CITY OF DALLAS CONTRACTOR'S AFFIDAVIT SCHEDULE OF WORK AND ACTUAL PAYMENT FORM

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1 CITY OF DALLAS CONTRACTOR'S AFFIDAVIT SCHEDULE OF WORK AND ACTUAL PAYMENT FORM Project Name: Bid/Contract #: Instructions: Column 1: List type of work to be performed by Prime and 1st tier subcontractors. Column 2: City of Dallas Vendor Number for Prime and Subcontractors/Suppliers (If none, register Column 7: online: ALL Prime and Subcontractors/Suppliers must be registered with the City of Dallas. Column 3: List name of firm; M/WBE Certification Number (if applicable). Column 8: Column 4: List firm(s); contact name; address; telephone number. Column 9: Column 5: List ethnicity of firm(s) owner as B=African American; H=Hispanic; I=Asian Indian; N=Native American; P=Asian Pacific; W=Woman; NON=other than M/WBE. Column 6: Indicate firm's location as L=local (within Dallas county limits); N=Non-local (Outside Dallas county limits). Indicate dollar amount of value of work for the Prime contractor, subcontractors, and suppliers. Indicate percentage of total contract amount. Indicate total payments to date. Column 10: Indicate payments during current pay period. Type of Work City of Dallas Vendor Number Name of Firm & M/WBE Certification (If Applicable) Contact Name Address, City, State, Zip & Tel. Number Type of Firm L or N Value of Work ($) Percent (%) Payments to Date ($) [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] #VALUE! Payment this Period ($) Rev. 3-3/8/12 Doc#BDPS-FRM-213 Page 1 of 2

2 Type of Work City of Dallas Vendor Number Name of Firm & M/WBE Certification (If Applicable) Contact Name Address, City, State, Zip & Tel. Number [Note: Totals and Percentages will automatically calculate.] Type of Firm L or N Total Bid Amount: Value of Work ($) Percent (%) Payments to Date ($) Payment this Period ($) $ - #VALUE! $ - $ - The undersigned intends to enter into a formal agreement with the subcontractors listed, conditioned upon being awarded the City of Dallas contract. If any changes are made to this list, the Prime contractor must submit to the City for approval a revised schedule with documented explanations for the changes. Failure to comply with this provision could result in termination of the contract, sanctions against the Prime contractor, and/or ineligibility for future City contracts. Officer's Signature: Printed Name: Title: Date: Company Name: Rev. 3-3/8/12 Doc#BDPS-FRM-213 Page 2 of 2

3 CITY OF DALLAS Wage Floor Policy Confirmation Affidavit On November 10, 2015 the Dallas City Council passed Resolution which requires prime contractors, awarded general service contracts valued greater than $50,000, and first-tier subcontractors on the contract to pay their employees rendering services on the contract a wage floor of not less than $10.37 per hour. By signing this Affidavit the officer of contractor, attests to be authorized to legally bind the representing business entity and acknowledges the City s wage floor policy and reporting requirements. The contractor agrees to pay employees employed to execute services specified in the terms and conditions of awarded contract not less than $10.37 per hour for the duration of time committed in executing specified services on the contract. Additionally, upon the execution of awarded contract, the contractor agrees to notify in writing each employee involved in providing services on the contract of the wage floor requirement and the benefit to the employee. Contractor shall make a copy of this Affidavit available to all employees involved in a City of Dallas general service contract. Staff involved in such contract(s) shall be informed by the contractor to contact the City of Dallas Business Development & Procurement Services office ( ) if the employee is not receiving a wage floor as specified in the wage floor policy. Through this Affidavit, the contractor agrees to allow the City to audit all pertinent information relative to the City contract to determine compliance as described herein. The signee must be a company officer and shall be authorized to legally bind the business entity referenced herein. Legal Company Name Address, City, State and Zip Code (No Post office Box) Officer Signature Date Officer Printed Name Officer title Rev. 1 12/9/15 Doc#BDPS-FRM-150

