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2011-56 AGREEMENT BETWEEN THE CITY OF CERMONT, FLORIDA
AND TEST AMERICA LABORATORIES, INC FOR
LABORATORY ANALYSES
THIS AGREEMENT, made this day ofy.SY 2011, between the City of St
Clermont, a Municipal Corporation of the State of Florida (hereinafter referred to as the "CITY "),
685 West Montrose Street, Clermont, Florida and Test Amenca Laboratones, Inc. (hereinafter
referred to as "VENDOR "), 2960 Foster Creighton Drive, Nashville, TN 37204, who, in
consideration of the covenants, representations and agreements herein contained, agree as follows
1 SCOPE OF SERVICES: VENDOR agrees to furnish all labor, materials, equipment,
machinery, tools, apparatus, and transportation to provide said services set forth in the
City of Clermont Bid #2010 - 011 -TLP- Laboratory- Analyses and the Agreement between
the City of Clermont and Vendor, which are attached hereto, incorporated herein and
collectively referred to as Attachment 'A.' In the event of conflict, the terms and
conditions of this agreement shall prevail. VENDOR agrees to perform the assigned
responsibilities and duties faithfully, intelligently, and to the best of its ability, and in
the best interest of the CITY during the term of this agreement. All services provided
shall be performed in accordance with this agreement and with any and all applicable law,
professional standards, and guidelines
2 AUTHORIZATION TO PROVIDE SERVICES: VENDOR shall not be authorized to
provide any services as set forth in Attachment "A" until such time as VENDOR has
received written authorization from the City Manager or designee to perform the
specific tasks set forth in bid. VENDOR shall commence work as provided in written
Notice to Proceed or purchase order. In the event that VENDOR commences any such
services without such authorization, VENDOR expressly acknowledges that it shall not
be entitled to compensation of any kind related to said services.
3 COMPENSATION: Payments shall be made pursuant to Florida Statute Section 218 70,
the Prompt Payment Act and all CITY Policies promulgated thereby.
a VENDOR shall be compensated in an amount and in accordance with the
compensation schedule set forth in Attachment 'A'. Total compensation by the
CITY hereunder shall not exceed $50,000 without prior written approval from the
CITY
b As a condition precedent to receiving payment, VENDOR shall have been
authonzed to proceed by CITY, shall not be in default of any of the terms and
conditions of this agreement and shall provide to CITY an invoice. The invoice
shall be forwarded to CITY, upon completion of work contemplated herein, and
signed by an authorized representative of VENDOR. The invoice shall include a
statement identifying the period for which it applies or purchase order number and
the sub -tasks or portions thereof, completed by VENDOR in accordance with
Attachment `A'.
c CITY shall pay all valid, approved, and undisputed invoices within thirty
(30) days of receipt from VENDOR In the event that CITY disputes any
invoice submitted, it shall advise VENDOR in wasting and said invoice shall not
be deemed due and payable under this agreement Neither the CITY'S review,
1
approval, or acceptance of nor payment for, any services provided hereunder, shall
be construed to operate as a waiver of any rights under this agreement and
VENDOR shall be liable to CITY for any and all damages to CITY caused by the
VENDOR'S negligent or wrongful performance of any of the services furnished
under this agreement
The acceptance of final payment by VENDOR shall constitute a waiver of all
claims by VENDOR except those previously made in writing and identified
by VENDOR as unsettled at the time of a request for final payment
4 TERM. This Agreement shall become effective upon execution by both parties and shall
remain in effect for an initial term of twelve (12) months, unless terminated as provided
herein. Additionally, the parties agree that the 1 term may be extended upon mutual
agreement for periods of twelve (12) months, but such option to extend may only be utilized
two (2) times unless authorized by the City Coucil for additional extensions
5. TERMINATION OF AGREEMENT. As set forth below CITY may terminate this
Agreement without cause upon seven (7) days written notice. Termination of the
agreement will not relieve the VENDOR of any obligations or liabilities resulting from
any acts committed by the VENDOR prior to the termination of the agreement
VENDOR may terminate this this Agreement without cause upon ninety (90) calendar
days written notice to the CITY. Termination hereunder will not relieve the VENDOR
of any obligations or liabilities resulting from any services requested or acts committed by
the VENDOR prior to the termination of the agreement
Termination for Default. The CITY shall notify, in writing, the VENDOR of deficiencies
or default in the performance of its duties under the Agreement. Three separate
documented instances of deficiency or failure to perform in accordance with the
specifications contained herein shall constitute cause for termination for default. It shall
be at the CITY'S discretion whether to exercise the right to terminate. VENDOR shall not
be found in default for events arising due to acts of God.
Termination for City's Convenience. The performance of work under this agreement
may be terminated for convenience should the CITY determine it is in the best interest of
the CITY. Any such termination shall be effected by the delivery to the VENDOR of a
Notice of Termination specifying the extent to which performance of work under the
agreement is terminated and' the - date upon which such termination becomes effective.
Upon such termination for convenience, VENDOR shall be entitled to payment, in
accordance with the payment provisions, for services rendered up to the termination
date and the CITY shall have no other obligations to VENDOR. VENDOR shall be
obligated to continue performance of agreement services, in accordance with the agreement,
until the termination date and shall have no further obligation to perform services after the
termination date.
6. WARRANTY OF VENDOR. VENDOR does hereby expressly warrant and guarantee the
services provided hereunder from any and all defects, failures, faulty construction,
inconsistency with plans, or damage, other than that resulting from reasonable wear
and tear or actions of third parties, for a period of one year from the acceptance of the
work by CITY. In the event that such a claim occurs, VENDOR shall immediately act to
repair, replace, and restore the damaged work, or, if applicable, reconstruct the work to
2
make it completely and strictly comply with the agreement documents. All warranty
services provided hereunder shall be performed at VENDOR'S sole expense, including
materials and labor. It is expressly agreed and understood that this warranty shall not
apply to materials and equipment normally expected to deteriorate or wear out or become
subject to normal repair and replacement before their condition is discovered.
Additionally, VENDOR shall not be required to do normal maintenance work under this
provision. Failure of the VENDOR to substantially act within thirty (30) days of notice
of a claim hereunder, shall entitle CITY, at its sole option, to replace or repair the subject
defect and to recover the reasonable costs of said repair from VENDOR. The enforcement
of the warranty provision shall not be deemed a waiver of any rights that CITY may have
to declare VENDOR in breach of the terms of this agreement and to pursue any and all
available legal remedies.
7. AUTHORIZED OF THE CITY. During the term of this agreement,
CITY shall designate a representative authorized to act on behalf of the CITY, as
provided by law, with respect to the project
8. INSURANCE PROVIDED BY VENDOR.
a. Insurance. Except as otherwise specified in this agreement, the VENDOR
and all subcontractors of any tier shall be required at their sole cost and expense to
maintain in effect at all times during the performance of the work, insurance
coverage with limits not less than those set forth below with insurers and under
forms of policies satisfactory to the CITY. It shall be the responsibility of the
VENDOR and all his subcontractors to maintain adequate insurance coverage
and it shall also be the responsibility of the VENDOR to assure and evidence that
subcontractors are adequately insured at all times. Failure of the VENDOR and his
subcontractors to maintain adequate coverage shall not relieve the VENDOR of
any contractual responsibility or obligation.
b. The VENDOR and his subcontractors shall furnish to the CITY such
certificates of insurance or endorsements required by the provisions set forth
herein. It shall be the responsibility of the VENDOR to maintain adequate
insurance coverage and to assure that subcontractors are adequately insured at all
times. Failure of the VENDOR and his subcontractors to maintain adequate coverage
shall not relieve the VENDOR of any contractual responsibility or obligation A
verification form of such insurance policy shall be filed with the City of Clermont
within ten (10) days of the execution of the agreement. The certificate of
insurance shall list the CITY as additional insured.
c. Certificate of Insurance. At the time of the execution of this agreement and
each subcontract, but in any event, pnor to commencing work at the job site, the
VENDOR and his subcontractors shall furnish the City of Clermont with
certificates of insurance as evidence that the policies providing the required
coverage and limits of insurance are in full force and effect. VENDOR shall
immediately provide wntten notice to the CITY upon receipt of notice of
cancellation of an insurance policy or a decision to terminate or alter any insurance
policy. CITY may deem cancellation or termination of any insurance policy a
matenal breach on the part of the VENDOR and the VENDOR may be held to be
in default of his agreement with CITY at the CITY'S option. All certificates of
insurance shall clearly state that all applicable requirements have been satisfied
3
including certification that the policies are of the "occurrence" type Certificates of
insurance for the VENDOR and the subcontractors' furnished insurance and notices
of any cancellation, terminations, or alterations of such policies shall be mailed to
the City of Clermont, 685 West Montrose Street, Clermont, Flonda 34711.
d. Additional Insured. All insurance furnished under this agreement shall designate
the City of Clermont as additional insured.
e All policies shall contain a "cross- liability" or "severability of interest"
clause or endorsement. Notwithstanding any other provision of these policies,
the insurance afforded shall apply separately to each insured, named insured, or
additional insured with respect to any claim, suit or judgment made or brought
by or for any other insured, named insured or additional insured with respect to
any claim, suit or judgment made or brought by or for any other insured, named
insured or additional insured as though a separate policy had been issued to each
f Waivers of Subrogation The VENDOR and his subcontractors shall require
their insurance carrier, with respect to all insurance policies, to waive all rights of
subrogation against the City of Clermont, its Council members, partners, officials,
directors, officers, agents, and employees.
g Comprehensive General Liability. This insurance shall be an occurrence type
policy written in comprehensive form and shall protect the VENDOR and his
subcontractors and the additional insured against any and all claims arising from
bodily injury, sickness, disease or death of any person other than the
VENDOR'S employees or damage to property of the CITY or others arising
directly or indirectly from or out of the act of omission of the VENDOR or his
subcontractors or their agents, employees or subcontractors This policy shall also
include protection against claims insured by usual personal injury liability
coverage, a (protective liability) endorsement to ensure the contractual liability
assumed by the VENDOR and its subcontractors under the article entitled
indemnification -and completed operations, products liability, contractual liability,
broad form property "coverage, XCU, premises /operations, and independent
VENDORS (to remain in force for two years after final payment).
h. Worker's Compensation Insurance. The VENDOR shall take out and maintain
during the life of -this agreement, workers compensation insurance for all of
his employees connected with the work of this project and in case any work is
sublet, the VENDOR shall require the subcontractor similarly to provide workers
compensation insurance for all of the latter's employees unless such employees
are covered by the protection afforded by the VENDOR. Such insurance shall
comply fully with the Florida Workers Compensation Law. In case any class of
employees, engaged in, hazardous work under this agreement at the site of the
project is not protected under the workers compensation statute, the VENDOR
shall provide adequate insurance, and cause such subcontractor to provide adequate
insurance, satisfactory to the owner, for the protection of his employees not
otherwise protected.
The insurance companies providing coverage must be rated through the A.M Best
rating guide or Internet site at ambest.com. Proof of the carrier's FSC rate (must
be a 7 or better) and proof of the carver's best rating (must be A- or better) must be
submitted with the Certificate of Insurance.
4
j General Liability limits are required as follows.
Each Occurrence $ 100,000
Fire Damage $ 50,000
Personal & Adv. Injury $1,000,000
General Aggregate $2,000,000
Products - Comp /OP AGG $1,000,000
k. Excess Liability:
Each Occurrence $2,000,000
Aggregate $2,000.000
This amount may be greater depending on the award of agreement amount
1 Workers Compensation:
(two or more employees on this project)
E.L. Each Accident $ 100,000
E.L Disease $ 100,000
E.L. Disease $ 500,000
WC Statutory limits box must be marked.
m Insurance Coverage Not Limitation of Liability: The maintenance of insurance
coverage as provided herein shall not be construed to limit nor have the effect of
limiting VENDOR'S liability to CITY under the provision of any clause or
paragraph contained in this agreement
9. INDEMNIFICATION. VENDOR agrees to hold harmless and indemnify, including
attorney fees, CITY, its officers, employees and agents against any and all claims, losses,
damages or lawsuits for damages or threat thereof, ansing from or related to negligent acts,
errors or omissions of the VENDOR
10 INDEPENDENT CONTRACTOR. It is agreed by the parties that at all times and for all
purposes within the - 'scope of this agreement, the relationship of VENDOR and CITY is
that of an independent contractor.
11 NOTICES. All notices shall be in writing and sent by United States mail, certified or
registered, with return receipt requested and postage prepaid, or by nationally recognized
overnight courier service to the address of the party set forth below. Any such notice shall
be deemed given when received by the party to whom it is intended.
TestAmerica Laboratories, Inc
4101 Shuffel Street NW
North Canton, OH 44720
Attention. Sharon Gordon, Legal & Contracts Director
Phone. (620) 986 -5524; Fax (620) 986 -5493
Wayne Saunders,
City Manager City of Clermont
685 West Montrose Street
5
Clermont, Florida 34711
12. GENERAL PROVISIONS.
a Attorneys' Fees In the event a suit or action is instituted to enforce or interpret
any provision of this agreement, the prevailing party shall be entitled to recover such sum
as the Court may adjudge reasonable as attorneys' fees at trial or on any appeal, in addition
to all other sums provided by law
b Waiver. The waiver by CITY of breach of any provision of this agreement shall not
be construed or operate as a waiver of any subsequent breach of such provision or of such
provision itself and shall in no way affect the enforcement of any other provisions of this
agreement.
c Severabihty. If any provision of this agreement or the application thereof to any person
or circumstance is to any extent invalid or unenforceable, such provision, or part
thereof, shall be deleted or. modified in such a manner as to make the agreement valid
and enforceable under applicable law, the remainder of this agreement and the application
of such a provision to other persons or circumstances shall be unaffected, and this
agreement shall be valid and enforceable to the fullest extent permitted by applicable law
d. Amendment. Except for as otherwise provided herein, this agreement may
not be modified or amended except by an agreement in writing signed by both parties.
e Entire Agreement. This agreement including the documents incorporated by
reference contains the entire understanding of the parties hereto and supersedes all pnor
and contemporaneous agreements between the parties with respect to the performance of
services by VENDOR
f. Availability of Funds. The obligations of the City of Clermont under this
agreement are subject to the availability of funds lawfully appropnated for its purpose All
purchases are contingent upon available City of Clermont funding.
g. Assignment. This agreement is personal to the parties hereto and may not be
assigned by VENDOR, in whole or in part, without the pnor written consent of CITY.
h. Venue The parties agree that the sole and exclusive venue for any cause of
action arising out of this agreement shall be Lake County, Florida
Applicable Law. This agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and enforced
in accordance with the laws of the State of Florida.
�. Records. VENDOR expressly understands and acknowledges that any
and all documents related to the services provided herein, may be considered records
that are subject to examination and production in accordance with Florida's Public Records
Law. VENDOR expressly agrees that it will comply with all requirements related to
said law and that it will hold CITY harmless for any such disclosure related to Florida's
Public Records Law.
6
IN pIITNESS WHEREOF, the parties hereto have executed this Agreement on thisc 5' day of
a 2011
City of Clermont
Hal 7 " - urville, Jr., Mayor
' Attest
' r' �y • 1 • � .�
;Tracy'Ackroyd, City Clerk
r' g TestAmerlca, Inc
At_ By•
Bosco Ramirez, Lab Director
Printed Name and Title
Attest
Corporate Secretary
Ben Erwin
(Name Printed or Typed)
7
ATTACHMENT A
AGREEMENT BETWEEN THE CITY OF ST. CLOUD, FLORIDA
AND TESTAMERICA LABORATORIES, INC.
FOR LABORATORY ANALYSES
THIS AGREEMENT, made this 3 day of May, 2010, between the City of St Cloud, a Municipal
Corporation of the State of Florida (hereinafter referred to as the "CITY "), 1300 9` Street, St Cloud,
Florida 34769, and TestAmerica Laboratories, Inc. (hereinafter referred to as "VENDOR "), 2960 Foster
Creighton Drive, Nashville, Tennessee 37204, who, in consideration of the covenants, representations
and agreements herein contained, agree as follows
1 SCOPE OF SERVICES: VENDOR agrees to provide all labor, materials, equipment, tools,
apparatus, transportation, mileage, and incidentals necessary to provide said services set forth
in City of St. Cloud Invitation to Bid No 2010 - 011 -TLP — Laboratory Analyses, attached hereto
and incorporated herein as Attachment 'A ' In the event of conflict, the terms and conditions of
this agreement shall prevail VENDOR agrees to perform the assigned responsibilities and
duties faithfully, intelligently, and to the best of his /her ability, and in the best interest of CITY
during the term of this agreement All services provided shalt be performed in accordance with
this agreement and with any and all applicable law, professional standards and guidelines
2 AUTHORIZATION TO PROVIDE SERVICES: VENDOR shall not be authorized to provide any
services as set forth in ITB No 2010 - 011 -TLP — Laboratory Analyses until such time as
VENDOR has received written authorization from the City Manager, or his designee, to perform
the specific tasks set forth in ITB In the event that VENDOR commences any such services
without such authorization, VENDOR expressly acknowledges that it shall not be entitled to
compensation of any kind related to said services
3 COMPENSATION: Payments shall be made pursuant to Florida Statute Section 218 70, the
Prompt Payment Act, and all City Policies promulgated thereby
a VENDOR shall be compensated in an amount and in accordance with the compensation
schedule set forth in Attachment 'B,' response from VENDOR. Compensation by the CITY to
the VENDOR shall not exceed $50,000 during term of agreement without prior written
approval by the City of St Cloud.
b As a condition precedent to receiving payment, VENDOR shall have been authorized to
proceed by CITY, shall not be in default of any of the terms and conditions of this
agreement, and shall provide to CITY an invoice. The invoice shall be forwarded to CITY,
upon completion of work contemplated herein, and signed by an authorized representative
of VENDOR The invoice shall include a statement identifying the period for which it applies
and the sub -tasks or portions thereof, completed by VENDOR in accordance with
Attachment 'A.'
c CITY shall pay all valid, approved, and undisputed invoices within thirty (30) days of receipt
from VENDOR In the event that CITY disputes any invoice submitted, it shall advise
VENDOR in writing and said invoice shall not be deemed due and payable under this
agreement until dispute is resolved. Neither the CITY'S review, approval or acceptance of,
nor payment for, any services provided hereunder shall be construed to operate as a waiver
of any rights under this agreement and VENDOR shall be liable to CITY for any and all
damages to CITY caused by the VENDOR'S negligent or wrongful performance of any of
the services furnished under this agreement
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
The acceptance of final payment by VENDOR shall constitute a waiver of all claims by
VENDOR except those previously made in writing and identified by VENDOR as unsettled at
the time of a request for final payment
4 TERM: This Agreement shall become effective May 3, 2010, and shall remain in effect for
twelve (12) months, unless terminated as provided for herein Additionally, the parties agree that
the term may be extended upon mutual agreement for periods of 12 months, but such option to
extend may only be utilized two (2) times unless authorized by the City Council for additional
extensions
5 TERMINATION /CANCELLATION OF AGREEMENT: The CITY reserves the right to cancel the
agreement without cause with a minimum seven (7) business day's written notice Termination
or cancellation of the agreement will not relieve the bidder of any obligations or liabilities
resulting from any acts committed by the bidder prior to the termination of the agreement
The bidder may cancel the resulting agreement with 90 calendar day's written notice to the
CITY Failure to provide proper notice to the City may result in the bidder being barred from
future business with the CITY
A. Termination for Default: The CITY shall notify, in writing, the bidder of deficiencies or
default in the performance of its duties under the Agreement Three (3) separate documented
instances of deficiency or failure to perform in accordance with the specifications contained
herein shall constitute cause for termination for default It shall be at the CITY'S discretion
whether to exercise the right to terminate Bidder shall not be found in default for events arising
due to acts of God
B. Termination for City's Convenience The performance of work under this agreement may
be terminated for convenience should the CITY determine it is in the best interest of the CITY
Any such termination shall be effected by the delivery to the bidder of a Notice of Termination
specifying the extent to which performance of work under the agreement is terminated and the
date upon which such termination becomes effective Upon such termination for convenience,
Bidder shall be entitled to payment, in accordance with the payment provisions, for services
rendered up to the termination date, and the CITY shall have no other obligations to bidder
Bidder shall be obligated to continue performance of agreement services, in accordance with
the agreement, until the termination date and shall have no further obligation to perform
services after the termination date
6 WARRANTY OF VENDOR: VENDOR does hereby expressly warrant and guarantee the
services provided hereunder from any and all defects, failures, faulty construction, and
inconsistency with plans, or damage, other than that resulting from reasonable wear and tear or
actions of third parties, for a period of one year from the acceptance of the work by CITY In the
event that such a claim occurs, VENDOR shall immediately act to repair, replace, and restore
the damaged work or, if applicable, reconstruct the work to make it completely and strictly
comply with the agreement documents. All warranty services provided hereunder shall be
performed at VENDOR'S sole expense, including materials and labor It is expressly agreed
and understood that this warranty shall not apply to materials and equipment normally expected
to deteriorate or wear out or become subject to normal repair and replacement before their
condition is discovered Additionally, VENDOR shall not be required to do normal maintenance
work under this provision Failure of the VENDOR to substantially act within thirty (30) days of
notice of a claim hereunder shall entitle CITY, at its sole option, to replace or repair the subject
defect and to recover the reasonable costs of said repair from VENDOR The enforcement of
the warranty provision shall not be deemed a waiver of any rights that CITY may have to
2
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
declare VENDOR in breach of the terms of this agreement and to pursue any and all available
legal remedies.
