. Bids received after the deadline time and date will not be considered and will be returned unopened to the Bidder. The Reply Sheets and the Material Safety Data Sheets shall be completed and returned with the bid.

8. Bidders shall hold their pricing firm for the initial term of the Award.

9. Shipping terms are FOB Destination, Freight Prepaid, and Allowed.

BIDDER REPLY

Bidders are to respond to this Request For Bid (RFB) by completing the attached Reply Sheets.

Bidders shall indicate their pricing and all other required information on the Reply Sheets. The pricing on the Reply Sheets shall be complete and shall include the costs of all shipping, delivery, insurance, certificates, permits, and/or other prices pertaining to this Commodity.

ISSUANCE OF ADDENDA

The Town of Greenwich reserves the right to amend this solicitation by addenda. Addenda will be posted to the Town’s website (www.greenwichct.gov/bids) up to 48 hours in advance of the deadline. It is the responsibility of the Bidder to check the Town’s website for addenda, the

Town will not provide notification. If in the Town’s opinion revisions are of such a magnitude, the deadline for this solicitation may be extended in an addendum. In addition, addenda can change

Specifications, Reply Sheets, and times/dates for Pre-Bid Conferences, as well as deadlines for questions and submissions.

DELIVERY OF BIDS

Bids shall be delivered via USPS or commercial delivery service (UPS, FedEx etc.) to the Town of Greenwich Purchasing Department, First Floor, Town Hall, 101 Field Point Road, Greenwich, CT 06830 by:

11:00 AM on Thursday, February 5th, 2026

The Purchasing Department is accepting hand-delivered bids. Bids received after the deadline date and time will not be accepted and will be returned unopened to the Bidder. The Reply Sheets must be completed and returned with the bid in a sealed envelope. Please clearly indicate

RFB #7944 on the lower left-hand corner of the envelope.

PACKAGING

Each bid must be sealed to provide confidentiality of the information prior to the submission date and time. Please note the RFB # on the outside of the package. The Town will not be responsible for premature opening of bids that are not properly labeled.

PRICE GUARANTEE / DURATION OF BID

Bids will remain in effect for a minimum of ninety (90) days from the deadline for submission of the bid.

http://www.greenwichct.gov/bids

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BID COSTS

The Bidder shall be responsible for all costs incurred in the development and submission of their bid. The Town assumes no contractual obligation as a result of the issuance of this RFB, the preparation or submission of a bid by a Bidder, or the evaluation of an accepted bid.

TAXES

The Town of Greenwich is exempt from the payment of taxes imposed by the Federal Government and/or State of Connecticut, and such taxes shall not be included in the bid prices.

PAYMENTS

The Town of Greenwich shall make payment net thirty (30) days of receipt of invoice, submittal of documentation, and acceptance of the products and/or services.

RESERVATION OF RIGHTS

The Town of Greenwich reserves the right to reject any and all bids not deemed to be in the best interest of the Town, or to accept that bid which appears to be in the best interest of the Town. The

Town reserves the right to waive any and all informalities, or to reject any or all bids or any part of any bid.

CANCELLATION OF AWARD/CONTRACT

If the Vendor fails to perform or observe any material term or condition of the bid/proposal or

Award/Contract and such failure continues for thirty (30) days after the Vendor’s receipt of written notice, the Town of Greenwich may cancel the Award/Contract without liability for cancellation or termination charges.

MODIFICATION OR WITHDRAWAL OF BID PRIOR TO DEADLINE

A Bidder wishing to withdraw a bid prior to the deadline may do so by preparing a formal written request on company letterhead. The person who signs the letter must be the same person who signed the Reply Sheets. The Town will verify that the signature on the letter matches the signature on the Reply Sheets.

The Town will also verify the request to withdraw the bid by calling the Bidder at the telephone number provided on the Reply Sheets.

After the Town is satisfied that a request to withdraw a bid before the established deadline is valid, the bid will be returned to the Bidder. The Bidder may then withdraw completely from the bidding process or may modify the bid and resubmit before the deadline.

MODIFICATION OR WITHDRAWAL OF BID AFTER DEADLINE

If a bid security is required and a Bidder does not honor their bid for the specified time, the bid check shall become the property of the Town; or, if a Bid Bond was furnished, the Bid Bond shall become payable to the Town.

After the deadline, the submitted bids become the property of the Town and are valid offers to be honored by the Bidder for sixty (60) days or longer, as specified in the Request for Bid.

