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HomeMy WebLinkAboutPR 19775: PURCHASE OF SODIUM CHLORITE, UTILITY OPERATIONS, EVOQUA WATER TECHNOLOGIES, LLC F City of L=1 ort rtltur Lexus www.PortArthurTx.gov INTEROFFICE MEMORANDUM Date: June 6, 2017 To: The Honorable Mayor and City Council Through: Brian McDougal, City Manager From: Jimmie Johnson, Ph.D., Assistant City Manager RE: P.R. 19775 for the Purchase of Sodium Chlorite Introduction: The intent of this Agenda Item is to seek the City Council's approval for the City Manager to enter into a contract with Evoqua Water Technologies, LLC, of Sarasota, Florida, for the purchase of Sodium Chlorite. Background: Sodium Chlorite is used to make Chlorine Dioxide for the disinfection and treatment of drinking water at our Water Purification Plant. Bids were solicited from qualified bidders as delineated in the City of Port Arthur Purchasing Policy. Evoqua was the lowest bid of two bids that were turned into purchasing on April 19, 2017. Budget Impact: Based on previous chemical usage at the Water Purification Plant, Staff believe we will use no more than 600,000 lbs of Sodium Chlorite in a one (1) year period. The price per pound from Evoqua was$.558/lb,for a total anticipated cost of$334,800.00. This amount has been budgeted in Utility Operations account number 410-1252-532.29-02, Treatment Chemicals. Recommendation: It is recommended that City Council approve P.R. 19775, authorizing the City Manager to enter into a contract with Evoqua Water Technologies, LLC, of Sarasota, Florida, for the purchase of Sodium Chlorite. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 P. R. No. 19775 05/25/17 ds/ht Page 1 of 2 RESOLUTION NO. A RESOLUTION AUTHORIZING THE EXECUTION OF A CONTRACT FOR THE PURCHASE OF SODIUM CHLORITE FOR THE UTILITY OPERATIONS DEPARTMENT WITH EVOQUA WATER TECHNOLOGIES,LLC, OF SARASOTA, FLORIDA, WITH A PROJECTED BUDGETARY IMPACT OF $334,800.00. FUNDS ARE AVAILABLE IN UTILITY OPERATIONS WATER TREATMENT CHEMICALS ACCOUNT NO. 410- 1252-532.29-02. WHEREAS, the Utility Operations Department routinely utilizes Sodium Chlorite to make Chlorine Dioxide for disinfection of drinking water and for the effective treatment of purified water in our Water Purification Facility; and, WHEREAS, on April 19, 2017,the Purchasing Division solicited bids for the purchase of such water treatment chemicals, as delineated in the City's purchasing policy; and, WHEREAS, bids were solicited from qualifying vendors, and two (2) vendors submitted bids. as delineated in the bid tabulation attached hereto as Exhibit"A"; and, WHEREAS, Evoqua Water Technologies, LLC, of Sarasota, Florida, was the lowest and most responsive bidder. NOW THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR: THAT, the City Manager of the City of Port Arthur is hereby authorized and directed to execute, on behalf of the City of Port Arthur, a one (1) year contract between the City of Port Arthur and Evoqua Water Technologies, LLC, of Sarasota, Florida, for the purchase of Sodium Chlorite, as delineated in Exhibit"B"; and, THAT, the City can terminate this contract at its convenience with ten (10) days written notice; and, P. R. No. 19775 05/25/17 ds Page 2 of 2 THAT, funding for these chemicals is provided for in the Utility Operations Water Treatment Chemicals Account No.410-1252-539.29-02; and, THAT a copy of the caption of this resolution be spread upon the minutes of the City Council. READ, ADOPTED, AND APPROVED THIS day of , 2017 at a Regular Meeting of the City Council of the City of Port Arthur, Texas, by the following vote: AYES: Mayor ; Councilmembers: NOES: Derrick Freeman, Mayor ATTEST: APPROVED FOR ADMINISTRATION: Sherri Bellard, City Secretary Brian McDougal, City Manager APPROVED AS TO FORM: \(4_ Valecia Tizeno, ity Attorney ifton Williams, CPPB Acting Purchasing Manager APPROVED AS TO AVAILABILITY OF FU \ �n Yom(. Rosie Vela, Jimmie Johnson, Ph.D., Interim Director of Finance Assistant City Manager EXHIBIT "A" (BID TABULATION) © 7 / � C.) 2 ..4.! ..4 a a 3i 69 J § 2 / E2 § CA Ct � � 7 � @ - w N- , d 2 oo £ q � � U � � ka _ _ el / 2 # = E u _ 4 � _ 1 § : 2 owl 3 Co) 0 o 2 o 9 cis >4 == 2 C a / \ w a ƒ 7 2 2 • \ . � _ a. c4 § 2 mao E 3 cts � / . 4 ) t _ = F : Z � 3 ^\ \ / � / \\\ ? z_. E _ EXHIBIT "B" PURCHASING CONTRACT AGREEMENT (EVOQUA WATER TECHNOLOGIES, LLC) PURCHASING CONTRACT AGREEMENT THIS AGREEMENT is made this the of , 2017, by and between an individual, firm partnership or corporation, EVOQUA WATER TECHNOLOGIES, LLC, OF SARASOTA, FLORIDA, hereinafter called "Vendor", and the City of Port Arthur, a municipal corporation organized under the laws of the State of Texas, hereinafter called the "Owner" or "City". WITNESSETH: That for and in consideration of the payments, terms, conditions and agreements set forth herein, Owner and Vendor agree as follows: 1. The term of this Contract shall be for one (1) year with the option to renew for one additional year from the date issued on the Notice to Proceed, unless sooner terminated under the provision hereof. The City can terminate this contract at its convenience which includes, but not limited to, funding not being available in any budget cycle with ten (10) days written notice. 2. The Vendor will provide Sodium Chlorite, as delineated and submitted in their bid on April 19, 2017. 3. During the term of this Contract, the Vendor will furnish all of the materials and supplies, as stated in the advertised bid specifications, described as: Sodium Chlorite 4. The Vendor agrees to deliver all materials on an as-needed basis during the term of this contract, for a bid price of $.55811b for up to 600,000 lb as shown in the Bid schedule. 5. The term "Contract Documents" means and includes the following: A. Agreement B. Specifications C. General Information D. Bid E. Addendum F. Notice to Proceed 6. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors and assigns. P. R. No. 19775 05/25/17 IN WITNESS WHEREOF, the parties hereto have executed, or caused to be execute by their duly authorized officials, this Agreement in two (2) copies each of which shall be deemed an original on the date first above written. SIGNED AND AGREED to on the day of , 2017. WITNESS: CONTRACTOR: EVOQUA WATER TECHNOLOGIES, LLC SIGNED AND AGREED to on the day of , 2017. WITNESS: CITY OF PORT ARTHUR: City Secretary City Manager DERRICK FREEMAN"PRINCE,MAYOR /1 BRIAN MCDOUGAL RAYMOND SCOTT,JR,MAYOR PRO TEM CITY MANAGER COUNCIL MEMBERS: City of '' SHERRI BELLARD,TRMC • , CITY SECRETARY TIFFANY HAMILTON \ l MORRIS ALBRIGHT,III c a -01 _ VAL TIZENO KEITH RICHARD toiu r t r t h u rCITY ATTORNEY WILLIE"BAE"LEWIS,JR. OSMAN SWATI jet CHARLOTTE MOSES KAPRINA RICHARDSON FRANK MARCH 29,2017 INVITATION TO BID PURCHASE OF SODIUM CHLORITE DEADLINE: Sealed Bid submittals must be received and time stamped by 3:00 p.m., Central Standard Time, Wednesday, April 19, 2017. (The clock located in the City Secretary's office will be the official time.) All bids received will be read aloud at 3:15 p.m. on Wednesday, April 19,2017 in the City Council Chambers, City Hall, 5th Floor, Port Arthur, TX. You are invited to attend. MARK ENVELOPE: P17-037 DELIVERY ADDRESS: Please submit one (1) original and one (1) copy of your bid to: CITY OF PORT ARTHUR CITY OF PORT ARTHUR CITY SECRETARY or CITY SECRETARY P.O. BOX 1089 444 4TH STREET, 4th Floor PORT ARTHUR,TEXAS 77641 PORT ARTHUR,TEXAS 77640 POINTS OF CONTACT: Questions concerning the Invitation to Bid should be directed in writing to: City of Port Arthur, TX Clifton Williams,Acting Purchasing Manager P.O. Box 1089 Port Arthur,TX 77641 clifton.williams@,portarthurtx.gov Purchasing Division/Finance Department I Acting Purchasing Manager,Clifton Williams,CPPB P.O.Box 1089 1 444 4th Street I Port Arthur,Texas 77641 1409.983.8160 I Fax 409.983.8291 The enclosed INVITATION TO BID (ITB) and accompanying GENERAL INSTRUCTIONS, CONDITIONS SPECIFICATIONS, are for your convenience in submitting bids for the enclosed referenced services for the City of Port Arthur. Bids must be signed by a person having authority to bind the firm in a contract. Bids shall be placed in a sealed envelope,with the Vendor's name and address in the upper left-hand corner of the envelope. ALL BIDS MUST BE RECEIVED IN THE CITY SECRETARY'S OFFICE BEFORE OPENING DATE AND TIME. It is the sole responsibility of the firm to ensure that the sealed ITB submittal arrives at the above location by specified deadline regardless of delivery method chosen by the firm. Faxed or electronically transmitted ITB submittals will not be accepted. Clifton Williams, CPPB Acting Purchasing Manager Page 2 of 17 INVITATION TO BID PURCHASE OF SODIUM CHLORITE (To be Completed ONLY IF YOU DO NOT BID.) FAILURE TO RESPOND TO BID SOLICITATIONS FOR TWO (2) BID PERIODS MAY RESULT IN REMOVAL FROM THE VENDOR'S LIST. However, if you are removed you will be reinstated upon request. In the event you desire not to submit a bid, we would appreciate your response regarding the reason(s). Your assistance in completing and returning this form in an envelope marked with the enclosed bid would be appreciated. NO BID is submitted: this time only not this commodity/service only Yes No Does your company provide this product or services? Were the specifications clear? Were the specifications too restrictive? Does the City pay its bills on time? Do you desire to remain on the bid list for this product or service? Does your present work load permit additional work? Comments/Other Suggestions: Company Name: Person Completing Form: Telephone: Mailing Address: Email: City, State, Zip Code: Date: Page 3 of 17 CITY OF PORT ARTHUR, TEXAS SPECIFICATIONS FOR A TWO(2) YEAR SERVICE CONTRACT TO PROVIDE CHLORINE DIOXIDE GENERAL DESCRIPTION Bids are being accepted for a service contract to purchase sodium chlorite to produce chlorine dioxide. The chlorine dioxide shall be generated onsite for use as a disinfectant. The chlorine dioxide system shall be installed at the City of Port Arthur's water treatment plant. The treatment plant treats surface water from the Lower Neches Valley Authority for drinking water. The average daily flow of the treatment plant is approximately 13.5 mgd with a maximum of 20 mgd. The C102 dosage rate of the equipment must be variable from 0.25 mg/1 to 3.0 mg/1 (ppm) at the desired plant flow