7. AUTHORIZED REPRESENTATIVE OF THE CITY: During the term of this agreement, CITY
shall designate a representative authorized to act on behalf of the CITY, as provided by law,
with respect to the project
8 INSURANCE PROVIDED BY VENDOR (Insurance Requirements sheet & sample ACORD
Form, Attachment 'C'):
a. Insurance Except as otherwise specified in this agreement, the VENDOR and all
subcontractors of any tier shall be required, at their sole cost and expense, to maintain in effect
at all times during the performance of the work, insurance coverage with limits not less than
those set forth below with insurers and under forms of policies satisfactory to the CITY It shall
be the responsibility of the VENDOR and all his subcontractors to maintain adequate insurance
coverage, and it shall also be the responsibility of the VENDOR to assure and evidence that
subcontractors are adequately insured at all times. Failure of the VENDOR and his
subcontractors to maintain adequate coverage shall not relieve the VENDOR of any contractual
responsibility or obligation.
b The VENDOR and his subcontractors shall furnish to the CITY such certificates of
insurance or endorsements required by the provisions set forth herein. It shall be the
responsibility of the VENDOR to maintain adequate insurance coverage and to assure that
subcontractors are adequately insured at all times Failure of the VENDOR and his
subcontractors to maintain adequate coverage shall not relieve the VENDOR of any contractual
responsibility or obligation. A verification form of such insurance policy shall be filed with the
City of St. Cloud within ten (10) days of the execution of the agreement. The certificate of
insurance shall list the CITY as additional insured.
c. Certificate of Insurance At the time of the execution of this agreement and each
subcontract, but in any event, prior to commencing work at the job site, the VENDOR and his
subcontractors shall furnish the City of St Cloud with certificates of insurance as evidence that
the policies providing the required coverage and limits of insurance are in full force and effect
The certificates shall provide that any company issuing an insurance policy for the work under
this agreement shall provide not less than 30 days advance written notice of cancellation, non -
renewal, or material change in the policy of insurance In addition, the VENDOR shall
immediately provide written notice to the CITY upon receipt of notice of cancellation of an
insurance policy or a decision to terminate or alter any insurance policy CITY may deem
cancellation or termination of any insurance policy a material breach on the part of the
VENDOR, and the VENDOR may be held to be in default of his agreement with CITY at the
CITY'S option. All certificates of insurance shall clearly state that all applicable requirements
have been satisfied including certification that the policies are of the "occurrence" type
Certificates of insurance for the VENDOR and the subcontractors' furnished insurance and
notices of any cancellation, terminations, or alterations of such policies shall be mailed to the
Division of Purchasing & Materials Management, City of St Cloud, 1300 9"' Street, St Cloud,
Florida 34769
d Additional Insured All liability insurance furnished under this agreement shall designate
the City of St Cloud as additional insured
e All policies shall contain a "cross - liability" or "severabihty of interest" clause or
endorsement Notwithstanding any other provision of these policies, the insurance afforded shall
apply separately to each insured, named insured, or additional insured with respect to any
3
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
claim, suit or judgment made or brought by or for any other insured, named insured or additional
insured with respect to any claim, suit or judgment made or brought by or for any other insured,
named insured or additional insured as though a separate policy had been issued to each
f Waivers of Subrogation The VENDOR and his subcontractors shall require their
insurance carrier, with respect to all insurance policies, to waive all rights of subrogation against
the City of St Cloud, its Council members, partners, officials, directors, officers, agents, and
employees
g. Comprehensive General Liability This insurance shall be an occurrence type policy
written in comprehensive form and shall protect the VENDOR and his subcontractors and the
additional insured against any and all claims arising from bodily injury, sickness, disease or
death of any person other than the VENDOR'S employees or damage to property of the CITY or
others arising directly or indirectly from or out of the act of omission of the VENDOR or his
subcontractors or their agents, employees or subcontractors This policy shall also include
protection against claims insured by usual personal injury liability coverage, a (protective
liability) endorsement to ensure the contractual liability assumed by the VENDOR and its
subcontractors under the article entitled indemnification and completed operations, products
liability, contractual liability, broad form property coverage, XCU, premises /operations, and
independent CONTRACTORS (to remain in force for two years after final payment)
h Worker's Compensation Insurance The VENDOR shall take out and maintain during
the life of this agreement, workers compensation insurance for all of his employees connected
with the work of this project and in case any work is sublet, the VENDOR shall require the
subcontractor similarly to provide workers compensation insurance for all of the latter's
employees unless such employees are covered by the protection afforded by the VENDOR
Such insurance shall comply fully with the Florida Workers Compensation Law In case any
class of employees engaged in hazardous work under this agreement at the site of the project is
not protected under the workers compensation statute, the VENDOR shall provide adequate
insurance, and cause such subcontractor to provide adequate insurance, satisfactory to the
owner, for the protection of his employees not otherwise protected.
The insurance companies providing coverage must be rated through the A.M Best rating guide
or Internet site at ambest com Proof of the carrier's FSC rate (must be a 7 or better) and proof
of the carrier's best rating (must be A- or better) must be submitted with the Certificate of
Insurance
The City of St Cloud must be listed as additional insured You must show the work/event and
the dates of the project (both beginning and end dates) along with City of St Cloud, 1300 9'"
Street, St Cloud, Florida 34769 for description of operations
i. General Liability limits are required as follows
1) Each Occurrence $1,000,000
2) Fire Damage $ 50,000
3) Personal & Adv Injury $1,000,000
4) General Aggregate $2,000,000
5) Products - Comp /OP AGG $1,000,000
j. Automobile Liability with the following minimum limits
(If vendor /contractor vehicles will be on City property) $1,000,000
k Garage Liability with the following minimum limits
(If work is to be performed on City vehicle at Vendor facility) $1,000,000
4
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
I Excess Liability (Contractor's)
Each Occurrence $2,000,000
Aggregate $2,000,000
This amount may be greater depending on the award of agreement amount
m Workers Compensation
(two or more employees on this project)
1) E.L Each Accident $ 100,000
2) E L. Disease $ 100,000
3) E L Disease $ 500,000
WC Statutory limits box must be marked
n Other
1) Liquor Liability — must also include a hold harmless agreement and authorization
by the City Council Of applicable)
2) Builder's Risk Insurance per project amounts (if applicable)
3) Environmental Insurance (if applicable)
4) Errors and Omissions if Consultant Services (if applicable)
Insurance Coverage Not Limitation of Liability. The maintenance of insurance coverage as
provided herein shall not be construed to limit nor have the effect of limiting vendor's liability to
City under the provision of any clause or paragraph contained in this agreement
Public Entities /Municipalities. Sovereign immunity standard should appear in Description of
Operations with $100,000 / $200,000 limits If self- funded, rating requirement is waved
9 INDEMNIFICATION. VENDOR agrees to hold harmless and indemnify, including attorney fees,
CITY, its officers, employees and agents against any and all claims, losses, damages or
lawsuits for damages or threat thereof, arising from or related to negligent acts, errors or
omissions of the VENDOR.
10. INDEPENDENT CONTRACTOR. It is agreed by the parties that at all times and for all
purposes within the scope of this agreement, the relationship of VENDOR and CITY is that of an
independent contractor.
11 NOTICES. All notices shall be in writing and sent by United States mail, certified or registered,
with return receipt requested and postage prepaid, or by nationally recognized overnight courier
service to the address of the party set forth below Any such notice shall be deemed given when
received by the party to whom it is intended
VENDOR Johnny A Mitchell, Laboratory Director
TestAmenca Laboratories, Inc
2960 Foster Creighton Drive
Nashville, Tennessee 37204
CITY Thomas H Hurt, City Manager
City of St. Cloud
1300 9 Street
St Cloud, Florida 34769
5
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
12 GENERAL PROVISIONS:
A Attorneys' Fees In the event a suit or action is instituted to enforce or interpret any
provision of this agreement, the prevailing party shall be entitled to recover such sum as the
Court may adjudge reasonable as attorneys' fees at trial or on any appeal, in addition to all
other sums provided by law
B Waiver The waiver by CITY of breach of any provision of this agreement shall not be
construed or operate as a waiver of any subsequent breach of such provision or of such
provision itself and shall in no way affect the enforcement of any other provisions of this
agreement
C. Severabilitv If any provision of this agreement, or the application thereof, to any person
or circumstance is to any extent invalid or unenforceable, such provision, or part thereof, shall
be deleted or modified in such a manner as to make the agreement valid and enforceable under
applicable law; the remainder of this agreement and the application of such a provision to other
persons or circumstances shall be unaffected, and this agreement shall be valid and
enforceable to the fullest extent permitted by applicable law
D Amendment Except for as otherwise provided herein, this agreement may not be
modified or amended except by an agreement in writing signed by both parties
E Entire Agreement. This agreement, including the documents incorporated by reference,
contains the entire understanding of the parties hereto and supersedes all prior and
contemporaneous agreements between the parties with respect to the performance of services
by VENDOR
F Availability of Funds. The obligations of the City of St Cloud under this agreement are
subject to the availability of funds lawfully appropriated for its purpose All purchases are
contingent upon available City of St. Cloud funding
G Assignment. This agreement is personal to the parties hereto and may not be assigned
by VENDOR, in whole or in part, without the prior written consent of CITY
H Venue. The parties agree that the sole and exclusive venue for any cause of action
arising out of this agreement shall be Osceola County, Florida
I. Applicable Law. This agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and enforced in
accordance with the laws of the State of Florida.
J Records VENDOR expressly understands and acknowledges that any and all
documents related to the services provided herein, may be considered records that are subject
to examination and production in accordance with Florida's Public Records Law VENDOR
expressly agrees that it will comply with all requirements related to said law and that it will hold
CITY harmless for any such disclosure related to Florida's Public Records Law, FS 119
6
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
IN WITNESS WHEREOF, the parties hereto have made and executed this agreement for the
purposes herein expressed on the date first above written
CITY O ST CLOUD, F ORIDA TESTAMERICA LABORATORIES, INC
BY BY
Donna Hart, Mayor Jo nny A. Mitchell, Laboratory Director
Date 4 /2-qh o Date L. , 23 .1C)
ATTEST r. /i ` WITNESS i da P. Jawors ity Clerk
Date ci/24/ /r3 '�
.
Print Name/T�t e
Date IA ` ?,?> �p
WITNESS. ■ _Ivarsastmillk
'
Co 2∎, Jp � e>;'
Print Nam4/Title
Date' 111 /;?
7
ATTACHMENT 'A'
intlY Of
M ito
(sT. CLOUD)
• 1411
Celebrating Small Town Life
INVITATION TO BID
NO. 2010 - 011 -TLP
LABORATORY ANALYSES
To be considered, bids must be delivered or mailed to
CITY OF ST CLOUD
Division of Purchasing & Materials Management
1300 9` Street, Building B, 3` Floor
St. Cloud, Florida 34769
SUBMITTAL DUE DATE /TIME:
April 1, 2010 @ 2:00 p.m. Local Time
DEADLINE FOR WRITTEN QUESTIONS:
March 15, 2010 @ 2:00 p m. Local Time
ADVERTISEMENT DATES -
March 3, 2010 — Orlando Sentinel
March 3, 2010 — Demandstar.com
ISSUED BY:
Terry Park, FCCM, Contract Specialist
Division of Purchasing & Materials Management
1300 9 Street
St Cloud, Florida 34769
(407) 957 -7212
purchasingc stcloud.orq
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
INVITATION TO BID NO. 2010 - 011 -TLP
LABORATORY ANALYSES
Pursuant to Section 287 057, Florida Statutes, the City of St Cloud ( "City") invites qualified, interested
firms /individuals to submit firm pricing to the City for laboratory analyses services The City is issuing this
invitation to bid in order to enter into an agreement for these services to be provided as specified herein.
Firms /individuals interested in responding may obtain an invitation to bid ( "ITB ") package from the Division of
Purchasing & Materials Management, 1300 9th Street, Building B, 3` Floor, St Cloud, Florida 34769, Phone (407)
957 -7212, e-mail request to purchasinqAstcloud.orq, or the ITB may be obtained through demandstar.com
Sealed submittals consisting of three (3) COMPLETE SETS - one [1] UNBOUND, stamped as "ORIGINAL" with
SIGNATURES IN BLUE INK and two (2) bound copies - must be received by the City of St Cloud, Division of
Purchasing and Materials Management, 1300 9th Street, Building B, 3 Floor, St Cloud, Florida 34769, no later
than 2:00 p.m. local time, Thursday, April 1, 2010. Submittal envelopes must be clearly marked on the outside
"ITB #2010 - 011 -TLP — Laboratory Analyses." The submitter's name and address shall also be clearly marked on
the outside of the sealed envelope Submittals received after the date and time specified for receipt will be
returned to the submitter unopened and will not be considered Submitters shall assume full responsibility for
timely delivery at the designated location Bids will be opened and publicly read aloud on the above - appointed
date and time in the Division of Purchasing & Materials Management Conference Room No electronic or
facsimile offers will be considered BIDS MUST BE SUBMITTED ON THE FORMS FURNISHED BY THE CITY
AND IN ACCORDANCE WITH THE SPECIFICATIONS AND LIST OF QUANTITIES DESIRED
All submitters are advised that per Chapter 119, Florida Statutes, all responses are deemed a public
record and open to public scrutiny.
All questions relative to interpretation of the specifications or the solicitation process and /or requests for additional
information shall be submitted in writing (in Microsoft Word format) and e-mailed to purchasincastcloud org with
"ITB #2010 - 011 -TLP — Laboratory Analyses" in the subject line All inquiries must be received by the Division of
Purchasing & Materials Management by 2 00 p m Local Time, Monday, March 15. 2010 Questions and /or
information requests will be answered in an addendum which will be faxed to the submitters, as well as posted on
Demandstar com Interested parties are cautioned not to contact any City of St. Cloud employee other than
as indicated herein to avoid disqualification.
If you are interested in preparing a response to this ITB, please complete all the requirements set forth in this
document. Under the proposal process, the stipulations set forth herein are fully binding on the submitter to the
extent that you confirm acceptance by your signature on the Respondent's Certification page
The City of St. Cloud welcomes your response to this ITB The City reserves the right to reject any proposal found
to be non - responsive, vague, non - conforming, or irresponsible The City of St Cloud may withdraw all or part of
this request at any time to protect its best interest The City reserves the right to negotiate modifications to
submittals that it deems acceptable, reject any and all submittals, and to waive irregularities in the procedure The
City shall not compensate any firm for preparation of responses to this invitation to bid. THE CITY OF ST CLOUD
LOCAL VENDOR PREFERENCE ORDINANCE NO 2009 -05 WILL APPLY (See Appendix 'C')
All bidders are asked to be thorough and concise in their response
Issued by the City of St Cloud, Florida
Terry Park, FCCM, Contract Specialist
Division of Purchasing & Materials Management
1300 9 Street
St. Cloud, FL 34769
purchasing c(a�.stcloud.orq
2
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
ITB NO. 2010-011-TLP
LABORATORY ANALYSES
TABLE OF CONTENTS
SECTION DESCRIPTION PAGE #
SPECIFICATIONS/ SCOPE OF WORK 4
II AWARD OR REJECTION OF BIDS 4 -5
III ADDITIONAL INSTRUCTIONS FOR SUBMITTING BID 5 -7
IV LIST OF ANALYSES / BID FORM 7 -10
V GENERAL TERMS AND CONDITIONS 11 -16
VI RESPONDENT'S CERTIFICATION 17
VII (A) SWORN STATEMENT PURSUANT TO SECTION
287 133(3)(A); FLORIDA STATUTES ON PUBLIC ENTITY
CRIMES 18 -19
(B) AMERICAN WITH DISABILITIES ACT (ADA) DISABILITY
NONDISCRIMINATION STATEMENT 20
(C) BUSINESS ENTITY AFFIDAVIT 21 -22
(D) DRUG -FREE WORKPLACE CERTIFICATION 23
(E) LOCAL VENDOR AFFIDAVIT OF ELIGIBILITY 24
VII PREVIOUS EXPERIENCE LIST 25
VIII CITY OF ST CLOUD "NO BID" RESPONSE 26
APPENDIX 'A' SAMPLE AGREEMENT 27 -33
APPENDIX 'B' INSURANCE REQUIREMENTS & SAMPLE ACORD FORM 34 -35
APPENDIX 'C' CITY OF ST CLOUD LOCAL VENDOR PREFERENCE
ORDINANCE NO 2009 -05 36 -40
3
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
INVITATION TO BID NO. 2010-011-TLP
LABORATORY ANALYSES
The City of St. Cloud, Florida, is requesting bid submittals (ITB) for the below mentioned item(s). All
components quoted shall be per specifications; a generic or equal may be considered if the proposal is
accompanied by complete technical information. Shipping Terms F.O.B. Destination, Freight Included.
Please read all of the terms and conditions contained in this Invitation to Bid very carefully.
I. SPECIFICATIONS / SCOPE OF WORK
The City of St. Cloud is requesting price quotes for analytical laboratory services to perform the
following compliance testing of water and waste water. All analyses are to be done in
accordance with DEP, DOH and EPA regulations, including appropriate Quality
Assurance /Quality Control and chain of custody paperwork All reports, in addition to the results
of the analyses, shall include test methods, detection limits, dates analyses performed, and
analyst initials. If awarded the contract, a copy of the appropriate NELAC and DHRS certificates
will be required.
The Contract Laboratory will be responsible for shipping to the City laboratories, the
required sample bottles, vials, etc. (including the preservative needed for the specific
analysis), in containers appropriate for return shipping of the samples.
A. Minimum Requirements
Proposer must be licensed under the State of Florida for at least five (5) years to perform the
professional service required for this contract and have previous experience providing the
requested services to a public water and sewer utility system
B. Reporting
All reporting must be e- mailed. The e-mail and contact information shall be given to the
awarded bidder as part of the award and a part of the agreement.
C Shipping
The City of St. Cloud will draw all samples. The vendor will be responsible for all costs
associated with pick -up / shipment of samples and have a turn- around time of 10 days.
II. AWARD OR REJECTION OF BIDS
A. Award of Contract
Award will be made to the lowest responsive and responsible proposer who submits the
bid meeting or exceeding bid specifications.
B Agreement Duration & Escalation of Price
The non - exclusive Agreement shall be for an initial term of twelve (12) months with the
option to renew for two (2) additional terms of twelve (12) months, provided that both the
City and the Contractor agree and that all Terms and Conditions remain the same.
Escalation of prices will be considered based on written justification and Consumer Price
Index (CPI) documentation submitted by the Contractor, and providing that all other
4
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
Terms and Conditions remain the same. Escalation of price requests and supporting
documentation must be submitted by July 1 of each agreement year for review. If
approved, escalated prices shall go into effect upon agreement renewal
C. Determining Responsibility
In conjunction with criteria being used to determine the viability of the proposer, the City
shall consider the proposer's ability to meet or exceed the following criteria:
1. The proposer's ability, capacity, and skill to perform the contract or provide the
service within the time specified.
2 The reputation, judgment, and experience of the proposer
3. The quality of performance of previous contracts or services including previous
performance with the City.
4 Previous and existing compliance by the proposer with laws and ordinances °
relating to the contract or service.
5. Financial resources of the proposer to perform the contract or provide the
service.
6 Whether the proposer is in arrears to the City on a debt or contract or is a
defaulter on surety to the City, or whether the proposer's taxes are delinquent.
D. Relection of Bids
The City of St. Cloud reserves the right to reject any and /or all bids, with or without
cause, when such rejection is in the best interest of the City
E. Bid Results
Bid results will be posted on demandstar.com and will be available from the Division of
Purchasing 8 Materials Management.