4 CITY OF DALLAS SUBCONTRACTOR INTENT FORM (Note: Please use the Tab button, mouse or arrows to move from one section to the next. Please DO NOT use the Enter key.) TO: City of Dallas DATE: Business Development & Procurement Services Project Name: Bid # M/WBE Subcontractor on the project will provide the following good(s)/service(s): to. Prime Contractor on the project MWBE subcontractor is currently certified by the following agency: M/WBE Certification Number: # Certification must be kept current / valid for the entire duration of this contract. Failure to comply with this provision could be subject to removal from contract. For the purpose of M/WBE subcontracting participation, the City of Dallas does not include amounts paid to the prime by the sub-contractor. Total Contract Amount for prime $ NCTRCA DFWMSDC MWBE/DBE Sub Participation Amount $ % WBCSW The undersigned intends to enter into a formal agreement with the subcontractor listed, conditioned upon being awarded the City of Dallas contract. The undersigned understands that, for the purpose of M/WBE subcontracting participation, any amounts paid to the prime from the sub contractor should not be included in the above listed participation amount. Finally, before any subcontractor changes are made, the prime contractor must submit to the Business Inclusion and Development Group for approval, a Change of M/WBE subcontractor/supplier form prior to any changes. Failure to comply with these provisions could result in termination of the contract, sanctions against the prime contractor, and/or ineligibility for future City contracts. Officer s Signature (Prime Contractor) Officer s Signature (M/WBE/DBE Subcontractor) Printed Name (Prime Contractor) Printed Name (M/WBE/DBE Subcontractor) Title (Prime Contractor) Title (M/WBE/DBE Subcontractor) Date Date Please select or list all Chambers or Advocacy groups you are a member of: Prime Sub Greater Dallas Asian American Chamber of Commerce Asian Contractors Association Greater Dallas Black Chamber of Commerce Regional Black Contractors Association Greater Dallas Hispanic Chamber of Commerce Regional Hispanic Contractors Association U.S. Pan Asian American Chamber of Commerce Prime Sub Other Rev.5 06/2/16 Doc#BDPS-FRM-214

5 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section (1-a) with a local governmental entity and the vendor meets requirements under Section (a). FORM CIQ OFFICE USE ONLY Date Received 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 (a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section , Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 3 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated 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.) Name of local government officer about whom the information is being disclosed. Name of Officer 4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section (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 No 5 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. 6 Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section (a)(2)(B), excluding gifts described in Section (a-1). 7 Signature of vendor doing business with the governmental entity Date Form provided by Texas Ethics Commission Revised 11/30/2015

6 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code (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 (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 (a) and (a-1) (a) A vendor 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 (a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section (a)(2)(B), excluding any gift described by Section (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 Revised 11/30/2015

7 CITY OF DALLAS - AVIATION DEPARTMENT PRE-AWARD SCHEDULE OF WORK AND SUBCONTRACTOR/SUPPLIER PARTICIPATION FORM FORM INSTRUCTIONS Project Name & Bid/Proposal #: Column 1: List type of work to be performed by Prime Contractor and Subcontractors/Suppliers Column 2: Categorize firms as: P = Prime contractor; S = Subcontractor; G = Goods/Service supplier; First Line is RESERVED for Prime Contractor s information ONLY Column 3: List name of firm; DBE Certification Number (if applicable) Column 4: List firm s contact name; address; telephone number Type of Work [1] P S G [2] Name of Firm & DBE Certification Number (if applicable) [3] Column 5: List the ethnicity of the firm s owner as: B = African American; H = Hispanic; I = Asian Indian; N = Native American; P = Asian Pacific; W= Woman; NON = other than DBE Column 6: Indicate firm s location as L= Local (within Dallas City limits); N = Non-local (outside Dallas City limits) Column 7: Indicate the dollar amount of the contract allotted to the entity listed on this line; sum of lines in this column = total bid amount Column 8: Indicate the percentage of the contract allotted to the entity listed on this line; sum of lines in this column = 100% Contact Name/Address/ Telephone Number [4] Type of Firm [5] L or N [6] Contract Bid Amount ($) [7] Percent (%) [8] PRIME P Rev Doc#AVI-Form213A Total Page 1 Amount: Total Page 2 Amount: Total Page 3 Amount: Total Bid Amount: The undersigned will enter into a formal agreement with the sub-contractor/supplier entities listed, conditioned upon being awarded the City of Dallas contract. (A completed Form 214A Letter of Intent must be attached to this form for each sub listed.) If any changes are made to this list, the prime contractor must revise and re-submit this form to the City for approval with documented explanations for the changes. Failure to comply with this provision could result in termination of the contract, sanctions against the prime contractor, and/or ineligibility for future City contracts. Intentional misrepresentation could result in criminal prosecution. Officer s Signature and Title: Date: City Staff Review: Date: Page 1 of