rates without loss of generator efficiency. It is estimated that we will need about 500,000 pounds per year of sodium chlorite. Bidder shall supply a list of at least four systems including names and telephone numbers of facilities wherein they have installed and are currently servicing chlorine dioxide systems. The system which is bid must be CURRENTLY accepted by all applicable regulatory agencies including the Texas Commission on Environmental Quality. SPECIFICATIONS A. The successful bidder shall supply a system for generating CHLORINE DIOXIDE as an aqueous solution from the reaction of SODIUM CHLORITE and CHLORINE GAS, the 2 units shall be capable of delivering the required amount of C102 at each feed point on a continuous basis,24 hours a day,to meet the CT and TTHM requirements set by the EPA and TCEQ. B. The 2 units shall be properly sized, and designed specifically for the intended application set forth in the general description above. The unit shall be equipped with a flow measuring device and stream pH measuring device with 4-20 mA output signal to assist in maintaining system efficiency, and to prevent waste of plant water. Shall be equipped with loss of chlorine and/or water feed automatic shutdown. A fully equipped standby unit shall be provided. The unit shall not require pH measurement for operation. Each unit shall be provided with necessary devices to manually adjust the chlorine dioxide feed rate. C. The reaction product purity shall not be less than 95 percent C102, and the total by-products must remain lower than 1.0 mg/l(PPM), for chlorite in the distribution system at the approved sample locations at all times. D. Bidder shall supply all equipment and materials necessary to generate the solution onsite. Bidder must furnish a device for equally splitting the chlorine dioxide into two different injection points. Except for electricity, plant water at system pressure, and chlorine gas, All equipment and materials furnished shall be suitable for the application specified, and shall comply with all Federal, State,and Local codes, laws, and ordinances. E. The bidder's SODIUM CHLORITE solution must be approved and registered with the ENVIRONMENTAL PROTECTION AGENCY (EPA) and/or NSF for use in potable water Page 4 of 17 systems. Bidder's own EPA registration number must be included in the bid package. The solution shall conform to: Active Ingredient: 25%(+/-1.0%by wt.)NaC102 Inert Ingredient: 75%(+/-1.0%by wt.)H2O Appearance: Pale yellow slightly hazy liquid Shelf Life: One(1)year,minimum Product Bulletins and Material Safety Data Sheets must be included in the bid package. F. Bidder shall supply, install, and maintain a heavy-duty chemical storage tank of at least 6,200 gallon capacity for receiving, storing, and dispensing sodium chlorite to a tank that is transparent or has a sight gauge for determining the level. Transfer pumps, at least two, shall be provided to transfer the sodium chlorite from the day tank to the generators. Bidder shall provide signage and warning of hazards in the storage and generation areas. G. Deliveries of sodium chlorite shall be via dedicated bulk trucks. If trucks are not Bidder operated, a Bidder's trained employee shall supervise all deliveries. ALL SPILLS AND LEAKAGE, REGARDLESS OF SIZE, SHALL BE PROPERLY AND IMMEDIATELY CLEANED UP BY BIDDER'S PERSONNEL. H. Prior to installation of the system, bidder shall deliver a complete and detailed installation and operations manual, including illustrations and drawings, Material Safety Data Sheets, and other hazardous warning information. I. Bidder shall provide all necessary labor and materials for a complete installation. All work will be performed by workmen skilled and experienced in the necessary crafts. J. Bidder shall provide all necessary labor and materials to maintain the system at peak operating efficiency and safety. The bidder shall maintain a complete inventory of spare parts in local stock. All maintenance shall be performed by trained technicians, familiar and experienced with bidder's equipment. SAID TECHNICIAN SHALL BE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, AND SHALL RESPOND AND BE ONSITE WITHIN TWO (2) HOURS ON ANY EMERGENCY. K. He shall bring any and all replacement parts and tools with him on the first response. Bidder shall absorb all repair costs. L. Bidder shall perform routine inspections and preventative maintenance on the system as required, but not to exceed intervals of one (1) week between such inspections and preventative maintenance unless approved by Plant Superintendent or his agent. M. During each inspection,bidder's technician shall: 1. Inspect the entire chlorine dioxide system for leaks and malfunctions. 2. Analyze the generator outputs for percentage of chlorine dioxide in the product stream, free chlorine, unreacted chlorite, chlorate, and pH. (Before making any adjustments) Procedures for this analysis shall be submitted before placing the equipment in service. 3. Analyze water leaving filters, for Total and Free Chlorine, utilizing the amperometric method as outlined in Standard Methods for the Examination of Water and Wastewater, section Page 5 of 17 4500C or E, also the Chlorine Dioxide residuals at this location. 4. Check sodium chlorite pump output at various flow rates to assure efficiency if used. 5. Review plant control records to ensure maximum generator efficiency. 6. Provide initial or additional training for plant operators as required to maintain proficiency of all involved PERSONNEL. 7. Complete and submit a field service report form detailing items a-f above as a written record of services provided, and as a formal request for any changes that may be necessary. Bidder shall absorb the cost of the inspection and preventative maintenance program set out above. N. Startup and initial training shall be provided by the bidder at no additional charge, and will include training operating PERSONNEL in the following areas: 1. Checking the equipment installation. 2. Physical properties of chlorine dioxide, chlorine, chlorite, chlorate, and/or any other chemicals used in the system. 3. Chemistry/methods of chlorine dioxide generation. 4. How to optimize generator performance. 5. Maintenance procedures. 6. Safety considerations in operations and chemical handling. 7. Sampling procedure for chlorine dioxide determinations. O. Bidder shall provide the following test, every month during, the life of this agreement. Testing must be performed using an Ion Chromatograph and the procedure listed in Dionex Corporation's Application Note 149. Bidder shall absorb all testing cost. 1. Chlorite analysis (treated water 3 samples). 2. Chlorate analysis (treated water 3 samples if needed). P. Bidder shall provide the following analysis on at least a monthly basis 1. Total organic carbon(if needed). 2. Raw water. 3. Before filters. Q. Bidder shall guarantee pricing for two years. R. Bidder shall agree to maintain equipment until product purchased from Bidders Company has been used up and the bidder is released by Plant Superintendent or his agent. S. Delivery of product shall be no more than five (5) days after notification by authorized City PERSONNEL. T. Bidder shall submit bid based on a price per pound of specified sodium chlorite solution. Price bid FOB Port Arthur. U. All bidders will be required to submit proof of qualifications, including references, names of current service PERSONNEL, EPA Registration number for sodium chlorite, laboratory qualifications, Material Safety Data Sheets, written acceptance of State Regulatory officials if account references (or no references are available) are outside of the State, and all other pertinent information related to this bid. Page 6 of 17 V. Successful bidder must have C102 system operational fifteen (15) days after award of bid. W. Bidder must supply one (1) Amperometric Titrator supplied by Severn Trent Capital Controls with a spare electrode to be installed at the Water Plant. EXCEPTIONS CITY WILL EXCEPT A. The IDI MG2 manual system uses pH to monitor, not control, the proper amount of chlorine. This ensures efficiency of the system across the chlorine dioxide production range specified by IDI, which meets the needs of the water plant as communicated of 11.5-20 MGD and a dose of 1.2-3.0 PPM. B. The system will be equipped with a 2 branch output panel that will require 100% of the generator output flow split equally between both application points. Less than 100% output would increase back pressure and compromise education. C. All deliveries will be supervised by others. Spills are the responsibility of others and should be responded to according to local State & Federal regulations. In the event of a spill, contact should be made with IDI as well. D. Final Electrical connection to generator by plant. All final water and chemical connections will be completed by DuPont. "Final" connections are defined as within 5' of the installed equipment. All water, chemical, and application pipes beyond 5' of the generator are the responsibility of others. Noted in equipment survey that all requirements are in place via the existing installation. E. Monthly service will be provided. Additional service visits may be needed in the event that the chlorine dioxide system has any unforeseen problems, in which a service technician will be dispatched at his/her earliest convenience. F. IDI uses a modified 4500E analytical method to test for CL02, CL02-, and excess chlorine in our generator effluent. We do not provide chlorate readings as the test lends itself to many inaccuracies and can be very subjective. G. Testing of TOC, raw water, and before the filters is not usually required per the water plant. If this was needed, IDI would be willing to send samples to a lab for testing at an additional cost. H. Chlorine dioxide unit will be shipped ASAP after the announcement of the award. Typically, manufacturing of a unit can take 6 to 12 weeks depending on the production queue. I. IDI will supply (1) Amperometric Titrator supplied by Severn Trent Capital Controls, However Customer is responsible for all service, Calibration, reagents and repairs of the unit. Page 7 of 17 CITY OF PORT ARTHUR, TEXAS BID SHEET BID FOR: Purchase of Sodium Chlorite BID DUE DATE: April 19, 2017 ITEM# EST. QTY UOM DESCRIPTION UNIT COST TOTAL COST 