Bidders who do not honor their bids for the sixty (60) day (or as specified) period, shall be disqualified.

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PERMITS

If applicable, the Contractor shall ascertain any permits required to perform the service as described in the Specifications and Scope of Work. All required permits shall be obtained and paid for by the Contractor.

FEDERAL, STATE, AND LOCAL LAWS

The Bidder shall acknowledge and agree that if awarded the RFB, Bidder shall be solely responsible for strict compliance with all Federal, State, and Local statutes, laws, codes, rules, regulations, and ordinances, and to obtain and maintain all necessary licenses and permits relating to this procurement.

APPLICABLE LAW

The laws of the State of Connecticut shall govern this Award/Contract and any and all litigation related to this Award/Contract. In the event of litigation related to this Award/Contract, the exclusive forum shall be the State of Connecticut and the exclusive venue for such litigation shall be the Judicial District for Stamford/Norwalk at Stamford.

CONFIDENTIALITY/DISCLOSURE

“Contractor” refers to all Bidders/Respondents submitting a bid/proposal.

The Town will afford due regard to the Contractor’s request for the protection of proprietary or confidential information received. However, all materials associated with the Bid/Proposal and the

Contract are subject to the terms of the Connecticut Freedom of Information Act (“FOIA”) and all corresponding rules, regulations and interpretations. In making such a request, the Contractor may not state generally that the materials are proprietary or confidential in nature and therefore not subject to release to third parties. The specific sentences, paragraphs, pages or sections that the

Contractor believes are exempt from disclosure under FOIA must be specifically identified as such. An explanation and rationale to justify each exemption consistent with FOIA must accompany the request. The rationale and explanation must be stated in terms of the prospective harm to the competitive position of the Contractor that would result if the identified material were to be released and the reasons why the materials are legally exempt from release pursuant to FOIA.

If the Contractor indicates that certain documentation is submitted in confidence, by specifically and clearly marking said documentation as CONFIDENTIAL, the Town will endeavor to keep said information confidential to the extent permitted by law. The Town, however, shall have no obligation to initiate, prosecute or defend any information that is sought pursuant to a FOIA request. The Contractor shall have the burden of establishing the availability of any FOIA exemption in any proceeding where it is an issue. In no event shall the Town, or any representative of the Town, be liable for the disclosure of any documents or information in its possession which the Town believes are required to be disclosed pursuant to FOIA or other requirements as mandated by policy/law.

Additionally, as per Section 1-210(b) of FOIA – Nothing in the Freedom of Information Act shall be construed to require the disclosure of:

(24) Responses to any request for proposals or bid solicitation issued by a public agency, responses by a public agency to any request for proposals or bid solicitation issued by a private entity, or any record or file made by a public agency in connection with the contract award process, until such contract is executed or negotiations for the award of such contract have ended, whichever occurs

Page | 7 earlier, provided the chief executive officer of such public agency certifies that the public interest in the disclosure of such responses, record or file is outweighed by the public interest in the confidentiality of such responses, record or file.

ISSUING AUTHORITY

Mr. Daniel Centofanti, Procurement Specialist, is responsible for the conduct of this procurement.

Any inquiries or requests regarding this procurement must be submitted in writing to Mr.

Centofanti at the address below by 11:00 AM on Thursday, January 22nd, 2026:

Town of Greenwich

Purchasing Department

101 Field Point Road

Daniel.Centofanti@GreenwichCT.Gov

INSURANCE REQUIREMENTS

The awarded Contractor will be required to provide insurance coverage as specified on the

Insurance Requirements Sheet, Exhibit A, of this RFB/RFP. The Acord certificate of insurance form must be executed by your insurance agent/broker and returned to this office. The most current

Acord form should be used for insurance documentation purposes. Company name and address must conform on all documents including insurance documentation. It is required that the agent/broker note the individual insurance companies providing coverage, rather than the insurance group, on the Acord form. The Contract number (provided to the awarded Contractor), project name and a brief description must be inserted in the “Description of Operations” field. It must be confirmed on the Acord Form that the Town of Greenwich/Town of Greenwich d/b/a The

Nathaniel Witherell/Greenwich Public Schools/Greenwich Board of Education are endorsed as an additional insured by having the appropriate box checked off and stating such in the “Description of Operations” field. Contractor’s insurance must be primary and non-contributory.