8 CITY OF DALLAS AVIATION SCHEDULE OF WORK AND SUBCONTRACTOR/SUPPLIER PARTICIPATION FORM Project Name & Bid/Proposal #: Type of Work [1] P S G [2] Name of Firm & DBE Certification Number (if applicable) [3] Contact Name/Address/ Telephone Number [4] Type of Firm [5] L or N [6] Contract Bid Amount ($) [7] Percent (%) [8] Total Page Amount: Please complete page 1 of this form first. Make copies of this form if additional pages are necessary. Page of Rev Doc#AVI-Form213A

9 Environmental Best Management Practices Guide for Construction Projects In this Package: The City of Dallas Environmental Policy Environmental Responsibilities Information for Contractors working with the City of Dallas Contractor Environmental Acknowledgement Form* *Contractors involved in construction and hired by the City of Dallas must sign this Form. Construction includes exterior work involving ground disturbance, construction of new infrastructure, improvement of existing infrastructure and upgrades to a site. November 2007

10 Purpose The City of Dallas (City) is committed to environmental stewardship and sustainability. The City achieves this commitment by systematically reducing its environmental impacts, through pollution prevention, regulatory compliance and continuous improvement. to manage this commitment, the City has developed an Environmental Management System (EMS) per the ISO 14001:2004 standard. As a Contractor, the City expects you to be knowledgeable and aware of the specific environmental impacts and environmental regulatory requirements of your work conducted while on City property. Instructions As a Contractor for the City of Dallas, your review and signature on the Contractor Environmental Acknowledgement Form is required prior to beginning work. As a Contractor for the City of Dallas, it is your responsibility to communicate this Information to all onsite personnel that are engaged in carrying out the work or providing material to the job site, including Subcontractors. It is possible that during the course of the work, the City of Dallas may review the information in this document with you and your personnel. 2

11 The City of Dallas Environmental Policy The City of Dallas is committed to a clean, safe, and healthy environment. As such, we will exercise environmental stewardship in our dealing with employees, other governments, citizens, City contractors, business and others in the community for our world today as well as for future generations. Caring for the environment is one of our core values, and this is demonstrated by ensuring our activities are in harmony with the natural world around us. This commitment is embodied by the following actions: Implementation of programs and procedures with an intent to meet or exceed all applicable environmental laws and regulations. Continual improvement of our environmental performance through proactive environmental management and self-assessments and/ or third-party assessments. Prevention of pollution at its source through implementation of best management practices and resource conservation measures to reuse, reclaim, and recycle materials we generate. Utilization of Environmental Management Systems, as appropriate for our operations, to provide a framework for systematically reviewing and reducing our environmental footprint. Employees will abide by all environmental regulations and demonstrate environmental compliance in their daily work practices. The Three Commitments of the City of Dallas Environmental Policy 1. Compliance 2. Continued Improvement 3. Pollution Prevention Educate City employees on Dallas environmental policies and motivate and encourage employees to practice environmental stewardship by raising awareness and sensitivity to environmental issues through City policies, regulations, training, and interactive dialogue. Outreach to the citizens and businesses of our community by communication of this Policy and education on the importance of environmental stewardship for clean air and water and sustainable development for the City of Dallas. 3

12 Compliance Environmental Responsibilities Information For Contractors The State of Texas and the City of Dallas have enacted environmental laws and regulations based on state, Federal, and local laws to protect the environment and minimize pollution. As a Contractor, it is your responsibility to know which of these regulations, Federal, State and or City, apply to your operations in the work you do in and for the City of Dallas. Further, it is your responsibility to obtain and maintain all approvals and/or permits related to your activities and to maintain and document compliance with all applicable regulations. Failure to comply with regulation can result in civil and/or criminal penalties. Awareness and Competence Contractors/Vendors/Consultants working on behalf of The City of Dallas are expected to be competent to perform their work and must be aware of applicable environmental requirements. Awareness and competence can be achieved through proper education, training or experience. Contractors/Vendors/Consultants must also ensure that Subcontractors are aware of their environmental responsibilities and are competent to perform their work. The City of Dallas hosts education and training sessions on our environmental requirements and responsibilities. The Office of Environmental Quality also maintains a library of training videos. Please contact the Office of Environmental Quality for education and training schedules, and to request training videos at, Awareness and Competence Contractors working on behalf of The City of Dallas are ex- pected to be competent to perform their work and must be aware of applicable environmental requirements. Awareness and competence can be achieved through proper education, training or experience. Contractors must also ensure that Subcontractors are aware of their environmental responsibili- ties and are competent to perform their work. 4

