Fluorosilicic Acid (Hydrofluorosilicic Acid)

CITY OF KALAMAZOO - INVITATION FOR BIDS
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
STATEMENT OF NO BID
NOTE: If you DO NOT intend to bid on this commodity or service, please complete and return this form
immediately. Your response will assist us in evaluating all responses for this important project and to improve
our bid solicitation process.
The Purchasing Division of the City of Kalamazoo wishes to keep its bidders list file up-to-date. If, for any reason
you cannot supply the commodity/service noted in this bid solicitation, this form must be completed and returned
to remain on the particular bid list for future projects of this type.
If you do not respond to this inquiry within the time set for the bid opening date and time noted, we will
assume that you can no longer supply this commodity/service, and your name will be removed from this
bid list.
_____ Specifications too "tight", i.e. geared toward one brand or manufacturer only (explain below).
_____ Specifications are unclear (explain below).
_____ We are unable to meet specifications.
_____ Insufficient time to respond to the Invitation for Bid.
_____ Our schedule would not permit us to perform.
_____ We are unable to meet bond requirements.
_____ We are unable to meet insurance requirements.
_____ We do not offer this product or service.
_____ Remove us from your bidders list for this commodity or service.
_____ Other (specify below).
REMARKS: ___________________________________________________________________________
______________________________________________________________________________________
SIGNED: _________________________________ NAME: ___________________________________
(Type or Print)
TITLE: __________________________________ DATE: ___________________________________
FIRM NAME: _________________________________________________________________________
(if any)
ADDRESS: _____________________________________________________________________________
(Street address) (City) (State) (Zip)
PHONE: ____________________________ EMAIL: __________________________________________

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 1
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
SECTION I
INSTRUCTIONS TO BIDDERS
1. EXAMINATION OF BID DOCUMENT-Before submitting a bid, bidders shall carefully examine
the specifications and shall fully inform themselves as to all existing conditions and limitations. The
bidder shall indicate in the bid the sum to cover the cost of all items included on the bid form.
2. PREPARATION OF BID-The bid shall be legibly prepared in ink or typed. If a unit price or
extension already entered by the bidder on the Bid and Award form is to be altered, it shall be
crossed out and the new unit price or extension entered above or below and initialed by the bidder
with ink. The bid shall be legally signed, and the complete address of the bidder given thereon.
All bids shall be tightly sealed in an envelope plainly marked SEALED BID and identified by
project name, bid opening date and time. Bids opened by mistake, due to improper identification,
will be so documented and resealed. The Purchasing Division will maintain and guarantee
confidentiality of the contents until the specified opening date and time. Bids submitted
electronically will not be accepted.
3. EXPLANATION TO BIDDERS-Any binding explanation desired by a bidder regarding the
meaning or interpretation of the Invitation for Bids (IFB) and attachments must be requested in
writing, at least 5 business days before the bid opening so a reply may reach all prospective
bidders prior to the submission of bids. Any information given to a prospective bidder concerning
the IFB will be furnished to all prospective bidders as an amendment or addendum to the IFB if
such information would be prejudicial to uninformed bidders. Receipt of amendments or addenda
by a bidder must be acknowledged in the bid by attachment, or by letter received before the time set
for opening of bids. Oral explanation or instructions given prior to the opening will not be binding.
4. CASH DISCOUNTS-Discount offered for payment of less than thirty (30) days will not be
considered in evaluating bids for award. Offered discounts of less than thirty (30) days will be taken
if payment is made within the discount period, even though not considered in evaluation of the bid.
5. WITHDRAWAL OF BIDS-Bids may be withdrawn in person by a bidder or authorized
representative, provided their identity is made known and a receipt is signed for the bid, but only if
the withdrawal is made prior to the exact time set for receipt of bid. No bid may be withdrawn for
at least ninety (90) days after bid opening.
6. ALTERNATE BIDS-bidders are cautioned that any alternate bid, unless specifically requested or
any changes, insertions or omissions to the terms and conditions, specifications or any other
requirement of this IFB may be considered non-responsive, and at the option of the City, result in
rejection of the alternate bid.
7. LATE BIDS-Any bid received at the office designated herein after the exact time specified for
receipt will not be considered. (Note: The City reserves the right to consider bids that have been
determined by the City to be received late due to mishandling by the City after receipt of the bid and
no award has been made.)
8. UNIT PRICES-If there is a discrepancy between unit prices and their extension, unit prices shall
prevail.
9. BID SUBMITTAL- Bidders can submit sealed bids in one of the following ways:
9.1. Mail your bid, to be received before the bid due date and time indicated in the bid
document, to the City of Kalamazoo at the following address:

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 2
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
City of Kalamazoo
Purchasing Division
241 West South Street
Kalamazoo, MI 49007
9.2. Deliver your bid to City Hall In-Person before the bid due date and time indicated in the
bid document.
9.3. Deliver your bid to the Treasurer's Office Payment Drop Box located in the northwest
corner of City Hall (see photos below) before the bid due date and time indicated in the bid
document.
1. Open drop box located at City Hall. 2. Insert SEALED BID here.
10. BID TABULATIONS- The Purchasing Division makes an effort to post bid tabulations to the
City of Kalamazoo website within 24 hours after the bid opening date and time at:
https://www.kalamazoocity.org/bidopportunities. However, in certain cases the posting of the bid
tabulation may extend beyond the 24-hour window.

