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HomeMy WebLinkAboutResolution - 2018-R0247 - Brenntag Southwest, Inc. - 08/09/2018Resolution No. 2018-R0247 Item No. 6.7 August 9, 2018 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, Contract No. 14212 for Water Treatment Facilities — Treatment Chemicals as per ITB 18-14151-JM, by and between the City of Lubbock and Brenntag Southwest, Inc., of Longview, Texas, and related documents. Said Contract is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council, Passed by the City Council on August 9, 2018 Lfl� DANIEL M. POPE, MAYOR ATTEST: Rebe ca Garza, City Secretar} APPROVED AS TO CONTENT: Q�� �, Jesica McEac ern, Assistant City Manager APPROVED AS TO FORM: Deputy City orn vw:ecdocs/RES.Contmct 14212.Water Treatment Facilities - Treatment Chemicals 07.24.2018 Cheryl Brock Changed On Description 08212018 Approved User ID 0821/2018 Completed 08212018 Complete Date 08I2112018 Item Review Slams ID owl-018 Passed omit 018 SlumsChangedDate Jesica McEachern Changed On Description O812012018 Approved User ID 08ac'�018 Completed 081.31:g18 Complete Date 0820, _018 Item Review Status ID 08/20,2018 Passed 0812012018 StatusChangetlDale Lainey Morrison Changed On Descdp0on OBI232018 Approved User ID OB232010 Completed 0823/ZD18 Complete Date 08MI-018 Item Review Status ID 0W31-018 Passed 0823'2018 StatusChangedDate Before After Current Balance Cost of Good/Services Additional Info [none] Brock. Cheryl $3.038,432.80 S410.939.00 Item Review (Budget Director) No Yes $3,038,432.80 $410,939.00 Item Review (Budget Director) [none] 8212018 $3,038,432.80 $410,939,00 Item Review (Budget Director) Under Review Approved $3,038.432.80 $410,939,00 Item Review (Budget Director) No Yes $3,OH.432.80 5410,939.00 Item Review (Budget Director) (none] 8212018 53.038.432.80 $410.939.00 Item Review (Budget Director) Before After Current Balance Cost of Good/Servlces Additional Info [none] MCEacM1em, Jesica $3.038,432.80 $410,939.00 Item Review (Assistant City MandgerlCFO) No Yes 53,038,432.80 $410,939.00 Item Review (Assistant City Manager/CFO) [none] 82U2018 $3.038,432.80 $410,939.00 Item From (Assistant City Manager/CFO) Under Review Approved $3,038,432.80 $410.939.00 Item Review (Assistant City Mmagec CFO) No Yes 53,038,432.80 $410,939.00 Item Review (Assistant City Manager/CFO) ]none] 8202018 $3,038,432.80 $410,939.00 Item Review (Assistant COY MmegedCFO) Before After Current Balance Cost of Good/Services Additional Info [none] Moroccan. Lainey $3.038.432.80 5410,939.00 Item Review (Risk Management Coordinator) No Yes $3.038A32.80 $410,939.00 Item Review (Risk Management Coordinator) [none] 823201E $3,038,432.80 $410,939.00 Item Review (Risk Management Coordinator) Under Review Approved 33,038,432.80 5410,93900 Item Review (Rick Management Coordinator) No Yes $3,038,432.80 $410,939.00 Item Review (Risk Management Coordinator) (nmre] MM018 53,038,432.80 541 OX9.00 Item Review (Risk Management Coordinator) Augi'sl 23, 2018 Page 1 of i Resolution No. 2018-RO247 Contract 14212 City of Lubbock, TX Contract For Water Treatment Facilities — Treatment Chemicals THIS CONTRACT made and entered into this 2th day of August , 2018, by and between the City of Lubbock ("City"), and Brenntaa Southwest, Inc, ("Contractor"). WHEREAS, the City of Lubbock duly advertised for bids for Water Treatment Facilities - Treatment Chemicals and bids were received and duly opened as required by law; and WHEREAS, after careful consideration of the bid submitted by Contractor, the City authorized the execution, in the name of the City of Lubbock a contract with said Contractor covering the purchase and delivery of the said Water Treatment Facilities - Treatment Chemicals. NOW, THEREFORE, in consideration of the mutual agreement contained herein, as well as the financial consideration hereinafter referred to, the parties hereby covenant and agree as follows: 1. In accordance with City's general conditions and Contractor's bid, copies of which are attached hereto and made part hereof, Contractor will deliver to the City, Treatment Chemicals for Water Treatment Plants, and more specifically referred to as Items one, five, and six on the bid submitted by the Contractor or in the specifications attached hereto. 2. The City promises and agrees to employ, and does employ, the Contractor to cause to be done the work provided for in this Contract and to complete and finish the same according to the attached specifications, offer, and terms and conditions contained herein. 3. The Contractor shall perform the work according to the procedures outlined in the Bid Form General Conditions, and Specifications attached hereto. The contract shall be for a term of one year with the option of four, one year extensions said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this proposal and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be terminated for non-compliance. 