CITY OF HUTCHINSON REQUEST FOR BID FORM Page 1 of 3

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1 CITY OF HUTCHINSON REQUEST FOR BID FORM Page 1 of 3 Please quote your delivered prices to the City of Hutchinson on items or services listed below. Consult attached minimum and general specifications for requirements. This is not an order. BID NUMBER: BID SUBMITTAL DEADLINE: 10:00 A.M. CST on December 19, 2017 BID OPENING TIME: 1:30 P.M. CST on December 19, 2017 INSTRUCTIONS: THIS FORM MUST BE PROPERLY FILLED OUT AND RETURNED BY MAIL, IN PERSON, OR BY FAX TO: The City of Hutchinson, Office of City Clerk, 125 East Avenue B, P.O. Box 1567, Hutchinson, Kansas , OR FAX (620) RETURN PRIOR TO 10:00 A.M. CST on DECEMBER 19, Bid not submitted pursuant to the conditions set out in this request may be rejected. All bids received after the stated opening date and time will not be considered. Bids will be publicly opened and read at the above stated time in the Public Works Conference Room, 1500 South Plum, Hutchinson, Kansas * The City of Hutchinson reserves the right to reject part or all of any bid and to waive formalities. All bids are subject to Purchasing Policies set by the City Council of Hutchinson. The City of Hutchinson reserves the right to divide purchases among venders to accomplish the best gross price and to make the final decision as to acceptability of quality and price. Thank You, Carmel White, Purchasing Agent, City of Hutchinson (620) or (620) ITEM QTY DESCRIPTION ALL PER ATTACHED SPECIFICATIONS UNIT EXTENDED NO PRICE PRICE PLEASE PROVIDE INDIVIDUAL PRICES FOR ITEMS #1-44 ON THE ATTACHED SHEETS. PROVIDE A TOTAL BID IF ALL ITEMS LISTED ARE PURCHASED FROM YOUR COMPANY AT ONE TIME PLEASE COMPLETE THIS SHEET AND THE ATTACHED SHEET FOR COMPANY INFORMATION/NAME. PLEASE RETURN THE CERTIFICATE OF NON-DISCRIMINATION / CERTIFICATE OF PAID PERSONAL AND REAL ESTATE TAXES FORM WITH YOUR BID. TOTAL BID IF ALL ITEMS LISTED ARE PURCHASED FROM YOUR COMPANY AT ONE TIME, INCLUDING ALL DISCOUNTS: IN SUBMITTING THE ABOVE, THE VENDOR EXPRESSLY AGREES THAT UPON PROPER ACCEPTANCE BY THE CITY OF HUTCHINSON, A CONTRACT SHALL THEREBY BE CREATED. THIS BID FORM MUST BE SIGNED! SIGNATURE ACKNOWLEDGES RECEIPT OF ADDENDUM. SIGNATURE ORDERING ADDRESS/CONTACT: BIDDER COMPANY NAME STREET ADDRESS CITY/STATE/ZIP TITLE REMITTANCE ADDRESS (IF DIFFERENT): REMITTANCE NAME REMITTANCE ADDRESS REMITTANCE CITY/STATE/ZIP TELEPHONE NUMBER ADDRESS FAX NUMBER

2 SECTION #1 - BID FORM #18-17 PAGE 2 OF 3 ALL PER ATTACHED SPECIFICATIONS MUELLER ONLY NO SUBSTITUTES ITEM QTY DESCRIPTION MODEL# UNIT COST TOTAL MJ X Flange Valve with accessories A Bury Super Centurion Fire Hydrants with 250 A-423 accessories and Storz Connection Bury Super Centurion Fire Hydrants with 250 A-423 accessories and Storz Connection Valve, MJ X MJ Valve with accessories A ¾ Straight Coupling, ¾ Flair to ¾ CTS Comp. H-15071N CC Thread Inlet & Compression Outlet B N Corporation Stop Stainless Steel Inserts ¾ CTS ¾ Corporation Stop CTS W/110 Compression H N TOTAL FOR SECTION #1 (Items #1 8).. SECTION #2 - FORD ONLY NO SUBSTITUTES ITEM QTY DESCRIPTION MODEL# UNIT COST ITEM /8 X ½ Qtr. Bend L Straight Couplings Comp. X Comp. CTS C44-77-Q ½ Straight Couplings Comp. X Comp. CTS C44-66-Q Corporation Stop MIP, W/Comp. FB Q TOTAL FOR SECTION #2 (Item #9-12).. SECTION #3 TYLER OR EAST JORDON IRON WORKS, ONLY AMERICAN MADE Valve Boxes w/drop in lids Model S (39-50 ) Valve Box Extensions - Model 60 TOTAL FOR SECTION #3 (Items #13-14).. SECTION #4 SMITH BLAIR ONLY NO SUBSTITUTES X3/4 cc Double Strap Tapping Saddle OD Model X1 cc Double Strap Tapping Saddle OD Model x3/4 cc Double Strap Tapping Saddle OD Model x1 cc Double Strap Tapping Saddle OD Model 317 TOTAL FOR SECTION #4 (Item #15-18).. SECTION #5 HYMAX COUPLING ONLY ITEM QTY DESCRIPTION UNIT COST TOTAL Hymax Coupling Hymax Coupling Hymax Coupling TOTAL FOR SECTION #5 (Item #19-21)..

