day of March - Montgomery County

#42254-4085-FTS/rn
P.O. + 32469-0-MC
COUNTY OF MONTGOMERY, PENNSYLVANIA
CONTRACT FOR GOODS (EQUIPMENT, APPARATUS, ARTICLES, VI]HICLES
OR PARTS THEREOF, MATERIALS, SUPPL]ES AND ALL OTHER TANGIBLE
PERSONAL PROPERTY) PURCHASED BY THE BIDDING PROCESS
17th
made this
day of March
A.D. 200? 8
Berveen the COLINTY OF MONTGOMERY, Pennsylvania, hereinafter called Party of
the First Part.
This Agreement,
and KLENZOID, INC., a Corporation, with principal place
Spring Mill Avenue, Conshohocken, PA 19428
of
business
at
912
hereinafter called Party ofthe Second Part.
WI1NESSETH, that the said Pafy of the Second Part, for and in consideratjon of the
payments hereinafter specified and agreed to be made by the Party ofthe First Part to the
said Party of the Second Part, hereby covenants and agrees to and r¡.,ith the said Parly of
the First Pafi, to fumish and deliver all goods required to be furnished and delivered,
being: Furnishing and delivering of various $/ater Treatment Chemicals on an "as
needed" basis, and performing inspections and testing for closed and/or open systems in
air conditioning and heating for the Public Property Department, for a period of two (2)
years, beginning with the issuance of a County purchase order, and
in strìct and exact accordance with the bid, specifications and
standard contract
requirements, lvhich said bid, specihcations and standard contract requirements are
hereb-v made a part of this Agreement by reference thereto as fully to all intents and
purposes and to the same extent as though herein set out at length.
ìt is further agreed that in case any of the said goods fumished and delivered under this
contract are rejected by the authorized or proper County Agent as unsuitable or unfit,
such goods so rejected shall be removed at once by the said Party ofthe Second Part, and
other goods of the proper kind and quality, and fully up to the requirements of this
conlracr. fu¡nished in place thereof, to the satisfaction of County Agent, at the cost and
erpcnse of the said Party of the Second Part; provided, ho*,ever, that in the event Party of
ihe Second Part fails, neglects, or refuses to furnish the replacement therefore within
s:ixty (60) days after receipts of witten request so to do, County may purchase said
repLacements and Party ofthe Second Part agrees to be liable fo¡ costs thereof.
The remedies herein provided shall be in addition to and not in substitution of the rights
and remedies which would otherwise be vested in the Party of the First Part under the
terms of this Agreement, including those contained in the bid, specifications and standard
contract requirements, all of which rights and remedies are specihcally reserved by the
Parl¡' of the l'irst Part.
Part¡' of the Second Part shall at the time of execution of this contract give such security
as shall be required by the County Commissioners to insure Performance of Contract,
com¡:liance with Warranties and Guarantees of Party of Second Part, and Maintenance of
said equipment, where provided by specifications.
-
It is agreed that this contract shall not be sublet as a whole nor shall any par1 thereof be
assigned o¡ transfened and that no payment, or part payment, which may accrue
hereunder shall be assigned. The said Party of the Second Part avers and represents thai
no such assignment or transler of said contract has ever been made and that no payment
or part payment, which may accrue hereunder. has ever been assigned. It is understood
that said averment and representation is a material inducement to the execution of this
Agreement by the Party of the First Part.
In consideration of the premises, the said Party of the First Part hereby agrees to pay to
the Paily of the Second Part for the said goods, the sums or prices set forth in the bid,
specifications and standard contract requirements incorporated herein and made a palt
hereof by reference thereto.
The Pariy olthe Second Pafi agrees to accept checks in payment as gash
It is further distinctly understood and agreed that the total amount to be paid for the said
goods to be supplied under this contract shall in no event exceed the sum of THE
TOI'AL ESTIMATED LUMP SUM PRICE FOR SCHEDULES A & B IòI THE
AMOLINT OF SIXTEEN THOUSAND EIGHT HLII.IDRED FIFTY ONE ANd
..........(s16,851.34)
34i100...........
(PEIì ATTACHED LIST WHICH BECOMES A PART HEREOF)
The term "Party of the Second Part", as used in this Agreement, shall be const¡ued to
include both singular and plural, and shall be deemed to include each and every of the
individuals. co-partnerships and corporations specihcally named above and there
designated as "Party of the Second Part". The masculine gender shall be deemed to
include the feminine and neuter genders.