F. Drug -Free Workplace Preference
Whenever two or more proposals, which are equal with respect to price, quality, delivery,
and services, are received for procurement subject to the City's Administrative Code, a
proposal received from a business that certifies that it has implemented a drug -free
workplace program shall be given preference, in accordance with Florida State Statute
287.087. Certification of an implemented drug -free workplace program must be included
with the proposal when the proposal is submitted
III. ADDITIONAL INFORMATION AND INSTRUCTIONS FOR SUBMITTING BID PACKAGE
A. Questions /Requests for Additional Information
All questions and /or requests for information shall be submitted in writing (in Microsoft Word
format) by Monday, March 15, 2010 at 2:00 p.m. Local Time to: purchasing c(Dstcloud.orq.
Questions and /or information requests will be answered in an addendum which will be faxed to
5
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
the submitters, as well as posted on Demandstar com It is the bidder's responsibility to verify
that their current contact information (i e , phone number, fax number, e-mail address, etc.) for
this bid is on file in the Division of Purchasing & Materials Management Interested parties are
cautioned not to contact any City of St. Cloud employee other than as indicated herein to
avoid disqualification.
B Addenda
It is the bidder's responsibility to ensure all addenda have been obtained prior to submitting a
bid. It will be the responsibility of the bidder to check www.demandstar.com or contact the
Division of Purchasing & Materials Management prior to filing a submittal to ascertain if any
addenda have been issued, to obtain all such addenda, and acknowledge receipt of addenda
on the Respondent's Certification form
C. Preparation of Bids
1. Bidders are expected to examine the bid form, specifications, and all instructions
Failure to do so will be at the bidder's risk By making a submittal, the respondent
certifies that they have fully read and understand the Invitation to Bid and have full
knowledge of the nature of services required and the requirements of the Invitation to
Bid, and agree to abide by such process and City's decisions made therein.
2. ALL BIDS MUST BE SUBMITTED IN TRIPLICATE. Submittals must consist of three
(3) COMPLETE SETS (one [1] UNBOUND, stamped as "ORIGINAL," with
SIGNATURES IN BLUE INK and two [2] bound copies) including any supporting
documentation or literature being submitted with your bid. All bids must be signed by an
authorized company representative. Obligations assumed by such signature must be
fulfilled.
3. The following must accompany your bid -
A. Copies of DEP and DOH certification certificates and analyte sheets for Drinking
Water and Environmental Analyses.
B. Sample Reports.
C. Copy of State of Florida licenses Successful bidder must have been in business
for at least five (5) years.
4. Sealed submittal envelopes must be clearly marked on the outside "ITB #2010 - 011 -TLP
- Laboratory Analyses" and shall include the submitter's name and address Sealed bids
are to be addressed as follows for either mail or hand delivery:
CITY OF ST. CLOUD
Division of Purchasing & Materials Management
1300 9` Street
Building B, 3 Floor
St. Cloud, Florida 34769
5. Each bidder shall furnish the information required on the forms provided and each
accompanying sheet thereof, on which he /she makes an entry.
6. Unit pnce for each unit bid shall be shown. A total shall be entered in the amount column
for each item bid. In case of discrepancy between a unit price and extended price, the
unit prices will be presumed to be correct.
6
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
7. All items quoted must be in compliance with the specifications. Alternate bids will not be
considered unless they are specifically called for in this solicitation
8 The responsibility for the determination of the extent of work to be performed and the
conditions surrounding the performance thereof shall be the bidder's Submission of a
bid shall constitute acknowledgement by the bidder that he is familiar with the equipment
and conditions The failure or neglect of a bidder to familiarize himself /herself with the
site of the proposed work shall in no way relieve him /her from any obligations with
respect to his /her bid.
9. The City reserves the right to negotiate modifications to submittals that it deems
acceptable, reject any and all submittals, and to waive irregularities in the procedure.
10 Proprietary Information In accordance with Chapter 119 of the Florida Statutes (Public
Records Law) and except as may be provided by other applicable State and Federal
Law, all respondents should be aware that the Invitation to Bid and the responses are in
the public domain However, the respondents are requested to identify specifically any
information contained in their submittals that they consider confidential and believe to be
exempt from disclosure, citing specifically the applicable exempting law
All submittals received from respondents in response to this Invitation to Bid will become
the property of the City of St. Cloud and will not be returned to the respondents. In the
event of contract award, all documentation produced as part of the contract will become
the exclusive property of the City, unless otherwise specified in the Contract.
11. The bids will be opened and publicly read aloud into the record on Thursday, April 1,
2010 at 2 p.m Local Time in the Division of Purchasing & Materials Management
Conference Room, City Hall, Building B, 3 Floor, 1300 9 Street, St. Cloud, Florida
34769.
11. The Purchasing Manager will present to the City Council or authorized approving
authority for approval /award the lowest responsive and responsible bidder who submits
the bid meeting specifications most advantageous to the City within ninety (90) calendar
days from the date of opening of bids.
IV. LIST OF ANALYSES / BID FORM
The following are the analyses anticipated. Please include a separate price for each test,
section, and the total bid price as indicated on the bid form Please note that the quantities listed
are estimated and in no way obligate the City to a specific number of tests.
(Remainder of page intentionally blank.)
7
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 1 - DRINKING WATER ANALYSIS:
Analyses shall be performed'm accordance to 40CFR, Part 141
a Sixteen (16) samples analyzed for
Total Tnhalomethanes (T- THM's)
Frequency Quarterly, as required
Maximum turn - around time required 10 DAYS
Price per sample $ each Total $
b Sixteen (16) samples analyzed for
Haloacetic Acids (HAA5's)
Frequency Quarterly, as required
Maximum turn - around time required: 10 DAYS
Price per sample $ each Total $
c Four (4) samples analyzed for
Nitrate- Nitrite $ each Total $
Frequency Annually
Maximum turn - around time required 10 DAYS
d At least fifty -seven (57) samples analyzed for
Total Coliform Samples $ each Total $
Frequency: Monthly
Maximum turn - around time required 10 DAYS
e Two (2) water distribution samples analyzed for
Fluorides $ each Total $
Frequency Monthly
Maximum turn - around time required 10 DAYS
Total Price for Section 1: $
Name of Bidder
8
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 2 — WASTE WATER ANALYSIS:
a Weekly samples analyzed for
Twelve (12) Total Suspended
Solids $ each Total $ M -S
Ten (101 Carbonaceous
Oxygen Demand $ each Total $ M -F
Seven (7) Fecal Coliform
Bacteria $ each Total $ M -S
Frequency Seven (7) days per week, with accommodations made during weeks with holidays or
plant malfunctions
Maximum turn - around time required 10 DAYS
b One (1) sample analyzed for
Nitrate $ each Total $ Weekly
Nitrite $ each Total $ Weekly
Ammonia $ each Total $ Weekly
TKN $ each Total $ Weekly
Maximum turn - around time required 10 DAYS
c One (1) sample analyzed for
MLSS $ each Total $ Monthly
MLVSS $ each Total $ Monthly
Maximum turn - around time required 10 DAYS
d One (1) sample analyzed for
Total Dissolved Solids $ each Total $ Bi- Weekly
Chloride $ each Total $ Bi- Weekly
Sodium $ each Total $ Weekly
Maximum turn - around time required 10 DAYS
Total Price for Section 2 $
Name of Bidder
9
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 3 = COURIER FEE:
Courier Fee (Daily) $ (1 /day) Total $ (365 days)
Total Price for Section 1 - Drinking Water $
Total Price for Section 2 - Waste Water $
Total Price for Section 3 - Courier Fee $
Total Price for Sections 1, 2, & 3 $
Name of Bidder
10
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
V. CITY OF ST. CLOUD
GENERAL TERMS AND CONDITIONS
As applicable, the following provisions apply to the offeror or any contractor or subcontractor
engaged to perform any aspect of the negotiated scope of work.
A SUBMISSION OF BID /PROPOSALS Bid /Proposals shall be submitted to the Division of Purchasing
& Materials Management by the date and time specified The Bid /Proposal number, title, opening
date, and proposer's name and address shall be clearly displayed on the outside of the sealed
envelope Please include as part of your proposal your preferred performance contract format and
letters of intent instruments used by your firm with public entities Proposals must be SUMITTED IN
THE FORMAT REQUESTED IN THIS REQUEST FOR PROPOSAL_ and in accordance with the
required Specifications /Scope of Work. Only written proposals will be considered, electronic
proposals, faxed proposal or any type of proposal other than a written proposal will not be
considered The delivery of said Bid /Proposal to the Division of Purchasing & Materials Management
prior to the specified opening date and time is solely and strictly the responsibility of the Bidder Any
Bid /Proposal received in the Division of Purchasing & Materials Management offices after the
specified date and time will not be accepted
B EXECUTION OF BID /PROPOSAL Bid /Proposal must contain a manual signature of authorized
representative in the space(s) provided in blue ink Bid /Proposals must be typed or printed in blue ink
Use of erasable ink is not permitted All corrections made by Bidder to any Bid /Proposal entry must
be initialed The company name shall appear in the space(s) provided.
C BID /PROPOSAL OPENING Bid /Proposal opening shall be public on the date and time specified
Bid /Proposal must be submitted on forms provided by the City No other forms will be accepted
Telephone and Fax Bid /Proposals will not be considered Bid /Proposal may not be modified after
opening. Bid /Proposal may not be withdrawn after opening for a period of ninety (90) days unless
otherwise specified.
D DELIVERY REQUIREMENTS Any Bid /Proposals received after stated time and date will not be
considered It shall be the sole responsibility of the Bidder to have their Bid /Proposal delivered to the
City of St. Cloud Division of Purchasing & Materials Management for receipt on or before the stated
time.and date - If a Bid /Proposal is sent by U S. Mail, the Bidder shall be responsible for the timely
delivery to the Division of Purchasing & Materials Management office Bid /Proposals delayed by mail
shall not be considered, shall not be opened at the public opening, and arrangements shall be made
for their return at the Bidder's request and expense
E BID /PROPOSAL TABULATION: Bidders wishing to receive a copy of the Bid /Proposal tabulation
are required to enclose a' stamped, self- addressed envelope with Bid /Proposal response or a valid
Fax number or E- address to which the Bid /Proposal Tabulation may be sent electronically.
F CLARIFICATION /CORRECTION OF BID /PROPOSAL ENTRY The City of St Cloud reserves the
right to allow for the clarification of questionable entries and for the withdrawal of obvious mistakes
Each Bidder shall examine all Invitation to Bid /Request for Proposal documents and shall judge all
matters relating to the adequacy and accuracy of such documents Al! inquiries, suggestions, or
requests concerning interpretation, clarification or additional information pertaining to the Invitation to
Bid /Request for Proposal shall be made in writing (in Microsoft Word format) to the Division of
Purchasing & Materials Management via e-mail to purchasin d stcloud orq or via fax to (407) 957-
7369 The City of St Cloud shall not be responsible for oral interpretations given by any City of St
Cloud employee, representative or others The issuance of a written Addendum is the only official
method whereby interpretation, clarification or additional information can be given If any addenda
are issued to this Invitation to Bid /Request for Proposal, the City of St Cloud will attempt to notify all
prospective Bidders who have secured it. It will be the responsibility of the offeror to contact the
Division of Purchasing & Materials Management prior to submitting a proposal to ascertain if any
addenda have been issued, to obtain such addenda, and to return executed addenda with their
proposal
G PRICING Firm prices shall be bid and include all packing, handling, shipping charges, and delivery
to any point within the City of St Cloud to a secure area or inside delivery, F O.B DESTINATION
Pricing shall also include any and all costs for lodging, mileage, meals, permits, license(s), insurance,
fees or any other cost Unit prices shall be shown in the proposal The obligations of the City of St
Cloud under this Award are subject to the availability of funds lawfully appropriated for its purpose
11
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
H TAXES The City of St Cloud is exempt from Federal Excise Taxes and Sales Taxes Tax
exemption certification 85- 8012621679C -5 is available upon request
I DISCOUNTS Discounted Payment Terms shall not be considered in determining the lowest net cost
for the Bid /Proposal evaluation purposes
J. BRAND NAME OR EQUAL If items called for by this invitation have been identified in the
specifications by a "Brand Name or Equal" description, such identification is intended to be
descriptive, but not restrictive, and is to indicate the quality and characteristics of products that will be
acceptable Bid /Proposals offering "equal" products, when allowed, will be considered for Award if
such products are clearly identified in the Bid /Proposal and are determined by the City to meet fully
the salient characteristic requirements listed in the specifications Highly technical equipment and
suppliers are to be performance equal, and therefore are to be pre- approved Unless the Bidder
clearly indicates in his /her Bid /Proposal that he/she is offering an "equal" product, the Bid /Proposal
shall be considered as offering the same brand name product referenced in the specifications If the
Bidder proposes to furnish an "equal" product, when allowed, the brand name, if any, of the product
to be furnished shall be inserted in the space provided or such product shall be otherwise clearly
identified. The evaluation of Bids /Proposals and the determination as to equality of the product
offered shall be the responsibility of the City and will be based on information furnished by the Bidder
The Division of Purchasing & Materials Management is not responsible for locating or securing any
information, which is not identified in the Bid /Proposal and reasonably available to the Division of
Purchasing & Materials Management. To ensure that sufficient information is available the Bidder
shall furnish as a part of the Bid /Proposal all descriptive material necessary for the Division of
Purchasing & Materials Management to determine whether the product offered meets the salient
characteristics required by the specifications and establish exactly what the Bidder proposes to
furnish and what the City of St Cloud would be binding itself to purchase by making an Award
K ADDITIONAL TERMS & CONDITIONS The City of St Cloud reserves the right to accept or reject
any and /or all Bids /Proposals, to waive irregularities and technicalities, and to request re- submission
Also, the City of St. Cloud reserves the right to accept all or any part of the Bid /Proposal. Any sole
response received the first submission date may or may not be rejected by the City of St Cloud
depending on available competition and timely needs of the City of St Cloud. To be a responsible
Vendor, the Vendor shall have the capability in all respects to perform fully the Contract requirements,
and the tenacity, perseverance, experience, integrity, reliability, capability, facilities, equipment, and
credit, which will assure good faith performance Also, the City of St Cloud reserves the right to
make such investigation as it deems necessary to make this determination Such information may
include but shall not be limited to current financial statements; verification of availability of equipment
and personnel; and past performance goals.
L SILENCE OF SPECIFICATIONS. The apparent silence of the specifications and any supplemental
specifications as to any details or the omission from same of any detailed description concerning any
point shall be regarded as meaning that only the best commercial practices are to prevail and that
only materials of first quality and correct type, size, and design are to be used All workmanship is to
be first quality All interpretations of this specification shall be made upon the basis of this statement
M ASSIGNMENT Any purchase order issued pursuant to this Bid /Proposal and the monies, which may
become due hereunder, are not assignable except with the prior written approval of the City
N LIABILITY. The supplier shall hold and save the City of St Cloud, its officers, agents, and
employees, harmless against claims by third parties resulting from the supplier's negligence.
0 PATENTS AND ROYALTIES. The Bidder, without exception, shall indemnify and hold harmless the
City of St Cloud and its employees from liability of any nature of any kind, including cost and
expenses for or on account of any copyrighted, patented, or unpatented invention, process, or article
manufactured or used in the performance of the Contract, including its use by the City of St Cloud, if
the Bidder uses any design, device, or materials covered by letters, patent or copyright It is mutually
agreed and understood without exception that the Bid /Proposal prices shall include all royalties or
cost arising from the use of such design, device, or materials involved in the work
P UNIFORM COMMERCIAL CODE The Uniform Commercial Code (Florida Statutes, Chapter 672)
shall prevail as the basis for Contractual obligations between the Awarded Vendor /Contractor and the
City of St Cloud for any terms and conditions not specifically stated in this Invitation to Bid /Request
for Proposal
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ITB No 2010 -011 Laboratory Analyses
Q EEO STATEMENT The City of St Cloud is committed to assuring equal opportunity in the award of
Contracts and, therefore, complies with all laws prohibiting discrimination on the basis of race, color,
religion, national origin, handicap, age and gender The City of St Cloud recognizes fair and open
competition as a basic tenet of public procurement and encourages participation by minority and
women owned business enterprises All offerors are asked to make an affirmative statement as to
their support of all applicable equal opportunity /affirmative action requirements A copy of the City's
Employment Opportunity policy is available upon request
R ACCEPTANCE Items may be tested for compliance with specifications Items delivered not
conforming to specifications may be rejected and returned at vendor's expense Those items and
items not delivered as per delivery date in Bid /Proposal and /or purchase order may be purchased on
the open market Any increase in cost may be charged against the vendor Any violations of these
stipulations may also result in that vendor name being removed from the Bidder list and the vendor
disqualified from doing business with the City of St Cloud
S SAFETY WARRANTY The selling dealer, distributor, supplier, Contractor, and manufacturer shall
be responsible for having complied with all Federal, State and local standards, regulations, and laws
concerning the equipment specified and the use thereof, applicable and effective on the date of
manufacture, including safety and environmental standards as apply to both private industry and
governmental agencies
T WARRANTY The Bidder agrees that, unless otherwise specified, the supplies and /or services
furnished under this Bid /Proposal shall be covered by the most favorable commercial warranty the
Bidder gives to any customer for comparable quantities of such supplies and /or services and that the
rights and remedies provided herein are in addition to and do not limit any rights afforded to the City
of St Cloud by any other provision of this Bid /Proposal
U AWARDS: As the best interest of the City may require, the right is reserved to make Award(s) by
individual item, group of items, all or none, or a combination thereof on a geographical basis and /or
on a countywide basis to reject any and all Bid /Proposals or waive any minor irregularity or
technicality in Bid /Proposals received Bidders are cautioned to make no assumptions unless their
Bid /Proposal has been evaluated as being responsive All Awards made as a result of this
Bid /Proposal shall conform to applicable ordinances of the City of St. Cloud The City may return, for
full credit, any unused items received which fail to meet the City's performance standards City of St.
Cloud reserves the right to cancel an Awarded Bid /Proposal upon due cause, i e vendor
misrepresentation, vendor negligence, non - performance etc via written notice The vendor will be
responsible for any attorney fees in the event the vendor defaults and court action is required
✓ CONFLICT OF INTEREST The Award hereunder is subject to provisions of State Statutes and City
Ordinance All Bidders must disclose with their Bid /Proposal the name of any officer, director, or
agent who is also an employee of the City. Further, all Bidders must disclose the name of any City
employee who owns, directly or indirectly, any interest in the Bidder's firm or any of its branches
W PURCHASING AGREEMENTS WITH OTHER GOVERNMENT AGENCIES. This Bid /Proposal may
be expanded to include other governmental agencies provided a cooperative Purchasing Agreement
exists or an Inter local Agreement for joint purchasing exists between City of St Cloud and other
public agencies Each political entity will be responsible for execution of its own requirements with
the awarded Vendor.
X WAIVER The City reserves the right to reject any Bid /Proposal or part thereof or to accept any
Bid /Proposal that it deems in its best interest. Further, the City reserves the right to waive
informalities
Y PUBLIC ENTITY CRIME STATEMENT A person or affiliate who has been placed on the convicted
vendor list following a conviction for a public entity crime may not submit a Bid /Proposal on a Contract
to provide any goods or services to a public entity, may not submit a Bid /Proposal on a Contract with
a public entity for the construction or repair of public building or public work, may not submit
Bid /Proposals on leases of real property to a public entity, may not be Awarded or perform work as a
Contractor, supplier, Sub - Contractor, or consultant under a Contract with any public entity, and may
not transact business with any public entity in excess of the threshold amount provided in Section
287 017 F S for a period of 36 months from the date of being placed on the convicted vendor list
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Z FUND AVAILABLITY Any Contract resulting from this solicitation is deemed effective only to the
extent of funds available The City of St Cloud abides by the provisions set forth in Florida Statutes
relative to appropriations of funds The ability of the successful offeror to maintain a sense of fiscal
responsibility and budgetary awareness shall be favorably considered in the ranking and award of a
contract This disclosure is being made to assist all offerors in their gauging of their desire to
participate in this request for proposals and in planning and preparation of their written response
The City reserves the right to negotiate all offeror fees, costs, charges, etc for any proposed service
or appurtenant requirement
AA PAYMENTS Payments shall be made pursuant to Florida Statute Section 218.70, the Prompt
Payment Act, and all City Policies promulgated thereby
BB GOVERNING LAWS Any Contractual arrangement between the City of St Cloud and the Bidder
shall be consistent with, and be governed by, the ordinances of the City of St. Cloud, the whole law of
the State of Florida, both procedural and substantive, and applicable federal statutes, rules and
regulations. Any and all litigation arising under any Contractual arrangement shall be brought in the
appropriate court in Osceola County, Florida
CC CONFLICT OF INTEREST All Bidders must disclose with their offer the name of any corporate
officer, director, or agenda who is also an officer or employee of the City of St Cloud Further, all
Bidders must disclose the name of any City officer or employee who owns, directly or indirectly an
interest of ten per cent (10 %) or more of the Bidder's firm or any of its branches, subsidiaries or
partnerships
DD CHANGES: The City of St Cloud reserves the right to order, in writing, changes in the work/services
within the scope of the Contract such as change in quantity or delivery schedule The successful
Bidder has the right to request an equitable price adjustment in cases where modifications to the
Contract under the authority of this clause result in increased costs to the Contractor
EE BID /PROPOSAL AS PULIC DOMAIN: All documents and other materials made or received in
conjunction with this project will be subject to public disclosure requirements of Chapter 119, Florida
Statutes The Bid /Proposal will become part of the public domain upon opening Bidders must
invoke the exemptions to disclosure provided by law in the response to the Bid, and must identify the
data or other materials to be protected, and must state the reasons why such exclusion from public
disclosure is necessary
FF. QUALIFICATIONS: Bidders shall provide, within the Bid /Proposal submitted, substantial data
sufficient for evaluating the ability of the potential Bidder to execute a project of the type
contemplated
GG IDEMNIFICATION: The successful Bidder covenants and agrees to indemnify and save harmless
the City, its agents and employees, from and against all claims, suits, actions, damages, causes of
action, or judgments arising out of the terms of the resulting agreement for any personal injury, loss of
life, or damage to the property sustained as a result of the performance or non - performance of
services or delivery of goods, from and against any orders, judgments, or decrees, which may be
entered against the City, its agents or employees, and from and against all costs, attorneys' fees,
expenses and other liabilities incurred in the defense of any such clam, suit or action, and the
investigation thereof Nothing in the award, resulting agreement, contract or Purchase Order shall be
deemed to affect the rights, privileges and immunities of the City as set for in Florida Statute, Section
768.28
HH INSURANCE: The vendor will not commence work under a contract until the vendor has obtained all
insurance under this section and such insurance coverage as might be required by the City. The
vendor shall obtain, at his expense, the following minimum amounts of insurance (inclusive of any
amounts provided by an umbrella or excess policy)
II TIME FOR PERFORMANCE: The services described herein and on the attached shall be performed
in a prompt and correct manner within the standards of good and ethical productivity as negotiated
between the City and the successful offeror All offerors are asked to provide their best estimate for
compliance with the scope of work as established by the request for proposals All contract time lines
will be based on the projected scope and the estimated time for performance
JJ OCCUPATIONAL LICENSE: Occupational licenses are required.