1 600,000 LBS Sodium Chlorite $0.558 $334,800.00 Evoqua Water Technologies LLC 2650 Tallevast Road COMPAN STREET ADDRESS SIGNATURE OF BIDDER P.O. BOX Jennifer R. Miller Sarasota, FL 34243 PRINT OR TYPE NAME CITY STATE ZIP Vice President & General Manager 941- 359-7930 TITLE AREA CODE TELEPHONE NO municipalservices@evoqua.com 941-359-7985 EMAIL FAX NO. *Please see Attachment "B" Bid Clarifications Page 8 of 17 NON-COLLUSION AFFIDAVIT CITY OF PORT ARTHUR § STATE OF TEXAS By the signature below, the signatory for the bidder certifies that neither he nor the firm, corporation, partnership or institution represented by the signatory or anyone acting for the firm bidding this project has violated the antitrust laws of this State, codified at Section 15.01, et seq., Texas Business and Commerce Code, or the Federal antitrust laws, nor communicated directly or indirectly the bid made to any competitor or any other person engaged in the same line of business, nor has the signatory or anyone acting for the firm, corporation or institution submitting a bid committed any other act of collusion related to the development and submission of this bid proposal. Signature: Printed Name: Jennifer R. Miller Title: Vice President & General Manager Company: Evoqua Water Technologies LLC Date: 4/14/17 SUBSCRIBED and sworn to before me by the above named Jennifer R. Miller on this the 14 day of April , 20 17 Notary Public in and for the ''y••• CONSTANCED.CURTIS State of 104(.11X Florida MY COMMISSION#FF 913296 % 'a EXPS:O , BcndedThNIRENotaryPubrcUndennrctober252019 ters My commission expires: 10/25/19 Page 9 of 17 ' AFFIDAVIT All pages in Offeror's Responses containing statements, letters, etc., shall be signed by a duly authorized officer of the company whose signature is binding. The undersigned offers and agrees to one of the following: X I hereby certify that I do not have outstanding debts with the City of Port Arthur. I further agree to pay succeeding debts as they become due. I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to pay said debts prior to execution of this agreement. I further agree to pay succeeding debts as they become due. I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to enter into an agreement for the payment of said debts. I further agree to pay succeeding debts as they become due. Evoqua Water Technologies LLC 4/14/17 Firm NrDate • `4..._ Vice President & General Manager Authorized Signa ure Title Jennifer R. Miller 941-359-7930 Name (please print) Telephone municipalservices@evoqua.com Email STATE: Florida COUNTY: Manatee SUBSCRIBED AND SWORN to before me by the above named Jennifer R. Miller on this the 14 day of April , 2}017 . 6//42 7469 A9 6.(JG oo Notary Public RETURN THIS AFFIDAVIT AS PART OF THE BID PROPOSAL tib+':*v, CONSTANCE D.CURTIS ;.; A's ;.= MY COMMISSION#FF 913296 _%� EXPIRES:October 25,2019 j C W Bonded Thru Notary Pubk Underwrtera _ _ f Page 10 of 17 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176, Local Govemment Code, by a vendor who Data Received has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 11 Name of vendor who has a business relationship with local governmental entity. Evoqua Water Technologies LLC Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated I ' completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 2-1 Name of local government officer about whom the information is being disclosed. None Name of Officer Al Describe each employment or other business relationship with the local government officer,or a family member of the officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor? Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income,from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes n No 51 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts 7 as des�li8 in Sec . 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1). _I � 4/14/17 Signature of vendor do ng business with the governmental entity Date Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity Acomplete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm.For easy reference,below are some of the sections cited on this form. Local Government Code§176.001(1-a):'Business relationship"means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal,state,or local governmental entity or an agency of a federal,state,or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public;or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by,and reporting to,that agency. Local Government Code§176.003(a)(2)(A)and(B): (a)A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds$2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than$100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed;or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code§176.006(a)and(a-1) (a)Avendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A); (2) has given a local govemment officer of that local governmental entity,or a family member of the officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any gift described by Section 176.003(a-1);or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity;or (B) submits to the local governmental entity an application,response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity;or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer,or a family member of the officer,described by Subsection(a); (B) that the vendor has given one or more gifts described by Subsection(a);or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015 Page 12 of 17 GENERAL INFORMATION: NOTE: It is extremely important that the Vendor,Bidder, and/or Contractor furnish the City of Port Arthur the required information specified in Bid or Proposal Specifications listed in this Bid Package. All bids meeting the intent of this request for bid will be considered for award. BIDDERS TAKING EXCEPTION TO THE SPECIFICATIONS, OR OFFERING SUBSTITUTIONS, SHALL STATE THESE EXCEPTIONS BY ATTACHMENT AS PART OF THE BID. The absence of such a list shall indicate that the bidder has not taken exceptions and the City shall hold the bidder responsible to perform in strict accordance with the specifications of the invitation. The City reserves the right to accept any and all or none of the exception(s)/substitutions(s) deemed to be in the best interest of the City of Port Arthur. ALTERING BIDS: Bids cannot be altered or amended after submission deadline. Any interlineations, alteration, or erasure made before opening time must be initialed by the signer of the bid, guaranteeing authenticity. BID AWARD: The City of Port Arthur will review all bids for responsiveness and compliance with these specifications. The award shall be made to the responsive, responsible bidder who submits the best value bid. The City reserves the right to: 1. Reject any and all bids and to make no award if it deems such action to be in its best interest. 2. Award bids on the lump sum or unit price basis,whichever is in the best interest of the City. 3. Reject any or all bids and to waive informalities or defects in bids or to accept such bids as it shall deem to be in the best interests of the City. 4. Award bids to bidders whose principal place of business is in the City of Port Arthur and whose bid is within 5% of the lowest bid price, as provided by Section 271.905 of the Texas Government Code. TERMINOLOGY: "Bid" vs. "Proposal"--For the purpose of this ITB, the terms "Bid" and Proposal" shall be equivalent. Bidders are cautioned to read the information contained in this ITB carefully and to submit a complete response to all requirements and questions as directed. CONFLICT OF INTEREST: No public official shall have interest in this contract, in accordance with Vernon's Texas Code Annotated,Local Government Code Title 5, Subtitle C, Chapter 171. ETHICS: The bidder shall not offer or accept gifts or anything of value nor enter into any business arrangement with any employee, official or agent of the City of Port Arthur. MINIMUM STANDARDS FOR RESPONSIBLE PROSPECTIVE BIDDERS: A prospective bidder must affirmatively demonstrate bidder's responsibility. A prospective bidder must meet the following requirements: 1. Be able to comply with the required or proposed delivery schedule. 2. Have a satisfactory record of performance. Page 13 of 17 3. Have a satisfactory record of integrity and ethics. 4. Be otherwise qualified and eligible to receive an award. 5. Be engaged in a full time business and can assume liabilities for any performance or warranty service required. 6. The City Council shall not award a contract to a company that is in arrears in its obligations to the City. 7. No payments shall be made to any person of public monies under any contract by the City with such person until such person has paid all obligations and debts owed to the City, or has made satisfactory arrangements to pay the same. ADDENDA: Any interpretations, corrections or changes to the ITB and Specifications will be made by addenda. Sole issuing authority of addenda shall be vested in the City of Port Arthur Purchasing Manager. The City assumes no responsibility for the bidder's failure to obtain and/or properly submit any addendum. Failure to acknowledge and submit any addendum may be cause for the bid to be rejected. It is the vendor's responsibility to check for any addendums that might have been issued before bid closing date and time. PORT ARTHUR PRINCIPAL PLACE OF BUSINESS: Any bona fide business that claims the City of Port Arthur as its principal place of business must have an official business address (office location and office personnel) in Port Arthur, the principal storage place or facility for the equipment shall be in Port Arthur and/or the place of domicile for the principal business owner(s) shall be in Port Arthur or such other definition or interpretation as is provided by state law. Contractors outside the City of Port Arthur are allowed to bid. PRICES: The bidder should show in the proposal both the unit price and total amount, where required, of each item listed. In the event of error or discrepancy in the mathematics, the unit price shall prevail. PURCHASE ORDER: A purchase order(s) shall be generated by the City of Port Arthur to the successful bidder. The purchase order number must appear on all itemized invoices. INVOICES: All invoices shall be mailed directly to the City of Port Arthur, Attn.: Utility Operations, P.O. Box 1089, Port Arthur,Texas 77641. PAYMENT: Payment will be made upon receipt of the original invoice and the acceptance of the goods or services by the City of Port Arthur, in accordance with the State of Texas Prompt Payment Act, Article 601f V.T.C.S. The City's standard payment terms are net 30, i.e. payment is due 30 days from the date of the invoice. SALES TAX: The City of Port Arthur is exempt by law from payment of Texas Sales Tax and Federal Excise Tax;therefore the proposal shall not include Sales Tax. VENUE: This agreement will be governed and construed according to the laws of the State of Texas. This agreement is performable in Port Arthur,Texas, Jefferson County. COMPLIANCE WITH LAWS: The Contractor shall comply with all applicable laws, ordinances, rules, orders, regulations and codes of the federal, state and local governments relating to performance of work herein. Page 14 of 17 INTEREST OF MEMBERS OF CITY: No member of the governing body of the City, and no other officer, employee or agent of the City who exercises any functions or responsibilities in connection with the planning and carrying out of the program, shall have any personal financial interest, direct or indirect, in this Contract; and,the Contractor shall take appropriate steps to assure compliance. DELINQUENT PAYMENTS DUE CITY: The City of Port Arthur Code of Ordinances prohibits the City from granting any license, privilege or paying money to any-one owing delinquent taxes, paving assessments or any money to the City until such debts are paid or until satisfactory arrangements for payment has been made. Bidders must complete and sign the AFFIDAVIT included as part of this ITB. QUANTITIES: Quantities shown are estimated, based on projected use. It is specifically understood and agreed that these quantities are approximate and any additional quantities will be paid for at the quoted price. It is further understood that the contractor shall not have any claim against the City of Port Arthur for quantities less than the estimated amount. SHIPPING INFORMATION: All bids are to be F.O.B., City of Port Arthur,Port Arthur, TX 77640 INCORPORATION OF PROVISIONS REQUIRED BY LAW: Each provision and clause required by law to be inserted into the Contract shall be deemed to be enacted herein and the Contract shall be read and enforced as though each were included herein. If, through mistake or otherwise, any such provision is not inserted or is not correctly inserted the Contract shall be amended to make such insertion on application by either party. CONTRACTOR'S OBLIGATIONS: The Contractor shall and will, in good workmanlike manner, perform all work and furnish all supplies and materials, machinery, equipment, facilities and means, except as herein otherwise expressly specified, necessary or proper to perform and complete all the work required by this Contract, in accordance with the provisions of this Contract and said specifications. The apparent silence of these specifications as to any detail or to the apparent omission from it of a detailed description concerning any point shall be regarded as meaning that only the best commercial practices are to prevail. While the purpose of the specifications is to indicate minimum requirements in the way of capability, performance, construction, and other details, its use is not intended to deprive the City of Port Arthur the option of selecting goods which may be considered more suitable for the purpose involved. In the event of conflicts between the written bid proposal and information obtained verbally, the vendor is specifically advised that the written bid proposal will prevail inthe determination of the successful bidder. Under the Title VI of the Civil Rights Act of 1964, no person shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. TERMINATION FOR CAUSE: If, through any cause, the Contractor shall fail to fulfill in a timely and proper manner his obligations under this contract, or if the Contractor shall violate any of the covenants, agreements or stipulations of this contract, the City shall thereupon have the right to Page 15 of 17 terminate this contract by giving written notice to the Contractor of such termination and specifying the effective date thereof, at least fifteen (15) days before the effective date of such termination. Notwithstanding the above, the Contractor shall not be relieved of liability to the City for damages sustained by the City by virtue of any breach of the contract by the Contractor, and the City may withhold any payments to the Contractor for the purpose of set-off until such time as the exact amount of damages due the City from the Contractor is determined. TERMINATION FOR CONVENIENCE: The City may terminate this contract at any time giving at least thirty (30) days notice in writing to the Contractor. If the Contract is terminated by the City as provided herein, the Contractor will be paid for the service that it has performed up to the termination date. If this contract is terminated due to fault of the Contractor, the previous paragraph hereof relative to termination shall apply. RELEASES AND RECEIPTS: The City of Port Arthur before making payments may require the Contractor to furnish releases or receipts for any or all persons performing work and supplying material or service to the Contractor, or any sub-contractors for work under this contract, if this is deemed necessary to protect its interests. CARE OF WORK: The Contractor shall be responsible for all damages to person or property that occurs as a result of his fault or negligence in connection with the work performed until completion and final acceptance by the City. SUB-CONTRACTS: The Contractor shall not execute an agreement with any sub-contractor or permit any sub-contractor to perform any work included in this Contract until he has received from the City of Port Arthur written approval of such agreement. INSURANCE: All insurance must be written by an insurer licensed to conduct business in the State of Texas, unless otherwise permitted by Owner. The Contract shall, at his own expense, purchase, maintain and keep in force insurance that will protect against injury and/or damages which may arise out of or result from operations under this contract, whether the operations be by himself or by any subcontractor or by anyone directly or indirectly employed by any of them, or by anyone for whose acts any of them may be liable, of the following types and limits 1. Standard Worker's Compensation Insurance: 2. Commercial General Liability occurrence type insurance City of Port Arthur, its officers, agents, and employees must be named as an additional insured): a. Bodily injury$500,000 single limit per occurrence or$500,000 each person/$500,000 per occurrence for contracts of$100,000 or less; or Bodily injury$1,000,000 single limit per occurrence or$500,000 each person/$1,000,000 per occurrence for contracts in excess of$100,000; and, b. Property Damage$100,000 per occurrence regardless of contract amount; and, c. Minimum aggregate policy year limit of$1,000,000 for contracts of $100,000 or less; or, Minimum aggregate policy year limit of$2,000,000 for contracts in excess of$100,000. Page 16 of 17 3. Commercial Automobile Liability Insurance (Including owned, non-owned and hired vehicles coverage's). a. Minimum combined single limit of$500,000 per occurrence, for bodily injury and property damage. b. If individual limits are provided, minimum limits are $300,000 per person, $500,000 per occurrence for bodily injury and$100,000 per occurrence for property damage. Contractor shall cause Contractor's insurance company or insurance agent to fill in all information required (including names of insurance agency, contractor and insurance companies, and policy numbers, effective dates and expiration dates) and to date and sign and do all other things necessary to complete and make into valid certificates of insurance and pertaining to the above listed items, and before commencing any of the work and within the time otherwise specified, Contractor shall file completed certificates of insurance with the Owner. None of the provisions in said certificate of insurance should be altered or modified in any respect except as herein expressly authorized. Said CERTIFICATE OF INSURANCE Form should contain a provision that coverage afforded under the policies will not be altered, modified or canceled unless at least fifteen (15) days prior written notice has been given to the City of Port Arthur. Contractor shall also file with the City of Port Arthur valid CERTIFICATE OF INSURANCE on like form from or for all Subcontractors and showing the Subcontractor (s) as the Insured. Said completed CERTIFICATE OF INSURANCE Form (s) shall in any event be filed with the City of Port Arthur not more than ten (10)days after execution of this Contract. NOTICE TO PROCEED: Notice to Proceed shall be issued within ten (10) days of the execution of the Contract by OWNER. Should there be any reasons why Notice to Proceed cannot be issued within such period,the time may be extended by mutual agreement between OWNER and CONTRACTOR. CELL PHONE OR PAGER: The Contractor must have a working cell phone or pager available Monday through Friday from 8:00 a.m. to 5:00 p.m. so that the City will be able to contact the contractor. Page 17 of 17 TEXAS REFERENCES Please find below a list of Evoqua Water Technologies full service chlorine dioxide customers in the State of Texas. Evoqua currently provides chlorine dioxide precursor chemicals and or service to over forty (50) municipalities in the state of Texas. Additional references can be provided upon request. 