2
SCHEDULEA
unlPrice
*,u,T.1'113n.u.u.
required ,-fLt34 est. gallons required S I 7. o 8 _
x 30 est. gallons required $ î 6- /ô
x 15 esf. gallons required $ ?1. /o
item #5 -price per gallon-!,-!8 x2l est. gallons required S ( ,3 . 3 6_
Item #ó -price per pound /.3ó x 150 esr. pounds required $
2¿/.oa
Item #7 - price per pound _1,. J 6 x 225 est. pounds required S__ é_O_S=_a>_
1x
Item #2 * price per gallon-2 - 6lx
Item #3 -price per gallon !=P3
Item #,{-priceper gallon_),1 7
Item #1 - price
per gallon-J-.2
7 est. gallons
S 7 76 . õL
g 37é . X 2
*75 est.poundsrequired $ 17/. aE
x 1350est.poundsrequired S /O 16. 5þ
450 est. pounds required $ /éo (. SO
"
x 60 est. gallons required 5 l/ /, 6 óx22 est. gallons required S 5 I . 7 i"
x 5 esi. quaÍs required S ¡t//c
- price p er gallon--lZ ,5 6 x22 esr. gallons required
item il9 - price per gallon 5- 88 x 64 est. gallons required
Item il8
Item#10-priceperpound-é-,33
Itemjlll-priceper pound - 7 7
Item#12
item É113 Item +14 -
ö
price per gallon-l=3
price per pound-J,'
1
6
gallon_
Item #15 -price per qùart--l l-C
price per
Total Estimated Lump Sum Price, Per Year
x Trvo (2) Years =
-
Schedule
-
.s qì/7, {7
Total Estimated Lump Sum Price
4...
s 7 t77,s7
SCHEDULE B
Montlrly charge for inspection visits 2 7 8. oo 24 months =
"
Total Lurnp Sum Price - Schedule 8.........,........
TOTAL ESTIM,ATED LUN{P SUM PRICE -SCHEDULES A & B
......s 7/5J. ot'
All interpolations
and deletions were made before the signing hereof.
The parties hereto bind themselves, their heirs, executors, administrators and successors
for the faithful performance of this Agreement.
Attest
Chief of Cl
i
Montgomery Co
/
Li
KLENZOID, INC.,
Signed, Sealed and Delivered
in the Presence of:
a
Corporation,
(SEAL)
EA."*7àM. Hannigan,
rincipal
Green
Approved as to Form:
Lisa C.
William C. Flanagan
Bond No. NJC 42302
!i42254-4085-FTS/rn
KNOW ALL MEN BY THESE PRESENTS,
KLENZoTD, rNC., a corporarion,
with principal place of business at 912 spring Mill Avenue, conshohocken
,pA lg4zg
as PRINCIPAL, and MerchanËs Bonding Company (Mutual)
Pennsvlvania, as SURETY, are held and firmly bound unro COLNTY OF MONTGOMERY, pennsylvania,
and its
successors and assigns, as OBLICEE, in the sum of EICIIT TIIOUSAND FOUR HUNDRED
TwEÑTy FIVD and
67i 100 ($8'425.67) DOi.l,ARS, lawlul moncy of the tJnited Slatcs of Amcrica, lor which paymenr
well antl truly to
be made' we and each ofus, have hereunto and do hereby
succossors and assigns.
finnly bind ourselves, our heirs, personal representatives,
wHEREAS' Principal herein has entered into a contract or agrecmcnt in writing with COUNTy OF
MONTGoMERY, for Spec.
principal did obtigate itself to
'{4085, Water Trcatmcnt Che'micals & Service,whereby
fumish all materíals, equiprnent, goods and labor necessary to, in a complete and workmanlike manne¡, do
sai<l work,
in said contract or agrccm€nt in writing more full¡- set forth. tlre same being fulty incorporated herein by reference
with the same force ancl effect as if fully' copied horcin.
as
NOW TIIE CONDITTON OF TIIIS OBLICATION IS SUCH that ilPrincipal shall rvcll antl lruly do and pcrform
all thosc things which he did by said rv¡ittcn con¡ract or agrcernent obligate himselfto do, and shill in all respecrs
conrplywiththesaidrccitedcontract,thenthisobligationshall bcvoicl andolnoeffect. Otherrvisetobeandrernain
in full force and virtuc.
IN WITNESS WHEROF rhc PRINCf PAL and SURD-ì Y have caused this instrument to bc dulv cxccutcd
in their and each of their behal'cs,
rhis 30th
day
of January
,
A.D.