KK. PERMITS /LICENSES /FEES: Any permits, licenses, inspection or fees required will be the
responsibility of the contractor: no separate payment will be made
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ITB No. 2010 -011 Laboratory Analyses
LL GOVERNING LAWS: Any contractual arrangement between the City of St Cloud and the offeror
shall be consistent with, and be governed by, the ordinances of the City of St Cloud, the whole law of
the State of Florida, both procedural and substantive, and applicable federal statutes, rules and
regulations Any and all litigation arising under any contractual arrangement shall be brought in the
appropriate court in Osceola County, Florida
MM CONFLICT OF INTEREST: All offerors must disclose with their offer the name of any corporate
officer, director, or agent who is also an officer or employee of the City of St Cloud Further, all
offerors must disclose the name of any City officer or employee who owns, directly or indirectly an
interest of ten percent (10 %) or more of the offeror's firm or any of its branches, subsidiaries or
partnerships
NN MODIFICATIONS: In addition to changes made under the changes clause, any contract resulting
from this solicitation may be modified within the scope of the contract upon the written and mutual
consent of both parties and approval by the City of St. Cloud
00 ADDITIONAL TERMS AND CONDITIONS: No additional terms and conditions included with the
proposal response shall be evaluated or considered and any and all such additional terms and
conditions shall have no force and effect and are not applicable to this proposal If submitted either
purposely through intent or design or inadvertently appearing separately in transmitting letters,
specifications, literature, price lists, or warranties, it is understood and agreed the general and special
conditions in this solicitation are the only conditions applicable to this proposal and the offerors
authorized signature affixed to the proposal signature section attests to this
PP CHANGES: The City of St. Cloud reserves the right to order, in writing, changes in the work/services
within the scope of the contract such as change in quantity or delivery schedule The successful
offeror has the right to request an equitable price adjustment in cases where modifications to the
contract under the authority of this clause result in increased costs to the contractor
QQ LIABILITY: The successful offeror shall act as an independent contractor and not as an employee of
the City of St Cloud The successful offeror will be required to indemnify, defend, hold and save
harmless the City of St Cloud, its officers, agents, and employees from damages arising from the
performance of, or failure to perform, any task or duty required to be performed by the successful
offeror
RR PROPOSAL AS PUBLIC DOMAIN: All documents and other materials made or received in
conjunction with this project will be subject to public disclosure requirements of Chapter 119, Florida
Statutes The proposal will become part of the public domain upon opening Proposers shall not
submit pages marked "proprietary" or otherwise restricted
SS. INDEMNITY: The successful offeror shall be asked to fully indemnify the City
TT INSURANCE: During the entire period of performance of any contract resulting from this solicitation,
the successful offeror shall procure and maintain at least the minimum kinds of insurance as
stipulated in the insurance attachment Proof of such insurance must be provided to the City prior to
beginning contract performance
UU PUBLIC ENTITIES CRIMES: A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crimes may not submit a bid on a contract to provide any goods
or services to a public entity, may not submit a bid on a contract with a public entity for the
construction or repair of a public building or public work, may not submit bids on leases of real
property to public entity, may not be awarded or perform work as a contractor, supplier,
subcontractor, or consultant under a contract with any public entity, and may not transact business
with any public entity in excess of the threshold amount provided in Florida State Statutes, Section
287 017, for CATEGORY TWO for a period of 36 months from the date of being placed on the
convicted vendor list By signature on this solicitation, vendor certifies that they are qualified to do
business with City of St Cloud in accordance with Florida State Statute
W. ACCEPTANCE: Receipt of service shall not constitute acceptance Final acceptance and
authorization of payment shall be given only after a thorough inspection indicates that the
performance meets specifications and or all conditions Should the delivered service differ in any
respect from specifications, payment will be withheld until such time as the supplier takes necessary
corrective action If the proposed corrective action is not acceptable to the agency, the Division of
Purchasing & Materials Management may authorize the recipient to refuse final acceptance of the
service.
WW ASSIGNMENT: Successful offeror shall not assign or sublet the resulting contract or subcontract or
any of the work required to be performed without prior written approval of the City of St. Cloud
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ITB No 2010 -011 Laboratory Analyses
XX QUALIFICATIONS: Proposers shall provide, within the proposal submitted, substantial data
sufficient for evaluating the ability of the potential proposer to execute a project of the type
contemplated
YY REFERENCES: References for the company reflecting the experience in the specific service or
requirement being requested in the RFP shall be made part of your response The list of references
should include the following: - Project Title, Client Name & Contact Person with Address and
Phone /Fax Number, Project Location, Fee Charged, Source of Funds, and Performance Period All
reference materials provided shall become the property of the City of St Cloud, and also becomes
public record. The City reserves the right to expand its reference requirements at any time
ZZ PERIOD OF AGREEMENT: Agreement shall be awarded for the optimal term as agreed to between
the parties and as approved by the City.
AAA OPTION TO EXTEND: The performance period of any contract resulting from this request for
proposal may be extended upon mutual agreement between the contractor and the City of St Cloud
Either party may request an extension to the resulting agreement at least 120 days prior to expiration
of the resulting Agreement
BBB ADDITIONAL INFORMATION: The City of St Cloud Division of Purchasing & Materials Management
office reserves the right to request any additional information needed for clarification from any
bidder /proposer for evaluation purposes
CCC ATTACHMENTS: All attachments to this ITB /RFP document are made a material part of this
solicitation Failure to address the requirements may result in the lessening of your proposal score
DDD CONTRACTING PARAMETERS: This ITB /RFP and other additional materials submitted by the
offeror and accepted by the City shall be the basis for negotiation of a contract addressing the
requirements of this ITB /RFP. A purchase order and /or other award document will be issued by the
City upon completion of all negotiations and approval of the contract by the City of St Cloud
EEE INDEPENDENT PRICING: By submission of this proposal, the offeror certifies and, in the case of a
joint offer, each party thereto certifies as to its own organization, that in connection with this
procurement.
1 Prices, costs or calculations in this proposal have been arrived at independently, without
consultation, communication, or agreement for the purpose of restricting competition, as to any
matter relating to such with any other offeror or with any competitor.
2. Unless otherwise required by law, the prices, costs, calculations which have been quoted in this
proposal have not been knowingly disclosed by the offeror and will not knowingly be disclosed by
the offeror prior to opening, directly or indirectly to any offeror or to any competitor, and
3. No attempt has been made or will be made by the offeror to induce any other person or firm to
submit or not to submit a proposal for the purpose of restricting competition
(REMAINDER OF PAGE INTENTIONALLY LEFT BLANK.)
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City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VI. RESPONDENT'S CERTIFICATION
I have carefully examined the Request for Proposal.
I hereby propose to furnish the goods /services specified in the Request for Proposal I agree that my
submittal will remain firm for a period of at least ninety (90) days in order to allow the City adequate
time to evaluate the submittals and determine a ranking of the most qualified firms.
I certify that all information contained in this submittal is truthful. I further certify that I am duly
authorized to provide this submittal on behalf of the firm as its act and deed and that the firm is ready,
willing and able to perform if awarded the contract.
I further certify, under oath, that this submittal is made without prior understanding, agreement,
connection, discussion, or collusion with any other person, firm or corporation tendering a submittal for
the same service, that no officer, employee or agent of the City of St. Cloud or any other respondent is
interested in said submittal; and that the undersigned executed this Respondent's Certification with full
knowledge and understanding of the matters therein contained and was duly authorized to do so
I acknowledge receipt of addenda # # # # # # #
NAME OF BUSINESS
SIGNATURE
NAME & TITLE, TYPED OR PRINTED
MAILING ADDRESS
CITY, STATE, ZIP CODE
( )
TELEPHONE NUMBER E -MAIL ADDRESS
STATE OF )
)SS
COUNTY OF )
The foregoing instrument was sworn to and subscribed before me this day of ,
20 by who is personally known to me _ or
produced as identification.
NOTARY PUBLIC, State of
Print Name:
Commission No.:
Commission Expires:
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City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (A) SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOTARY PUBLIC OR OTHER OFFICAL AUTHORIZED TO ADMINISTER OATHS
1 This sworn statement is submitted to the CITY OF ST. CLOUD, FLORIDA
by:
(print individual's name and title)
for
(print name of entity submitting sworn statement)
whose business address is
and Of applicable) its Federal Employer Identification Number (FEIN) is
(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement - - . )
2. I understand that a "public entity crime" as defined in Paragraph 287 133 (1)(g), Florida Statutes,
means a violation of any state or federal law by a person with respect to and directly related to the
transaction of business with any public entity or with an agency or political subdivision of any other
state or of the United States, including but not limited to, any bid or contract for goods or services to
be provided to any public entity or an agency or political subdivision of any other state or of the
United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentations.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133 (1)(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in any federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a
plea of guilty or non contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
1 A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executives, partners, shareholders, employees, members, and agents who are active
in the management of an affiliate. The ownership by one person of shares constituting a
controlling interest in another person, or a pooling of equipment or income among persons when
not for fair market value under an arm's length agreement, shall be a prima facie case that one
person controls another person. A person who knowingly enters into a joint venture with a
person who has been convicted of a public entity crime in Florida during the preceding 36
months shall be considered an affiliate.
5 I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any
natural person or entity organized under the laws of any state or of the United States
with legal power to enter into a binding contract and which bids or applies to bid on contracts for the
provision of goods or services let by a public entity, or which otherwise transacts or applies to
transact business with a public entity. The term "person" includes those officers, directors,
executives, and partners, shareholders, employees, members, and agents who are active in
management of an entity.
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City of St Cloud
ITB No 2010 -011 Laboratory Analyses
6 Based on information and belief, the statement, which I have marked below, is true in relations to
the entity submitting this sworn statement. (Indicate which statement applies).
❑ Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, nor any affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989
❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, or an affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989
❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, or an affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a
Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order
entered by the Hearing Officer determined that it was not in the public interest to place the entity
submitting this sworn statement on the convicted vendor list (attach a copy of the final order).
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR
THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY
AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN
WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC
ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE
IN THE INFORMATION CONTAINED IN THIS FORM.
Signature
STATE OF
COUNTY OF
The foregoing instrument was sworn to and subscribed before me this day of ,
20_, by who is personally known to me or produced
as identification.
Commission Expires.
NOTARY PUBLIC, State of
Print Name
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City of St Cloud
ITB No. 2010 -011 Laboratory Analyses
VII. (B) AMERICANS WITH DISABILITIES ACT (ADA)
DISABILITY NONDISCRIMINATON STATEMENT
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
This sworn statement is submitted to the CITY OF ST CLOUD, FLORIDA
by
(print individual's name and title)
for:
(print name of entity submitting sworn statement)
whose business address is:
and (if applicable) its Federal Employer Identification Number (FEIN) is
(If the entity has no FEIN, include Social Security Number of the individual signing this sworn
statement: - - .)
I, being duly first sworn state.
That the above named firm, corporation or organization is in compliance with and agreed to continue to
comply with, and assure that any subcontractor, or third party contractor under this project complies
with all applicable requirements of the laws listed below including, but not limited to, those provision
pertaining to employment, provision of programs and services, transportation, communications, access
to facilities, renovations, and new construction.
The American with Disabilities Act of 1990 (ADA), Pub L. 101 -336, 104 Stat327,42USC1210112213
and 47 USC Sections 225 and 661 including Title I, Employment; Title II, Public Services: Title III,
Public Accommodations and Services Operated by Private entities; Title IV, Telecommunications; and
Title V, Miscellaneous Provisions.
The Florida Americans with Disabilities Accessibility Implementation Act of 1993, Section 553.501-
553.513, Florida Statutes:
The Rehabilitation Act of 1973, 229 USC Section 794;
The Federal Transit Act, as amended 49 USC Section 1612;
The Fair Housing Act, as amended 42USC Section 3601 -3631.
Signature
The foregoing instrument was sworn to and subscribed before me this day of ,
20_, by who is personally known
to me or produced as identification.
Notary Public Signature
My Commission Expires
Notary Public Name Printed or Typed
20
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (C) BUSINESS ENTITY AFFIDAVIT
(VENDOR/BIDDER DISCLOSURE)
1, , being first duly sworn, do hereby state
The full legal name and business address of the person(s) or entity contracting or transacting business
with the City of St. Cloud ( "City ") are (Post Office addresses are not acceptable), as follows:
Federal Employer Identification Number (If none, Social Security Number)
Name of Entity, Individual, Partners or Corporation
Street Address Suite
City State Zip Code
OWNERSHIP DISCLOSURE AFFIDAVIT
1. If the contact or business transaction is with a corporation, the full legal name and business
address shall be provided for each officer and director and each stockholder who holds directly
or indirectly five percent (5 %) or more of the corporation's stock. If the contract or business
transaction is with a trust, the full legal name and address shall be provided for each trustee and
each beneficiary. All such names and addresses are (Post Office addresses are not
acceptable), as follows
Full Legal Name Address Ownership
ok
ok
%
%
ok
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City of St. Cloud
ITB No. 2010 -011 Laboratory Analyses
2. The full legal names and business address of any other individual (other than subcontractors,
matenalmen, suppliers, laborers, or lenders) who have, or will have, any interest (legal
equitable, beneficial or otherwise) in the contract or business transaction with the City are (Post
Office addresses are not acceptable), as follows
Signature of Affiant Date
Print Name
The foregoing instrument was sworn to and subscribed before me this day of ,
20_ by who is personally known to me or produced
as identification.
Notary Public — State of
Notary Public Signature
Notary Public Name Typed or Panted
My Commission expires.
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ITB No 2010 -011 Laboratory Analyses
VII. (D) CITY OF ST. CLOUD
DRUG -FREE WORKPLACE COMPLIANCE FORM
IDENTICAL TIE BIDS
Preference shall be given to businesses with drug -free workplace programs. Whenever two or
more bids, which are equal with respect to price, quality, and service, are received by the State or
by any political subdivision for the procurement of commodities or contractual services, a bid
received from a business that certifies that it has implemented a drug -free workplace program shall
be given preference in the award process. Established procedures for processing tie bids will be
followed if none of the tied vendors have a drug -free workplace program In order to have a drug -
free workplace program, a business shall:
The , undersigned vendor in accordance with Florida Statute 287 087 hereby certifies that
does:
(Name of Business)
1 Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the
actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining a drug -free workplace, any available drug counseling rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in Subsection 1.
4. In the statement specified in Subsection 1, notify the employees that, as a condition of working
on the commodities or contractual services that are under bid, the employee will abide by the
terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo
contender to, any violation of Chapter 1893 or of any controlled substance law of the United
States or any state, for a violation occurring in the workplace no later than five (5) days after
such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, by any employee who is
so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this form complies fully with the above
requirements
Vendor's Signature Date.
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ITB No 2010 -011 Laboratory Analyses
VII. (E) City of St. Cloud
Local Vendor Affidavit of Eligibility
Through the signature below, the affiant, on behalf of and as the authorized representative of
, does hereby swear and affirm as follows
The affiant is the (title either owner, president, or managing
member) of , and that qualifies as an
Osceola County person, firm, and /or corporation (hereinafter, referred to as, "local vendor ") for one or more of the
following criterion in accordance with Local Vendor Ordinance 2009 -05 (Attachment 'C' to this ITB No 2009 -093)
(Check all that apply)
Headquarters, manufacturing facility, or locally -owned franchise is located in, or has had a street
address within, the legal boundaries of Osceola County for at least one (1) year immediately prior to the issuance
of this solicitation (post office boxes do not qualify as a verifiable business address) The following documentation
is attached hereto to validate the resident status
a A copy of the vendor's most recent real property tax receipt
b A copy of the vendor's lease agreement
Thirty percent (30 %) or more of the vendor's full time employees have their primary residence located
within the legal boundaries of Osceola County Attached hereto is a list of employees, including their addresses
and telephone numbers
Owner /principal of the local vendor maintains a primary residence within Osceola County Attached
hereto is a copy of the owner's /principal's most recent real property tax receipt showing homestead property
By signing /notarizing this Affidavit, the affiant hereby certifies that the foregoing information is complete
and accurate and is submitted for the City's use in determining whether the named entity qualifies as a local
vendor in accordance with Ordinance No 2009 -05, City of St Cloud, Florida. The City of St. Cloud may at
anytime, for purposes of validating eligibility, request the vendor to provide current information in accordance with
Ordinance No. 2009 -05 In addition to the foregoing, the undersigned acknowledges that the information provided
in accordance herewith constitutes a public record and is subject to disclosure as provided by law
Affiant's Signature Affiant's Printed Name
Title Date
Phone
Mailing Address
Fax
E-mail
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was executed before me this day of , 20_, by
as of ,
who personally swore or affirmed that he /she is authorized to execute this Affidavit and thereby bind the vendor,
and who is personally known to me OR has produced as identification
(Affix notary seal) NOTARY PUBLIC, State of Florida
Notary Name — Printed or Typed
24
City of St Cloud
ITB No. 2010 -011 Laboratory Analyses
VIII. PREVIOUS EXPERIENCE LIST
The Bidder shall indicate at least five (5) recent jobs or projects for public water /sewer systems,
completed or in progress by the Bidder, including, but not limited to, any previous experience similar in
size and scope to the Scope of Work indicated in this Invitation to Bid:
1.
Company Name
Contact Name and Title
Address
Phone Number
Type of Contract
Duration of Contract
$ value of Contract $
2.
Company Name
Contact Name and Title
Address
Phone Number
Type of Contract
Duration of Contract
$ value of Contract $
3.
Company Name
Contact Name and Title
Address
Phone Number
Type of Contract
Duration of Contract
$ value of Contract $
4.
Company Name
Contact Name and Title
Address
Phone Number
Type of Contract
Duration of Contract
$ value of Contract $
5.
Company Name
Contact Name and Title
Address
Phone Number
Type of Contract
Duration of Contract
$ value of Contract $
25
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
IX. CITY OF ST. CLOUD
"NO RESPONSE"
If your firm is unable to provide a submittal, please complete and return this form prior to date shown for
receipt and return to:
CITY OF ST. CLOUD
DIVISION OF PURCHASING & MATERIALS MANAGEMENT
ITB # 2010- 011 -TLP LABORATORY ANALYSES
1300 9 STREET, BUILDING B, 3 FLOOR
ST CLOUD, FL 34769
We have declined to propose on ITB #2010 - 011 -TLP LABORATORY ANALYSES for the following
reasons:
We do not offer this service /product
Our schedule would not permit us to perform
Unable to meet specifications
Unable to meet bond /insurance requirements
Specifications unclear (please explain below)
Other (please specify below)
REMARKS
Typed Name and Title
Company Name
Address
Business Phone Fax Number
26
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
APPENDIX 'A' - SAMPLE AGREEMENT
AGREEMENT BETWEEN THE CITY OF ST. CLOUD, FLORIDA
AND
FOR LABORATORY ANALYSES
THIS AGREEMENT, made this day of 2010, between the City of St.