The Contractor shall be responsible for maintaining the above insurance coverages in force to secure all of the Contractor's obligations under the Contract with an insurance company or companies with an AM Best Rating of A-:VII or better, licensed to write such insurance in Connecticut and acceptable to the Risk Manager, Town of Greenwich. For excess liability only, non-admitted insurers are acceptable, provided they are permitted to do business through Connecticut excess line brokers per listing on the current list of Licensed Insurance

Companies, Approved Reinsurers, Surplus Lines Insurers and Risk Retention Groups issued by the State of Connecticut Insurance Department.

The Contractor shall submit with the bid/proposal the signed, original “Insurance Procedure” form, included in the reply sheets, which states that the Contractor agrees to provide the specified insurance coverage for this bid/proposal at no additional charge above any insurance charge declared in the bid/proposal.

mailto:Daniel.Centofanti@GreenwichCT.Gov

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REQUEST FOR BID #7944 DEADLINE: 02/05/2026 AT 11:00 AM

15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

REPLY SHEET (Page 1 of 4)

PRICING

15% Liquid Membrane Grade Sodium Hypochlorite: $_______________ Per Gallon

Delivery will be made _____________ days after receipt of order.

PRICING SHALL BE HELD FIRM FOR THE INITIAL ONE (1)-YEAR TERM OF THE

AWARD.

Material Safety Data Sheets included with the bid? Yes _____ No _____

PRICING FOR OPTION YEARS

Bidder shall indicate below if pricing will increase or decrease in the optional years of the Award:

_____Yes, pricing will increase or decrease in the option years.

_____No, pricing will not increase or decrease in the option years.

If pricing will increase or decrease in the optional years, Bidder shall indicate below the maximum percentage of the potential increases or decreases for each optional year.

REFERENCES

Bidder shall list below the names and telephone numbers of three (3) customers/references for whom they provided products and/or services similar to the ones described in this RFB:

REFERENCE CONTACT NAME TELEPHONE #

BIDDER’S COMPANY NAME: _________________________________________________

AUTHORIZED SIGNATURE: _________________________________________________

Option Year Maximum Price Increase

(if any)

Maximum Price Decrease

(if any) 1 % %

2 % %

3 % %

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REQUEST FOR BID #7944 DEADLINE: 02/05/2026 AT 11:00 AM

15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

REPLY SHEET (Page 2 of 4)

STATEMENT OF NON-COLLUSION

In submitting this bid/proposal, the undersigned declares that this is made without any connection with any persons making another bid/proposal on the same contract; that the bid/proposal is in all respects fair and without collusion, fraud, or mental reservation; and that no elected or appointed official of the Town, or any person or entity in the employ of the

Town, is directly or indirectly interested in said bid/proposal or in the supplies or work to which it relates, or in any portion of the profits thereof, except as permitted under the Town of Greenwich Code of Ethics.

CODE OF ETHICS

In submitting this bid/proposal, the undersigned further declares and certifies that a) it has not, and will not induce or attempt to induce any Town of Greenwich employee or officer to violate the Town of Greenwich Code of Ethics in connection with its offer to provide goods or services under, or otherwise in the performance of, such contract, and b) if an elected or appointed official or any person in the employ of the Town has a direct or indirect interest in Vendor or any supplier or Subcontractor expected to be involved with the contract, such person or entity is in compliance with the safe harbor procedures established by the Town of Greenwich Board of Ethics or has received an advisory from the Town’s

Board of Ethics with respect to such involvement. Bidders are hereby notified that the Town’s Code of Ethics’ definition of a Town Officer includes outside consultants to and agents of the Town in addition to elected and appointed officials and Town employees. The full Code of Ethics can be found on the Town website https://www.greenwichct.gov/682/Board-of-Ethics.

The undersigned further understands that the above declarations are material representations to the Town of Greenwich made as a condition to the acceptance of the bid/proposal. If found to be false, the Town of Greenwich retains the right to reject said bid/proposal and rescind any resulting contract and/or purchase order and notify the undersigned accordingly, thereby declaring as void said bid/proposal and contract or purchase order.