4. This contract shall remain in effect until the first of the following occurs: (1) the expiration date, (2) performance of services ordered, or (3) termination of by either party with a 30 day written notice. The City of Lubbock reserves the right to award the canceled contract to the next lowest and best bidder as it deems to be in the best interest of the city. 5. Contractor shall at all times be an independent contractor and not an agent or representative of City with regard to performance of the Services. Contractor shall not represent that it is, or hold itself out as, an agent or representative of City. In no event shall Contractor be authorized to enter into any agreement or undertaking for or on behalf of City. 6. The contractor shall obtain and maintain in full force and effect during the term of the contract, commercial general liability coverage with insurance carriers admitted to do business in the State Texas. The insurance companies must carry a Best's Rating of A- VII or better. The policies will be written on an occurrence basis, subject to the following minimum limits of liability: INSURANCE COVERAGE REQUIRED TYPE OF INSURANCE GENERAL LIABILITY ® Commercial General Liability ❑ Other ❑ Claims Made ® Occurrence ❑ W/Heavy Equipment ❑ XCU ❑ To Include Products of Complete Operation Endorsements COMBINED SINGLE LIMIT General Aggregate $1,000,000 Products-Comp/Op AGG x Personal & Adv. Injury x Contractual Liability x AUTOMOTIVE LIABILITY ® Any Auto ❑ All Owned Autos Per Occurrence S1,000,000 ® POLLUTION S1,000,000 ® WORKERS COMPENSATION —STATUTORY AMOUNTS OR OCCUPATIONAL MEDICAL AND DISABILITY ® EMPLOYERS' LIABILITY S1,000,000 OTHER: COPIES OF ENDOSEh1ENTS ARE REQUIRED ® City of Lubbock named as additional insurer! wt .4uto/Genera! Liability on a primary and non-contributory basis. ® To include products of completed operations endorsement. ® Waiver ofstibrogation in favor of the City of Lubbock on all coverages. e-rcept The City of Lubbock shall be named as additional insured on a primary and Non -Contributory basis on Auto/General Liability, with a waiver of subrogation in favor of the City of Lubbock on all coverages. Copies of all endorsements are required. The contractor will provide a Certificate of Insurance to the City as evidence of coverage. The certificate will provide 30 days' notice of cancellation, and under the cancellation section, the wording "endeavor to" and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives" will be crossed out. A copy of the additional insured endorsement attached to the policy will be included with the certificate. The contractor shall also maintain workers compensation insurance in the statutory amount. If at any time during the life of the contract or any extension, the contractor fails to maintain the required insurance in full force and effect, all work under the contract shall be discontinued immediately. Any failure to maintain the required insurance may be sufficient cause for the City to terminate the contract. 7. Neither the City nor the Contractor shall- assign, transfer or encumber any rights, duties or interests accruing from this Contract without the written consent of the other. 8. The City reserves the right to exercise any right or remedy available to it by law, contract, equity, or ( il1CI�1';.^+(, lflC�li!�I171' "tt177i1t 1!11iiti',lioll. t!• ri!f !11 t0 :'^,(.1• 1r1''!'i1d (1!1 f7i'I11S (oni-.r; (lrf ! n+��r•}(,.�} jtlristliCtion. 1'urlller, the Cit)' shall nut bC subject to any arbitration process prior to cacrcisiltb its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this document, this provision shall control. 9. At any time during the term of the contract, or thereafter, the City, or a duly authorized audit representative of the City or the State of Texas, at its expense and at reasonable times, reserves the right to audit Contractor's records and books relevant to all services provided to the City under this Contract. In the event such an audit by the City reveals any errors or overpayments by the City, Contractor shall refund the City the full amount of such overpayments within thirty (30) days of such audit findings, or the City, at its option, reserves the right to deduct such amounts owing the City from any payments due Contractor. 10. All funds for payment by the City under this contract are subject to the availability of an annual appropriation for this purpose by the City. In the event of non -appropriation of funds by the City Council of the City of Lubbock for the goods or services provided under the contract, the City will terminate the contract, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then -current year for the goods or services covered by this contract is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this contract, cancellation shall be accepted by the Seller on thirty (30) days prior written notice, but failure to give such notice shall be of no effect and the City shall not be obligated under this contract beyond the date of termination. 11. The Contractor shall not assign or sublet the contract, or any portion of the contract, without written consent from the Director of Purchasing and Contract Management. Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof on insurance from the Subcontractor that complies with all contract Insurance requirements. 12. This Contract consists of the following documents set forth herein; Invitation to Bid No. 18-141514M, Specifications, and the Bid Form. 13. Contractor acknowledges, by supplying any Goods or Services that the Contractor has read, fully understands, and will be in full compliance with all terms and conditions and the descriptive material contained herein and any additional associated documents and Amendments. The City disclaims any terms and conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict between these terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 14. HB 89 -The Contractor warrants that it complies with Chapter 2270, Subtitle F, Title 10 of the Texas Government Code by verifying that: (1) The Contractor does not boycott Israel; and (2) The Contractor will not boycott Israel during the term of the Agreement. 