Cloud, a Municipal Corporation of the State of Florida (hereinafter referred to as the "CITY"), 1300 9
Street, St. Cloud, Florida 34769, and (hereinafter
referred to as "VENDOR "), , who, in consideration of the
covenants, representations and agreements herein contained, agree as follows:
1. SCOPE OF SERVICES: VENDOR agrees to provide all labor, materials, equipment, tools,
apparatus, transportation, mileage, and incidentals necessary to provide said services set forth
in City of St. Cloud Invitation to Bid No. 2010 - 011 -TLP — Laboratory Analyses, attached hereto
and incorporated herein as Attachment 'A.' In the event of conflict, the terms and conditions of
this agreement shall prevail. VENDOR agrees to perform the assigned responsibilities and
duties faithfully, intelligently, and to the best of his /her ability, and in the best interest of CITY
during the term of this agreement. All services provided shall be performed in accordance with
this agreement and with any and all applicable law, professional standards and guidelines.
2. AUTHORIZATION TO PROVIDE SERVICES: VENDOR shall not be authorized to provide any
services as set forth in ITB No. 2010 - 011 -TLP — Laboratory Analyses until such time as
VENDOR has received written authorization from the City Manager, or his designee, to perform
the specific tasks set forth in ITB. In the event that VENDOR commences any such services
without such authorization, VENDOR expressly acknowledges that it shall not be entitled to
compensation of any kind related to said services.
3. COMPENSATION: Payments shall be made pursuant to Florida Statute Section 218.70, the
Prompt Payment Act, and all City Policies promulgated thereby.
a. VENDOR shall be compensated in an amount and in accordance with the compensation
schedule set forth in Attachment 'A.'
b. As a condition precedent to receiving payment, VENDOR shall have been authorized to
proceed by CITY, shall not be in default of any of the terms and conditions of this
agreement, and shall provide to CITY an invoice. The invoice shall be forwarded to CITY,
upon completion of work contemplated herein, and signed by an authorized representative
of VENDOR. The invoice shall include a statement identifying the period for which it applies
and the sub -tasks or portions thereof, completed by VENDOR in accordance with
Attachment 'A.'
c CITY shall pay all valid, approved, and undisputed invoices within thirty (30) days of receipt
from VENDOR. In the event that CITY disputes any invoice submitted, it shall advise
VENDOR in writing and said invoice shall not be deemed due and payable under this
agreement until dispute is resolved. Neither the CITY'S review, approval or acceptance of,
nor payment for, any services provided hereunder shall be construed to operate as a waiver
of any rights under this agreement and VENDOR shall be liable to CITY for any and all
damages to CITY caused by the VENDOR'S negligent or wrongful performance of any of
the services furnished under this agreement.
27
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
The acceptance of final payment by VENDOR shall constitute a waiver of all claims by
VENDOR except those previously made in writing and identified by VENDOR as unsettled at
the time of a request for final payment.
4 TERM: This Agreement shall become effective upon execution by both parties, and shall
remain in effect for twelve (12) months, unless terminated as provided for herein Additionally,
the parties agree that the term may be extended upon mutual agreement for periods of 12
months, but such option to extend may only be utilized two (2) times unless authorized by the
City Council for additional extensions.
5 TERMINATION /CANCELLATION OF AGREEMENT: The CITY reserves the right to cancel the
agreement without cause with a minimum seven (7) business day's written notice. Termination
or cancellation of the agreement will not relieve the bidder of any obligations or liabilities
resulting from any acts committed by the bidder prior to the termination of the agreement
The bidder may cancel the resulting agreement with 90 calendar day's written notice to the
CITY. Failure to provide proper notice to the City may result in the bidder being barred from
future business with the CITY.
A. Termination for Default: The CITY shall notify, in writing, the bidder of deficiencies or
default in the performance of its duties under the Agreement. Three (3) separate documented
instances of deficiency or failure to perform in accordance with the specifications contained
herein shall constitute cause for termination for default. It shall be at the CITY'S discretion
whether to exercise the right to terminate Bidder shall not be found in default for events arising
due to acts of God.
B. Termination for City's Convenience: The performance of work under this agreement may
be terminated for convenience should the CITY determine it is in the best interest of the CITY.
Any such termination shall be effected by the delivery to the bidder of a Notice of Termination
specifying the extent to which performance of work under the agreement is terminated and the
date upon which such termination becomes effective. Upon such termination for convenience,
Bidder shall be entitled to payment, in accordance with the payment provisions, for services
rendered up to the termination date, and the CITY shall have no other obligations to bidder.
Bidder shall be obligated to continue performance of agreement services, in accordance with
the agreement, until the termination date and shall have no further obligation to perform
services after the termination date.
6 WARRANTY OF VENDOR: VENDOR does hereby expressly warrant and guarantee the
services provided hereunder from any and all defects, failures, faulty construction, and
inconsistency with plans, or damage, other than that resulting from reasonable wear and tear or
actions of third parties, for a period of one year from the acceptance of the work by CITY In the
event that such a claim occurs, VENDOR shall immediately act to repair, replace, and restore
the damaged work or, if applicable, reconstruct the work to make it completely and strictly
comply with the agreement documents. All warranty services provided hereunder shall be
performed at VENDOR'S sole expense, including materials and labor. It is expressly agreed
and understood that this warranty shall not apply to materials and equipment normally expected
to deteriorate or wear out or become subject to normal repair and replacement before their
condition is discovered. Additionally, VENDOR shall not be required to do normal maintenance
work under this provision. Failure of the VENDOR to substantially act within thirty (30) days of
notice of a claim hereunder shall entitle CITY, at its sole option, to replace or repair the subject
defect and to recover the reasonable costs of said repair from VENDOR. The enforcement of
the warranty provision shall not be deemed a waiver of any rights that CITY may have to
28
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
declare VENDOR in breach of the terms of this agreement and to pursue any and all available
legal remedies
7. AUTHORIZED REPRESENTATIVE OF THE CITY: During the term of this agreement, CITY
shall designate a representative authorized to act on behalf of the CITY, as provided by law,
with respect to the project.
8. INSURANCE PROVIDED BY VENDOR (Insurance Requirements sheet & sample ACORD
Form attached):
a. Insurance. Except as otherwise specified in this agreement, the VENDOR and all
subcontractors of any tier shall be required, at their sole cost and expense, to maintain in effect
at all times during the performance of the work, insurance coverage with limits not less than
those set forth below with insurers and under forms of policies satisfactory to the CITY It shall
be the responsibility of the VENDOR and all his subcontractors to maintain adequate insurance
coverage, and it shall also be the responsibility of the VENDOR to assure and evidence that
subcontractors are adequately insured at all times Failure of the VENDOR and his
subcontractors to maintain adequate coverage shall not relieve the VENDOR of any contractual
responsibility or obligation.
b The VENDOR and his subcontractors shall furnish to the CITY such certificates of
insurance or endorsements required by the provisions set forth herein. It shall be the
responsibility of the VENDOR to maintain adequate insurance coverage and to assure that
subcontractors are adequately insured at all times. Failure of the VENDOR and his
subcontractors to maintain adequate coverage shall not relieve the VENDOR of any contractual
responsibility or obligation. A verification form of such insurance policy shall be filed with the
City of St. Cloud within ten (10) days of the execution of the agreement. The certificate of
insurance shall list the CITY as additional insured.
c. Certificate of Insurance. At the time of the execution of this agreement and each
subcontract, but in any event, prior to commencing work at the job site, the VENDOR and his
subcontractors shall furnish the City of St. Cloud with certificates of insurance as evidence that
the policies providing the required coverage and limits of insurance are in full force and effect
The certificates shall provide that any company issuing an insurance policy for the work under
this agreement shall provide not less than 30 days advance written notice of cancellation, non -
renewal, or material change in the policy of insurance. In addition, the VENDOR shall
immediately provide written notice to the CITY upon receipt of notice of cancellation of an
insurance policy or a decision to terminate or alter any insurance policy. CITY may deem
cancellation or termination of any insurance policy a material breach on the part of the
VENDOR, and the VENDOR may be held to be in default of his agreement with CITY at the
CITY'S option All certificates of insurance shall clearly state that all applicable requirements
have been satisfied including certification that the policies are of the "occurrence" type.
Certificates of insurance for the VENDOR and the subcontractors' furnished insurance and
notices of any cancellation, terminations, or alterations of such policies shall be mailed to the
Division of Purchasing & Materials Management, City of St. Cloud, 1300 9 Street, St. Cloud,
Florida 34769
d. Additional Insured. All liability insurance furnished under this agreement shall designate
the City of St. Cloud as additional insured.
e All policies shall contain a "cross- liability" or "severability of interest" clause or
endorsement. Notwithstanding any other provision of these policies, the insurance afforded shall
apply separately to each insured, named insured, or additional insured with respect to any
29
City of St Cloud
!TB No 2010 -011 Laboratory Analyses
claim, suit or judgment made or brought by or for any other insured, named insured or additional
insured with respect to any claim, suit or judgment made or brought by or for any other insured,
named insured or additional insured as though a separate policy had been issued to each
f. Waivers of Subrogation. The VENDOR and his subcontractors shall require their
insurance carrier, with respect to all insurance policies, to waive all rights of subrogation against
the City of St. Cloud, its Council members, partners, officials, directors, officers, agents, and
employees.
g Comprehensive General Liability This insurance shall be an occurrence type policy
written in comprehensive form and shall protect the VENDOR and his subcontractors and the
additional insured against any and all claims arising from bodily injury, sickness, disease or
death of any person other than the VENDOR'S employees or damage to property of the CITY or
others arising directly or indirectly from or out of the act of omission of the VENDOR or his
subcontractors or their agents, employees or subcontractors This policy shall also include
protection against claims insured by usual personal injury liability coverage, a (protective
liability) endorsement to ensure the contractual liability assumed by the VENDOR and its
subcontractors under the article entitled indemnification and completed operations, products
liability, contractual liability, broad form property coverage, XCU, premises /operations, and
independent CONTRACTORS (to remain in force for two years after final payment)
h. Worker's Compensation Insurance The VENDOR shall take out and maintain during
the life of this agreement, workers compensation insurance for all of his employees connected
with the work of this project and in case any work is sublet, the VENDOR shall require the
subcontractor similarly to provide workers compensation insurance for all of the latter's
employees unless such employees are covered by the protection afforded by the VENDOR
Such insurance shall comply fully with the Florida Workers Compensation Law. In case any
class of employees engaged in hazardous work under this agreement at the site of the project is
not protected under the workers compensation statute, the VENDOR shall provide adequate
insurance, and cause such subcontractor to provide adequate insurance, satisfactory to the
owner, for the protection of his employees not otherwise protected.
The insurance companies providing coverage must be rated through the A.M. Best rating guide
or internet site at ambest com. Proof of the carrier's FSC rate (must be a 7 or better) and proof
of the carrier's best rating (must be A- or better) must be submitted with the Certificate of
Insurance
The City of St. Cloud must be listed as additional insured. You must show the work/event and
the dates of the project (both beginning and end dates) along with City of St. Cloud, 1300 9"'
Street, St. Cloud, Florida 34769 for description of operations
i General Liability limits are required as follows
1) Each Occurrence $1,000,000
2) Fire Damage $ 50,000
3) Personal & Adv. Injury $1,000,000
4) General Aggregate $2,000,000
5) Products - Comp /OP AGG $1,000,000
1. Automobile Liability with the following minimum limits.
(If vendor /contractor vehicles will be on City property) $1,000,000
k. Garage Liability with the following minimum limits:
(If work is to be performed on City vehicle at Vendor facility) $1,000,000
30
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
I. Excess Liability (Contractor's)
Each Occurrence $2,000,000
Aggregate $2,000,000
This amount may be greater depending on the award of agreement amount
m Workers Compensation:
(two or more employees on this project)
1) E L. Each Accident $ 100,000
2) E.L. Disease $ 100,000
3) E L Disease $ 500,000
WC Statutory limits box must be marked.
n Other
1) Liquor Liability — must also include a hold harmless agreement and authorization
by the City Council. (if applicable)
2) Builder's Risk Insurance per project amounts Of applicable)
3) Environmental Insurance (if applicable)
4) Errors and Omissions if Consultant Services Of applicable)
Insurance Coverage Not Limitation of Liability. The maintenance of insurance coverage as
provided herein shall not be construed to limit nor have the effect of limiting vendor's liability to
City under the provision of any clause or paragraph contained in this agreement.
Public Entities /Municipalities. Sovereign immunity standard should appear in Description of
Operations with $100,000 / $200,000 limits If self- funded, rating requirement is waved.
9. INDEMNIFICATION. VENDOR agrees to hold harmless and indemnify, including attorney fees,
CITY, its officers, employees and agents against any and all claims, losses, damages or
lawsuits for damages or threat thereof, arising from or related to negligent acts, errors or
omissions of the VENDOR.
10. INDEPENDENT CONTRACTOR. It is agreed by the parties that at all times and for all
purposes within the scope of this agreement, the relationship of VENDOR and CITY is that of an
independent contractor.
11. NOTICES. All notices shall be in wnting and sent by United States mail, certified or registered,
with return receipt requested and postage prepaid, or by nationally recognized overnight courier
service to the address of the party set forth below. Any such notice shall be deemed given when
received by the party to whom it is intended.
VENDOR
CITY Thomas H. Hurt, City Manager
City of St. Cloud
1300 9` Street
St. Cloud, Florida 34769
31
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
12 GENERAL PROVISIONS:
A. Attorneys' Fees. In the event a suit or action is instituted to enforce or interpret any
provision of this agreement, the prevailing party shall be entitled to recover such sum as the
Court may adjudge reasonable as attorneys' fees at trial or on any appeal, in addition to all
other sums provided by law
B. Waiver. The waiver by CITY of breach of any provision of this agreement shall not be
construed or operate as a waiver of any subsequent breach of such provision or of such
provision itself and shall in no way affect the enforcement of any other provisions of this
agreement
C. Severability. If any provision of this agreement, or the application thereof, to any person
or circumstance is to any extent invalid or unenforceable, such provision, or part thereof, shall
be deleted or modified in such a manner as to make the agreement valid and enforceable under
applicable law, the remainder of this agreement and the application of such a provision to other
persons or circumstances shall be unaffected, and this agreement shall be valid and
enforceable to the fullest extent permitted by applicable law
D. Amendment Except for as otherwise provided herein, this agreement may not be
modified or amended except by an agreement in writing signed by both parties
E. Entire Agreement. This agreement, including the documents incorporated by reference,
contains the entire understanding of the parties hereto and supersedes all prior and
contemporaneous agreements between the parties with respect to the performance of services
by VENDOR.
F. Availability of Funds. The obligations of the City of St Cloud under this agreement are
subject to the availability of funds lawfully appropriated for its purpose All purchases are
contingent upon available City of St. Cloud funding.
G. Assignment. This agreement is personal to the parties hereto and may not be assigned
by VENDOR, in whole or in part, without the prior written consent of CITY.
H. Venue. The parties agree that the sole and exclusive venue for any cause of action
arising out of this agreement shall be Osceola County, Florida.
I. Applicable Law. This agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and enforced in
accordance with the laws of the State of Florida
J. Records. VENDOR expressly understands and acknowledges that any and all
documents related to the services provided herein, may be considered records that are subject
to examination and production in accordance with Florida's Public Records Law. VENDOR
expressly agrees that it will comply with all requirements related to said law and that it will hold
CITY harmless for any such disclosure related to Florida's Public Records Law, FS 119.
32
•
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
IN WITNESS WHEREOF, the parties hereto have made and executed this agreement for the
purposes herein expressed on the date first above written.
CITY OF ST CLOUD, FLORIDA (Company Name)
BY: BY
Print Name/Title
Date Date:
ATTEST. WITNESS'
Linda P. Jaworski, City Clerk
Date:
Print Name/Title
Date
WITNESS:
Print Name/Title
Date:
33
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
APPENDIX 'B'
Insurance Requirements
City of Saint Cloud
ACORD Certificate of Insurance Requirements
FAX OR E -MAIL THIS IMMEDIATELY TO YOUR INSURANCE AGENT
Please have your insurance agent fax or e-mail an acceptable ACORD Form (Word or PDF) to
City of St. Cloud
Attention. Division of Purchasing & Materials Management
1300 9th Street
Saint Cloud, FL 34769
E -mail: purchasing @stcloud.org FAX. (407) 957 -7369
The ACORD certificate must reflect the following:
A. Producer — the name, email address, telephone number and fax number of your agent
B Insured — your company /group name
C. Insurers — the insurance companies providing coverage
a Proof of the carrier's FSC rate (must be a 7 or better) with the ACORD form on
agent/carrier letterhead
D. The Best Number assigned to this carrier
a. Name of carriers as they appear in the A.M Best ratings guide or internet site at
ambest.com.
b. Proof of the carrier's Best Rating (must be A- or better) with the ACORD form or emailed
with the ACORD form on agent/carrier letterhead.
E. The NAIC number assigned to this carrier
F. General liability in the amounts shown for all vendors and contractors
G. Auto liability if a vendor /event vehicle will be on City property
a. $1 million required where vehicle is used to perform contracted work
b. $500,000 required for all other vendors (vehicle driven to /from worksite)
H Garage Liability, if a city vehicle is being repaired at your facility
I. Excess Liability, if a contractor. The minimum is $2,000,000, but this amount may be greater
depending on the award contract amount.
J Worker's Compensation, if you will have two or more employees on City property WC Statutory
limits must be marked
K. Other.
a. Liquor liability - must also include a hold harmless agreement and authorization by the
City Council.
b. Builder's Risk Insurance per project amounts
c. Environmental Insurance if applicable
d. Errors and Omissions if Consultant services
L Description of Operations: The City of Saint Cloud must be listed as additional insured. You
must show the work /event and the dates of the project (both begin and end dates).
M Certificate Holder — must show City of Saint Cloud, 1300 9th St, St. Cloud, FL 34769
N Cancellation — minimum 30 days
Public Entities /Municipalities: Sovereign immunity standard should appear in Description of
Operations with $100,000/$200,000 limits. If self funded, rating requirement is waived.
34
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 DA" oe`°°""
04/08/2002
Po GU MP FAX THIS CER1TICATE IS ISSUED AS A RATTER OF amORIrAT ION - —
.1
ONLY AND commits NO RIGHTS UPON rue CERTIFICATE
I A I �� HOLDER MS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLES BELOW 4
_ _ __ - INSURERS AFFORDING COVER/K't NIAIC s Bests
I C L [ D fi E
I•SuAER IT
CO �ERAGE Maw f
e
o* ruuL! .S of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORME P)XICY Person INDICATED YOTOVM
A •Y REDUiREMENT TERIM OR CONDITION OF ANY CONTRACT OR OTmE'R DOCUMENT WIT H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
stay PERTAN THE INSURANCE AFFORDED BY THE "DUELS DESCRIBED HEREIN IS SUBJECT - O ALL THE TERMS DELUSIONS AND cursor CYs OF SUCI.