1. Brownsville Public Utilities Board, TX Contact: Domingo Cortez (Plant #1 Supervisor) Address: 94 W. 13th St. Phone: 956-459-6761 E-Mail: dcortez@brownsville-pub.com Generators: Two Manual Generators YRS Service: Since 1991 2. City of McAllen Contact: Mr. Joe Solis (Plant Manager) Address: 2801 West Expressway 83, McAllen, TX 78505 Phone: 956-681-1770 Generator: Seven Chlorine/ Chlorite Manual systems YRS Service: Since 1989 3. Brazosport River Authority Contact: Mr. Ronnie Woodruff (General Manager) Address: 1251 FM 2004, Lake Jackson, TX 77556 Phone: 979-297-2715 Generators: Two Chlorine/ Chlorite Manual systems YRS Service: Since 2000 4. City of Midlothian Contact: Mr. Timothy Walker, (Plant Manager) Address: 440 Tayman Dr., Midlothian, TX 76065 Phone: 972-775-2732 Generator: One Manual Chlorine/Chlorite; One Auto Three chemical generator. Yrs Service: Since 1999 TEXAS SERVICE PERSONNEL Billy Ivy, Service Technician, New Caney, TX (936) 827-5252 billy.ivy@evoqua.com Ramon Hoyeula, Service Technician, Edinburg, TX (956) 330-0332 ramon.hovuela@evoqua.com Brad McPeak, Service Technician, McKinney, TX (214) 250-4968 james. mcpeak@evoqua.com Jeff Mitchell, Service Technician, Weatherford, TX (512) 789-2517 j effrey.mitchell@evoqua.com Jeff Wood, Field Project Manager, Cedar Park, TX(713) 208-6505 j effrey.wood@evoqua.com Tomas Villagomez, Technical Sales Representative, Pharr, TX (956) 522-8196 tomas.villagomez@evoqua.com evoQUA WATER TECHNOLOGIES ATTACHMENT B Exceptions 1. Page 5 of 17, Paragraph J: Evoqua shall be available 24 hours a day, 7 days a week and shall respond via telephone within two (2) hours and be onsite within four (4) hours of any emergency. 2. Page 5 of 17, Paragraph M.2: Evoqua has not included chlorate testing in the field as it is not required by the State of Texas. 3. Page 6 of 17, Paragraph 0.2: Evoqua has not included Chlorate analysis as it is not required by the State of Texas. 2650 Tallevast Road Tel:+1(888)228-9877 Sarasota,FL 34243 USA Fax +1(941)359-7985 www.evoqua.com ACCPREP DATE(MM/DD/YYYY) CER; SATE OF LIABILITY INSURANCI 01/09/2017 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 policy(ies)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 endorsement(s). PRODUCER Willis of Pennsylvania, Inc. CONTACT NAME: c/o 26 Century Blvd PHONE 1-877-945-7378 FAX 1-888-467-2378 P.O. Box 305191 IANC.No.Fyn: (A/C,No): E-MAIL Nashville, TN 372305191 USA ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A: Great American E & S Insurance Company 37532 INSURED EWT Holdings III Corp. INSURER B: Travellers Property Casualty Company of America 25674 Evoqua Water Technologies LLC 1451 E. Nine Mile Road INSURER C: Hazel Park, MI 48030 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W1908746 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP/YUMITS LTRINSD WVD POLICY NUMBER IMM/DDYYY) IMM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 1,000,000 A MED EXP(My one person) $ PL 9953269 12/31/2016 12/31/2017 2,000,000 PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY JE LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea acciden0 X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y TC2JCAP 8B350790-16 12/31/2016 12/31/2017 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY fPer accident) UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION X PER 0TH- per Statute AND EMPLOYERS'LIABILITY STATUTE ER Y/N B ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N/A TC2J UB 8B35073A-16 12/31/2016 12/31/2017 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CITY OF PORT ARTHUR, ITS OFFICERS, AGENTS AND EMPLOYESS ARE INCLUDED AS ADDITIONAL INSUREDS AS RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY, IF REQUIRED BY WRITTEN CONTRACT. GENERAL LIABILITY POLICY SHALL BE PRIMARY AND NON-CONTRIBUTORY WITH ANY OTHER INSURANCE IN FORCE FOR OR WHICH MAY BE PURCHASED BY ADDITIONAL INSUREDS, IF REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF PORT ARTHUR AUTHORIZED REPRESENTATIVE ATTN: YOLANDA SCYPION-GOUDEAUX P.O. BOX 1089 PORT ARTHUR, TX 77841 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD so ro: 13908886 BATCH: Batch ►: 276737 eVOQUA WATER TECHNOLOGIES AFFIDAVIT OF COMPLIANCE Evoqua Water Technologies LLC Sodium Chlorite (AKTA KLOR 25), manufactured by OxyChem (Wichita, KS) complies with A.W.W.A. B303- 05 and B303-10 specifications, including purity levels, chemical requirements, and physical requirements. In addition, the National Sanitation Foundation (NSF) International certifies OxyChem's Sodium Chlorite in potable drinking water. EPA#: 21164-6 add& I Q._ Jennifer R. Miller Vice President & General Manager 2650 Tallevast Road Tel +1 (888)228-9877 Sarasota,FL 34243 USA Fax:+1 (941)359-7981 www.evoqua.com Page 1 of 1 OxyCnern® �� Basic Chemicals Sales Specification Sodium Chlorite (NaC102) AktaKlor 25 (25% Active Sodium Chlorite) COMPONENT SPECIFICATIONS Sodium Chlorite,wt% as NaC1O2 24.25 -25.75 Sodium Chlorate,wt% as NaC1O3 0.5 max. Sodium Chloride, wt% as NaC1 3.0 max. Total Alkalinity,wt% as NaOH Q pH4 0.5 max. Hydrogen Peroxide, wt% as H202 0.01 max. Water(by difference), wt% 68 - 76 TYPICAL PROPERTIES • Appearance Clear, slightly yellow liquid Turbidity, NTU 10 max Density, lb/gal Q 25°C 10.2 Typical properties are listed for information only,and are not to be considered as specification requirements. These items are not analyzed on a routine basis. Product meeting the specification test items will exhibit the listed typical properties. NSF Listed, ANSI/NSF Standard 60 (Wichita, KS/Fairmont City, IL) Meets requirements of ANSI/AWWA B303-10 EPA Reg. No: 21164-6 CONTAINERS: Tank Trucks (stainless steel) -3400 gallon Drums -55 Gallon Plastic Drums, 565 lbs net OCC non-returnable 330 gallon tote with steel box and plastic bottle Customer provided returnable totes Form#: 644 05/2011 �� Important: The Information presented herein, while not guaranteed, was prepared by OXY Occidental Chemical Corporation technical personnel and is true and accurate to the best of our knowledge.NO WARRANTY A subsidiaryof Occidental Petroleum Corporation OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE,OR WARRANTY P OR GUARANTY OF ANY OTHER KIND, EXPRESS OR IMPLIED, IS MADE REGARDING PERFORMANCE,SAFETY,SUITABILITY,STABILITY OR OTHERWISE. This information Is Basic Chemicals Group not Intended to be all-inclusive as to the manner and conditions of use,handling,storage, Occidental Tower disposal and other factors that may involve other or additional legal,environmental,safety 5005 LBJ Freeway or performance considerations,and OxyChem assumes no liability whatsoever for the use of or reliance upon this information. While our technical personnel will be happy to Dallas,TX 75244 respond to questions,safe handling and use of the product remains the responsibility of 800-752-5151 the customer. No suggestions for use are intended as, and nothing herein shall be construed as,a recommendation to infringe any existing patents or to violate any Federal, State,local or foreign laws. Listing Category Search Page 1"-P International Page 1 of 2 The Public Health and Safety Organization NSF Product and Service Listings These NSF Official Listings are current as of Friday, March 17, 2017 at 12:15 a.m.Eastern Time.Please contact NSF International to confirm the status of any Listing,report errors,or make suggestions. Alert: NSF is concerned about fraudulent downloading and manipulation of website text.Always confirm this information by clicking on the below link for the most accurate information: http://info.nsforg/Certified/PwsChemicals/Listings.asp? CompanyName=Occidental&ChemicalName=Sodium+Chlorite& NSF/ANSI 6o Drinking Water Treatment Chemicals - Health Effects Occidental Chemical Corporation Oxy Tower 5005 LBJ Freeway Dallas,TX 75244-6119 United States 972-404-3918 Facility : Fairmont City, IL Sodium Chlorite[CLI Trade Designation Product Function Max Use 31%Active Sodium Chlorite Solution Disinfection&Oxidation 22mg/L Akta Klor 15 Disinfection&Oxidation 35mg/L Akta Klor 25 Disinfection&Oxidation 22mg/L Akta Klor 37 Disinfection&Oxidation 14mg/L Akta Klor 7.5 Disinfection&Oxidation 87mg/L Technical Sodium Chlorite Disinfection&Oxidation 7mg/L Technical Sodium Chlorite Solution 18.75 Disinfection&Oxidation 35mg/L Technical Sodium Chlorite Solution 31.25 Disinfection&Oxidation 22mg/L Technical Sodium Chlorite Solution 5o Disinfection&Oxidation 14mg/L [CL] The residual levels of chlorine (hypochlorite ion and hypochlorous acid) , chlorine dioxide, chlorate ion, chloramine and disinfection by-products shall be monitored in the finished drinking water to ensure compliance to all applicable regulations. http://info.nsf.org/Certified/PwsChemicals/Listings.asp?CompanyName=Occidental&TradeName=&Chemi... 3/17/2017 Listing Category Search Page l-F International Page 2 of 2 Facility : Wichita, KS Sodium Chlorite[CL] Trade Designation Product Function Max Use 31%Active Sodium Chlorite Solution Disinfection&Oxidation 22mg/L Akta Klor 25 Disinfection&Oxidation 22mg/L Akta Klor 7.5 Disinfection&Oxidation 87mg/L Technical Sodium Chlorite Disinfection&Oxidation 7mg/L Technical Sodium Chlorite Solution 18.75 Disinfection&Oxidation 35mg/L Technical Sodium Chlorite Solution 31.25 Disinfection&Oxidation 22mg/L Technical Sodium Chlorite Solution 5o Disinfection&Oxidation 14mg/L [CL] The residual levels of chlorine (hypochlorite ion and hypochlorous acid) , chlorine dioxide, chlorate ion, chloramine and disinfection by-products shall be monitored in the finished drinking water to ensure compliance to all applicable regulations. NOTE: Only products bearing the NSF Mark are NSF Certified. Number of matching Manufacturers is 1 Number of matching Products is i6 Processing time was o seconds http://info.nsf.org/Certified/PwsChemicals/Listings.asp?CompanyName=Occidental&TradeName=&Chemi... 3/17/2017 SAFETY DATA SHEET M47030 - ANSI - EN OXY Occidental Chemical Corporation A subsidiary of Occidental Petroleum Corporation 419. AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 SECTION 1 . CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Company Identification: Occidental Chemical Corporation 5005 LBJ Freeway P.O. Box 809050 Dallas, TX 75380-9050 1-800-752-5151 24 Hour Emergency Telephone 1-800-733-3665 or 1-972-404-3228 (USA); CANUTEC (Canada): 1-613-996-6666; Number: CHEMTREC (within USA and Canada): 1-800-424-9300; CHEMTREC (outside USA and Canada): +1 703-527-3887; CHEMTREC Contract No: CCN16186 To Request an SDS: MSDS@oxy.com or 1-972-404-3245 Customer Service: 1-800-752-5151 or 1-972-404-3700 Product Identifier: AKTA KLOR 25 Trade Name: AKTA KLOR 25 Synonyms: 25%Active Sodium Chlorite Solution, Sodium Chlorite Solution, Chlorous Acid, Sodium Salt, Sodium Chlorite Solution Product Use: AKTA KLOR 25 is a registered antimicrobial pesticide (EPA Registration Number: 21164-6). It has numerous uses in potable water, food plant process water, poultry process water, CIP disinfection, oilfield water, white water paper mill systems, and industrial cooling water Uses Advised Against: This is a pesticide product, do not use it in a pesticide application that is not included on its label Note: Not registered as a pesticide in Canada. 