15. SB 252 prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization. INTENTIIONAL LEFT BLANK IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY OF LUBBOCK VW Y Daniel M. Pope, Mayor ATTEST: Rebe ca Garza, City Secretary APPRiVED AS TO ONTENT: ubrey ear .E., Director of Water Utilities APPROVE AS TO FORM: �,yS eput i mey CONTRACTOR BY W Authorized Representativ W. Thomas Crain, Jr Print Name 704 E Wintergreen Rd Address Lancaster, TX 75134 City, State, Zip Code Revised: BID FORM Water Treatment Facilities — Treatment Chemicals City of Lubbock, TX ITB 18-14151-JM In compliance with the Invitation to Bid 18-14151JM, the undersigned Bidder having examined the Invitation to Did and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for furnishing the material, equipment, labor and everything necessary for providing the items listed below and agrees to deliver said items at the locations and for the prices set forth on this form. A bid will be subject to being considered irregular and may be rejected if it shows omissions, alterations of form, conditional alternate bids, additions or alternates in lieu of the items specified, if the unit prices are obviously unbalanced (either in execs of or below reasonably expected values), or irregularities of any kind. The Invitation to Bid 18-14151-JM is by reference incorporated in this contract. The Bid Form must he completed in blue or black ink or by typewriter. ITEM Q TY ( ) UNIT OF MEASURE DESCRIPTION UNIT PRICE* BiD EX'l'ENDED COST Delivery Days ARU * 1. 30,000 Pounds 78.0% Sulfuric Acid For South Water Treatment Plant, as specified. $0.6538Ab $19,614.00 3-5 Days w/w 5. 2,056 Pounds 38.0% Sodium Bisullite For South Water Treatment Plant, as specified. $0.3811b $781.28 3-5 Days 6. 26,400 Pounds 50.0°ra Sodium Ilydroxidc For South Water Treatment Plant, as specified. $0.36Ab $9,504.00 3-5 Days C Vz • otal Cost (items 1-7) : 992,as�r• $ 29,899.28 -Muq.b- revers. uesnnaaon, rrctgnt rre-raid and Allowed "Days after Receipt of Order (ARO) Unless otherwise specified herein, the City may award the bid on an all -or -none basis. The City of Lubbock is seeking a contract for Water Treatment Facilities - Treatment Chemicals with one or more contractors. In order to ensure adequate coverage, the City may make multiple awards, selecting multiple vendors to pro -tide the products desired, if multiple awards ace In the best interest of the City. A decision to make a multiple award of this Bid, however, Is an option reserved by the City, based on the needs of the City. PAYMENT TERMS AND DISCOUNTS - Bidder offers a prompt payment discount of —_(_%, net30calendar days. Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will be NET THIRTY DAYS. The City will pay the successful bidder within thirty days after the receipt of a correct invoice or after the date of acceptance, whichever event occurs later. Discounts for prompt payment requiring payment by the City within a stipulated number of days will be interpreted as applying within the stipulated number of calendar days after the date of receipt by the City of a correct invoice or after the date of acceptance that meets contract requirements, whichever event occurs later. Discounts for payment in less than test days will not be considered. MOST FAVOURED PRiCiNO: The Bidder certifies that the price quoted is not in excess of the lowest price cbargW anyone else, including its most favored customer, for like quality and quantity of the productstsenrices; does not include an clement of p:olit uu the sale in ekes.% of ilia: nos tidy ublaiaed by t;.: Biudri uls the wain �il'tisuc:u.Is/�ciriccs of like yuniity and MOST FAVOURED PRICING: The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone else, including its most favored customer, for like quality and quantity of the products/services; does not include an element of profit on the sale in excess of that normally obtained by the Bidder on the sale of products/services of like quality and quantity; and does not include any provision for discounts to selling agents. If at any time during the contract period, the supplier should sell or offer for sale to any other customer, an equal or less quantity of similar contract products of like or better quality, at a lower net price(s) than provided herein, supplier agrees to notify the City and sell same product(s) at the lower price(s) on all deliveries made during the period in which such lower price(s) is effective. INTERLOCAL PURCHASING (optional): The City desires to make available to other local governmental entities of the State of Texas, by mutual agreement with the successful bidder, and properly authorized interlocal purchasing agreements as provided for by the Interlocal Cooperation Act (Chapter 791, Government Code), the right to purchase the same services, at the prices quoted, for the period of this contract. Each bidder shall indicate on the Bid Form in the space provided below if he/she will honor Political Subdivision orders in addition to orders from the City of Lubbock. Should these other governmental entities decide to participate in this contract, would you (the bidder) agree that all terms, conditions, specifications, and