P JUCIES AGGREGATE LNLMTs SHOWN MAY HAVE BERT REDUCH) BY PAID CLAIMS
_ ___
•,, TYPE Cs. N! MURA Palley RUINER °m use. ILIRJTY EACI OCCTIERMCE
1,000,
,- C]IY933DN GC-I
L ERAL LIANA, WA UAIIAGE WIT NA r. 1 i SQ Q�
OW
I CUM WOE L _ ] OCCUR AIt Vendors and 1 1 'FED ExPwn �.P•.a $ a
Including Particr�pents ! I F ssomL is msv a e. s 1.000.000
Contractors -- --
UITNAL AGGREGATE * 2 .14:1:14 —
WW1. AGGREGATE u APPLIES PER I
ll III _FE cO5NoP AEG s 1 ,000,X100
._
leoucy E ' WC
AUTOIeOeR,E IMBe 87 — _ - _
ART !IL ' CJI1 LSAT SINGLE LR i
AEa cobalt) �yy�
ALL OWNED ALA US If y�oN GOOEY ANJLIRY S1,o00.000 or
A &WON re Aa$ vehicle will be On EG
(Per i
ur ls X500.000
WARD AUTOS
Q P'
--_ N05SOME0 k-ROS CIIY Pry I c comment
i See OOBnt IEIRG
�+ w�
=WW1
s
U�
GARAGE ATY asasitEU pe il ea -- -- AUTOOM.Y EA AMi71EN1 f
1 ANT AUTO City wail* at Vendor I H f 1,000_000
redQti oT1EP TWW EA ACC s
ALIMONY- M.G S _
,e U 1T
Ae.Y - Loa A occE s 2.000. /� 0
OOWR GIAAat WOE -
AGGREGATE $ 2,000,000*
—
If a Contractor I 1 s
� DEDUCT ME
PETENDON i - -_ -
_ _ s
WOAfaRSCdIP6gAT10N AND g .. _
FAIPLOYEITT I ARJTY In rR�iB {M rA I-
employees' on this J
r c ' EACH AOLICENT s 1 00, _ _ mployees' loye pt or,E - Disease - POLICY mar 1 t 500,000
1 e — Liquor Liability, Builder's Risk, f
Environmental, Errors & O etc 1- K 1.000,000
a t
Wit IMPTION OF OPERA, BOPOOOCAU AOOee WY GNBORSPJIprITSPIEG N. PpDyBpK1
certificate holder is Iisted as additional insured Filth repects to (put project name here)
�� , and the dates of the project/event (both begin and end dates required)
CEW TBaGTE HOLDER I 1 AOQI ZONAL a. eC1.1 ER lETTI7t _ CANCELLATION
M City of S< Cloud AMY Of 11tEAeove OESCAB® PoLICASf OE CAINELIEa GEROGE TIE
— Attn Purchasing TIOIA DATE Tremor. nee amen COArN1Yr1RJ. A3OEAOVR r0IIA1L
1300 9th Street _ 30 OM, WOMEN notate TN. TO T ctRrlpeAiE HOLDER RAGED 1b THE LEFT,
Si Cloud, Flnncla 34769 GM FPaI TO MAL SUO/11011ER MOORE NO OGI[IATOR OR tiREIUTY
Or ANY 1810 WON THE COI/AW ITS AGENTS OR RIf.RN9rrwlqia.
AU1IIORQaW REPRENArrATIVE
ACC Re 25.3 (nen - -
0ACORD CORPORATION 1988
35
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
APPENDIX `C'
CITY OF ST. CLOUD LOCAL VENDOR PREFERENCE
ORDINANCE
ORDINANCE NO 2009 -05
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF ST
CLOUD, FLORIDA, PROVIDING FOR LOCAL VENDOR
PREFERENCE FOR OSCEOLA COUNTY INDIVIDUALS, FIRMS OR
COMPANIES WITH REGARD TO THE PROCUREMENT OF
PRODUCTS, MATERIALS AND SERVICES BY THE CITY OF ST
CLOUD; PROVIDING THAT QUALIFIED LOCAL VENDORS
SHALL IN CERTAIN INSTANCES BE PROVIDED AN
OPPORTUNITY TO MATCH THE LOWEST PRICE BID AND BE
AWARDED THE CONTRACT AT THE LOWEST AMOUNT IF THE
LOCAL VENDOR IS OTHERWISE FULLY QUALIFIED TO MEET
CITY REQUIREMENTS, PROVIDING THAT ALL OTHER
PROVISIONS OF THE CITY'S PURCHASING POLICY AND
APPLICABLE LAW SHALL REMAIN IN EFFECT AND APPLY TO
AND GOVERN PURCHASES BY THE CITY; PROVIDING FOR
SEVERABILITY, CONFLICT, EFFECTIVE DATE AND AUTOMATIC
REPEAL
WHEREAS, the City Council has determined and does hereby find that there is a need to
promote business enterprises that own property, operate businesses and offices, employ
individuals and pay taxes within Osceola County; and
WHEREAS, the City Council of the City of St. Cloud has determined and does hereby
find that it is in the best interest of the City of St. Cloud, its citizens and the business
community of St. Cloud and Osceola County to create and establish a local vendor
preference with regard to the procurement of products, materials and services for a period
of two years.
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE
CITY OF ST. CLOUD, FLORIDA. AS FOLLOWS:
SECTION L The City of St Cloud Local Preference Purchasing Ordinance is hereby
adopted and shall read as follows:
PREFERENCE.
LOCAL PREFERENCE. There is herby established a local vendor
preference that shall apply to all purchases or acquisitions of products, materials and
services of the City of St. Cloud, except as may be exempted herein or by applicable
State or Federal Law.
(1) "Local Preference" applies to Osceola County persons, firms, and/or
corporations which meet the established cntena set forth below. The local preference is
subject to the policies and procedures as established by the City of St Cloud Purchasing
Policy. In all purchases or acquisitions of products, materials and services by the City of
I
36
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
Si. Cloud, qualified Osceola County persons, firms, and/or corporations shall receive a
local vendor preference as set forth below.
(a) When written bids, responses to request for proposals or quotations
are received by the City as part of the competitive sealed bid process, and the lowest
price is offered by an individual or entity that is not an Osceola County person, firm
and/or corporation and the next lowest price bidder is an Osceola County person, firm
and/or corporation, the Osceola County individual or entity will be given an opportunity
to match the lowest pnce offered. If an agreement is reached to match the lowest pnce
and the Osceola County individual or entity is otherwise fully qualified and meets all
City requirements, the btd shall be awarded to the Osceola County individual or entity at
the lowest price.
(b) For purposes of the preference provided herein, the Osceola
County individual or entity shall be deemed the next lowest price bidder only if
1) For proposed contracts with a City determined budget of
Tess than $200,000, the Osceola County individual or entity is the next lowest price
bidder and that bid is within six percent (6 %) or less of the lowest price bid.
2) For proposed contracts with a City determined budget of
5200,000 to less than $1,000,000, the Osceola County individual or entity is the next
lowest price bidder and that bid is within four and one -half percent (4.5 %) or less of the
lowest price bid
3) For proposed contracts with a City determined budget of
$1,000,000 to less than $5,000,000, the Osceola County individual or entity is the next
lowest price bid'' °r and that oid is within three and one -half percent (3 5 %) or less of the
lowest pnce bid.
4) For proposed contracts with a City determined budget of
$5,000,000 or greater, the Osceola County individual or entity is the next lowest pnce
bidder and that bid is wittun two and three- quarters percent (2.75 %) or less of the
lowest price bid.
(c) In order to receive the local vendor preference provided herein, an
Osceola County individual or entity that qualifies as the next lowest price bidder
hereunder, must unconditionally agree to match the lowest price bid by 8 30 AM on the
third regular business day after the bid opening
(d) For bid responses that include line -item and/or unit pricing, the
qualified Osceola County individual or entity must agree to reduce each line or unit
pricing item by a percentage amount equal to the applicable percentage difference that
qualifies it for the local vendor preference hereunder
2
37
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
(2) To qualify as an "Osceola County person, firm, and/or corporation," a
vendor must meet one or more of the following criterion:
(a) Have its headquarters, manufacturing facility, or locally -owned
franchise located in, or having a street address within, the legal boundaries of Osceola
County for at least one (1) year immediately pnor to the issuance of the request for
quotation, proposal or formal bid solicitation (post office boxes do not qualify as a
verifiable business address);
(b) Employs thirty percent (30%) or more full time employees whose
primary residence is located within the legal boundaries of Osceola County; or
(c) The OwneraPnncipal of the business maintains his or her pnmary
residence within the legal boundanes of Osceola County
(3) Unless the vendor has been pre - determined by the City to meet the above -
referenced criterion, a Local Vendor Affidavit of Eligibility, in a form approved by
City, shall accompany the quotation, proposal or bid submittal in order to be considered
valid. The City at anytime, for purposes of validating eligibility hereunder, may request
the vendor provide the following current information:
(a) a physical business address;
(b) a copy cf a current Osceola County Local Business Tax Receipt
(formerly known as an "occupational license') to verify the business location;
(c) proof of payment of real and/or tangible property tax due to
Osceola County;
(d) a copy of the firm's or corporation's articles of incorporation and
its Florida Certificate of Incorporation. If the company is not incorporated, a list of
names and addresses of all owners/partners and percentage of ownership for each as well
as a fictitious name registration shall be provided,
(e) a complete list of all employees, an address for each employee, and
proof of payment to each employee such as a payroll and/or cancelled check,
(f) any additional information necessary to venfy local status
(4) An Osceola County entity or Individual that is awarded a contract by
virtue of this local vendor preference shall maintain the above - referenced applicable
cnteria throughout the term of the awarded contract As part of the contract, the
individual or entity shalt agree that if he, she or it no longer qualifies as an eligible
Osceola County individual or entity, that it will credit the City under the applicable
contract an amount equal to the percentage differential referenced above. The contract
shall further provide that in the event that the amount owed under the terms of the
contract at the time the individual or entity is determined to no longer be eligible for the
3
38
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
preference herein, is less than the percentage differential, the individual or entity shall
reimburse the City for the subject amount
(5) Exceptions tc this policy shall include, but are not limited to, the
following
(a) purchases that are funded in whole or in part by assistance from any
federal, state, or local agency that disallows local preference,
(b) purchases made through a cooperative agreement (i.e., one or more
agencies combining requirements in order to benefit from discounts that may be obtained
through volume purchasing),
(c) purchases made from another state, federal or other governmental
agency's agreements or contracts (i.e. piggy - backing);
(d) purchases subject to Section 287.055, Ronda Statutes, the
Consultants' Competitive Negotiation Act, as amended.
(6) Proc;.:ements subject to formal proposal where pnce is not a pnmary factor
and/or is not part of the criterion are not subject to local vendor preference; however, a
firm's location m. y be considered in the evaluation criterion.
(7) Notwithstanding anything contained herein to the contrary, the City
reserves its right to reject any bid received as non - responsive at anytime prior to the
award of a contract
SECTION U. Severability. It is declared to be the Intent of the City Council that, if any
section, subsection, sentence, clause. phrase, or portion of this Ordinance is for any reason
held invalid or unconstitutional by a court of competent jurisdiction, such portion shall be
deemed a separate, distinct and independent provision, and such holding shall not affect the
validity of the remaining portions hereof.
SECTION QI. Conflict. Any portion of the St. Cloud Code, the St. Cloud Land
Development Code or any ordinance or resolution or part thereof in conflict with this
ordinance is hereby repealed to the extent of such conflict.
SECTION IV. Codification. The text of this Ordinance shall not be codified, provided,
however, that a copy of this Ordinance shall be maintained in the Office of the City Clerk
and the Purchasing Manager.
SECTION V This ordinance shall take effect upon its adoption as provided by law,
thereafter shall sunset and be automatically repealed two years from the date of its adoption.
4
39
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
PASSED AND ADOPTED by the City Council of the City of St. Cloud, this 42 iK day
of i 1a -LChr 2009
CITY OF ST CLOUD
?
Donna Hart, Mayor
ATTEST: A
_,:ff„4‘,_ Linda Jaworslu, C Clerk
LEGAL IN FORM AND
VALID IF ADOPTED
dcBcaubun, . %ght, .S: Mantraps & Nca1, LLP
�f . . . PA :. a a••∎
5
40
4r1 ;.
ST. CLOUD
Suldi •i (ic,
Celebrating Small Town Life
Addendum No. 1
TO: All Prospective Bidders
FROM: Terry 1. Park, FCCM, Contract Specialist
REFERENCE: Addendum No. 1 - ITB No. 2010 - 011 -TLP
Laboratory Analyses
DATE: March 16, 2010
This Addendum is being issued to provide information as a result of questions submitted
to the Division of Purchasing & Materials Management. This information will be logged
on DemandStar.com.
The deadline for submittals is Thursday, April 1, 2010 at 2:00 p.m. Submittals must be
received in the Division of Purchasing & Materials Management, City Hall, 1300 9
Street, Building B, 3rd Floor, St. Cloud, Florida 34769. Any submittals received after this
time will be returned to submitter.
Question: Who currently has the contract?
Answer: TestAmerica Analytical Testing Corporation is our current provider.
Question: Would it be possible to acquire the bid tabulation from the last bid
opening?
Answer: ITB No. 2007 -012 Bid Tabulation sheet is Exhibit 'A' to this addendum.
Question: Regarding subcontracting, is there a percentage of work that cannot be
subcontracted? If so, is it based on the number of samples or the number
of parameters?
Answer: No. Subcontracting is acceptable as long as all other contractual issues,
including turn - around times, are met.
City of St Cloud, Florida
Addendum No 1 - ITB No 2010-011- Laboratory Analyses
Question: . What method is used to run MLSS and MLVSS ??
Answer: SM2540E and SM2540D
Question: Please clarify turn - around time of 10 days. Is this 10 business days?
Answer: Yes, 10 business days.
Question: How many days per week will there be pick -ups?
Answer: Every day, including holidays.
Question: Will the pickups be at only one location all the time?
Answer: Yes.
Question: What is the address of the location(s)?
Answer: 5701 Michigan Avenue, St. Cloud, Fl. 34772
Question: Regarding Nitrate- Nitrite, is this NOx, or do you need Nitrate and Nitrite
separately?
Answer: Separately.
Question: Do you want blue ink only for signatures or on all bid documents where
we input information?
Answer: All signatures are required to be in blue ink. Other information can be
handwritten or typewritten, so this can be in black.
Question: Who is the incumbent laboratory and what are thew prices?
Answer: TestAmerica Analytical Testing Corporation's bid form is Exhibit 'B.' When
originally bid, there were no courier or administrative fees for Monday
through Thursday service. When the City's new water treatment facility
went online in 2009, frequency of testing was increased to Monday
through Sunday with an additional courier fee of $30 per day only for the
added three days per week.
2
City of St Cloud, Florida
Addendum No 1 - ITB No 2010-011- Laboratory Analyses
Question: For the MLSS, can we report it as TSS for the sample?
Answer: Yes.
Question: For the MLVSS, can we port the analysis as TVSS?
Answer: Yes.
Question: To confirm how the price sheet is being calculated, the totals will be
based on an annual basis. For Page 9, there are different time frames for
all the analytical. Do the totals only reflect the time frame requested? For
example, monthly means the total dollars for one month only, or 12
samples total over a one -year period?
Answer: Twelve (12) samples over a one -year period.
Question: For Page 8 of the price sheet, Section A, confirm there will be 16 samples
tested quarterly (total of 64 samples annually) for T -THM analyses.
Answer: Sixteen (16) samples per quarter for TTHM/HAA5 analyses; 64 total samples
annually.
Please be sure to acknowledge receipt of this addendum on the Respondent's
Certification page included in the bid documents before you submit your bid package.
3
EXHIBIT 'A'
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EXHIBIT 'B'
ORIGINAL RFP #2007 -012
Invitation To Bids — Laboratory Analyses
kalift)1(d1 City of St Cloud, Florida
Name of Bidder � ,rrra ►r��,�r�,
VII. LIST OF ANALYSES
The following are the analyses anticipated Please include a separate pnce for each test, section and the
total quote price Please note that the quantities listed below are estimated and in no way obligate the
City to a specific number of tests The City reserves the right to make partial award based upon section
bids
SECTION I.
DRINKING WATER ANALYSIS — Analyses shall be performed in accordance to 40CFR, Part 141
a Twelve (12) samples analyzed for
Total Trihalomethanes (T- THM's)JJ 01'LJ
Haloacetic Acids (HAA5's) r , i l,-
Frequency Quarterly, as required
Maximum turn around time required 10 DAYS
jj C �
Price per sample $ (a . } Total price $ 1 )O0 X U I -' / 000
b Three (3) samples analyzed for
Nitrate - Nitrite
Frequency Annually
Maximum turn around time required 10 DAYS
Price per sample $ J Total price $ �1 )
c At least. Fiftv Four (54) samples analyzed for
Total Coliform Samples $ 1 each Total price $ (o 1 f X 13 " 7 776
Frequency Monthly
Maximum turn around time required 10 DAYS
d Two (2) (what are they. what parameter and detection limits) samples analyzed for
Fluorides $ (o( each Total price $ dq X fa
Frequency Monthly
Maximum turn around time required 10 DAYS
Total Price for Section 1. $ i 109 pei
6
EXHIBIT 'B'
ORIGINAL RFP #2007 -012
Invitation To Bids — Laboratory Analyses
City of St Cloud, Florida
Name of Bidder /'
Ant' I (� / J , r: /F tir ��� ),
SECTION IL
WASTEWATER
a Weekly samples analyzed for 3 (, p / l
11 Total Suspended Solids $ Ci _ each Total price $ r� !J A C . ' j► /(P
5 Carbonaceous Oxygen Demand $ each Total price $ 100 )(
9 Fecal Coliform Bacteria $ 1 a each Total price $ 10 d A 5a: Col (D
Frequency 4 days per work week, Monday through Thursday, with a made
during weeks with holidays or plant malfunctions
Maximum turn around time required 10 DAYS
b One (1) sample analyzed for
Nitrate
Frequency 1 per month C( la 0 ! T'' 1 3
Maximum turn around time required 10 DAYS
C it
Price per sample $ I E) Total price $ I J
Total price $ I O '` (N) /
Total Price for Section I1. $ (Gj, 1 3 1 l d
Total Price for Section I $ 1(1, j Jg
Total Price for Section II $ 1 J 5
Total Price for Section I & Section I I $ , ( x l 4-
11,011 ' ( rr' 1 , r'I S[7 I ( , fi ��ili /u
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f t i ' . I(J tit t frl �`,�(,r�; ` vd.
7
ATTACHMENT 'B'
ORIGINAL
TestAmerica
TI-E LEADER iN ENV'RONMENTAL TESTING
Nashville Laboratory
2960 Foster Creighton Drive, Nashville, TN 37204
800 765 0980 /Fax 615 726 3404 www testamericainc com
Response to:
ITB No. 2010- 011 -TLP
Laboratory Analyses
Submitted to:
City of St. Cloud
Division of Purchasing & Materials Management
1300 9th Street
Building B, 3rd Floor
St. Cloud, FL 34769
Attention to:
Terry Park, Contract Specialist
Submittal Date:
March 30, 2010
�e
Signed: /
Jennifer Hamaker, Regional Inside Sales Coordinator
On behalf of
John Mitchell, TestAmerica Nashville Laboratory Director
and
Judy Beato, TestAmerica Orlando Project Manager
ORIGINAL
Testmerica
...........
THE LEADER IN ENVIRONMENTAL TESTING
Terry Park
City of St. Cloud
Division of Purchasing & Materials Management
1300 9 Street
Building B, 3rd Floor
St. Cloud, FL 34769
Re: TestAmerica's Response to ITB No. 2010 - 011 -TLP, Laboratory Analyses
TestAmenca, the environmental laboratory network with the largest geographical coverage in the U S, is pleased to
submit our package response for ITB No. 2010 - 011 -TLP, Laboratory Analyses Please feel free to contact our Orlando
Service Center or Nashville Laboratory with any questions or additional documentation you may need Some additional
company information has been provided below. Thank you for your time and consideration
TestAmerica's national network of service centers and laboratories are strategically aligned to meet nationwide
requirements at a local and regional level TestAmenca's service centers complement and support the laboratory
network by offering supply shipments, packaging and sampling assistance, and collection services Our laboratories
respond to the needs of a multitude of industries, including energy and petroleum companies, waste management
providers, consulting and environmental engineers, government and municipal agencies, and a broad range of
commercial businesses
TestAmenca offers the following features and benefits
Regulatory Support
• RCRA and Hazardous Waste Characterization
• Underground Storage Tank Analytical Assessment
• Landfill /Groundwater Monitoring Reporting
• NPDES Effluent Characteristic Determination
• CERCLA/Superfund Site Contamination Assessment
• Clean Water Act (Drinking Water) Analyses
Extensive Accreditations and Certifications
• Numerous state certifications
• National Environmental Laboratory Accreditation Council (NELAC)
• US Army Corps of Engineers (USACE)
• American Association of Laboratory Accreditation (A2LA)
• American Industrial Hygiene Association (AIHA)
• American Council of Independent Laboratories (ACIL) Seal of Excellence
Web - enabled output
• Interactive web site for continuous access to data, reports, and invoices
• Electronic data deliverables (EDD) in various formats (Excel, ASCII, pdf)
• Customized report formats (full or summary data)
Quality Assurance /Quality Control
• Participation in proficiency testing programs administered by A2LA, NELAC, and USEPA
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 - 765 -0980 fax 615 - 726 -3404 www.testamericainc com
1 of 2 pages
TestAmerica
----.. ...
THE LEADER IN ENVIRONMENTAL TESTING
• Strict data quality control program with Standard Operating Procedures for instrumentation, field services,
analytical services, and applicable administrative systems
• Comprehensive Quality Assurance Manual
• Quality control program that includes analyses of blanks, spikes, duplicates, and calibration verification
standards
• Comprehensive and documented training program
• Internal audit programs to monitor compliance with Standard Operating Procedures and to evaluate
performance of analytical methods
• Corporate Ethics Policy that ensures the highest quality of analytical services
Value -Added Services
• Faxed sample receipt confirmation upon log -in
• Pre - invoice to confirm negotiated pricing
• Dedicated program and project manager
• Flexible arrangements /formats for data reporting
Energy and Petroleum Experience
• TestAmerica has Tong -term contractual and working relationships with a variety of oil and gas /energy producers
and transmission /pipeline companies requiring an ability to handle high volume and diverse analytical services
from our Nashville Division, the country's largest stand -alone environmental laboratory.