¿tûft 2d08.
an<J
sealed
Witncss:
KLDNZOID, NC.,
(Principal)
Ivl. I{annigan,
(Witncss to
Merchancs Bonding Company (Mutual)
(x)
,,
'\'.r.
i
(Surety)
\
Br..:
(Witness to Surety)
Tina Chandler, l,Iitness
(Anoìñcy-in-!'act)
Kelly A. Caswell, Attorney-in-Fact
Merchants Bonding Company
(Mutual)
'J
POWER OF ATTORNEY
KnowAll Persons By These Presents, thal the MERCHANTS BoNDING Co[/PANY (l\4UIUAL), a corporation duty organized
uncier
the ia!','s of the State of lowa, and hâving its principal ofi¡ce ¡n the City of Des Àroinès, counfy of pott, State oitowä, natn maoe,
constituted and appointed, and does by these presents mâke, consiitute and appoini
Gemma B. Fendler, James D. Toennies, Janet A. Toennies, KeÌÌy A. Casrvell
of
No¡ristown
of
and State
Pennsylvania iis trLre and lawful Attorney-in-Fact, with fult power
and allhority hereby conferred iô its narìe, place and stead, to sign, execule, acknowledge ênd deliver ií its behalf as surety any
and all bonds, undertakings, recognizances or other written obligaiions rn the naiure thereof, subject to the tìmitation that êny such
inslrgn'ent shall not exceed the amount of
THREE MILLIOT* FIvE HUNDRED THOUSAIiD ($3,s00,000.00) DOLLARS
and to bind the I/ERCHANTS BONOING COI\TPANY (MUTUAL) thereby as futty aod to the sâme extent as if such bond or
undertaklng was signed by the duly authorized offcers of the l\¡ERCHAITS gOllolÑO COlvpANy ([¡UTUAL), and a the acis
oi
said Attorney-in-Fact, pursuant to the auihority herein given, ¿re hereby ratiied and confìrmed_
ThÌs Power-of-Altorney is made and executed pursuant to and by authority of the following Amended Subst¡iuted and Resiated By
Laws êdopted by the Eoard of Directors ofthe N'tERcHANrs BoNDlNc conae,lruv
ltturùLr; on November i6, 2oo2
ARTICLE ll, SECIION I - The Chairman oi the Board or Presideni or any Vice Presideni or Secretary shall have power anc
authority to aPpoint Attorneys in-Fact, and to authorize them to execute on behalf ofthe Company, and attach the èeat ofthe
Company thereto, bonds and uncjertakings, recognizances, contracts of ìndernnity and other; tings obligatory in the nature
thereof.
I - The signature of any aulhorized offcer and ihe Seal of the Company may be effìxed by facsirnile
Power of Attomey or Certification thereof authoriz¡ng the execution and delivery of åny bond, und".t"king,
recognizance, or other suretyship obligat¡ons of the Company, and such signature and seal when s; used sha have the
ARTICLE ll, SECTION
io any
same force and effect as ihough ñanually fixed.
ln Witness whereof, À,4ERCHANTS BoNDING coNIPANY (¡.,4UIUAL) has caused these presenis to be signed by its p.esident
and
jls ccrporate seal 10 be hereto affixed, ihis 6th day
, ZAOT
of April
MERCHANTS BONDING COI\¡1PANY (I!lUTUAL)
STAï¿ CF OWA
COUNIY OF PCLK ss
of April
lhis 6th day
2007 , before ñe æpeared Larry faylor, to me personally known who being by rne duly sworn djd say that
he ls President of the IUERCHAN IS BONDING COMPANY (lvuTUAL), the corpoÉtion described in the forego-ing'instruméñt, and ihet the
Seal afixed to the said inskurnent is the Corporâte Seal of the s¿id Corporatìon and that the said instrument waìs silned and sealed in behâ f
on
of sêid Corporation by aulho ty of its Board of Directors.
ln Testi¡¡ony l,^hereof, hâve hereunto set my hand and affìxed my Offic¡al Seâl at the City of Des l\loìnes, lowa, the dêy and year
âbove wriiÌen
/t
/
irst
..
- u'V4'ftr/Á
1ort¿//',f
lJ
Nalary Publ¡c, Palk Counîy, towa
STA TE OF IOWA
COUNTY OF POLK ss
1, l{4llia.n Wêrnel J. , Secretâry o! the
\4E¡CHAN-rS EONDING COMPANy (]V UIUAL), do hereby ce¡tify that the above a¡d foregolng
ls a tiue and correct copy of the PowER-oF-ATToRNEY e\ecuted by sard r\.iERCHANTS BoNDiruc cóvenruv
i"
livurunrl,
still in fuiL force and eíred and has not been amended or revoked.