pricing would apply? Other governmental entities that might have interests in this contract are Friendship Independent School District, Lubbock Housing Authority, Lubbock County, Lubbock County Hospital District, Lubbock Independent School District, South Plains Association of Governments, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency, Lynn County, and City of Wolfforth. YES NO X • If you (the bidder) checked YES, the following will apply: • Governmental entities utilizing Interlocal Agreements for Cooperative Purchasing with the City of Lubbock will be eligible, but not obligated, to purchase materials/services under the contract(s) awarded as a result of this solicitation. All purchases by governmental entities other than the City of Lubbock will be billed directly to that governmental entity and paid by that governmental entity. City of Lubbock will not be responsible for another governmental entity's debts. Each governmental entity will order their own materials/service as needed. THIS BID IS SUBMITTED BY Brenntag Southwest, Inc. a corporation organized under the laws of the State of Texas , or a partnership consisting of or individual trading as of the City of Firm: Brenntag Southwest, Inc. Address: 704 E Wintergreen Rd City: Lancaster State: Texas Zip 75134 Bidder acknowledges receipt of the ollowin addenda: Addenda No. Date U 1 � Addenda No. Datcl[42_01 a Addenda No. �_ Date 19 Addenda No. Datel 151=8 M/WBE Firm By Au Officer Name and Title: W. Thomas Crain, Jr., President Please Print Business Telephone Number (972) 218-3500 FAX: (972) 218-3501 E-mail Address: 9tollefsen@brenntag.com FOR CITY USE ONLY Bid Form Item Number(s) Awarded to Above Named Firm/Individual: Date of Award by City Council (for bids over $25,000): Date P.O./Contract Issued: RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS. LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER. THE CLOSING DATE AND TIME, AND YOUR COMPANY NAME AND ADDRESS. Revised: City of Lubbock, TX Water Treatment Facilities — Treatment Chemicals ITB 18-14151-JM SPECIFICATIONS SCOPE It is the intent of these specifications to describe various chemicals and anticipated quantities of chemical products to be used in the water treatment process at the City of Lubbock South Water Treatment Plant, North Water Treatment Plant, and Bailey County Well Field. PRODUCT SPECIFICATION Treatment Chemicals purchased for use at the City of Lubbock South Water Treatment Plant, North Water Treatment Plant, and Bailey county Well Field shall contain no soluble inorganic or organic substances capable of producing deleterious or injurious effects upon the health of those consuming the water, or that would otherwise render it unfit for public consumption. All treatment chemicals must have NSF/ANSI Certification for use in potable water treatment plants. Bidder shall submit a certificate of analysis which will include the specific gravity and pH. The material safety data sheets (MSDS) for the product and NSF/ANSI certification shall also be submitted with the bid. In any event, all products used must have NSF/ANSI certification for use in drinking water treatment plants, any product bid that does not contain NSF/ANSI Certification will be determined unusable and not be considered. PRODUCT PERFORMANCE Bidders must submit a list with a minimum of three (3) potable water treatment plants with phone numbers and contact persons that are currently using the product(s). References will be thoroughly checked and will figure prominently into the selection of a successful bidder. PRODUCT QUALITY PER LOAD Upon delivery of each load of product, the transport driver must present a certificate of analysis containing specific gravity and pH. Plant operations staff may also perform specific gravity and pH analyses on the product in the presence of the transport driver. A delivered product that exhibits any unusual color or appearance compared to previous acceptable deliveries will be refused, as will deliveries containing any form of foreign material. If the product meets the required minimum standards, the product may then be off loaded. If desired, the vendor may provide their own hydrometer and perform an additional specific gravity analysis in the presence of the plant operations staff. In the event the product does not meet the required minimum standards, the load will be refused and the vendor must provide another acceptable load within forty eight (48) hours. No additional freight or shipping charges shall be assessed by vendor. TECHNICAL SUPPORT Vendor shall provide acceptable technical support and response time whenever problems are encountered relating to product use and/or performance. A telephone response time of one (1) business day is required of vendor in cases of product performance problems. A site visit by the vendor may be requested by the owner if owner feels it is necessaryto solve any significant problem related to product performance. If a non -routine site visit is requested, the vendor will have five (5) business days to respond and arrive on -site. QUANTITIES AND PRICING The anticipated annual consumption of required treatment chemicals are listed below. Prices quoted for product shall be FOB City of Lubbock South Water Treatment Plant, 5114 East FM 1585 Lubbock, Texas 79404, North Water Treatment Plant 6001 North Guava Lubbock, Texas 79403, and Bailey County Well field 2380 East