13 Environmental Responsibilities Information For Contractors Environmental Best Management Practices When working on City of Dallas projects, please follow the guidelines outlined below for activities involving: Excavation and soil disruption, Saw cutting and coring, Tree protection, Waste management and recycling, Properly responding to spills and chemical releases, Fueling vehicles and equipment, Handling contamination, and Idling vehicles. Erosion and Sediment Control Construction activities can result in soil in erosion and sedimentation, which if left uncontrolled, can harm the environment. This may include the loss of valuable topsoil and sedimentation in rivers and other water bodies. In an effort to reduce environmental impacts from construction activities, the following things need to be done to control soil erosion, waterway sediment and airborne dust generation. Create and implement an Erosion and Sedimentation Control (ESC) Plan that conforms to the erosion and sedimentation requirements of the 2003 EPA Construction General Permit, or Create and implement local erosion and sedimentation control standards and codes, whichever is more stringent. The Plan shall describe the measures implemented to accomplish the following objectives: Prevent loss of soil during construction by stormwater runoff and or wind erosion, including protecting topsoil by stockpiling for reuse. Prevent sedimentation of storm sewer or receiving streams Prevent polluting the air with dust and particulate matter The Construction General Permit (CGP) outlines the provisions necessary to comply with Phase I and Phase II of the National Pollutant Discharge Elimination System (NPDES) program. While the CGP applies only to construction sites greater than 1 acre, the requirements are applied to all projects for the purposes of this prerequisite. Information on the EPA CGP is available at Soil Conservation and Stockpiles Storage and stockpiling of soil is common to City operations. There are a number of environmental issues related to stockpiling of soil including: generation of dust, introduction of sediment into the storm drain system, increased sedimentation and blockage of watercourses. Appropriate soil conservation and stockpiling practices that can prevent or eliminate erosion and the loss of topsoil may include, but are not limited to, the following: Locate stockpiles away from catch basins, inlets, watercourses and water bodies; Do not store soil on graded slopes; Minimize storage time; and Employ protective measures (such as a tarp) to protect the soil from wind and rain. 5

14 Environmental Responsibilities Information For Contractors Saw Cutting and Coring Slurry generated from saw cutting and coring activities may contain several contaminants including sediment, hydrocarbons and elevated ph levels in the runoff. If your operations include saw cutting or coring of asphalt and/or concrete, the resulting slurry must not be allowed to enter the stormwater system or other water bodies. Federal, State and City legislation prohibits the discharge of substances to the stormwater system and water bodies that can result in adverse effects on the environment or the City infrastructure. Some recommended methods for controlling releases can include, but are not limited to, the following: Minimize the amount of water being used to cool the saw; Avoid performing saw cutting or coring operations during wet weather; Contain the slurry in the work area through the use of erosion and sediment controls; Cover/block sewer inlets or gutters to prevent slurry from entering; Collect slurry using appropriate vacuum equipment; and Use saws with built-in slurry containment systems. Tree Protection Trees are an important part of an urban environment. Trees can: 1. Reduce the urban heat-island affect, 2. Reduce water run-off, 3. Prevent soil erosion, muffle noise, absorb dust and other pollutants, and provide wildlife habitat, and 4. Help conserve energy. Trees in Dallas represent a significant investment and are highly valued by citizens as long-term assets to the community. Trees may become stressed due to drought, shifts in temperature, and shorter cold seasons that encourage parasites. Recently, due to redevelopment and construction activities, trees are facing new stressors which put them in jeopardy and can result in a loss of resources for the City. Construction damage often occurs to the root system as a result of compaction, trenching, soil contaminants, and erosion. Please follow the guidelines below: A root protection zone equal to 1.25 feet for each inch in tree diameter (measured at 4.5 feet above the ground) should be established, fenced, mulched, watered, and monitored during construction activities. No activities, personnel, or equipment should be allowed in this area. Avoid filling and grading (adding or taking away) 2 inches or more of the soil in the clay soils prevalent around Dallas. Consider a no fill or grade zone encircling the entire root protection zone for trees that are to be retained on site (see above construction bullet). Excavate the edge closest to the root protection zone using an air spade followed by severing roots cleanly with a saw. Avoid tearing or crushing roots with a bulldozer, back hoe, or similar equipment. Remember, trees grow where conditions are ideal. If it was successful, the conditions of that location should not be altered without seeking the advice of professionals. 6