"¡"i"¡
ro
Wlness
3Ðth
!
day
/hereof, I hâve hereu¡to set my hand and affrxed the seat of the Company
of
January
o¡ this
2008
Z-A^- 41*."ø
Secrctary
POA 0001 (1/06)
MERCHANTS BONDING CO|llPANY (MUTUAL)
F¡NANCIAL STATEMEN'T DECEI\¡BER 31, 2006
(SÌATUIORY BASIS)
ASSETS
-
LIABILITIES AND POLICYHOLDERS' SURPLUS
Bonds
$
'Stocks
Reêl
16,535,303
fstarè
Cash and Shortìerm
lnvestments
Agents Balances cr UncofJected
Reinsurânce
Accled
3s,703,936
Premiums
Recoverable
lrreresL and
Dividends
Federal lncome Taxes and Ðeferred ìnc
Non-QlaliiÌed
Other Adrnitted
lax
LIABILITIES
Losses and Loss Adjustment
Premiums
a AZ(t nc4
Unearned
7362,U2
Dividends
1,033,622
Ceded Reinsurance
13,145,787
Payable
{2,938,577)
Others
1,475,422
Amounts withheld for
426,371
Reserve lor Commissions, Taxes,
Other Liabilrties
and
1,595,52i
450,578
Total
Plan
$
20,787.337
$
46,280,577
S
67,067,914
501,225
SURPLUS
Assets
Asseis
6,473,559
1,035,625
113,693
70,250
Unassigned
ToiâlAdmiited
Expense S
$
67,067,9f4
Surplus
Total Liabilities and
Su¡plus
* Bonds are stated at
amortized or ínvestment value, Stocks at Association tvlarket Vatues
.,, -
^''. z
./\ ,/,/-'
¿e¿r'' /,'/4t4
Edwin De Kock.^).
Treasurer
STATE WORKERS' INSURANCE FUND
LAcKAwANNA AVENUE, P.O. BOX sr00
ScR{¡,íToN, PA tSsos-sroo
100
l¿so'fl'¿{lTiübüsrff
570-963-4635
www.dli.state.pa.us/srvif
CERTIFICATE OF INSURANCE
CertÌficate lssued to:
MONTGOMERY COUNTY
BOX 31 1
NORRISTOWN, PA 19404
Thìs is to cert¡fy ihat Pol¡cy Number 04363424 issued in the name of:
Klenzoid lnc
PO Box 389
Conshohocken, PA 19428
Is in force on the date hereof, as follows:
Kind of lnsurance:
Poiicy Period:
Workers' Compensation and Employers Liab¡lity
Effective: 1010612007 at 12:01 AM
Expiration: 10/06/2008 at 12:01 AM
Linlits of Liabil¡ty: Workers' Compensation lnsurance fully complies w¡th the provisÌons of the
Pennsylvania Workers' Compensation Act and the Pennsylvania Occupational Disease Act as
re-enacted.
Ernployers Liability lnsurance:
Bodily lnjury by
Bodily lnjury by
Bodily lnjury by
Accident $1,000,000
Disease $1,000,000
Disease $1,000,000
Each Accìdent
Each Emptoyee
pot¡cy Limit
Jol¡/Site Memo:
Description of Work Covered:
0551 CHEMICAL IVIFG., N. O. C.
0663 PLUMBING
0951 SALESPERSON - OUTSIDE 0953 OFFICE
Coverage includes all operations incidental to the bus¡ness of the ¡nsured for pennsylvania
ernployees only and includes Pennsylvania employees whose dut¡es require them to go beyond
ihe territoriaì I¡mits of the commonwealth as provided by secflon 305.2 of pennsylvania workers'
Corìpensation Act as amended.
SWlF . POLCTTA
STAÎE \üoRKERs' INSURANCE FUND
100 LACKAT ANNA AVENUE, P.O. Box st00
SCR{NToN,
PA
rSsos-sroo
5'70-9634635
SW¡F
wrlw.dli.state.pa.us/swif
CERTIFICATE OF INSURANGE
(Continued)
04363424
Klenzo¡d lnc
30-Day Cancellation Clause: In accordance w¡th the procedures for cancellation, the State
Workers' lnsurance Fund wilì endeavor to g¡ve 30 days notice before the cancellat¡on becomes
effective. However, the pol¡cyholder may cancel forthw¡th without prior notbe to SWIF.
lssued:
03/07/2008
Underwr¡ting Division
Stat€ Workers' lnsurance Fund
copy to: Kenney Agency lnc
Klenzoid lnc
iiìîil'i¡'
SWIF - POLOTTA
¿:r
Feb 05 zODA 5:1APH
HP LRSERJET
FRX
tTE (Uti/vDD/fY)
,T EOF LIABILITY iNSU RANCE
01t3l t2008
:OLOR MANAGEME
MENT, INC.
. I t.7z
R, AL 35402-11322
25(
2æ4412 FÐC 25ê355-3070
aFFioRolNG COVERAGE
cHErúlcALs, lNc.