HWY 84 Muleshoe, Texas 79347. The contract shall be for a term of one year with the option of four, one year extensions said date of term beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this proposal and resulting contract. The rates may be adjusted upward or downward at that time at a percentage not to exceed the effective change in the Consumer Price Index (CPI) for the previous 12 months. The effective change rate shall be based on the index average rate for all items. DELIVERY / SECURITY Successful vendor shall be required to deliver the product(s) to the City of Lubbock South Water Treatment Plant, North Water Treatment Plant, and Bailey County Well Field within five (5) days after order is placed. Unloading to plant storage tanks is to be performed by the driver under the direction of operations personnel. Successful vendor shall provide any and all special equipment necessary to perform unloading at no cost to the City of Lubbock. All deliveries will be unloaded between the hours of 9:00 A.M. and 4:00 P.M., Monday through Friday. No exceptions will be made unless prior approval is agreed upon with the water treatment plant's operations personnel. The transporter is required to furnish certified, dated, and stamped weight tickets with each load of bulk product delivered before and after unloading. All delivery people will display photo security ID upon arrival at the site. All delivery vehicles shall meet OSHA and DOT regulations and be operated in a safe manner while on site. All delivery personnel will be identified by the vendor before arrival at the site; preferably at the time an order is placed. Upon arrival at the City of Lubbock South Water Treatment Plant, delivery personnel will check in with plant representative, present photo identification, and then be directed to the unloading site. All shipments shall be sealed and the seal will be broken only in the presence of the plant representative. If any of the security measures are violated, the shipment will be refused. Individual Chemical Specifications 78.0% Sulfuric Acid Annual usage of 78% Sulfuric Acid is estimated to be 30,000 +/- lbs. 78.0% Sulfuric Acid will be received in totes and offloaded at the chemical receiving station located at the City of Lubbock South Water Treatment Plant. Product must be NSF/ANSI Certified for use in public water treatment. Specific gravity of 78.0% Sulfuric Acid shall be 1.71 at 16 C (61 F) with a pH of 1.0 at 1.0 wt/wt%. 12.5% Sodium Hypochlorite Annual usage of 12.5% Sodium Hypochlorite is estimated to be 927,830 +/- gallons. 12.5% Sodium Hypochlorite must adhere to American Water Works Association specification B300-10 or latest revision thereof. Specific gravity of 12.5% Sodium Hypochlorite shall be 1.2 g/ml or 10 lb/gallon at 20 C (68 F) with a 1.0% solution pH of 11.2-11.4. (See below for individual facility and storage tank sizes) Liquid Ammonium Sulfate 10% w/w Annual usage of Liquid Ammonium Sulfate (LAS) is estimated to be 195,275 +/- gallons. Specific gravity of Liquid Ammonium Sulfate at 21 C (71 F) shall be 1.216-1.228. Neat pH shall be 3.0-5.0 with a density of 10.15-10.25 Ibs/gal. (NH4)2SO4 percentage shall be 38-40% with equivalent NH3 of 9.8- 10.3%. (See below for individual facility and storage tank sizes) 50.0% Citric Acid Annual usage of 50.0% Citric Acid is estimated to be 24,500 +/- lbs/year. Delivery of 50.0% Citric Acid will be received in totes and offloaded at the chemical receiving station located at the City of Lubbock South Water Treatment Plant. Product must be NSF/ANSI Certified for use in public water treatment. Specific gravity of 50% Citric Acid shall be 1.24 with a pH of 0.6. 38% Sodium Bisulfite Annual usage of 38.0% Sodium Bisulfite is estimated to be 2,056 +/- lbs/year. Delivery of 38.0% Sodium Bisulfite will be received in totes and offloaded at the chemical receiving station located at the City of Lubbock South Water Treatment Plant. Product must be NSF/ANSI Certified for use in public water treatment. Specific gravity of 38% Sodium Bisulfite shall be 1.33 with a ph of 3.8-5.2. 50.0% Sodium Hydroxide Annual usage of 50.0% Sodium Hydroxide is estimated to be 26,400 +/- lbs/year. Delivery of 50.0% Sodium Hydroxide will be received in totes and offloaded at the chemical receiving station located at the City of Lubbock South Water Treatment Plant. Delivered 50.0% Sodium Hydroxide must adhere to American Water Works Association specification B501-08 or latest revision thereof. Specific gravity of 50% Sodium Hydroxide shall be 1.53 at 15.5 C (60 F) with a as is pH of 13.7. Coagulant for South Water Treatment Plant The City of Lubbock owns and operates a membrane filtration plant, only Aluminum Chlorohydrate(ACH) will be considered. No product containing polymer will be considered due to membrane fouling. The coagulant purchased for use at the City of Lubbock South Water Treatment Plant shall strictly adhere to AWWA Standard B408-14 for ACH Aluminum Chlorohydrate or latest revisions thereof. The coagulant blend must have NSF/ANSI Certification for use in potable water treatment plants. Bidder shall submit a certificate of analysis which will include the specific gravity and pH. The material safety data sheets (MSDS) for the product shall also be submitted with the bid. If the successful bidder is not the manufacturer of the coagulant bid, bidder must provide a copy of a legal contract between the bidder and the