Relevant provisions of the Town’s Code of Ethics are:

Section 2. DEFINITIONS. (1) Indirect interest, without limiting its generality, shall mean and include the interest of any subcontractor in any prime contract with the Town and the interest of any person or his immediate family in any corporation, firm, or partnership which has a direct or indirect interest in any transaction with the

Town. (2) Substantial financial interest shall mean any financial interest, direct or indirect, which is more than nominal, and which is not common to the interest of other citizens of the Town. (3) Town officer shall mean and include any official, employee, agent, consultant, or member, elected or appointed, of any board, department, commission, committee, legislative body, or other agency of the Town. (4) Transaction shall mean and include the offer, sale, or furnishing of any real or personal property, material, supplies, or services by any person, directly or indirectly, as Vendor, prime contractor, subcontractor, or otherwise, for the use and benefit of the Town for a valuable consideration, excepting the services of any person as a Town officer.

Section 3. GIFTS AND FAVORS. No Town officer or his immediate family shall accept any valuable gift, thing, favor, loan, or promise that might influence the performance or nonperformance of his official duties.

Section 4. IMPROPER INFLUENCE. No Town officer having a substantial financial interest in any transaction with the Town or in any action to be taken by the Town shall use his office to exert his influence or to vote on such transaction or action.

By signing below, the undersigned acknowledges reviewing and understanding the Non-Collusion and Code of Ethics statements contained herein and confirms compliance with the contents:

AUTHORIZED SIGNATURE: ________________________________________________________

PRINT NAME: _____________________________________________________________________

BIDDER’S COMPANY NAME: _______________________________________________________

https://www.greenwichct.gov/682/Board-of-Ethics

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REQUEST FOR BID #7944 DEADLINE: 02/05/2026 AT 11:00 AM

15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

REPLY SHEET (Page 3 of 4)

BIDDER INFORMATION:

BIDDER’S COMPANY NAME

ADDRESS

TELEPHONE # FAX #

E-MAIL ADDRESS

WEB SITE

AUTHORIZED SIGNATURE

PRINT NAME

TITLE

STATE OF CT TAXPAYER ID #

FEDERAL TAXPAYER ID #

INCORPORATED IN THE STATE OF Corporate Seal Yes No

AWARD/CONTRACT SIGNATURE

The Bidder shall indicate below, the full name, title, email, and the complete mailing address of the authorized person (i.e., officer of the company) who will sign the Contract (if applicable) for this procurement:

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REQUEST FOR BID #7944 DEADLINE: 02/05/2026 AT 11:00 AM

15% LIQUID MEMBRANE GRADE SODIUM HYPOCHLORITE

REPLY SHEET (Page 4 of 4)

INSURANCE PROCEDURE FORM

THE BIDDER SHALL RETURN THIS COMPLETED FORM WITH THE BID/PROPOSAL.

FAILURE TO DO SO MAY RESULT IN REJECTION OF THE BID/PROPOSAL.

The Bidder shall forward the Insurance Requirement Sheet (Exhibit A) to the Bidder’s insurance

Agent/Broker (“Agent/Broker”) upon receipt of the RFB/P documents. The Bidder and the

Agent/Broker shall familiarize themselves with the required levels of insurance, and the documentation process necessary for the successful development of a Contract with the Town of

Greenwich, CT for this project.

The Bidder shall determine if existing insurance coverage is sufficient, or if any costs for new or additional coverage is required for the specified work noted in this RFB/P. Any bids/proposals which contain exceptions to the insurance requirements may be considered nonresponsive and may be rejected. Any EXCEPTIONS to this form and/or signatures must be declared on the

Reply Sheets to be considered.

STATEMENT OF BIDDER AND BIDDER’S AGENT/BROKER:

The Bidder and the Agent/Broker have read the insurance requirements for this project. The

Agent/Broker is a duly licensed insurance agent under the laws of the State of _______. We confirm that we are willing and able to document the required levels of coverage as the Town of Greenwich, CT has specified. The Agent/Broker is an authorized representative of all companies which will be affording coverage for Contract to be awarded pursuant to this RFB/P. The bid/proposal pricing submitted reflects all insurance costs for this project.

The Agent/Broker confirms that Bidder’s General Liability policy meets or exceeds the coverage in Commercial General Liability ISO form CG 00 01 10 01 or CG 00 01 04 13, including contractual liability.

The Bidder and Agent/Broker confirm that the Town of Greenwich shall be given thirty (30) days prior written notice of cancellation, lapse or restrictive amendment (except ten days notice of nonpayment) of the policies listed in the Acord form.