PA 19,f28
LISTED BËLOW HAVE I
CONOMON OF ÀNY C
E AFFORDED BY fHE F
SIIOWN MÂY HAVÊ gI
D. i¡OTWÍTI{STAN OING
MAY SË ISSUEÐ OR
RESPECTTO WH6H TH¡S CË
TO ALL THE TERMS, EXCLUSIONS AND coNDffroNs oF sucH
SOVE FOR THE POLlc'T PÊR¡OI
FOR AN
IABILITY IS INCLUDÉD FOR THE l\l/cMED INSUREÐ BUT DOES NOT EXTEND TO PROMDE COVERAGE
oNLY wlrH REGARD To rHE PRoDUcrs ANDioR
nÈî óou-xrv óÊ rvrõr.¡roor,renv ls ÃoDtïoMLINtNsuRED
ANY INSTANcE WHERe THE PRoDUcT oF rHË NAMED
: ñ¡l¡eó rñêúnÈO. ño covennoe-wr¡-l- APPLY
ALTERED OR MODIFIED IÑ ANY WAY.
sllOULD ¡¡fY OF
D.arE ftìEREoF,
fY OF MONTGOMERY
{ASING DEPARTMENÎ
ox31l
ltlE ABO\.Ê
Ì€ rssuNc ¡N6LñER v{Lr ENDEÁVoR ro v¡¡t-
HE E(FIRATIO}
30
o¡vs wncrrç¡¡
-'HE I-EFI, BUf FÄLURE TO OO SO SIALL
NÕÎICÊ fO IHE QERTIFICAÍE HOI-DEF ¡¡AIIEO TO
IMPdSÊ ÑO OE}LIGATION OR Iì¡BLIÍY OF A¡ry KND UPOH THE INSURER' IIS ÀG€NTS OR
rsrowN, PA 19404
ROSANNE @I FAX 6'1G
ACORD 15 (
CAROL E. BROOKS
conpom
ACORD"
OF LIABILITY INSURANCE
Th€ Kennev Àc¡encv Inc.
öu,t !o!ll-3 Dr¡.v€
Vla¡.Irliûsts! / ÞÀ 1,89? 4
215-444-9350
ONLY A'IÐ CONFERS NO
flQLI'ÊR, THIS
3/t2/2008
]N TI{E
I
CERTIFICATE
AMEND, ÐfiENO OR
I1lË PAL|C|E9 BEL9W,
CERTIFICÄ.TE
ALTÉR THE COVERÀGE AFF
KLêf¡z0id¡ Inc.
P. t- Eox 389
ConEhohocker¡ ÉÀ 19428
THE POTICIES QF ]NSUÃ,ANÔÉ USIED BELOW HAVE BEEN ISSUED TO THE INSUÊÊÒ NAMEO AEOVE FORfHE FOLICY PERIOO INOICAIEÞ. NOÍW]'TFßTANOING
ANY REOUIREME¡TT, TERIi OR CÓNOIÏIÔN ÒF ANY CONTRÂCT OR OfHER ÐOCUMÉNI \!ITH RESPECT TO WHICH THIS CER]ÌFICA'TE MAY 8E ISSUED OR
MAY PERTAIN, T¡.]E INSUR¡¡IÔÉ AÊFÔRDEO BY THE POUCTES DESCRIBEO HEREIN IS SU6JECT TO ALL THE TERMS. EXCLIJSIONS AND CONDITIONS OF SUCI{
POLICìÊS-AcôRÉGAfË LIMITS SHOWN M YHA\,E BEEN REDUCÉD BY PAID CLAI[.+s,
COMMERCI}I GEÑEF¡! LIÀB]LITY
'
çL,aLvsi.,oE
I
oa"u"
ALLOw¡IED AUTÔS
SCIIÊOIJLÉO AUIOS
HÌR€D ÀU-TO$
NOIÈOWNEDAUTOS
Lhar|nY
ÂN
j
/ÀJro
EXÇêss,r.rrJeÂsLLA
ll
LrÀBrLlfv
ocËuR r-l
L __lc{ÁrMslrÅDE
otorcr,r,¡
I \4oFrxERs coÀtPÉNsa]loNAf¡D
I E¡rPLôYÉR9 LrqôIrtl'Y
I
A
Àrf
PÀcÞÀeïoÉ,faR-rr€
I oFF,cER'/,JEi¡BEâ
R€tÉcurrl'/Ê
qc.u€oi
County of MÖntgesèr.y
Purchèsing D€paËtúent
P.0. ¡)0)< 311
Norri8tolrr}, PÀ L 9404
Lo/6/07
SHÒULO
OAIE
A'IY OF TTIE ÂSOVE QESçRIaEO FOLICIES BE CÀNCËLLEq ÞEFAREÌHE É¡ÊIRÁTION
ÌHFE9F,
TIIE ISSI]ING INSIJRER
!ìlçL
EÑOE4VON TO
TiûI-
NOTIç€ IO IIIÉ CËR'TIFrcATE HOIO€R NAMËÞ TO IHE TEFT. RT' FÀII\JÊÊ
DAYè ìrTqÌTTEN
IO
OO SO SHÀLL
IMfÐSE NO QELçÀIION OR LlAÈIIry OF A¡¡Y KIIIO UPON THÉ ñ¡SURËR, IIS AçENTs OR
@ACORD
TÐ: Qsr.¡¡¿y
of
Móntgotûely
Purchasifrg Dêpertnênt
P. O- Box 311
NorrigÈoûf¡ PÀ 191lor¡
FROM;
I'hê Kêf¡f¡ê:. AgÊncy tnc.