coagulant manufacturer that will be used to produce the blend. In any event, all products used must have NSF/ANSI certification for use in drinking water treatment plants. The same coagulant manufacturer must be used throughout the term of the contract. Throughout the term of the contract, the successful bidder may not change the formulation of the coagulant in any way without the express written consent of the Water Treatment Superintendent. No exceptions, an unauthorized change in the formulation of the product will result in contract termination. If product being bid has not been previously tested for performance at the City of Lubbock South Water Treat Plant bidder may be required by the City to visit the site and perform testing using standard jar testing methods. The test results must include settled water and final water turbidities, pH and temperature. A sample of the product being tested will be left at the facility for additional jar testing by Operations personnel. At the Cities' discretion full plant testing will be required based on results of previous tests; the City will pay for a full delivery (approximately 48,000 lbs.) at the price submitted in the bid document to conduct full plant testing. Water Treatment Operations personnel will evaluate product performance based on settled water quality, pH, filter effluent turbidities, and cost effectiveness. Bidders must submit a list with a minimum of three (3) potable water treatment plants with phone numbers and contact persons that are currently using the product. References will be thoroughly checked and will figure prominently into the selection of a successful bidder. SUPPLEMENTAL ADDITIVE SPECIFICATION Buyer requests the option of having copper sulfate, containing at least 99% CuSO4.5H2O, added to the coagulant. The copper sulfate must have NSF Certification for use in potable water treatment plants. The copper sulfate would be added per load at the buyer's request to control algae growth. Algae growth occurs when the water reaches a temperature of 72°F. The yearly average of this temperature is between the middle of April to the end of September. The amount of additive will be based on the coagulant feed rate at the time the load was ordered and would be determined by the operations staff, a 1.0% copper sulfate additive is to be expected. Coagulant for North Water Treatment Plant The aluminum sulfate/polymer blend purchased for use at the City of Lubbock Water Treatment Plant shall contain no soluble inorganic or organic substances capable of producing deleterious or injurious effects upon the health of those consuming the water, or that would otherwise render it unfit for public consumption. The aluminum sulfate/polymer blend must have NSF/ANSI Certification for use in potable water treatment plants. Bidder shall submit a certificate of analysis which will include the specific gravity and pH. The City of Lubbock North Water Treatment Plant will require the product to have a pH in the range of 1.3 to 2.8 (slightly more stringent than AWWA Standard). The material safety data sheets (MSDS) for the product shall also be submitted with the bid. Due to the fact that successful aluminum sulfate/polymer blends are 90% or more aluminum sulfate by weight, it is preferable that the bidders be a manufacturer of liquid aluminum sulfate. If the successful bidder is not a manufacturer of aluminum sulfate, bidder must provide a copy of a legal contract between the bidder and the aluminum sulfate manufacturer that will be used to produce the blend. In any event, all products used must have NSF/ANSI certification for use in drinking water treatment plants. The same aluminum sulfate manufacturer must be used throughout the term of the contract. Throughout the term of the contract, the successful bidder may not change the formulation of the alum / polymer blend in any way without the express written consent of the Water Treatment Superintendent. No exceptions, an unauthorized change in the formulation of the product will result in contract termination. Products to he considered for bid will be tested by the manufacturer using standard jar testing* methods at the City's North Water'1'reatment Plant site. The test results must include settled water and final water turbidities, pl-1 and temperature. A sample of the product being tested will be left at the facility for additional jar testing by Operations personnel, if additional pilot plant testing is necessary an additional amount of sample will be required. At the Cities' discretion full plant testing will be required based on results of previous tests; the City will pay for a full delivery (approximately 48,000 lbs.) at the price submitted in the bid document to conduct full plant testing. Water Treatment Operations personnel will evaluate product performance based on settled water quality, pH, filter effluent turbidities, and cost effectiveness. Bidders must submit a list with a minimum of three (3) potable water treatment plants with phone numbers and contact persons that are currently using the product. References will be thoroughly checked and will figure prominently into the selection of a successful bidder. SUPPLEMENTAL ADDITIVE SPECIFICATION Buyer requests the option of having copper sulfate, containing at least 99% CuSO4.5H2O, added to the Aluminum Sulfate/Polymer blend. The copper sulfate must have NSF Certification for use in potable water