3 BID FORM #18-17 PAGE 3 OF 3 SECTION #6 FORD, ROMAC, OR SMITH BLAIR X20 Full Circle Repair Clamp OD X30 Full Circle Repair Clamp OD X30 Full Circle Repair Clamp OD X20 Full Circle Repair Clamp OD X20 Full Circle Repair Clamp OD TOTAL FOR SECTION #5 (Item #22-26).. SECTION #7 MUELLER, FORD, or A. Y. MCDONALD ONLY /8 x 5/8 x 7 Meter Locator AY McDonald # Series 18 TOTAL FOR SECTION #7 (Item #27).. SECTION #8 POLYETHYLENE PIPE Feet of ¾ Polyethylene Pipe CTS 300 rolls (see attached specifications) TOTAL FOR SECTION #8 (Item #28).. SECTION #9 OPEN TO ALL ¾ x ½ Hex Bushing American Made Only Flange Bolt & Gasket Packs Flange Bolt & Gasket Packs Flange Bolt & Gasket Packs Meter PVC Tiles, 30 Long, PVC, Smooth on inside & white in color X 18 Meter Tile Lid Adapter Ring Meter Tile Lid (See Attached) American Made Only X 30 Meter Tile (PVC Smooth) C PVC (20 Lengths) C PVC (20 Lengths) C PVC (20 Lengths) Valve Box Riser W/Lid to fit Tyler Model 562S & 564S Valve Boxes Valve Box Riser W/Lid to fit Tyler Model 562S & 564S Valve Boxes Valve Box Riser W/Lid to fit Tyler Model 562S & 564S Valve Boxes X 12 Gradelok W/Accessories X 12 Gradelok MJ X Swivel W/Accessories TOTAL FOR SECTION #9 (Item #29-44).. TOTAL BID IF ALL ITEMS LISTED (SECTIONS 1-9; ITEMS 1-44) ARE PURCHASED FROM YOUR COMPANY AT ONE TIME, INCLUDING ALL DISCOUNTS:

4 CERTIFICATE OF NON-DISCRIMINATION The undersigned Contractor hereby agrees to observe all the provisions of Chapter 3 of the Code of the City of Hutchinson, Kansas, 1988, and any subsequent amendments thereto and provisions of K.S.A and 1031, as amended, including subsection (a), paragraphs (1) through (5) inclusively of Section 1030, which reads as follows: (1) the Contractor shall observe the provisions of the Kansas Act Against Discrimination and shall not discriminate against any person in the performance of work under the present Contract because of race, religion, color, sex, disability, national origin or ancestry; (2) in all solicitations or advertisements for employees, the Contractor shall include the phrase, "Equal Opportunity Employer," or a similar phrase to be approved by the Commission; (3) if the Contractor fails to comply with the manner in which the Contractor reports to the Commission in accordance with the provisions of K.S.A , and amendments thereto, the Contractor shall be deemed to have breached the present Contract and it may be canceled, terminated or suspended, in whole or in part, by the contracting agency; (4) if the Contractor is found guilty of a violation of the Kansas Act Against Discrimination under a decision or order of the Commission which has become final, the Contractor shall be deemed to have breached the present Contract and it may be canceled, terminated or suspended, in whole or in part, by the contracting agency; and (5) the Contractor shall include the provisions of subsections (a) 1 through 4 in every subcontract or purchase order so that such provisions will be binding upon such subcontractor or vendor. Signing of this certificate acknowledges inclusion of the same in the base Contract before signing thereof and acceptance of the terms of this certificate. Date Name of Contractor By Name and Title * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CERTIFICATION OF PAID PERSONAL AND REAL ESTATE TAXES In compliance with City of Hutchinson purchasing policies, the following certification on property owned within Reno County must be completed and returned with the quotations in accordance with the City's policy on delinquent property taxes. A. "The owner(s) or corporation hereby certifies that all personal and real estate taxes within Reno County are paid." B. "No property is owned by the owner(s) or corporation within Reno County." DATE: COMPANY: TELEPHONE NUMBER: SIGNATURE: NAME OF SIGNEE: TITLE OF SIGNEE: PLEASE NOTE: This form is to be attached to the proposal when the quotation is submitted.