607F louis D¡ive
¡fâaminster, pà 189?4
¿15-44,r - 9350
The caÍ¡ÈråcÈar ahåII âlso dêfèf¡d. indé!Ânify åf¡d hold l.arrql€ss l*toûtgor}€ry
County fforû and aq'ainst alìy and aI1 c1a5,ns, suitsr judgeEânta and dåüar¡ds
whêÈsoÊwc¡, if¡cLùd¡.ng blf! not li-$j-ted to costå, litigètiorr €r<penêea. cçr¡rls€l
f€as änd liabilj.È.iee with respect Èo, injury to, oE dEå.tÌ¡ of, êrly pèrgor¡
ctr Þ€ËBóns !¡hètsoever or då!,åg€ to prop6Ety Õf any kind by wÌ¡ol!Êver ordr¡ed,
ÈriFing out of or êå.usèd by tyr€ acts or oDissioDE of the contrêctor, any
su.bcor¡tråctor, or afry oth€t l)qtaon diÌ€ctly or ir¡diEectly eútr)Ioyåd by t}lee/
or ¿irry activiby associatåa ttr€reïith or relä.Èëd thereto.
Terms: Net 10
FOB:
REPRINT
Date: 0311712008
COUNTY OF MONTGOMERY
PURCHASING DEPARTMENT
PO BOX 3l I
NORRTSTOWN, PA 1940{-03t I
Phone - (610) 278-3037
Vendor:
103238
Ship To:
KLENZOID INC
912 SPRING MILL AVE
CONSHOHOCKEN PA 19428-OOOO
PUBLIC PROPERW - ADMIN OFFICE
COUNTY OF MONTGOMERY
ONE MONTGOMERY PLAZA SUITE 606
SWEDE AND AIRY STREETS
NORRISTOWN PA 19401
INVOICE SAME AS SHIPPING
QTY
UOM
DESCRIPTION
UNIT PRICE
EXTENDED PRlCE
Deliver on March 17,2008 unless specified by line
Purchase Order Currency: Dollars
lnvoice by mail
8,843. 4'l
EA
HSC 2008
Chemicals & lnspections
2,952. 12
EA
HSC 2009
chemicals & inspections
1.00
8,843.41
1.00
2,952.12
1,263.90
EA
oMP 2008
chemicals & inspections
1.00
I,263.90
421.86
EA
oMP 2009
chemicals & inspections
1.00
42't.86
1,370.00
EA
PUBLIC PROPERTY
1.00
1,370.00
1.00
2,000.65
2OO8
Chemicals & lnspections
2,000.65
EA
PUBLIC PROPERTY 2OO9
chemicals & inspections
Purchase Order Summary
Goods Total:
FURNT'HTNG AND DELT'ERTNG oF vARrous wArER TREATMEN9ä1"É'I'?,.Â'it
ON AN ''AS NEEDED'' BASIS, AND PERFORMING INSPECTIONS AND TESTING
FOR CLOSED AND/OR OPEN SYSTEMS IN AIR CONDITIONING AND HEATING
FOR THE pUBLtC qBgqFETy_DEPT.| FOR A pERtOD OF TWO (2) YEARS,
BEGINNING WITH THE ISSUANCE OF THIS PURCHASE ORDER.
ALL I N STRICT ACCORDANC E WITH
S PECI FI
$16,851.94
$16,851.94
CATION U22544085-FTS/RN
SCHEDULE A - TOTAL EST. LUMP SUM PRICE, PER YEAR - $4,849.67 X
TWO YEARS = $9,699.34
SCHEDULE B - MONTHLY CHARGE FOR INSPECTION VISITS $298.00 X 24
MONTHS = TOTAL LUMP SUM PRTCE - $2,152.00
r\toNTcoNrERt' C',Ot IN'I'Y CO]\f Nf ISSIONERS
Pe r ['. Thomas Snyder - Director of Purchasing
Total Amount:
Page:
I
of I
$16,851.94
#42254-4085-FTSlrn
PROPOSAL FORM
J-.