treatment plants. The copper sulfate would be added per load at the buyer's request to control algae growth. Algae growth occurs when the water reaches a temperature of 72°F. The yearly average of this temperature is between the middle of April to the end of September. The amount of additive will be based on the coagulant feed rate at the time the load was ordered and would be determined by the operations staff, a 2.0% or 3.0% copper sulfate additive is to be expected. Facility and Storage South Water Treatment Plant = 2 — 6,000 gallon 12.5% Sodium Hypochlorite bulk storage tanks 2 — 3,000 gallon Liquid Ammonium Sulfate 10.0% w/w bulk storage tanks North Water Treatment Plant = 3 — 18,000 gallon 12.5% Sodium Hypochlorite bulk storage tanks 2 — 7,000 gallon Liquid Ammonium Sulfate 10.0% w/w bulk storage tanks Bailey County Well Field = 2 — 8,000 gallon 12.5% Sodium Hypochlorite bulk storage tanks 2 — 8,000 gallon Liquid Ammonium Sulfate 10.0% w/w bulk storage tanks A`oRY CERTIFICATE OF LIABILITY INSURANCE FDATE 7018°""'"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Marsh USA Irlc, 1717 Arch Shot CONTACT PNONE PAX Philadelphia, PA 19103.2797 vom ADDRESM INSUIRER(Sl AFFORDING COVERAGE NAIC8 INSURER A: Insurance C4mpany Of The SI ate Of PA 19429 424780-•ALL-GAW-18-19 INSURED BRENNTAG SOUTHWEST, INC. INSURER 8 : ACE Arrerirm Insurance Company 22667 INSURER C : InMemnity Insyrance Company of NoO America 43575 610 FISHER ROAD LONGVIEW,TX 75604 INSURER 0:A r l Insurgaw Compony 142757 INSURER E : ACE Fire Urttlerwriter 20702 INSURER F COVERAGES CERTIFICATE NUMBER: CLE-DD6118MI-3D REVISION NUMBER: 24 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR OF INSURANCE AOULSUTYPE BR POLICY NUMBER POLICY EPP Mmmorym)fPOUCDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR CONTRACTUAL LIABILITY GL6634468 01/0112018 OV0112019 EACH OCCURRENCE S 1.000.000 DAMOE TO RENTED ccurrert MEO EXP one $ 1,000,000 X $ 10,000 PERSONAL S ADV INJURY S 1.00D GENL AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO- ❑ LOC JECT OTHER: GENERAL AGGREGATE S 1.000,000 PRODUCTS -COMPIOPAGO S 1,000,000 S B AUTOMOBILE LIABILITY AINY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNEO AUTOS ONLY AUTOS ONLY ISAH25098274 0110112018 0110112019 COMBINED(Enaccident)SINGLELIMIT S 1006000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per $ S UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S OED RETENTIONS S C B D E wGRXERscGMPENsnnoN AND EMPLOYERS' LIABILITY YIN ANYPROPR[ETORlPARTNEREXECUTIVE N OFFICERMEMBEREXCLUDED? ❑ (Mandatory In NH) If Oves. de cribe ON under below N r A WLRC64623813(ADS) WLRC64623625 (CA. MA. AZ) WLRC64623837ITN) SCFCM623849 (WI) MOT— 01101/2018 0110112018 Ou01/Y019 01/0112019 011012019 01f01i1019 X I PER OTH- IER E.L. EACH ACCIDENT S 2,000,0� E.L. DISEASE -EA EMPLOYEES 2.000.000 E.L. DISEASE - POLICY LIMIT E.L. $ 2,�•� DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached If more space Is required) CITY OF LUBBOCK IS INCLUDED AS ADDITIONAL INSURED EXCEPT FOR WORKERS COMPENSATION, WHERE REQUIRED BY WRITTEN CONTRACT. WHERE REQUIRED BY WRITTEN CONTRACT THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY OVER ANY EXISTING INSURANCE AND IT IS LIMITED TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED AND IS SUBJECT TO POLICY TERMS. WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT. THE GENERAL LIABILITY POLICY INCLUDES SUDDEN AND ACCIDENTAL COVERAGE FOR POLLUTION. CITY OF LUBBOCK ATTN: CYNTHIA PEREZ 162513TH ST, ROOM 204 LUBBOCK. TX 79401 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhegee �Lauao►.: �sd.. a it a f_ lJ lBSif-ZU9b HI;UKU I.VKf'VKHt IVIH. HII 11Or115 rC::ClYCU. The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Nam ed Insured Endorsement Number Brenntag North Am erica, Inc. PolicySymbol PolicyyNumber PWcyPeriod Effective Date of Endorsement ISA H25-62274 111118 to 111119 1/1l18 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policynumber. The remainder oftheInformatlonistobecompletedonly WIonthisendorsementIsissuedsubsequenttothepreparationofthepolicy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract. provided such contract was excuted prior to the date of loss. A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury' or "property dam age" resulting from ads or om issions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative WC 00 0313 (11106) Ptd. U.SA. Copyright 1982-83. National Council on Compensation ISA H25098274 COMMERCIAL AUTO CA99481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. Covered Autos Liability Coverage is changed as "Covered pollution cost or expense" does not follows: include any cost or expense arising out of the 1. Paragraph a. of the Pollution Exclusion actual, alleged or threatened discharge, applies only to liability assumed under a dispersal, seepage, migration, release or "pollutants": contract or agreement. escape of 2. With respect to the coverage afforded by a. Before the 'pollutants" or any property in `pollutants" Paragraph A.1. above, Exclusion B.6. Care, which the are contained are Custody Or Control does not apply. moved from the place where they are 'Insured" accepted by the for movement B. Changes In Definitions into or onto the covered "auto"; or For the purposes of this endorsement, Paragraph b. After the "pollutants" or any property in D. of the Definitions Section is replaced by the which the "pollutants" are contained are following: moved