1 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January SECTION 2. HAZARDS IDENTIFICATION OSHA REGULATORY STATUS: This material is considered hazardous by the OSHA Hazard Communication Standard (29 CFR 1910.1200). EMERGENCY OVERVIEW: Color: Pale, yellow Appearance: Slightly cloudy Odor: Slight chlorine odor Signal Word: DANGER MAJOR HEALTH HAZARDS: CORROSIVE. CAUSES SEVERE SKIN BURNS AND SERIOUS EYE DAMAGE. TOXIC IF INHALED. HARMFUL IF SWALLOWED. INGESTION MAY CAUSE DAMAGE TO: BLOOD SYSTEM, AND KIDNEY SYSTEM. INHALATION MAY CAUSE DAMAGE TO THE RESPIRATORY SYSTEM. MAY CAUSE DAMAGE TO THE BLOOD AND KIDNEYS THROUGH PROLONGED OR REPEATED EXPOSURES. PHYSICAL HAZARDS: Dried material can ignite upon contact with combustibles. AQUATIC TOXICITY: HARMFUL TO AQUATIC LIFE. PRECAUTIONARY STATEMENTS: Wash hands thoroughly after handling. Wear protective gloves, protective clothing, eye, and face protection. Do not eat, drink or smoke when using this product. Do not breathe mist, vapors, or spray. Use only outdoors or in a well-ventilated area. Avoid release to the environment. Keep container tightly closed. Store in a secure manner. Always package, store, transport and dispose of all waste and contaminated equipment in accordance with all applicable federal, state, and local health and environmental regulations. Do not contaminate with acids, reducing agents, combustible materials, oxidizing materials, hypochlorite, organic solvents and compounds, garbage, dirt, organic matter, household products, chemicals, soap products, paint products, vinegar, beverages, oils, pine oil, dirty rags, sulfur-containing rubber, or any other foreign matter. ADDITIONAL HAZARD INFORMATION: This material is corrosive and an oxidizer when dry. This material's pH and oxidative action contribute to its health and physical hazards. GHS CLASSIFICATION: GHS: CONTACT HAZARD - SKIN: Category 1B - Causes severe skin burns and eye damage GHS: CONTACT HAZARD - EYE: Category 1 -Causes serious eye damage GHS: ACUTE TOXICITY -INHALATION: Category 3 -Toxic if inhaled GHS: ACUTE TOXICITY - ORAL: Category 4 - Harmful if swallowed 2 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January GHS: TARGET ORGAN TOXICITY(SINGLE Category 2 - May cause damage to Respiratory System, EXPOSURE): Blood, Kidneys GHS: TARGET ORGAN TOXICITY (REPEATED Category 2- May cause damage to Blood, Kidney through EXPOSURE): prolonged or repeated exposure HAZARDOUS TO AQUATIC ENVIRONMENT-ACUTE Category 3- Harmful to aquatic life HAZARD: UNKNOWN ACUTE TOXICITY: This product was tested as a whole. This information only pertains to untested mixtures. GHS SYMBOL: Skull and Crossbones, Corrosive, Health hazards 4 GHS SIGNAL WORD: DANGER GHS HAZARD STATEMENTS: GHS - Health Hazard Statement(s) • Toxic if inhaled • Causes severe skin burns and eye damage • Causes serious eye damage • Harmful if swallowed • May cause damage to organs through prolonged or repeated exposure (Respiratory, Kidney, and Blood Systems) • May cause damage to Renal system (Kidneys), and Blood system through prolonged or repeated exposure GHS - Environmental Hazard Statement(s) • Harmful to aquatic life GHS - Precautionary Statement(s) - Prevention • Do not breathe dust, fume, gas, mist, vapors, or spray • In case of inadequate ventilation, wear respiratory protection • Wear protective gloves, protective clothing, eye, and face protection • Wash thoroughly after handling • Use only outdoors or in a well-ventilated area • Do not eat, drink or smoke when using this product •Avoid release to the environment GHS - Precautionary Statement(s) - Response • IF INHALED: Remove person to fresh air and keep comfortable for breathing • IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing • IF ON SKIN (or hair): Remove/Take off Immediately all contaminated clothing. Rinse SKIN with water/shower • IF SWALLOWED: Call a POISON CENTER or doctor/physician if you feel unwell • Rinse mouth • Call a POISON CENTER or doctor/physician if you feel unwell 3 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January GHS - Precautionary Statement(s) -Storage • Store locked up • Store in a well-ventilated place. Keep container tightly closed GHS - Precautionary Statement(s) - Disposal • Dispose of contents and container in accordance with applicable local, regional, national, and/or international regulations Hazards Not Otherwise Classified (HNOC) None identified See Section 11: TOXICOLOGICAL INFORMATION SECTION 3. COMPOSITION/INFORMATION ON INGREDIENTS Synonyms: 25%Active Sodium Chlorite Solution, Sodium Chlorite Solution, Chlorous Acid, Sodium Salt, Sodium Chlorite Solution Component Percent [%] CAS Number Water 60 -85 7732-18-5 Sodium chlorite 15 - 35 7758-19-2 Sodium Chloride 1 - 5 7647-14-5 SECTION 4. FIRST AID MEASURES INHALATION: If inhalation of mists, vapors, or spray occurs and adverse effects result, remove to uncontaminated area. Evaluate ABC's (is Airway constricted, is Breathing occurring, and is blood Circulating) and treat symptomatically. Pulse oximetry may not be reliable, see notes to physician. GET MEDICAL ATTENTION IMMEDIATELY. There is no specific antidote, treat symptomatically. SKIN CONTACT: Immediately flush contaminated areas with water. Remove contaminated clothing, jewelry and shoes. Wash contaminated areas with large amounts of water. GET MEDICAL ATTENTION IMMEDIATELY. Thoroughly clean and dry contaminated clothing before reuse. Discard contaminated leather goods. EYE CONTACT: Immediately flush contaminated eyes with a directed stream of water for as long as possible. Remove contact lenses, if present, then continue rinsing. GET MEDICAL ATTENTION IMMEDIATELY. INGESTION: If swallowed, do not induce vomiting. Give large amounts of water. If vomiting occurs spontaneously, keep airway clear. Give more water when vomiting stops. Never give anything by mouth to an unconscious or convulsive person. GET MEDICAL ATTENTION IMMEDIATELY. See notes to physician. Most Important Symptoms/Effects (Acute and Delayed): Acute Symptoms/Effects: Listed below. 4 of 16 M47030- ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Inhalation (Breathing): Breathing (Inhalation): Inhalation of airborne material may cause irritation, redness of upper and lower airways, coughing, laryngeal spasm and edema, shortness of breath, bronchio-constriction, and possible pulmonary edema. Severe and permanent scarring may occur. The pulmonary edema may develop several hours after a severe acute exposure. Skin: Skin Corrosion. Skin exposure to gas or liquid may cause redness, irritation, burning sensation, swelling, blister formation, first, second, or third degree burns. Eye: Serious Eye Damage. Exposure to eyes may cause irritation and burns to the eye lids, conjunctivitis, corneal edema, and corneal burn. Significant and prolonged contact may cause damage to the internal contents of the eye. Ingestion (Swallowing): Ingestion: Exposure by ingestion may cause irritation, nausea, and vomiting. Oxidation may cause significant metabolic issues such as: methemogobinemia, hemolysis, and intravascular coagulation and renal failure. Delayed Symptoms/Effects: - Repeated and prolonged skin contact may cause a dermatitis Interaction with Other Chemicals Which Enhance Toxicity: Mixing with ammonia, acids, detergents, or organic matter will release chlorinated compounds, which are irritating to eyes, lungs, and mucus membranes. Medical Conditions Aggravated by Exposure: May aggravate preexisting conditions such as:. Eye disorders that decrease tear production or have reduced integrity. Skin disorders that compromise the integrity of the skin. Respiratory conditions including asthma and other breathing disorders. Ingestion may induce G6PD deficiency, hemolysis and renal failure. G6PD deficiency, hemoglobinopathies, renal compromise, and conditions causing hypoxia may be aggravated by ingestion of this material. Protection of First-Aiders: Protect yourself by avoiding contact with this material. Avoid contact with skin and eyes. Do not ingest. Use personal protective equipment. Refer to Section 8 for specific personal protective equipment recommendations.At minimum, treating personnel should utilize PPE sufficient for prevention of bloodborne pathogen transmission. Notes to Physician: Treat as a corrosive due to the pH of this material. This is also a strong oxidizer which will react with tissue in the presence of water. For prolonged exposures and significant exposures, consider delayed injury to exposed tissues. There is no specific antidote. Treatment is supportive care. Follow normal parameters for airway, breathing, and circulation. Ingestion of even small amounts of solution should be closely monitored for methemoglobinemia, hemolysis, and glutathione depletion, followed by renal failure. This chemical acts similarly to its related compound chlorate, and produces a drug induced G6PD deficiency. Methylene blue has not been reported as effective. Consult the PubMed Case Report PMID 22996135 for the case description and treatment utilized. Chlorine dioxide vapors are emitted when this product contacts acids or chlorine. If these vapors are inhaled, monitor patient closely for delayed development of pulmonary edema which may occur up to 48-72 hours post-inhalation. Following ingestion, neutralization and use of activated charcoal is not indicated. Probable mucosal damage may contraindicate the use of gastric lavage. SECTION 5. FIRE-FIGHTING MEASURES Fire Hazard: Negligible fire hazard. Avoid evaporation to dryness. Dried material can ignite upon contact with combustibles. This product may represent an explosion hazard if it contacts acids, chlorine, or organic materials (Refer to Sections 7 and 10). 