5 BID MINIMUM SPECIFICATIONS Page 1 of 2 Fire Hydrant Specifications Standard Fire Hydrant Super Centurion, 250 A-423, 5-1/4, 4 Bury (No Substitutes) Mueller 3-way hydrant Outlets Two 2-1/2 Nozzles and One 5 Storz Pumper Connection with non-locking cap Storz Pumper Connection to be attached to fire hydrants when delivered. The two 2-1/2 Caps to have 7/8 square nuts and open to the left Operating Nuts to have 7/8 square nuts and open to the right 6 Mechanical Joint Shoe (included accessories) Painted to City Specifications (Mueller Yellow) Must meet all other City of Hutchinson Specifications and codes Extended Fire Hydrants Same Specifications as standard hydrant with the exception of the barrel length due to bury depth. Fire Hydrant Extensions Mueller only and must fit Mueller Fire Hydrants Super Centurion 250 A-423. Accessories included. Valve & Valve Box Specifications Gate Valves 4 through 12 sizes Mueller (No Substitutes) A , Resilient Wedge Mechanical Joint with Accessories Open to the Left Standard 2 Square Wrench Nut Gate Valves (MJ X Flanged) Mueller Model A Resilient Wedge All other Specs. Same as Gate Valve Specifications (see above) Tapping Sleeves & Repair Clamps Tapping Sleeves must be Stainless Steel with Ductile Iron Flange with Rubber Gasket Repair Clamps must be One Piece Stainless Steel Full Circle Clamp Repair Clamps must have Lug Design of Ductile Iron with Corrosion Resistant Alloy Steel Bolts & Lugs Tapping Sleeves & Repair Clamps must be either Ford, Mueller, Romac or Smith & Blair Brass Fittings All Brass Fittings are to be Rough Brass (American Made) Must meet all requirements of the Reduction of Lead in Drinking Water Act (Public Law ) and not have more than a weighted average of 0.25 percent lead. All materials must be stamped on the individual item and delivery container/box identifying them as meeting the requirements (Lead Free).

6 BID MINIMUM SPECIFICATIONS Page 2 of 2 Meter Tiles & Covers 18, 21 & 24 Meter Tiles are to be Smooth on inside & outside & white in color. 36 Meter Tiles are to be made out a A-2000 Sewer Pipe & White in color, smooth on the inside Pipe Fittings All Fittings must be American Made Mechanical Joint All Fittings shall be Ductile Iron, Cement Lined and must conform to AWWA C110 or AWWA C153 with rated working pressure of 150 PSI The Manufacturer of Pipe Fittings shall furnish 2 copies of Test Specified in the AWWA Specifications All Fittings are to be Furnished with Accessories (Gland, Bolts, & Gaskets) for Standard C-900 PVC Pipe Gradeloks The Connector Pipe shall be Compact Ductile Iron, AWWA C153, ANSI A21.53, 350 PSI The Connector Pipe shall be of the Offset Design so that the Fire Hydrant can be adjusted to ensure placement at the proper grade. Offset Design with 6, 12 and 24 center to center The Connector Pipe shall have an anchoring feature at both ends so that when used with mechanical joint split glands, a restrained joint is provided The Connector Pipe shall be cement lined in accordance with AWWA C104, ANSI A21.4 The Connector Pipe shall be equal to the gradelok as manufactured by Assured Flow Sales, Inc. Polyvinyl Chloride (PVC Pipe) PVC Pipe shall conform to the latest revision of AWWA C-900 or AWWA C909, Class 150. Pipe shall be furnished with elastomeric-gasket bell ends. Solvent cement joints are not acceptable Polyethlene Pipe And Inserts Pipe must be blue in color Must have a minimum of a 25 year warranty Must be HDPE 3408 (High Density) SDR9; 200 PSI Pipe must be Copper Tube Size Must be in 400 rolls for ¾ & 1 1 ½ & 2 Pipe must be in 100 Inserts must be Mueller only and must be Stainless Steel Reduction of Lead In Drinking Water Act (Public Law ) All pipes, fittings, valves, meter risers, etc. must meet all requirements of the Reduction of Lead in Drinking Water Act (Public Law ) and not have more than a weighted average of 0.25 percent lead. All materials must be stamped on the individual item and delivery container/box identifying them as meeting the requirements (Lead Free).