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 3
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
SECTION II
BID AND AWARD
The undersigned having become thoroughly familiar with all of the bid/contract documents including
instructions, specifications, general provisions and terms and conditions attached hereto, agrees to furnish
fluorosilicic acid as specified, F.O.B. delivered to the Kalamazoo Department of Public Services in
quantities requested in compliance with the requirements herein and the time specified at the unit prices as
stated below.
EST
ITEM DESCRIPTION QTY TOTAL PRICE
1. Base Bid - Fluorosilicic Acid: 150,000 lbs.
Material shall be fluorosilicic acid
meeting or exceeding the specifications
and shall include any super fund tax.
Price per 300 lb. drum $ ___________ drum x 500 drums $ ________________
(Total 150,000 lbs)
2. Deposit Fee per drum $ ___________ drum x 500 drums $ ________________
3. Freight Charge: 15 deliveries of 30 drums each
$ ___________ delivery x 15 deliveries per year $ ________________
TOTAL BID AMOUNT $ ________________
All the above unit prices shall remain firm for the duration of this contract and shall include superfund tax.
The City reserves the right to award the contract to the LOW RESPONSIVE, RESPONSIBLE bidder who
MEETS SPECIFICATIONS and has offered the lowest price over the longest term or whichever is in the
City's best interest.
Contact person for order releases shall be:
Name: ____________________________________ Phone: __________________________________
Order release lead-time required is __________ (hrs/days) prior to requested delivery date.
Material to be shipped by common carrier or bidder's truck: ___________________________________

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 4
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
During the term of the agreement resulting from this Invitation for Bids, the City of Kalamazoo would like
to afford the same prices, terms and conditions to other local governments and public schools located in
Kalamazoo County even though their requirements are not included in the quantities listed on the Bid.
Please indicate your willingness to extend your prices to other local government entities and public schools
by checking the corresponding box below.
I agree to extend my prices
I do not agree to extend my prices
Your response, either to extend or not extend your prices, will not have an effect on the evaluation of your
bid.
Bidder/Contractor has examined and carefully studied the bidding documents and attachments, and
acknowledges receipt of the following addenda:
Addendum No: _________ __________ __________ __________ __________
Dated: _________ __________ __________ __________ __________
Bidder shall provide all of the information as requested herein with their bid. Failure to do so and/or
failure to provide post-bid requested information may be cause for rejecting the bid as non-
responsive.
By my signature below, I certify that the firm bidding on this contract, when making hiring decisions, does
not use a past criminal conviction as a bar to or preclude a person with a criminal conviction from being
considered for employment with the bidding firm unless otherwise precluded by federal or state law. I
further certify that I have read and agree to be bound by the provisions of the City's Non-Discrimination
Clause found in Appendix A and as updated by City Ordinance 1856.
Signed:________________________________________ Name: _________________________________
Title: _________________________________________

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 5
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
REFERENCE QUESTIONNAIRE
Please answer the following questions completely.
1. Firm name: ___________________________________________________________________
2. Established: Year ________ Number of Employees: _________
3. Type of organization:
a. Individual: __________ b. Partnership: __________
c. Corporation: __________ d. Other: __________
4. Former firm name(s) if any, and year(s) in business:
_______________________________________________________________________________
_______________________________________________________________________________
5. Include at least 3 references of contracts for similar work performed over the last five (5) years.
Include: owner, contact person and phone number and description of work performed.
5.1 Company Name: ___________________________________________________________
Address: _________________________________________________________________
Phone: ___________________________________________________________________
Contact: __________________________________________________________________
Type of work or contract: ____________________________________________________
5.2 Company Name: ___________________________________________________________
Address: _________________________________________________________________
Phone: ___________________________________________________________________
Contact: __________________________________________________________________
Type of work or contract: ____________________________________________________
5.3 Company Name: ___________________________________________________________
Address: _________________________________________________________________
Phone: ___________________________________________________________________
Contact: __________________________________________________________________
Type of work or contract: ____________________________________________________
I hereby certify that all of the information provided is true and answered to the best of my ability.
Signed: ___________________________________ Name: _______________________________
(type or print)
Title: _____________________________________ Date: ______________________________