5 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Extinguishing Media: Use extinguishing agents appropriate for surrounding fire Fire Fighting: Wear NIOSH approved positive-pressure self-contained breathing apparatus. Consider evacuation of personnel located downwind. Keep unnecessary people away, isolate hazard area and deny entry. Move container from fire area if it can be done without risk. Cool containers with water spray until well after the fire is out. Flood with fine water spray. Avoid inhalation of material or combustion by-products. Stay upwind and keep out of low areas. Hazardous Combustion Products: Chlorine, Oxides of sodium Sensitivity to Mechanical Not sensitive. Impact: Sensitivity to Static Discharge: Not sensitive. Lower Flammability Level (air): Not flammable Upper Flammability Level (air): Not flammable Flash point: Not applicable Auto-ignition Temperature: Not applicable SECTION 6. ACCIDENTAL RELEASE MEASURES Personal Precautions: Isolate hazard area and deny entry. Keep unnecessary and unprotected personnel from entering the area. Avoid contact with skin and eyes. Do not breathe vapors, fumes or mist. Wear appropriate personal protective equipment recommended in Section 8 of the SDS. Methods and Materials for Containment and Cleaning Up: Contain spill. Spilled materials may be absorbed using non-combustible and non-organic commercial absorbents. Dampen and scoop spilled material into clean, dedicated equipment. Every attempt should be made to avoid mixing spilled material with other chemicals or debris when cleaning up. Keep collected material damp and put into drums. Dried material can ignite upon contact with combustibles. Dispose of promptly. Dispose of in accordance with all applicable regulations. Environmental Precautions: This material is harmful to aquatic life. This material is alkaline and may raise the pH of surface waters with low buffering capacity. Keep out of water supplies and sewers. Releases should be reported, if required, to appropriate agencies. See Section 12 for additional ecological information. SECTION 7. HANDLING AND STORAGE 6 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Precautions for Safe Handling: Do not taste or swallow. Do not get in eyes, on skin, or on clothing. Avoid breathing vapors or mist when opening container. Avoid creation of vapor or mist. Wash thoroughly after handling. Use clean utensils. Do not add the product to any dispensing device containing residuals of other products. Contamination may start a chemical reaction with generation of heat, liberation of hazardous gases (chlorine dioxide a poisonous, explosive gas), and possible fire and explosion. Do not contaminate with acids, reducing agents, combustible materials, oxidizing materials, hypochlorite, organic solvents and compounds, garbage, dirt, organic matter, household products, chemicals, soap products, paint products, vinegar, beverages, oils, pine oil, dirty rags, sulfur-containing rubber, or any other foreign matter. Dried material can ignite upon contact with combustibles. Safe Storage Conditions: Store and handle in accordance with all current regulations and standards. Store in tightly closed, labeled containers away from combustible materials. Store in a cool, dry area. Store in a well-ventilated area. Store below 212°F (100°C). Avoid exposure to sunlight or ultraviolet light. Keep separated from incompatible substances (see below or Section 10 of the Safety Data Sheet). Incompatibilities/Materials to Avoid: acids, reducing agents, combustible material, oxidizing agents, hypochlorite, organic solvents and compounds, garbage, dirt, organic materials, household products, chemicals, soap products, paint products, vinegar, beverages, oils, pine oil, dirty rags, sulfur-containing rubber, or any other foreign matter SECTION 8. EXPOSURE CONTROLS / PERSONAL PROTECTION Regulatory Exposure Limit(s): None. This product does not contain any components that have regulatory occupational exposure limits (OEL's). OEL: Occupational Exposure Limit; OSHA: United States Occupational Safety and Health Administration; PEL: Permissible Exposure Limit; TWA: Time Weighted Average; STEL: Short Term Exposure Limit NON-REGULATORY EXPOSURE LIMIT(S): Listed below for the product components that have non-regulatory occupational exposure limits (OEL's). - The Non-Regulatory United States Occupational Safety and Health Administration(OSHA)limits, if shown,are the Vacated 1989 PEL's(vacated by 58 FR 35338, June 30, 1993). - The American Conference of Governmental Industrial Hygienists(ACGIH) is a voluntary organization of professional industrial hygiene personnel in government or educational institutions in the United States. The ACGIH develops and publishes recommended occupational exposure limits each year called Threshold Limit Values(TLVs)for hundreds of chemicals, physical agents, and biological exposure indices. Component OXY REL OXY REL OXY REL 8 hr TWA STEL Ceiling Sodium chlorite 1 mg/m3 7758-19-2 ( 15- 35 ) ENGINEERING CONTROLS: Use only in well-ventilated areas. Provide local exhaust ventilation where vapors, mist or aerosols may be generated. PERSONAL PROTECTIVE EQUIPMENT: 7 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Eye Protection: Wear chemical safety goggles. Where splashing or spraying is possible, use a face-shield in addition to chemical protective goggles. Provide an emergency eye wash fountain and quick drench shower in the immediate work area. Skin and Body Protection: Wear protective clothing to minimize skin contact. Contaminated clothing should be removed and laundered before reuse. Discard contaminated leather goods. Hand Protection: Wear appropriate chemical resistant gloves. Consult a glove supplier for assistance in selecting an appropriate chemical resistant glove. Protective Material Types: Neoprene Respiratory Protection: A NIOSH approved full-face respirator equipped with N95 (dust, fume, mist) cartridges may be permissible when symptoms have been observed that are indicative of overexposure. If chlorine or chlorine dioxide is present, an acid gas cartridge is also required. An approved self-contained breathing apparatus operated in the pressure demand mode or an airline respirator with escape pack is required when an air purifying respirator is not adequate or for spills/emergencies of unknown concentrations. A respiratory protection program that meets 29 CFR 1910.134 must be followed whenever workplace conditions warrant use of a respirator. SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES Appearance: Slightly cloudy Color: Pale, yellow Odor: Slight chlorine odor Odor Threshold [ppm]: No data available. Molecular Weight: 90.45 Molecular Formula: NaCIO2 Boiling Point/Range: No data available Freezing Point/Range: No data available. Melting Point/Range: Not applicable to liquids Crystallization Temperature: Textone®XL: 3°C (37.4°F); Textone® L: -8°C (17.6°F); Textone®20: -8°C (17.6°F); Textone® 15: -8°C (17.6°F); 31% Active Sodium Chlorite: 3°C (37.4°F) Vapor Pressure: No data available Vapor Density (air=1): No data available Relative Density/Specific Gravity 1.1 to 1.3 @ 25°C (water=l): Density: 11.1 lbs/gal @ 35°C Water Solubility: Soluble pH: >12 @ 25°C Volatility: 59-85% by volume Evaporation Rate (ether=l): No data available Partition Coefficient No data available (n-octanol/water): Flash point: Not applicable 8 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Flammability (solid, gas): Not applicable Lower Flammability Level (air): Not flammable Upper Flammability Level (air): Not flammable Auto-ignition Temperature: Not applicable Viscosity: No data available SECTION 10. STABILITY AND REACTIVITY Reactivity: Not reactive under normal temperatures and pressures. Chemical Stability: Stable at normal temperatures and pressures. Possibility of Hazardous Reactions: Avoid heat, flames, sparks and other sources of ignition. Avoid evaporation to dryness. Dried material can ignite upon contact with combustibles. Avoid contamination with foreign materials. Avoid exposure to sunlight or ultraviolet light. Conditions to Avoid: (e.g., static discharge, shock, or vibration) -. Avoid mechanical shock or impact, if contaminated. Incompatibilities/Materials to Avoid: acids, reducing agents, combustible material, oxidizing agents, hypochlorite, organic solvents and compounds, garbage, dirt, organic materials, household products, chemicals, soap products, paint products, vinegar, beverages, oils, pine oil, dirty rags, sulfur-containing rubber, or any other foreign matter Hazardous Decomposition Products: Chlorine dioxide is formed on contact with acids, Thermal decomposition products include chlorine and oxides of sodium Hazardous Polymerization: Will not occur. SECTION 11 . TOXICOLOGICAL INFORMATION TOXICITY DATA: PRODUCT TOXICITY DATA: AKTA KLOR 25 LD50 Oral: LD50 Dermal: LC50 Inhalation: 389 - 1800 mg/kg (Rat) > 2 gm/kg skin-rabbit 0.58 mg/L (4 hr-Rat) COMPONENT TOXICITY DATA: Note: The component toxicity data is populated by the LOLI database and may differ from the product toxicity data given. Component LD50 Oral: LD50 Dermal: LC50 Inhalation: Sodium chlorite 165 mg/kg (Rat) 107.2 mg/kg (Rabbit) 230 mg/m3 (4 hr- Rat) 7758-19-2 Sodium Chloride 3000 mg/kg (Rat) 10 g/kg (Rabbit) 42 g/m3 (1 hr-Rat) 7647-14-5 9 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January *******************.