7 REQUEST FOR BID GENERAL CONDITIONS The City of Hutchinson is seeking Bids for items specified in the enclosed which it wished to purchase. None of the attachments are intended to be restrictive but to act as a guide for those desiring to submit Bids. ALL BIDS SHALL BE GOOD FOR A PERIOD OF FORTY-FIVE DAYS FROM THE DATE QUOTES ARE OPENED. PRICE PROTECTION. The price stated in the Bid shall be firm and not subject to increase during the term of any contractual agreement arising between the City of Hutchinson and the vendor as a result of the Bid. Vendors shall provide firm prices less any federal excise tax. The City of Hutchinson is exempt from payment of sales tax. For further information contact the City Clerk's Office ( ). METHOD OF PAYMENT. Payment will be made within 30 days of date of delivery and satisfactory performance to the City of Hutchinson. DELIVERY/DELIVERY DATES. Bids shall reflect delivery to the City of Hutchinson, Public Works Building, Water Maintenance Department, 1500 south Plum, Hutchinson, Kansas, on or before February 2, 2018, or date approved by the City. Items received by the City of Hutchinson shall meet specifications and/or deemed to be acceptable by the City. Items not meeting specifications and deemed to be unacceptable by the City shall be returned to the vendor. The City of Hutchinson shall not be liable for any items during transit. NON-DISCRIMINATION. During the performance of this contract, the contractor/vendor will not discriminate against any employee or applicant for employment because of race, sex, religion, color, age, national origin, ancestry or physical handicap, unless based upon a bonafide occupational qualification. The contractor/vendor will take affirmative action to insure applicants are employed, and that employees are treated during employment without regard to their race, sex, religion, color, age, national origin, ancestry or physical handicap. PROPERTY TAX STATEMENT. The attached statement on property owned within the City of Hutchinson must be complete and returned with the bid in accordance with the City's policy on delinquent property taxes. "The City reserves the right to reject all bids from bidders who are delinquent in personal or real estate property taxes to Reno County, Kansas." AWARDING OF BID. Whenever the City of Hutchinson lets Bids for goods or services, and the low Bid is submitted by a vendor domiciled outside of Reno County, a vendor domiciled inside Reno county may be deemed the preferred vendor and awarded the Bid if: 1. The quality, suitability, and usability of the goods or services are equal and fully comply with the minimum Bid specifications, and the vendor has the capability to adequately service the product. 2. The amount of the Bid of the vendor domiciled within Reno County is not more than 5% greater than the amount of the low Bid if the low Bid is under $10,000, or not more than 3% greater than the amount of the low Bid if the low Bid is greater than $10, The Bid does not pertain to new construction or involve State of Federal Funding. 4. The vendor domiciled within Reno County is willing to match the Bid price offered by the low vendor domiciled outside of Reno County within 24 hours of official notification. THE CITY OF HUTCHINSON RESERVES THE RIGHT TO REJECT PART OR ALL OF ANY BID AND TO WAIVE FORMALITIES. ALL BIDS ARE SUBJECT TO PURCHASING POLICIES SET BY THE CITY COUNCIL OF HUTCHINSON. THE CITY OF HUTCHINSON RESERVES THE RIGHT TO DIVIDE PURCHASES AMONG VENDERS TO ACCOMPLISH THE BEST GROSS PRICE AND TO MAKE THE FINAL DECISION AS TO ACCEPTABILITY OF QUALITY AND PRICE. ALL VENDORS DOING BUSINESS WITH THE CITY OF HUTCHNSON SHALL ABIDE BY ALL LOCAL, STATE AND FEDERAL LAWS.