Submined
By ñ ,/t.¡i z
<;t
Z
/
¡¿
C
(Contractor's Namê)
" Date
I
I /i
7/'c 7
To:
Commissioners of Montgomery County
Court FIouse
Ì.iorri storvn, P ennsylvãnia
Gentlemen:
This proposal is submitted in accordance with your advertisement inviting
proposals to be received for the project advertisement inviting proposals to be received
for the project identifìed as:
Fumishing and delivering of various Water Treatment Chemicals
on an "as needed" basis, and performing inspections and testing for
closed and/or open systems in air conditioning and heating for the Public
Property Department, for a period of two (2) years, beginning with the
issuance of a purchase order.
Having carefully examined the "Advertisement for Bids", "Bidding Instructions",
"Scope of the Work", etc., hereinafter referred to as "Specifrcations", together with all
addenda, ercata, bulletins applying thereto, and being familiar with the various conditions
affecting the work, the undersigned hereby agrees to furnish all materials, perform alÌ
labor, and do all else necessary to complete the work in strict accordance with
specifi cations as follows:
SCHEDULE A
Estimated
Total Price - One Year
Unit Price
Item #1 -price per gallon
3.t, 6
x 7 est. gallons
required S
- price per galton ) . 6l x 34 est. gallons required
Item #3 - price per gallon 2 .Pt x 30 est. gallons required
Ilem #4 - price per gallon_)-!f_x 15 est. gallons required
Item #5 - price per gallon-i_._! Å_x 22 est. gallons required
Item #6 - price per pound
/.sa xt5oest. pounds required
Item #7 - price per pound /" 3 é, x225 est. pounds required
Item #2
(7)
2)
2 ), e;
$ ,P7 a8
s î (.ya
S 11. /o
g ("?.36
S tol.cc
3oc.c>
\,/,
fr
I¿
10
,li'.L
[t
¿þ^
&'l ,
L,
UUq
SCHEIXILÐ Ä - Continued
Estimated
Total Price - One Year
Price
Irem Í8 price per galion li .5'L x 22 esi. gallons required S '/7t.,-iL
Iren;9 pricepergallon J 99 r.6J csr. gollons requirecl S 37, 3.L
item#10-priceperpound .j-'?J r 75 est. pounds required S-,1 ?f 15
Item i1l-price per pound "37 x 1350 est. pounds required S ;ûí{.:;a'
Item #i? price per pound J.5'? x 450 est. pounds required $ i(c(.5'¿
Item #13 price per gallon__=f,¡3 á x 60est. gallons required S /1/ {ó
Item íi4 - price per gallon_
x 22 est. gallons required S ,5 / , "l i
Item i15 - price per qùal---lr/ it:: x 5 esi. quarts required S ill'C
Unit
s q,F7i, tl
Totaì Estirn¿lfed Lump Sum Price, Per Year
r Trvo {2) Years = Total Estimated Lump Sum Frice
- Schedule A
SCHEDULE
Monthiv charge for inspection
TÛT\L ESTIMATED
7
t;
?7.3q
ts
) 7 l. :¿ x lJ
B..................
v¡s¡s
Total LLrmp Sum Price- Schedule
.s
months =
LLTMP SUM PRICE _SCFIEDULES A
...s
TiSi
/L 6jt
S_-___7--
&B
(*) Basis for 5% Bid Bond or Ce¡tified Check, ifrequired.
j
Prornrt Pa¡,'ment Discount
Terms Å//4
.t CFI (Automatic Clearing House) payment is requested
(Fom
,,vil1
Yes
No
lollorv with contract documents)
In case this proposal is accepted, the undersigned is hereby bound to enter into conrract
r.i'ilhin thiny (30) days after receipt olnotice of acceptance of the above in accordance rvith the
speciíications.
(1-r)
¡t
-i'1
(.\
NONCOLLUSIOFi AFFIÐ.{VIT
that
i /:¡
-=-.,. t
I ,t t; .
of
Bidder)
Q.Jame
has ( ) has not ( ) been convicled o¡ found liable for anv act prohibited by Federal or State
Ìarv il any jurisdiction involving conspiracy or collusion witl.r respect to bidding on any
p-crblic contract rvithìn the iast three years.
I hereby affirm
,\ /e ¡'o
o.
ì >r¿
NAME OF BIDDER
r-
j ,r/:.j
ì/ ¿,t .: ra.
_
The bidder's statement on this Aflìdavit that (he) (she) (it) has been convicted or
ibuncl liable tbr any acl prohibited by Federal or State lavu'in any jurisdiction involving
conspiracy or collusion with respect to bidding on any public contract within the last
rh¡e¿ vears does not prohibit the County of Montgomery from accepting a bid from or
a,,varding a contract to that person, but it rnay be grounds for administrative suspension or
debarrnent in rhe discretion of the County rmder the ruìes and regulations adopted by
CoLrniy Ordinance No, 99- 1 .