15 Environmental Responsibilities Information For Contractors Waste Management and Recycling The City of Dallas undertakes many activities that generate waste and recyclables. If improperly managed, waste can negatively impact the environment. There are a number of federal, state and municipal laws or ordinances that require proper handling, storage, transportation and disposal of nonhazardous and hazardous wastes. It is your responsibility to know about and adhere to the regulatory requirements that apply to the work that you perform. Contractors are responsible for ensuring that waste material is disposed of at an approved area or facility in accordance with the law. The City of Dallas operates one landfill and three transfer stations. McCommas Landfill accepts Commercial waste, Household waste, Municipal waste, Grass clippings/brush, and Appliances The transfer stations accepts Recyclables, Grass clippings, and Municipal waste on Mondays and Tuesdays. City of Dallas transfer stations are: Northeast (Fair Oaks) Transfer Station Northwest (Bachman) Transfer Station Southwest (Oak Cliff) Transfer Station Chemical waste may be taken to Home Chemical Collection Center, located on Plano Road in Dallas. The City of Dallas also encourages Contractors to reduce and divert waste from landfills through recycling. At a minimum, you are expected to consider recycling cardboard, wood, concrete and metal that is generated onsite. Construction materials with recycled content should be used where reasonably practical. Please contact the Sanitation Department for questions and assistance with waste disposal at (214) Offsite Disposal of Excavated Soil or Material Any material that is excavated from a site that is not required or suitable for fill or other purposes must be appropriately disposed offsite. Contractors are responsible for ensuring that such material is disposed at an approved area or facility in accordance with the law. 7

16 Spills and Releases Environmental Responsibilities Information For Contractors Spills can cause environmental damage. If a substance leaks into a drain it can pollute the local water supply. If humans are exposed to a hazardous substance, serious health effects can occur. If a substance is flammable, explosive, or reactive, it can also create other hazards. As a City of Dallas Contractor, you must take measures to prevent pollution of land or waterways including the stormwater system. If a spill or release occurs, you have a legal responsibility to report such an incident to the appropriate regulatory agency and to the City of Dallas. Examples of Commonly Used Substances That May Cause an Adverse Effect on the Environment Gasoline /diesel fuel Paint Propane Antifreeze/glycol Solvents Oil containing PCB s Lubricating oil Chemicals Acids or caustics Hydraulic fluid Sewage Fertilizers Other petroleum products and synthetic oils Erosion and sedimentation materials Excessive smoke, fumes, odors Freon/CFCs Ammonia Chlorine Industrial wastes Hot asphalt Pesticides and herbicides This list is not all-inclusive, and other substances may cause an adverse effect on the environment. Reporting to a Regulatory Agency There are specific legal requirements related to reporting spills and releases. As a City of Dallas Contractor, you must ensure that spills and releases are immediately reported to the appropriate regulatory agencies as required by law. Failure to report could result in enforcement action against persons responsible, including you. Release reporting is also a requirement of Federal and State legislative bodies such as the Environmental Protection Agency and the Texas Commission on Environmental Quality. As a City of Dallas Contractor, you must notify The City Designate of a spill or release at the earliest possible opportunity. Cleaning Up a Spill or Release After ensuring the health and safety of the public and workers, the most important component of managing a non-hazardous or hazardous material spill or release is to initiate steps to immediately control and minimize the spilled or released material s impact on the environment. The type of material spilled, the quantity spilled, and the spill location are factors to take into account when deciding what appropriate actions to take. The person or entity that causes a spill or release of non-hazardous or hazardous material into the environment is responsible to satisfactorily clean and, if necessary, remediate the affected area. The Contractor is responsible for identifying a satisfactory level of clean-up in consultation with the City of Dallas and other relevant regulatory agencies. Adequate quantities of absorbent material or berming devices must be readily available to clean up spills. Waste material generated during spill clean-up activities must be properly disposed in accordance with Federal and State requirements. 8