from the covered 'auto" to the D. "Cowered pollution cost or expense" means any place where they are finally delivered, cost or expense arising out of: disposed of or abandoned by the 1. Any request, demand, order or statutory or "insured". regulatory requirement that any 'Insured" or Paragraphs a and b. above do not apply to others test for, monitor, clean up, remove, "accidents" that occur away from premises contain, treat, detoxify or neutralize, or in owned by or rented to an 'Insured" with any way respond to, or assess the effects respect to "pollutants" not in or upon a of "pollutants", or covered "auto" if: 2. Any claim or "suit" by or on behalf of a (1) The "pollutants" or any property in governmental authority for damages which the "pollutants" are contained because of testing for, monitoring, cleaning are upset, overturned or damaged as up, removing, containing, treating, a result of the maintenance or use of detoxifying or neutralizing, or in any way a covered "auto"; and responding to or assessing the effects of (2) The discharge, dispersal, seepage, "pollutants". migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. CA 99 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured @renntag North America, Inc. Endorsemant Number y Symbol Porcy Period Etredlve Date of Endorsement I"15098274 111118to 111119 111118 Issued By (Name of Insurance Company) ACE American Insurance Company [nsen rno puiiay numaer, r ne remain wr or m& rniormanon IL zo oe Cam plefea only %ren ml s en00r"m ent fL MUM subsequent to the preparation of the potty. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery In a written contract, provided such contract was executed prior to the date of loss. Authorized Representative WC 00 0313 (11105) Ptd. U.SA. Copyright 1982-83. National Council on Compensation POLICY NUMBER: GL 663-4468 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph & Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Brenntag North America, Inc. Endorsement Number 18 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA IH25098274 01/01/2018 To 01/01/2019 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such noncontributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b (06/14) Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 01 /01 /2018 forms a part of policy No.GL 663-44-68 issued to BRENNTAG NORTH AMERICA. INC, by THE INSURANCE COMPANY OF THE STATE OF PENNSYLVAN IA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT (Primary Coverage) This endorsement modifies insurance provided under the folio wing: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE ADDITIONAL INSURED: AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. SECTION 11- WHO IS AN INSURED, I., is amended to add: Any person or organization shown in the schedule above you become obligated to include as an additional insured under this policy as a result of any contract or agreement you enter into which requires you to furnish insurance of the type provided by this policy for that person or organization, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: The coverage and/or limits of this policy, or The coverage and/or limits required by said contract or agreement. For the purposes of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance a. Primary Insurance, any other insurance available to any Additional Insured shown in the schedule above will not be deemed primary. All other terms and conditions remain the same. AutKotized Representative or Counters/ nature (in States Where Applicable 83644 (8/12) Includes copyrighted malaria; of Insurance Suwicus Office, Inc., with its permission Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 A.M. 01 / 01 / 2018 forms a part of policy No. GL 663-44-68 issued to BRENNTAG NORTH ANERICA, INC. by THE INSURANCE COMPANY OF THE STATE OF PENNSYLVAN I A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is amended by the addition of the following: However, coverage under this policy afforded to an additional insured will apply as primary insurance where required by contract, and any other Insurance issued to such additional insured shall apply as excess and noncontributory insurance. Auth rued Representative or Counterel nature (in States Where Applicable! 74434 (10/99) Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number BRENNTAG NORTH AMERICA, INC. 5083 POTTSVILLE PIKE Policy Number READING PA 19605 Symbol' WLR Number. C64623813 Policy Period Effective Date of Endorsement 01-01-2o18 TO 01-01-2019 Oi-01-2018 Issued By (Name of Insurance Company) - - INDEMNITY INS. CO. OF NORTH AMERICA Insert t o cal1w nInher. The remaintlet of the inlonradion Is to ba czrrmleled only w.Ran this onderaerr"t is issued aubseyuert to the ppeparaftr of the poi WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any ono not named In the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATA OF LOSS. For the states of CA, UT, TX, refer to state specific endorsements. This endorsement Is not applicable in KY, NH, and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.160(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer in the construction group of code classifications. For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Ads a provision In a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. 5: ; - __ - Authorized Representative 1131 WC 00 0313 (11105) Ptd. U.S.A. Copyright 1982-83, National Council on Compensation