VERIFNCATION
"" ,1. e .,, " , ^
ô^ñ;¡.{rñ¡'Z
l-:S ft¿
--
,
r'erify that the statements made in the
ibregoing Noncollusion Aihdavit are true and correct to the best of my knowledge or
infonna¡ion and belief. I understand that false statements herein are made subject to the
penal:ies of 18 PA C.S. $4904 relating to unsworn faisification to authorities.
l
-J/4=^¿..
2'
@-
a3-11.99
t"
lr
'y'
a-j'..r/-.-t^-
SIGNATURE PAGE
In case this proposal is accepted, the undersigned is hereby bound 1o commence and complete all
such time and such manner as des¡snated,for the various items
he has contracted to supply.
ofthe rvo¡k included under ¡his coniract in
ln submining this proposal, it is understood tha! the unresl¡cted right is reserved by the County to
reject any and all proposals or parts thereoi or to waive any informalities or technicalities in saìd proposaìs,
and it is agreed rhat this proposal may not be withdrawn for a period ofar least sixty (60) days from date of
opening thereol
The undersigned hereby certifies that this proposal is genuine, and not a sham o¡ collusive, or
made in the i¡terest or in behalfofany person, firm or corporation not herein named; that the un(lersigned
has not directiy or indirectly induced or solicited any bidder to refrain from bidding, and that the
undersigned has not, in any man¡er, sought by collusion to secu¡e for himself an advantage over any oth€r
bid<ier.
FIRM
NAME
/fir,n.ô/l
ZÁ)¿,
SIGNATURE
PRINTiTYPE SIGNATUR
7r;9
OFFICIAL ADDRESS
TAX IDENTIF]CATION NUMBER
Bidde¡ rvill state below whether the bjd is by ân individual, parlnership, or corporation.
C'cr¡.¡l
Bidder will state below the name
and address of local agent therefore.
ofthe Bondìng Company to be used ìn case ofaward, and
COMPANY 11 O TC fr
BONDING
AGENr
ADDRESS L/tE
Nlo,tøol
ofs
name
1 S.S C C
,ly-l/y'
{ as ;¡e//
,ilÐlia/,! f//i " /u r /f/r ró*// , ./2t /i,,ll/
Accompanying this proposal is:
ln the amount
-"-
_Certified
Check
_Bid
based on a total lump sum bid of
Bond
S_
ADÐENDA: Bìdder
agrees that the lollowing Addenda(s) issued during the bid period have beeir received
and ccnsidered in preparing this Proposal; and, agrees that failure to acknorvledge such Addenda (s) may be
a basis fo¡ rejection ofbid.
Addenda,ñ-o.
Date
Addenda
No
Date
BID MUST BE SIGNED FOR CONSIDERATION
ABSOLUTE ADHERENCE TO PROPOSAL FORM CLÁ.USE IS REQUIRED
Rev.03,'06
(7
-2)
¡PECÌFICATIONS
FOR
WATER TREATVÍENT CTIEMICALS AND SERVICE
Montgomery County Commissioners
Court ilouse
Nolristor,r,¡r, Pennsylvania
Thomas J. Ellis, Chairman
James R. Matthervs
Ruth S, Damsker
Chief Operating Offrce¡/Chief Cle¡k
Roberl W Graf
Solicitor
Michael D. Marino, Esq.
Controller
Eric Kretschman
Director of Purchasing
F. Thomas Snyder
610-278-3031
Acting Director of Public Property
Caesar Gambone
610-278-3044
Official correspondence rvill be addressed to:
Contacf: .:,i,'= ¡z¡ j
.t,:.¡,,,:s:
Title: j ..-> -1 .... " ."
./
Address: nt i L.r,-,.^,.; ¿1,¡¡ Êlt
--:.:.¡-¡.:,(,
.Pl
Zip.;¡:;;
.'.''
Telephone: (v,_¿) .?l .; - 3 -l ,; +
Fax: (itt)
E-maìlAddress:
FederarID
Opering Date: Dece¡nber
27
N"
9); - '¡'l ¡'¡
.t'ielt.2-.3-
41.-t.j jt,'>
6L!Lt1'4 ç, t!,". :
2Í 34,:'¡;
,2001
Specilìcation #.12254-4085-FTS/m
ior Specificâtions
and B¡d Results:
.,,.\\
,
.
go io
o
i!¡]1Ì!Iq!-Dqo:!.,purt¡rsjjts
Co
r["__
Lo the Home
CJick on Cur¡ent Spccificîrions
CJick on Bid Resulrs
.
¡r