Please visit us at www testamericainc com for additional information
Sincerel
. ‹ite
ennifer amaker
Regional Inside Sales Coordinator
TestAmenca Laboratories, Inc
CeII 615.507.4343
Jennifer hamakere,testamericainc com
On Behalf Of:
JOHNNY A. MITCHELL
Laboratory Director
2960 Foster Creighton Drive
Nashville, TN 37204
Tel 615.301 5737 1 CeII 615 418 9892
Johnny mitcheMtestamencainc com
JUDITH BEATO
Project Manager
8010 Sunport Drive, Suite 116
Orlando, FL 32809
Tel 407.851 2560 ext 2051 Fax 407 856 0886
iudith beato(a�testamericainc com
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 - 765 -0980 fax 615 - 726 -3404 www.testamericainc.com
2 of 2 pages
Test America
THE LEADER IN ENVIRONMENTAL TESTING
Primary Contact /
Additional Information
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www testamencamc com
TestAmerica
----
THE LEADER IN ENVIRONMENTAL TESTING
Primary Contact / Additional Information
Your primary contact for all needs from courier service to analysis, reporting and Invoicing is your
TestAmerica Orlando Project Manager, Judy Beato Judy's contact information is provided for your
convenience below.
JUDITH BEATO
Project Manager
8010 Sunport Drive, Suite 116
Orlando, FL 32809
Tel 407.851.2560 ext.205 I Fax 407.856.0886
Judith beatotestamencainc.com
Our TestAmerica Orlando Service Center location will be analyzing the majority of analyses in
addition to providing seven days per week courier availability. Some other analyses will be run by
our Nashville and Savannah laboratories which your Project Manager will take care of sending as
needed. No analyses will be subcontracted outside of the TestAmerica network Please refer to
our QAM for targets, reporting limits and QA/QC acceptance which can be provided upon request
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www.testamericainc.com
Test America
THE LEADER IN ENVIRONMENTAL TESTING
A. Certification Copies and
Summary
2960 Foster Creighton Drive Nashville, TN 37204 tel 800.765 0980 fax 615 726 3404 www.testamencainc com
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l�L,. i ;r ,r Ana M Vlamonte Ros M D M P H
Governor ,_�_ ._ _ 4, State Surgeon General
Laboratory Scope of Accreditation Page 1 of 3
Attachment to Certificate #: E83012 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID E83012 EPA Lab Code FL00066 (407) 851 -2560
E83012
TestAmerica Analytical Testing Corp. - Orlando, FL
8010 Sunport Drive
Suite 116
Orlando, FL 32809
Matrix Drinking Water
Certification
Analyte MethodiTech Category Type Effective Date
Eschenchta coh COLITAG Microbiology NELAP 6/15/2006
Eschenchta con SM 9223 B Microbiology NELAP 6/1/2001
Fecal conforms SM 9221 E Microbiology NELAP 11/11/2005
Heterotrophtc plate count SM 9215 B Microbiology NELAP 2/26/2004
pH EPA 150 1 Secondary Inorganic NELAP 6/1/2001
Contaminants,Primary Inorganic
Contaminants
pH SM 4500 -H + -B Pnmary Inorganic Contaminants NELAP 5/2/2007
Total conforms COLITAG Microbiology NELAP 6/15/2006
Total conforms SM 9222 B Microbiology NEL AP 11/11/2005
Total conforms SM 9223 B Microbiology NELAP 6/1/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 7/1/2009 Expiration Date: 6/30/2010
fit•` '23C-14
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Charlie Cnst ` l' c,ti T� : , Ana M Vlamonte Ros M D M P H
Governor , _ + •# , State Surgeon General
Laboratory Scope of Accreditation Page 2 of 3
Attachment to Certificate #: E83012 -20, expiration date June 30, 2010. This listing of accredited
analyzes should be used only when associated with a valid certificate.
State Laboratory ID E83012 EPA Lab Code FL00066 (407) 851 -2560
E83012
TestAmerica Analytical Testing Corp. - Orlando, FL
8010 Sunport Drive
Suite 116
Orlando, FL 32809
Matrix Non- Potable Water
Certification
Analyte Method/Tech Category Type Effective Date
Biochemical oxygen demand EPA 405 1 General Chemistry NELAP 6/1/2001
Biochemical oxygen demand SM 5210 B General Chemistry NELAP 5/2/2007
Carbonaceous BOD (CBOD) SM 5210 B General Chemistry NELAP 6/1/2001
Chlorophylls SM 10200 H General Chemistry NELAP 6/1/2001
Fecal conforms SM 9221 E Microbiology NELAP 6/1/2001
Fecal conforms SM 9222 D Microbiology NELAP 6/1/2001
Fecal streptococci SM 9230 C Microbiology NELAP 6/1/2001
Heterotrophic plate count SM 9215 B Microbiology NELAP 6/15/2006
pH EPA 9040 General Chemistry NELAP 7/1/2003
pH SM 4500 -H+ -B General Chemistry NELAP 5/2/2007
Residue - nonfilterable (TSS) SM 2540 D General Chemistry NELAP 2/5/2009
Residue -total SM 2540 B General Chemistry NELAP 5/2/2007
Residue - volatile EPA 160 4 General Chemistry NELAP 6/1/2001
Residue - volatile SM 2540 E General Chemistry NELAP 12/9/2003
Total conforms SM 9221 B Microbiology NELAP 3/21/2002
Total colforms SM 9222 B Microbiology NEL AP 3/21/2002
Total, fixed, and volatile residue SM 2540 G General Chemistry NELAP 6/1/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 7/1/2009 Expiration Date: 6/30/2010
r LKKtl tm(rbPA' ENTT1 a ' Y c�
Charlie Cnst w p
HEALTH
' e. Ana M Vlarnonte Ros M D M P H
Governor ,j State Surgeon General
Laboratory Scope of Accreditation Page 3 of 3
Attachment to Certificate #: E83012 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID E83012 EPA Lab Code FL00066 (407) 851 -2560
E83012
TestAmerica Analytical Testing Corp. - Orlando, FL
8010 Sunport Drive
Suite 116
Orlando, FL 32809
Matrix Solid and Chemical Materials
Certification
Analyte Method/Tech Category Type Effective Date
Fecal confirms SM 9221 E Microbiology NELAP 6/15/2006
PH EPA 9045 General Chemistry NELAP 6/1/2001
Residue -fixed SM 2540 G General Chemistry NELAP 2/5/2009
Residue -total EPA 160 3 General Chemistry NELAP 2/5/2009
Residue -total SM 2540 G General Chemistry NELAP 2/5/2009
Residue - volatile EPA 160 4 General Chemistry NELAP 2/5/2009
Residue- ..olatile SM 2540 G General Chemistry NELAP 2 /5/2009
Total conforms SM 9221 B Microbiology NELAP 6/15/2006
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 7/1/2009 Expiration Date: 6/30/2010
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Charlie Crlst ; - . ' f a - `.fin
Governor _ , 24. �- ,.. M U ''j4 as Ana M Viamonte Ros M D M P H
r ,�, State Surgeon General
Laboratory Scope of Accreditation Page 1 of 35 i
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Drinking Water
a Certification
Analyte Method/Tech Category Type Effective Date
1 , I, I,2- Tetrachloroethane EPA 5242 Group II Unregulated Contaminants NELAP 523200! _
1, I,I -Tr ichloroethane EPA 5242 Other Regulated Contaminants NELAP 5232001
1,1,2,2- Tetrachloroethane EPA 524 2 Group 11 Unregulated Contaminants NELAP 5/23/2001
1,1,2- Trichloroethane EPA 524.2 Other Regulated Contaminants NELAP 5/23/2001
1,1- Dichloroethane EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
1,1- Dichloroethylene EPA 524 2 Other Regulated Contaminants NELAP 5/23/2001
I,I- Dichloropropane EPA 5242 Group 11 Unregulated Contaminants NELAP 5232001
1,2,3- Tnchlorobenzene EPA 524 2 Group II Unregulated Contaminants NELAP 9/20/2007
1,2,3- Trichloropropane EPA 504 1 Group 11 Unregulated Contaminants NELAP 8/8/2002
1,2,3- Trichloropropanc EPA 524 2 Group 11 Unregulated Contaminants NELAP 5/23/2001
1,2,4- Tnchlorobenzene EPA 524 2 Other Regulated Contaminants NELAP 5/23/2001
1,2,4- Tnmethylbenzene EPA 524 2 Group II Unregulated Contaminants NELAP 5232001
1,2- Dibromo- 3- chloropropane (DBCP) EPA 504 1 Synthetic Organic Contaminants NELAP 5/23/2001
1,2- Dibromoethane (EDB, Ethylene dibromide) EPA 504 1 Synthetic Organic Contaminants NELAP 5/23/2001
1,2- Dichlorobenzene EPA 524 2 Other Regulated Contaminants NELAP 5/23/2001
1,2- Dichlaroethane EPA 524 2 Other Regulated Contaminants NELAP 5232001
1,2- Dichloropropane EPA 524 2 Other Regulated Contaminants NELAP 5232001
1,3,5- Tnchlorobenzene SOP Group II Unregulated Contaminants NELAP 7/30/2009
SA05 -145 6/524 2/GC -MS
1,3,5- Tnmethylbenzene EPA 524 2 Group II Unregulated Contaminants NELAP 5232001
1,3- Dichlorobenzene EPA 524 2 Group II Unregulated Contaminants NELAP 5232001
l,3- Dichloropropane EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
1,4- Dichlorobenzene EPA 524 2 Other Regulated Contaminants NELAP 5232001
2,2- Dichloropropane EPA 524 2 Group II Unregulated Contaminants NELAP 5232001
2- Chlorotoluene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
4- Chlorotoluene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
4- lsopropyltoluene EPA 524 2 Group 11 Unregulated Contaminants NELAP 9202007
Aluminum EPA 200 7 Secondary Inorganic Contaminants NELAP 5/23/2001
Barium EPA 200 7 Primary Inorganic Contaminants NELAP 5/23/2001
Benzene
EPA 524 2 Other Regulated Contaminants NELAP 5/23/2001 I '
Beryllium EPA 200 7 Primary Inorganic Contaminants NELAP 5232001
Bromobenzene EPA 524 2 Group II Unregulated Contaminants NELAP 5232001
Bromochloromethane EPA 524 2 Group 11 Unregulated Contaminants NELAP 8/8/2002
Bromodichloromethane EPA 524 2 Group II Unregulated NELAP 523/2001
Contaminants,Other Regulated
Contaminants
I
Clients and Customers are urged to verify the laboratory's current certification status with f
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
I
..� a • ;.
h
` r �:t!: :4z 0.
Charlie Crlst a Ana M Vlamonte Ros M D M P H
Governor . . t _. r _ " +''.` State Surgeon General
- Laboratory Scope of Accreditation Page 2 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should,be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Drinking Water
Analyte Method/Tech Category Certification
g Y T Type Effective Date
Bromoform EPA 524 2 Group II Unregulated NELAP 5/232001
Contanunants,Other Regulated
Contaminants
Cadmium EPA 200 7 Pnmary inorganic Contaminants NELAP 5/23/2001
Calcium EPA 200 7 Primary Inorganic Contaminants NELAP 8/8/2002
Carbon tetrachloride EPA 5242 Other Regulated Contaminants NELAP 5 /23 /2001
°
Chloride EPA 300 0 Secondary Inorganic Contaminants NELAP 8/8 /2002
Chlorobenzene EPA 5242 Other Regulated Contaminants NELAP 5 /23/1001
Chloroethane EPA 524 2 Group II Unregulated Contaminants NELAP 5/23/2001
°
Chloroform EPA 524 2 Group II Unregulated NELAP 5/23 /2001
Contammants,Other Regulated
Contaminants
Chromium EPA 200 7 Pnmary Inorganic Contaminants NELAP 5/23 /2001
cis -1,2- Dichloroethylene EPA 524 2 Other Regulated Contaminants NELAP 5 /23 /2001
cis- 1,3- Dichloropropene EPA 524 2 Group fI Unregulated Contaminants NELAP 5/23/2001
Copper EPA 200 7 Primary Inorganic NELAP 5/23/2001
Contammants,Secondary Inorganic
Contaminants
Cyanide EPA 335 4 Primary Inorganic Contaminants NELAP 5/23/2001
°
Dtbromochloromethane EPA 524 2 Group 11 Unregulated NELAP 5 /232001
Contammants,Other Regulated
Contaminants
Di bromomethane EPA 524 2 Group II Unregulated Contaminants NELAP 5/23/2001
Dichlorodifluoromethane EPA 524 2 Group II Unregulated Contaminants NELAP 5 /23 /2001
D°chloromethane (DCM, Methylene chlonde) EPA 524 2 Other Regulated Contaminants NELAP 5/23 /2001
Ethylbenzene EPA 524 2 Other Regulated Contaminants NELAP 5 /23 /2001
Ethyl -t- butylether (ETBE) SOP Group 11 Unregulated Contaminants NELAP 7/30/2009
SA05 -145 6/524 2 /GC -MS
Fluoride EPA 300 0 Secondary Inorganic NELAP 5 /23/2001
Contam°nants,Primary Inorganic
Contaminants
Fluoride SM 4110 B Primary Inorganic Contaminants NELAP 3/19 /2007
Hexachlorobutadiene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5 /23 /2001
Iron EPA 200 7 Secondary Inorganic Contaminants NELAP 5 /23 /2001
Isopropylbenzene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5/23 /2001
Magnesium EPA 200 7 Primary Inorganic Contaminants NELAP 8/8/2002
Manganese EPA 200 7 Secondary inorganic Contaminants NELAP 5 /23 /2001
Mercury EPA 245 1 Primary Inorganic Contaminants NELAP 5/23/2001
Methyl bromide (Bromomethane) EPA 524.2 Group 11 Unregulated Contaminants NELAP 5/23/2001
Methyl chloride (Chloromethane) EPA 524 2 Group 11 Unregulated Contaminants NELAP 523 /2001
Methyl tert -butyl ether (MTBE) EPA 524.2 Group II Unregulated Contaminants NELAP 523 /2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
.7 074,42.. ,T,�l EC •
•
'ifff_�Ir�
Charlie Cnst -, ' j li,,, : 1 ,3' r� Ana M Viamonte Ros M 0 M P H
Governor `. _ r State Surgeon General
Laboratory Scope ofAccreditation Page 3 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Drinking Water
Certification
Analyte Method/Tech Category T Effective Date
Naphthalene EPA 524 2 Group II Unregulated Contaminants NELAP 5/23/2001
n- Butylbenzene EPA 524 2 Group II Unregulated Contaminants NELAP 523/2001
Nickel EPA 200 7 Primary Inorganic Contaminants NELAP 5232001 I
Nitrate EPA 300 0 Primary Inorganic Contaminants NELAP 5232001
Nitrate EPA 353.2 Primary Inorganic Contaminants NELAP 5232001
Nitrate SM 4110 B Pnmary Inorganic Contaminants NELAP 3/192007 I
Nitrite EPA 300 0 Primary inorganic Contaminants NELAP 5232001
Nitrite EPA 353 2 Primary Inorganic Contammants NELAP 5232001 j
Nitrite SM 4110 B Primary Inorganic Contaminants NELAP 3/19/2007 j
n- Propylbenzene EPA 5242 Group 11 Unregulated Contaminants NELAP 5/23/2001
Residue - filterable (TDS) SM 2540 C Secondary Inorganic Contaminants NELAP 10/8/2002
sec - Butylbenzene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5/23/2001
Silver EPA 200 7 Secondary Inorganic Contaminants NELAP 5/23/2001
Sodium EPA 200.7 Pnmary Inorganic Contaminants NELAP 5232001
Styrene EPA 524 2 Other Regulated Contaminants NELAP 5232001 i
Sulfate EPA 300 0 Secondary Inorganic NELAP 5/23/2001 i
Contaminants,Pnmary Inorganic
Contaminants
Sulfate SM 4110 B Primary Inorganic Contaminants NELAP 3/19/2007
T- amylmethylether (TAME) SOP Group II Unregulated Contaminants NELAP 7/30/2009
SA05 -145 6/524 2/GC -MS
tert- Butylbenzene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
Tetrachioroethylene (Perchloroethylene) EPA 524 2 Other Regulated Contaminants NELAP 5232001
Toluene EPA 524 2 - Other Regulated Contaminants NELAP 5/23/2001
Total trihalomethanes EPA 524.2 Other Regulated Contaminants NELAP 5/23/2001
trans- I,2- Dichloroethylene EPA 5242 Other Regulated Contaminants NELAP 5232001
trans -1,3- Dichloropropylene EPA 524 2 Group 11 Unregulated Contaminants NELAP 5232001
Trichloroethene (Tnchloroethylene) EPA 524 2 Other Regulated Contaminants NELAP 5232001
Trichlorofluoromethane EPA 524.2 Group II Unregulated Contaminants NELAP 5/23/2001
Vinyl chloride EPA 524 2 Other Regulated Contaminants NELAP 5232001
Xylene (total) EPA 524 2 Other Regulated Contaminants NELAP 5232001
Zinc EPA 200 7 Secondary Inorganic Contaminants NELAP 5232001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
1
a.
Charlie Crlst . . 4 ) ,, .n,;r Ana M Vlamonte Ros M D M P H Governor
egtA
... * x • ' i ' State Surgeon General
Laboratory Scope of Accreditation Page 4 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category T Effective Date
1,1,1,2 - Tetrachloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,1,1-Tr chloroethane EPA 624 Volatile Organics NELAP 5/23/2001
1,1,1 - Trichloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,1,2,2- Tetrachloroethane EPA 624 Volatile Organics NELAP 5232001
1,1,2,2- Tetrachloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,1,2 - Trichloroethane EPA 624 Volatile Organics NELAP 5/23/2001
1,1,2- Trichloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,1- Di chIoroethane EPA 624 Volatile Organics NELAP 5/23/2001
1,I- Diehl oroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,1- Dichloro ethylene EPA 624 Volatile Organics NELAP 5/23/2001
I,I- Dichloroethylene EPA 8260 Volatile Organics NELAP 7/1/2003
1,I- Dichloropropene EPA 8260 Volatile Organics NELAP 7/12003
1,2,3-Trichlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,2,3 - Trichloropropane EPA 8260 Volatile Organics NELAP 7/1/2003
1,2,4,5- Tetrachlorobenzene EPA 8270 Extractable Organics NELAP 7/30/2009
1,2,4 - Tnchlorobenzene EPA 625 Extractable Organics NELAP 5232001
1,2,4 - Tnchlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,2,4- Tnchlorobenzene EPA 8270 Extractable Organics NELAP 7/1/2003
1,2,4- Tnmethylbenzene EPA 8021 Volatile Organics NELAP 7/1/2003
1,2,4- Tnmethylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,2- Dibromo- 3- chloropropane (DBCP) EPA 8011 Volatile Organics NELAP 7/12003
1,2- Dibromo- 3- chloropropane (DBCP) EPA 8260 Volatile Organics NELAP 7/1/2003
1,2- Dibromoethane (EDB, Ethylene dibromide) EPA 8011 Volatile Organics NELAP 7/1/2003
l,2- Dibromoethane (EDB, Ethylene dibromide) EPA 8260 Volatile Organics NELAP 7/1/2003
1,2- Dichlorobenzene EPA 602 Volatile Organics NELAP 5/23/2001
I,2- Dichlorobenzene EPA 624 Volatile Organics NELAP 5/23/2001
1,2- Dichlorobenzene EPA 625 Extractable Organics NELAP 5232001
1,2- Dichlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,2- Dichlorobenzene EPA 8270 Extractable Organics NELAP 7/1/2003
1,2- Dichloroethane EPA 624 Volatile Organics NELAP 5232001
1,2- Dichloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
1,2- Dichloropropane EPA 624 Volatile Organics NELAP 5/23/2001
1,2- Dichloropropane EPA 8260 Volatile Organics NELAP 7/12003 i
1,2- Diphenylhydrazine EPA 8270 Extractable Organics NELAP 7/1/2003 ,
1,2- Diphenylhydraztne SOP Extractable Organics NELAP 4/9/2003 I
SA04 -27 5 /625 /GC -MS
I
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
-.,,,.. sc.