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 6
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
CITY OF KALAMAZOO
LOCAL PREFERENCE POLICY AND CERTIFICATION
The lowest responsive Kalamazoo County bidder whose bid is not low but falls within 2% of the lowest responsive
bid is afforded the opportunity to become the successful bidder if it agrees to reduce its bid to match the lowest
responsive bid. The City of Kalamazoo is the sole determiner whether a bidder is responsible, qualifies as a
Kalamazoo County bidder, and if its bid is responsive to the City's specifications, terms and conditions.
If the lowest Kalamazoo County bidder chooses not to match the lowest bid, the next lowest responsive Kalamazoo
County bidder whose bid falls within 2% of the lowest bid, is given the opportunity to match the lowest responsive
bid.
To qualify as a Kalamazoo County bidder, the bidder must meet both the following criteria:
1. Have a physical presence in Kalamazoo County by maintaining a permanent office, factory or other facility
in Kalamazoo County with employees working in Kalamazoo County.
2. Have paid real or personal property taxes related to said business to the City of Kalamazoo, County of
Kalamazoo or other municipal corporation within Kalamazoo County in the previous tax year, except that a
non-profit entity need not meet this requirement.
This local preference policy applies only to purchases for materials, supplies, capital outlay, and services for
maintenance, repair or operation of City facilities that are over $25,000. If more than 50% of the contract is sub-
contracted to firms located outside of Kalamazoo County that bid does not qualify for the local preference policy
outlined above. The local preference policy will not apply if prohibited by law. The Purchasing Agent has the
authority to finally determine if the bidder qualifies as a Kalamazoo County bidder as set forth herein. The Purchasing
Agent may take into account the permanency of the business in Kalamazoo, and whether the business appears to be
claiming to be a Kalamazoo County business solely or primarily to qualify as a Kalamazoo County business under
this Resolution, and any other material factors.
CERTIFICATION
If you qualify as a Kalamazoo County bidder and wish to be considered for the local preference provisions as provided
above please certify that fact by providing the information requested below and attesting to its accuracy.
Firm Name:
Street Address of Business:
City, State, and Zip Code:
Number of employees working in Kalamazoo County:
Name the city or township to which business real and/or personal property taxes are paid or provide non-profit status:
The above information is accurate:
Signature: ________________________________________ Date: ____________________________
Title: ____________________________________________
Revised April 2008

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 7
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
CITY OF KALAMAZOO EX-OFFENDER POLICY CHECKLIST
As part of the City's commitment to reducing unacceptable poverty, encouraging rehabilitation,
reducing recidivism and strengthening families in Kalamazoo, the City has updated its Purchasing
Policy to ensure that firms with whom the City does business share in this commitment by utilizing
hiring practices that do not unfairly deny people with arrest and conviction records gainful
employment. (Important: This requirement also extends to any subcontractors the bidder intends
to use to fulfill the contract for goods or services being sought from the City.)
Part I: Proof that the bidder does not inquire about an individual's past arrest or criminal
history on the bidders employment application form
Attach a copy of the current application for employment being used by the bidder
Part II: Certification that the bidder does not use an individual's past arrest or criminal
history to unlawfully discriminate against them by checking one or more of the following:
That pursuant to federal or state law bidder is precluded from hiring persons with certain
criminal records from holding particular positions or engaging in certain occupations by
providing a cite to the applicable statute or regulation; if checking this box, provide a
citation to the applicable statute or rule upon which the bidder is
relying:________________________
That bidder conducts criminal history background checks only as necessary, and only
after making a conditional offer of employment; that any withdrawal of an offer of
employment to an individual because of a past criminal history is job-related and
consistent with business necessity after the individual has been provided an
individualized assessment opportunity to review and challenge or supplement the history
of past criminal conduct being relied upon by the bidder;
That the use by bidder of criminal history background checks complies with the U.S.
Equal Employment Opportunity Commission's Enforcement Guidance on the
Consideration of Arrest and Conviction Records in Employment Decisions and that the
bidder has not had a determination rendered against it in past 7 years that it
discriminated against a person through the use of an individual's arrest or criminal history
I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE.
______________ _____________________________
Date Signature
_____________________________
Printed Name
_____________________________
Position

CITY OF KALAMAZOO - INVITATION FOR BIDS Page 8
Fluorosilicic Acid (Hydrofluorosilicic Acid) Bid Reference No: 18000-005.0
I hereby state that all of the information I have provided is true, accurate and complete. I hereby state that
I have the authority to submit this bid which will become a binding contract if accepted by the City of
Kalamazoo. I hereby state that I have not communicated with nor otherwise colluded with any other bidder,
nor have I made any agreement with nor offered/accepted anything of value to/from an official or employee
of the City of Kalamazoo that would tend to destroy or hinder free competition.
The firm's identification information provided will be used by the City for purchase orders, payment and
other contractual purposes. If the contractual relationship is with, or the payment made to, another firm
please provide a complete explanation on your letterhead and attach to your bid. Please provide for accounts
payable purposes:
Tax Identification Number (Federal ID): ___________________________________
Remittance Address: __________________________________________________________________
Financial Contact Name: Financial Contact Phone Number:
Financial Contact Email Address:
I hereby state that I have read, understand and agree to be bound by all terms and conditions of this bid
document.
SIGNED: ___________________________________ NAME: ______________________________
(Type or Print)
TITLE: ____________________________________ DATE: _______________________________
FIRM NAME: _________________________________________________________________________
(if any)
ADDRESS: ___________________________________________________________________________
(Street address) (City) (State) (Zip)
PHONE: __________________________ EMAIL: ______________________________________
_____________________________________________________________________________________
FOR CITY USE ONLY - DO NOT WRITE BELOW