17 Environmental Responsibilities Information For Contractors Fueling Fuel spills can occur during fueling operations at construction sites. Measures to ensure that fueling operations do not cause an environmental impact include, but are not limited to, the following: Place berms around fuel storage tanks, Labeling all fuel storage tanks, Conduct fuel operations away from catch basins and water bodies; Ensure contractor personnel are present during fueling operations for the duration of the fueling process; Communicate operating procedures to onsite personnel; and, Keep adequate quantities of absorbent materials readily available. Fueling or maintenance of equipment must not take place within 30 ft of waterways including the stormwater system or environmentally sensitive areas unless a written Standard Operating Procedure is in place. Contamination Discovery Contractors are expected to follow the City of Dallas Contamination Discovery Response Procedure. During construction, indications of possible contamination include, but are not limited to, the following: Rusted barrels and containers; Stained or discolored earth in contrast with adjoining soil; Fill material containing debris; Household trash covered by earth or industrial waste debris; Non-earthy odors, or other strange smells; Oily residue intermixed with earth; Sheen on groundwater; and, Structures such as asbestos cement pipe, abandoned pipes and underground storage tanks. As a City of Dallas Contractor, you must report any suspected contamination discovery to The City of Dallas Project Designate as soon as possible. Chemical/Oil Storage The City of Dallas expects contractors to be in compliance with City, State and Federal regulations on chemical handling, transportation and storage, including but not limited to Dallas City Code, Texas Hazardous Communication Act, DOT regulations, FIFRA, SARA, EPCRA and OSHA requirements. Proper storage is required to minimize the hazards associated with chemical and oil storage. Further, contingency and spill control and countermeasure plans need to be created and implemented. Some elements of chemical and oil storage requiring consideration should include: separation of incompatible chemicals, solvents, flammables versus combustibles, acids versus bases, oxidizers, poisons, explosives and unstable reactives. Some chemicals may require storage in flammable or acid proof containers while others may have distance requirements. 9

18 Imported Fill Material Vehicle Idling Environmental Responsibilities Information For Contractors When imported fill material is proposed for use at a construction site, Contractors are responsible for reporting the source location of the material to the City of Dallas Project Designate. The source location of any imported or recycled fill material must be reported to the City of Dallas Project Designate prior to material being brought onsite. The Contractor may be asked to verify the suitability of the material for its intended use. Vehicle idling contributes to several environmental problems such as the deterioration of air quality and the production of unnecessary emissions of greenhouse gases such carbon dioxide (CO 2 ). In addition to these environmental concerns, idling of vehicles also wastes fuel and may damage vehicle engines. According to City of Dallas Ordinance 26766, vehicles with a gross vehicle weight rating equal to or greater than 14,000 pounds must not idle for more than 5 minutes. Contractors working on behalf of the City are encouraged to minimize idling of vehicles that is not essential for the performance of their work. Useful City of Dallas Sources of Information The following City of Dallas websites can be accessed for municipal requirements that are referenced in the Contractor Environmental Responsibilities Package: For Contractor environmental requirements and corporate environmental programs: Departments> Office of Environmental Quality For information on City Codes: 10

19 ENVIRONMENTAL RECORD AFFIDAVIT For purposes of this Affidavit: (A) the term Bidder/Proposer includes any and all authorized officers, employees, agents, or other representatives of Bidder/Proposer working in that capacity on behalf of Bidder/Proposer within the past three (3) years prior to the date of this Affidavit; (B) the term Environmental Laws includes any and all State, Federal, or local statutes, laws, rules, codes, regulations, or ordinances developed to regulate activities that impact human health and the environment including, but not limited to, those intended to control land, air, and water pollution, conserve natural resources, prevent damaging practices, and regulate chemical hazards. By signing below, I,, the authorized representative of (hereinafter called the Bidder/Proposer ), affirm, on behalf of Bidder/Proposer, the following: (1) That Bidder/Proposer has received and read the Contractor Environmental Packet. Bidder/Proposer also understands that the Contractor Environmental Packet is not intended to be all inclusive, but rather a guideline for environmental responsibility. [Strike the item indicated below that does NOT apply in this Affidavit.] (2) That Bidder/Proposer has not been served with any notices of violation or notices of enforcement or had any civil or criminal fines or penalties imposed by any regulatory authority for a violation of any Environmental Laws within the past three (3) years prior to the date of this Affidavit. (3) That Bidder/Proposer has been served with notices of violation or notices of enforcement or had any civil or criminal fines or penalties imposed by any regulatory authority for a violation of any Environmental Laws within the past three (3) years prior to the date of this Affidavit as follows: [If Item (3) applies, use a separate sheet to list the notices of violation or enforcement, and any adjudications of actual violations, along with copies of any compliance documents issued by the regulatory authority in connection with the notices or actual violations, and attach the separate sheet to this affidavit.] COMPANY NAME SIGNATURE DATE TITLE Environmental Record Affidavit [ Edition]