If awarded this Contract, the insurance documentation shall be submitted to the Town of

Greenwich, CT within ten (10) days after the date of the award of the Contract. The documentation will be in the form of an Acord for which the Agent/Broker will confirm that the policies have been issued to the insured in the amounts stated and for the periods indicated.

Bidder’s Company Name: ______________________________

Authorized Bidder’s Signature: ______________________________

Date: ______________________________

Bidder’s Insurance Agent/Broker’s Company Name: ______________________________

Authorized Agent/Broker’s Signature: ______________________________

Date: ______________________________

RFB #7944

EXHIBIT A

Insurance Requirement Sheet

Insurance Requirements: Before starting and until final completion and acceptance of the work called for in the Contract and expiration of the guarantee period provided for in the Contract, the Contractor and its subcontractors, if any, shall procure and maintain insurance of the types and amounts checked in paragraphs A through F below for all Contract operations.

If any of the required insurance is on a claims made basis and does not include an extended reporting period of at least 36 months, contractor shall maintain either tail coverage or continuous claims made liability coverage, provided the effective date of the continuous claims made coverage is on or before the effective date of the contract with the Town, for a minimum of months following the later of (i) contractor’s completion and Town’s acceptance of all services required under the contract, or, (ii) Town or contractor termination of contract, or, (iii) the expiration of the claims made policy. The Town of Greenwich shall be given thirty (30) days prior written notice of cancellation, lapse or restrictive amendment (except ten days notice of nonpayment) of the policies listed in the Acord form.

A. General Liability, with minimum coverages for combined bodily injury and property damage liability of

$2,000,000 Aggregate and $1,000,000 per occurrence including:

1. Commercial General Liability which meets or exceeds the coverage in Commercial

General Liability ISO Form CG 00011001 or CG 00010413, including contractual liability.

2. Town of Greenwich as additional insured. Contractor’s insurance must be primary and non-contributory – and stated as such in the Description of Operations section of the Acord form.

3. Owners and Contractors Protective Liability (separate policy in the name of the Town).

B. Comprehensive Automobile Liability, with minimum coverages of $1,000,000 combined single limit for bodily injury and property damage, including, where applicable, coverage for any vehicle, all owned vehicles, scheduled vehicles, hired vehicles, non-owned vehicles and garage liability.

C. Excess Liability, with minimum coverage of $5,000,000 in umbrella form, or such other form as approved by Town Department Head and Risk Management Director.

D. Workers' Compensation and Employer's Liability, with minimum coverages as provided by Connecticut

State Statutes.

E. Professional Liability (for design and other professionals for Errors and Omissions), with minimum coverage of $1,000,000. If the policy is on a claims-made basis, coverage shall be continually renewed or extended for three (3) years after work is completed under the Contract.

F. Other: $4 Million Pollution Coverage

G. CERTIFICATE HOLDER: TOWN OF GREENWICH

ATTN: PURCHASING DEPT. (Also indicate on Acord Certificate of Insurance)

101 Field Point Road, Greenwich, CT 06830.

The Description of Operations on the Acord certificate of insurance must state the Project Name, the Contract Number and the following: “Town of Greenwich is additional insured, Contractor’s insurance is primary and non-contributory, General Liability coverage meets or exceeds the coverage in Commercial General Liability ISO Form CG 00 01 10 01, or CG 00 01 04 13, including contractual liability. Town of Greenwich will be given 30 days prior written notice of cancellation, lapse or restrictive amendment (except 10 days notice of non-payment) of the policies listed on the Acord form.”

The Acord certificate of insurance form must be executed by your insurance agent/broker. The most current Acord form should be used.

Company name and address must conform on all documents including insurance documentation. List the individual insurance companies, rather than the insurance group, on the Acord form. Check the appropriate box to indicate Town of Greenwich as endorsed as an additional insured. Contract development will begin upon receipt of complete, correct insurance documentation.

The Contractor shall be responsible for maintaining the above insurance coverages in force to secure all of the Contractor's obligations under the

Contract with an insurance company or companies with an AM Best Rating of A-:VII or better, licensed to write such insurance in Connecticut and acceptable to the Risk Manager, Town of Greenwich. For excess liability only, non-admitted insurers are acceptable, provided they are permitted to do business through Connecticut excess line brokers per listing on the current list of Licensed Insurance Companies, Approved

Reinsurers, Surplus Lines Insurers and Risk Retention Groups issued by the State of Connecticut Insurance Department.