************************************************************************************************************** POTENTIAL HEALTH EFFECTS: Eye contact: Causes serious eye damage. Eye exposures may cause burns to the eye lids, conjunctivitis, corneal edema, and corneal burn. May cause permanent eye damage including blindness. Significant and prolonged contact may cause damage to the internal contents of eye. Skin contact: Causes severe skin burns. May cause redness, irritation, burning sensation, swelling, blister formation, first, second, or third degree burns. Inhalation: Toxic if inhaled. Inhalation may cause coughing, irritation (possibly severe), redness of upper and lower airways, shortness of breath, chemical burns and possibly pulmonary edema. Pulmonary edema may develop several hours after a severe acute exposure. Ingestion: Harmful if swallowed. Ingestion may cause irritation, nausea, and vomiting. Causes significant metabolic issues through oxidation. May induce methemoglobinemia, hemolysis, and intravascular coagulation and renal failure. SIGNS AND SYMPTOMS OF EXPOSURE: Signs and symptoms of exposure vary, and are dependent on the route of exposure, degree of exposure, and duration of exposure. Inhalation (Breathing): Breathing (Inhalation): Inhalation of airborne material may cause irritation, redness of upper and lower airways, coughing, laryngeal spasm and edema, shortness of breath, bronchio-constriction, and possible pulmonary edema. Severe and permanent scarring may occur. The pulmonary edema may develop several hours after a severe acute exposure. Skin: Skin Corrosion. Skin exposure to gas or liquid may cause redness, irritation, burning sensation, swelling, blister formation, first, second, or third degree burns. Eye: Serious Eye Damage. Exposure to eyes may cause irritation and burns to the eye lids, conjunctivitis, corneal edema, and corneal burn. Significant and prolonged contact may cause damage to the internal contents of the eye. Ingestion (Swallowing): Ingestion: Exposure by ingestion may cause irritation, nausea, and vomiting. Oxidation may cause significant metabolic issues such as: methemogobinemia, hemolysis, and intravascular coagulation and renal failure. CHRONIC TOXICITY: Sodium chlorite has produced hemolytic anemia in several animal species at concentrations of 100 mg/L or higher. In a subchronic study using rats, hematological alterations included decreased erthrocyte counts, hemoglobin levels, and hemacrit. Methemoglobin levels decreased in females, but increased in males. There is no evidence of kidney effects in humans; however, in animal studies with sodium chlorite, there is limited evidence of kidney effects. Repeated and prolonged skin contact may result in dermatitis. Interaction with Other Chemicals Which Enhance Toxicity: Mixing with ammonia, acids, detergents, or organic matter will release chlorinated compounds, which are irritating to eyes, lungs, and mucus membranes. 10 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January GHS HEALTH HAZARDS: Listed below. GHS: ACUTE TOXICITY -ORAL: Category 4- Harmful if swallowed. GHS: ACUTE TOXICITY - Category 3- Toxic if inhaled. INHALATION: GHS: CONTACT HAZARD - EYE: Category 1 - Causes serious eye damage GHS: CONTACT HAZARD - Category 1B - Causes severe skin burns and eye damage. SKIN: SPECIFIC TARGET ORGAN TOXICITY (Single Exposure): Category 2 - Respiratory System, Blood, Renal system (Kidneys) SPECIFIC TARGET ORGAN TOXICITY (Repeated or Prolonged Exposure): Category 2 - Blood, Renal System (Kidneys) MUTAGENIC DATA: Not classified as a mutagen per GHS criteria. Sodium chlorite has tested positive in some studies. The significance of these test results for human health is unclear because the oxidizing effects of the chlorite or salting effects of sodium may significantly affect the ability of the tests to accurately detect mutagens. REPRODUCTIVE TOXICITY: Not classified as a reproductive toxin per GHS criteria. There is limited evidence of male reproductive effects in animal studies. DEVELOPMENTAL TOXICITY: Not classified as a developmental or reproductive toxin per GHS criteria. Observations in animal studies include decreased serum levels of thyroid hormones in offspring. SECTION 12. ECOLOGICAL INFORMATION ECOTOXICITY DATA: Component Freshwater Fish Invertebrate Algae Toxicity: Other Toxicity Toxicity: Sodium chlorite - No data available - 0.012 - 0.018 mg/L - No data available - No data available EC50 0.25 - 0.33 mg/L EC50 = 0.026 mg/L EC50 Sodium Chloride - LC50, fathead - LC50, water flea - IC50, OECD 209 - IC50, OECD 209 minnow (Pimephales Daphnia magna: Test; activated Test; activated promelas): 10,610 4,571 mg/I sludge, respiration sludge, respiration mg/I inhibition: > 1,000 inhibition: > 1,000 11 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January mg/I mg/I Aquatic Toxicity: LC50 rainbow trout=290 mg/I as 80% NaCIO2 (96 hour); bluegill = 265-310 mg/I as 80% NaCIO2 (96 hour); Sheepshead minnow=62-90 ppm (96 hour) Invertebrate Toxicity: LC50 Daphnia Magna = 0.29 mg/L as 80% NaCIO2 (48 hour) Other Toxicity: LD50 Mallard duck= 0.49-1.00g/kg as 80% NaCIO2 (gavage); LD50 Bob White quail = 0.39 -0.66 g/kg as 80% NaCIO2 (gavage); Sodium chlorite in the diet of birds was not acutely toxic. Eight-day dietary LC50's in the Mallard duck and Bob White quail were> 5,000 ppm FATE AND TRANSPORT: BIODEGRADATION: This material is inorganic and not subject to biodegradation; however, chlorite ions are reduced by some bacteria under anaerobic conditions. PERSISTENCE: This material will eventually degrade to sodium chloride. BIOCONCENTRATION: This material will not bioaccumulate. SECTION 13. DISPOSAL CONSIDERATIONS Waste from material: Dispose in accordance with all applicable regulations. Do not put product, spilled product, or filled or partially filled containers into the trash or waste compactor. Contact with incompatible materials could cause a reaction and fire. Contact Technical Service to obtain neutralization instructions. Keep out of water supplies and sewers. May be subject to disposal regulations. Container Management: Containers are non-refillable. Do not reuse or refill containers. Offer for recycling if available. Offer for reconditioning if appropriate. Triple rinse or pressure rinse container promptly after emptying. Triple rinse containers 5-gallons or smaller as follows: Empty the remaining contents into application equipment or a mix tank and drain for 10 seconds after the flow begins to drip. Fill the container 1/4 full with water and recap. Shake for 10 seconds. Pour rinsate into application equipment or a mix tank or store rinsate for later use or disposal. Drain for 10 seconds after the flow begins to drip. Repeat this procedure two more times. Triple rinse containers larger than 5 gallons as follows: Empty remaining contents into application equipment or a mix tank. Fill the container 1/4 full with water. Replace and tighten closures. Tip container on its side and roll it back and forth, ensuring at least one complete revolution, for 30 seconds. Stand the container on its end and tip it back and forth several times. Empty the rinsate into application equipment or a mix tank or store rinsate for later use or disposal. Repeat this procedure two more times. Pressure rinse as follows: Empty the remaining contents into application equipment or a mix tank and continue to drain for 10 seconds after the flow begins to drip. Hold container upside down over application equipment or mix tank or collect rinsate for later use or disposal. Insert pressure rinsing nozzle in the side of the container, and rinse about 40 PSI for at least 30 seconds. Drain for 10 seconds, after the flow begins to drip. Container rinsate must be disposed of in compliance with applicable regulations. 12 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January SECTION 14. TRANSPORT INFORMATION LAND TRANSPORT U.S. DOT 49 CFR 172.101: UN NUMBER: UN1908 PROPER SHIPPING NAME: Chlorite solution HAZARD CLASS/ DIVISION: 8 PACKING GROUP: II LABELING REQUIREMENTS: 8 CANADIAN TRANSPORTATION OF DANGEROUS GOODS: UN NUMBER: UN1908 SHIPPING NAME: Chlorite solution CLASS OR DIVISION: 8 PACKING/RISK GROUP: II LABELING REQUIREMENTS: 8 MARITIME TRANSPORT (IMO / IMDG) Regulated UN NUMBER: UN1908 PROPER SHIPPING NAME: Chlorite Solution HAZARD CLASS/ DIVISION: 8 Packing Group: II LABELING REQUIREMENTS: 8 SECTION 15. REGULATORY INFORMATION U.S. REGULATIONS OSHA REGULATORY STATUS: This material is considered hazardous by the OSHA Hazard Communication Standard (29 CFR 1910.1200) CERCLA SECTIONS 102a/103 HAZARDOUS SUBSTANCES (40 CFR 302.4): Not regulated. SARA EHS Chemical (40 CFR 355.30) Not regulated EPCRA SECTIONS 311/312 HAZARD CATEGORIES (40 CFR 370.10): Acute Health Hazard 13 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January Sodium chlorite Not Listed Listed 1689 corrosive; 7758-19-2 reactive-second degree Sodium Chloride Not Listed Not Listed 7647-14-5 Component New Jersey- Pennsylvania Right Pennsylvania Right Pennsylvania Right Rhode Island Right Environmental to Know Hazardous to Know Special to Know to Know Hazardous Hazardous Substance List Hazardous Environmental Substance List Substance List Substances Hazard List Sodium chlorite Not Listed Listed Not Listed Not Listed Not Listed 7758-19-2 Sodium Chloride Not Listed Not Listed Not Listed Not Listed Not Listed 7647-14-5 CANADIAN REGULATIONS •This product has been classified in accordance with the hazard criteria of the Controlled Products Regulations and the SDS contains all the information required by the Controlled Products Regulations Component Canadian Chemical NDSL: WHMIS -Classifications Inventory: of Substances: Sodium chlorite Listed C,D1B Sodium Chloride Listed Uncontrolled product according to WHMIS classification criteria WHMIS Hazard Class: • D1A Very toxic materials • D1B Toxic materials • E Corrosive material SECTION 16. OTHER INFORMATION Prepared by: OxyChem Corporate HESS - Product Stewardship Rev. Date: 12-Jul-2016 Reason for Revision: • Revised GHS Information: SEE SECTION 2 • ECOLOGICAL INFORMATION (SECTION 12) • HMIS and/or NFPA Rating has changed: SEE SECTION 16 IMPORTANT: The information presented herein, while not guaranteed, was prepared by technical personnel and is true and accurate to the best of our knowledge. NO WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE, OR WARRANTY OR GUARANTY OF ANY OTHER KIND, EXPRESSED OR IMPLIED, IS MADE REGARDING PERFORMANCE, SAFETY, SUITABILITY, STABILITY OR OTHERWISE. This information is not intended to be all-inclusive as to the manner and conditions of use, handling, storage, disposal and other factors 15 of 16 M47030 - ANSI - EN AKTA KLOR 25 SDS No.: M47030 SDS Revision Date: 12-Jul-2016 Supersedes Date: 2015-12-January that may involve other or additional legal, environmental, safety or performance considerations, and OxyChem assumes no liability whatsoever for the use of or reliance upon this information. While our technical personnel will be happy to respond to questions, safe handling and use of the product remains the responsibility of the customer. No suggestions for use are intended as, and nothing herein shall be construed as, a recommendation to infringe any existing patents or to violate any Federal, State, local or foreign laws OSHA Standard 29 CFR 1910.1200 requires that information be provided to employees regarding the hazards of chemicals by means of a hazard communication program including labeling, safety data sheets, training and access to written records. We request that you, and it is your legal duty to, make all information in this Safety Data Sheet available to your employees End of Safety Data Sheet 16 of 16