Charlie Crlst kin;_ i' a , T . y . ysy Ana M Vamonte Ros M D M P H
Governor , � _ � . � .. J State Surgeon General
Laboratory Scope of Accreditation Page 5 of 35 '
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category T Effective Date
1,3,5- Trichlorobenzene SOP Volatile Organics NELAP 7/302009
SA05 -77 12/8260 /GC -MS ,
•
1,3,5- Tnmethylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,3,5- Trinitrobenzene (1,3,5 -TNB) EPA 8270 Extractable Organics NELAP 7/30/2009
1,3,5- Trmitrobenzene (I,3,5 -TNB) EPA 8330 Extractable Organics NELAP 7/1/2003
1,3- Dichlorobenzene EPA 602 Volatile Organics NELAP 5/23/2001
1,3- Dichlorobenzene EPA 624 Volatile Organics NELAP 5232001
I,3- Dichlorobenzene EPA 625 Extractable Organics NELAP 5232001
l,3- Dichlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
I,3- Dichlorobenzene EPA 8270 Extractable Organics NELAP 7/1/2003
1
1,3- Dichloropropane EPA 8260 Volatile Organics NELAP 7/1/2003
1,3- Dinitrobenzene (1,3 -DNB) EPA 8270 Extractable Organics NELAP 7/30/2009
1,3- Dinitrobenzene (1,3 -DNB) EPA 8330 Extractable Organics NELAP 7/1/2003
1,4- Dichlorobenzene EPA 602 Volatile Organics NELAP 5/23/2001
1,4- Dichlorobenzene EPA 624 Volatile Organics NELAP 5232001
1,4- Dtchlorobenzene EPA 625 Extractable Organics NELAP 5/23/2001
1,4- Dichlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
1,4- Dichlorobenzene EPA 8270 Extractable Organics NELAP 7/12003
1,4- Dtoxane (1,4- Diethyleneoxide) EPA 8260 Volatile Organics NELAP 5/19/2005
1,4- Naphthoqumone EPA 8270 Extractable Organics NELAP 7/30/2009
1- Methylnaphthalene EPA 8310 Extractable Organics NELAP 7/30/2009
1- Methylnaphthalene SOP Extractable Organics NELAP 4/9/2003
SA04 -121 1 /610/HPLC -UV
1- Methylnaphthalene SOP Extractable Organics NELAP 4/9/2003
SA04 -27 5 /625 /GC -MS
t- Methylnaphthalene (added to method at FDEP EPA 8270 Extractable Organics NELAP 7/30/2009
request)
1- Naphthylamine EPA 8270 Extractable Organics NELAP 7/30/2009
2,2- Dichloropropane EPA 8260 Volattle Organics NELAP 7/1/2003
2,3,4,6 - Tetrachlorophenol EPA 8270 Extractable Organics NELAP 7/302009
2,3- Dichloropropene SOP Volatile Organics NELAP 7/1/2003
SA05 -77 8 /8260 /GC -MS
2,4,5 -T EPA 8151 Extractable Organics NELAP 7/12003
2,4,5 -T SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/19/2005
2,4,5- Trichlorophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2,4,6- Trichtorophenol E ?A 625 Extractable Organics NELAP 5/232001
2,4,6 - Trichlorophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2,4,6 - Trinitrotoluene (2,4,6 -TNT) EPA 8330 Extractable Organics NELAP 7/1/2003
2,4 -D EPA 8151 Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
Charlie Cnst .'� . 1 ; -'4 1 . 1 ' Ana M Viamonte Ros M D M P H
Governor ..._ . State Surgeon General
Laboratory Scope of Accreditation Page 6 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/ Tech Category T Effective Date
2,4-D SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/19/2005
2,4 -DB EPA 8151 Extractable Organics NELAP 7/1/2003 III
2,4 -DB SM 6640 B Pesticides- Herbicides -PCB's NELAP 5/19/2005
2,4- Dichlorophenol EPA 625 Extractable Organics NELAP 5/23/2001
2,4- Dichlorophenel EPA 8270 Extractable Organics NELAP 7/1/2003
2,4- Dimethylphenol EPA 625 Extractable Organics NELAP 5/23/2001
2,4- Dimethylphenol EPA 8270 Extractable Organics NELAP 7/1/2003
2,4- Dmitrophenol EPA 625 Extractable Organics NELAP 5/23/2001
2,4- Dinitrophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2,4- Dinitrotoluene (2,4 -DNT) EPA 625 Extractable Organics NELAP 5/23/2001
2,4- Dinitrotoluene (2,4 -DNT) EPA 8270 Extractable Organics NELAP 7/1/2003
2,4- Dinitrotoluene (2,4 -DNT) EPA 8330 Extractable Organics NELAP 7/1/2003
2,6- Dichlorophenal EPA 8270 Extractable Organics NELAP 7/30/2009
2,6- Dmitrotoluene (2,6 -DNT) EPA 625 Extractable Organics NELAP 5/23 /2001
2,6- Dinitrotoluene (2,6 -DNT) EPA 8270 Extractable Organics NELAP 7/1/2003
2,6- Dinitrotoluene (2,6 -DNT) EPA 8330 Extractable Organics NELAP 7/1/2003
2- Acetylaminofluorene EPA 8270 Extractable Organics NELAP 7/30/2009
2- Amino- 4,6- dinitrotoluene (2- am-dnt) EPA 8330 Extractable Organics NELAP 7/1/2003
2- Butanone (Methyl ethyl ketone, MEK) EPA 8260 Volatile Organics NELAP 7/1 /2003
2- Chloroethyl vinyl ether EPA 624 Volatile Organics NELAP 5/23 /2001
2- Chloroethyl vinyl ether EPA 8260 Volatile Organics NELAP 7/1/2003
2- Chloronaphthalene EPA 625 Extractable Organics NELAP 5/23/2001
2- Chloronaphthalene EPA 8270 Extractable Organics NELAP 7/1/2003
2- Chlorophenol EPA 625 Extractable Organics NELAP 5/23/2001
2- Chlorophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2- Chlorotoluene EPA 8260 Volatile Organics NELAP 7/1/2003
2- Hexanone EPA 8260 Volatile Organics NELAP 7/1/2003
2- Methyl- 4,6- dinitrophenol EPA 625 Extractable Organics NELAP 5/23/2001
2- Methyl- 4,6- dinitrophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2- Methylnaphthalene EPA 8270 Extractable Organics NELAP 7/1/2003 i
2- Methylnaphthalene EPA 8310 Extractable Organics NELAP 7/30/2009
2- Methylnaphthalene SOP Extractable Organics NELAP 4/9/2003
SA04 -121 I /610/HPLC -UV
2- Methylnaphthalene SOP Extractable Organics NELAP 4/9 /2003 1
SA04 -27 5 /625 /GC -MS
2- Methylphenol (o- Cresol) EPA 625 Extractable Organics NELAP 5/19/2005
2- Methylphenol (o- Cresol) EPA 8270 Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
Charlie Cnst NE N = r 1 „ -._ Ana M Viamonte Ros M D M P H
Governor �,,.. P . State Surgeon General
Laboratory Scope of Accreditation Page 7 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category Typ Effective Date
2- Naphthylamine EPA 8270 Extractable Organics NELAP 7/30/2009
2- Nitroaniline EPA 8270 Extractable Organics NELAP 7/1/2003
2- Nitrophenol EPA 625 Extractable Organics NELAP 5/23/2001
2- Nitrophenol EPA 8270 Extractable Organics NELAP 7/1/2003
2- Nitrotoluene EPA 8330 Extractable Organics NELAP 7/12003
2- Picohne (2- Methylpyridine) EPA 8270 Extractable Organics NELAP 7/30/2009
3,3'- Dichlorobenzidine EPA 625 Extractable Organics NELAP 8/8/2002
3,3'- Dichlorobenzidine EPA 8270 Extractable Organics NELAP 7/1/2003
3,3- Dimethyl -l- butanol SOP Volatile Organics NELAP 7/302009
SA05 -77 12/8260/GC-MS
3,3'- Dimethylbenzidine EPA 8270 Extractable Organics NELAP 7/302009
3,5- Dichlorobenzoic acid EPA 8151 Extractable Organics NELAP 7/1/2003
3 /4- Methylphenols (m/p- Cresols) EPA 8270 Extractable Organics NELAP 7/30/2009
3- Methylcholanthrene EPA 8270 Extractable Organics NELAP 7/30/2009
3- Nitroaniline EPA 8270 Extractable Organics NELAP 7/1/2003
3- Nitrotoluene EPA 8330 Extractable Organics NELAP 7/1/2003
4,4' -DDD EPA 608 Pesticides- Herbicides -PCB's NELAP 5/23/2001
4,4' -DDD EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/12003
4,4' -DDE EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
4,4' -DDE EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
4,4' -DDT EPA 608 Pesticides- Herbicides -PCB's NELAP 5232001
4,4' -DDT EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1/2003
4- Ammo -2,6- dinitrotoluene (4- am -dnt) EPA 8330 Extractable Organics NELAP 7/1/2003
4- Aminobiphenyl EPA 8270 Extractable Organics NELAP 7/302009
4- Bromophenyl phenyl ether EPA 625 Extractable Organics NELAP 5232001
4- Bromophenyl phenyl ether EPA 8270 Extractable Organics NELAP 7/1/2003
4- Chloro -3- methylphenol EPA 625 Extractable Organics NELAP 5/23/2001
4- Chloro- 3- methylphenol EPA 8270 Extractable Organics NELAP 7/1/2003
4- Chloroaniline EPA 8270 Extractable Organics NELAP 7/1/2003
4- Chlorophenyl phenylether EPA 625 Extractable Organics NELAP 5/23/2001
4- Chlorophenyl phenylether EPA 8270 Extractable Organics NELAP 7/1/2003 i
4- Chlorotoluene EPA 8260 Volatile Organics NELAP 7/1/2003
4- Dimethy! aminoazobenzene EPA 8270 Extractable Organics NELAP 7/30/2009
4- Methyl- 2- pentanone (MIBK) EPA 8260 Volatile Organics NELAP 7/1/2003
4- Nitroan,line EPA 8270 Extractable Organics NELAP 7/1/2003
4- Nitrophenol EPA 625 Extractable Organics NELAP 5/23/2001
4- Nitrophenol EPA 8151 Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
i
1
ry
Charlie Cnst a ;' :e ' 'z ' ., A Ana M Viamonte Ros M D M P H
Governor ..�. ,� ,4 . a ._...?: ... . ,. t ' A , ,, State Surgeon General
Laboratory Scope of Accreditation Page 8 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code. TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
4- Nitrophenol EPA 8270 Extractable Organics NELAP 7/1/2003
4- Nitrotoluene EPA 8330 Extractable Organics NELAP 7/1/2003
5- Nitro- o- tolu,dine EPA 8270 Extractable Organics NELAP 7/302009
7,I2- Dimethylbenz(a) anthracene EPA 8270 Extractable Organics NELAP 7/302009
a- a- Dimethylphenethylamine EPA 8270 Extractable Organics NELAP 7/30/2009
Acenaphthene EPA 610 Extractable Organics NELAP 5232001
Acenaphthene EPA 625 Extractable Organics NELAP 5/232001
Acenaphthene EPA 8270 Extractable Organics NELAP 7/1/2003
Acenaphthene EPA 8310 Extractable Organics NELAP 7/1/2003
Acenaphthylene EPA 610 Extractable Organics NELAP 5232001
Acenaphthylene EPA 625 Extractable Organics NELAP 5/23/2001
Acenaphthylene EPA 8270 Extractable Organics NELAP 7/1/2003
Acenaphthylene EPA 8310 Extractable Organics NELAP 7/1/2003
Acetaldehyde EPA 8315 Extractable Organics NELAP 7/30/2009
Acetone EPA 8260 Volatile Organics NELAP 7/1/2003
Acetonitnle EPA 8260 Volatile Organics NELAP 7/1/2003
Acetophenone EPA 8270 Extractable Organics NELAP 7/30/2009
Acidity, as CaCO3 SM 2310 B (4A) General Chemistry NELAP 3/192007
Acifluorfen EPA 8151 Extractable Organics NELAP 7/1/2003
Acrolem (Propenal) EPA 624 Volatile Organics NELAP 5/23/2001
Acrolem (Propenal) EPA 8260 Volatile Organics NELAP 7/12003
Acrylonitrile EPA 624 Volatile Organics NELAP 5/23/2001
Acrylonitrile EPA 8260 Volatile Organics NELAP 7/1/2003
Aldnn EPA 608 Pesticides- Herbicides -PCB's NELAP 5/23/2001
Aldnn EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/12003
Alkalinity as CaCO3 SM 2320 B General Chemistry NELAP 3/19/2007
Ally! chloride (3- Chloropropene) EPA 8260 Volatile Organics NELAP 5/19/2005
alpha -BHC (alpha - Hexachlorocyclohexane) EPA 608 Pesticides - Herbicides -PCB's NELAP 5232001
alpha -BHC (alpha - Hexachlorocyclohexane) EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
- alpha- Chlordane EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/12003
Aluminum EPA 200 7 Metals NELAP 5232001
Aluminum EPA 200 8 Metals NELAP 7/302009
Aluminum EPA 6010 Metals NELAP 7/1/2003
Aluminum EPA 6020 Metals NELAP 3/192007
Amenable cyanide EPA 335 4 General Chemistry NELAP 5232001
Amenable cyanide EPA 9012 General Chemistry NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
- 4- `� K•
2A F7a sia Fi.tiri:l iii- S�4 .
m i D Ana M Vlamonte Ros M D M P H
Governor
Charlie Crlst .�, � �— _{, � kit. � gi
' >,�,,;. �' t q ,F State Surgeon General
Laboratory Scope of Accreditation Page 9 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category Type Effective Date
Amenable cyanide SM 4500 CN -G General Chemistry NELAP 3/192007
Ammonia as N EPA 350 1 General Chemistry NELAP 5/23/2001
Ammonia as N SM 4500 -NH3 G General Chemistry NELAP 3/19/2007
Aniline EPA 625 Extractable Organics NELAP 5/19/2005
Aniline EPA 8270 Extractable Organics NELAP 7/1/2003
Anthracene EPA 610 Extractable Organics NELAP 5232001
Anthracene EPA 625 Extractable Organics NELAP 5/23/2001
Anthracene EPA 8270 Extractable Organics NELAP 7/12003
Anthracene EPA 8310 Extractable Organics NELAP 7/1/2003
Antimony EPA 200 7 Metals NELAP 5/23/2001
Antimony EPA 200 8 Metals NELAP 7/30/2009
Antimony EPA 6010 Metals NELAP 7/12003
Antimony EPA 6020 Metals NELAP 3/19/2007
Aramite EPA 8270 Extractable Organics NELAP 7/30/2009
Aroclor -1016 (PCB -1016) EPA 608 Pesticides-Herbicides-PCB's NELAP 5232001
Aroclor -1016 (PCB -1016) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Aroclor -1221 (PCB -1221) EPA 608 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1221 (PCB-I221) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Aroclor -1232 (PCB -1232) EPA 608 Pesticides- Herbicides -PCB's NELAP 5/23/2001
Aroclor -1232 (PCB -1232) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Aroclor -1242 (PCB -1242) EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Aroclor -1242 (PCB -1242) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Aroclor -1248 (PCB -1248) EPA 608 Pesticides- Herbicides -PCB's NELAP 5232001
Aroclor -1248 (PCB -1248) EPA 8082 Pesticides- Herbicides -PCB's NELAP 7/1/2003
Aroclor -1254 (PCB -1254) EPA 608 Pesticides- Herbicides -PCB's NELAP 5232001
Aroclor -1254 (PCB-I254) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Aroclor -1260 (PCB -1260) EPA 608 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1260 (PCB -1260) EPA 8082 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Arsenic EPA 200 7 Metals NELAP 5232001
Arsenic EPA 200 8 Metals NELAP 7/302009
Arsenic EPA 6010 Metals NELAP 5232001
Arsenic EPA 6020 Metals NELAP 3/19/2007
Barium EPA 200 7 Metals NELAP 5232001
Barium EPA 200 8 Metals NELAP 7/30/2009
Barium EPA 6010 Metals NELAP 7/12003
Barium EPA 6020 Metals NELAP 3/19/2007
1
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010 1
I
I
I
Charlle Cnst 1 x ate Ana M Vlamonte Ros M D M P H
Governor ... ,` i,-- State Surgeon General
Laboratory Scope of Accreditation Page 10 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Benzene EPA 602 Volatile Organics NELAP 5,232001
Benzene EPA 624 Volatile Organics NELAP 5232001
Benzene EPA 8021 Volatile Organics NELAP 7/1/2003
Benzene EPA 8260 Volatile Organics NELAP 7/1/2003
Benzidine EPA 625 Extractable Organics NELAP 8/82002
Benzidnne EPA 8270 Extractable Organics NELAP 7/1/2003
Benzo(a)anthracene EPA 610 Extractable Organics NELAP 5232001
Benzo(a)anthracene EPA 625 Extractable Organics NELAP 5232001
Benzo(a)anthracene EPA 8270 Extractable Organics NELAP 7/1/2003
Benzo(a)anthracene EPA 8310 Extractable Organics NELAP 7/1/2003
Benzo(a)pyrene EPA 610 Extractable Organics NELAP 5232001
Benzo(a)pyrene EPA 625 Extractable Organics NELAP 5232001
Benzo(a)pyrene EPA 8270 Extractable Organics NELAP 7/1/2003
Benzo(a)pyrene EPA 8310 Extractable Organics NELAP 7/1/2003
Benzo(b)fluoranthene EPA 610 Extractable Organics NELAP 5232001 i
Benzo(b)fluoranthene EPA 625 Extractable Organics NELAP 5/23/2001
Benzo(b)fluoranthene EPA 8270 Extractable Organics NELAP 7/1/2003 II�
Benzo(b)fluoranthene EPA 8310 Extractable Organics NELAP 7/1/2003
Benzo(g,h,i)perylene EPA 610 Extractable Organics NELAP 5232001
Benzo(g,h,i)perylene EPA 625 Extractable Organics NELAP 5/23/2001
Benzo(g,h,i)perylene EPA 8270 Extractable Organics NELAP 7/12003
Benzo(g,h,i)perylene EPA 8310 Extractable Organics NELAP 7/12003
Benzo(k)fluoranthene EPA 610 Extractable Organics NELAP 5/23/2001
Benzo(k)fluoranthene EPA 625 Extractable Organics NELAP 5/23/2001
Benzo(k)fluoranthene EPA 8270 Extractable Organics NELAP 7/1/2003
Benzo(k)fluoranthene EPA 8310 Extractable Organics NELAP 7/1/2003
Benzoic acid - EPA 8270 Extractable Organics NELAP 7/1/2003
Benzyl alcohol EPA 8270 Extractable Organics NELAP 7/1/2003
Beryllium EPA 200 7 Metals NELAP 5/23/2001
Beryllium EPA 200 8 Metals NELAP 7/30/2009
Beryllium EPA 6010 Metals NELAP 7/12003
Beryllium EPA 6020 Metals NELAP 3/19/2007
beta -BHC (beta- Hexachlorocyclohexane) EPA 608 Pesncides- Herbicides -PCB's NELAP 5/23/2001
beta -BHC (beta- Hexachlorocyclohexane) EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/12003
Biochemical oxygen demand SM 5210 B General Chemistry NELAP 5/23/2001
bis(2- Chloroethoxy)methane EPA 625 Extractable Organics NELAP 5/23/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
I
A E "K
Charlie Cnst Lk "117,:.1. a it 's' ' �' h -, wV ,.. Ana M Viamonte Ros M D M P.H
Governor ] .G ;> State Surgeon General
Laboratory Scope of Accreditation Page 11 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
bis(2- Chloroethoxy)methane EPA 8270 Extractable Organics NELAP 7/1/2003
bis(2- Chloroethyl) ether EPA 625 Extractable Organics NELAP 5/23/2001
bis(2- Chloroethyl) ether EPA 8270 Extractable Organics NELAP 7/1/2003
bis(2- Chloroisopropyl) ether EPA 625 Extractable Organics NELAP 5/23/2001
(2,'- Oxybis(t- chloropropane))
bis(2- Chloroisopropyl) ether EPA 8270 Extractable Organics NELAP 7/1/2003
(2 ,2'- Oxybis(1- chloropropane))
bis(2- Ethylhexyl) phthalate (DEHP) EPA 625 Extractable Organics NELAP 5/23/2001
bis(2- Ethylhexyl) phthalate (DEHP) EPA 8270 Extractable Organics NELAP 7/1/2003
Boron EPA 200 7 Metals NELAP 5232001
Boron EPA 6010 Metals NELAP 7/1/2003
Bromide EPA 300 0 General Chemistry NELAP 5232001
Bromide EPA 9056 General Chemistry NELAP 7/1/2003
Bromide SM 4110 B General Chemistry NELAP 3/192007
Bromobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Bromochloromethane EPA 8260 Volatile Organics NELAP 7/1/2003
Bromodichloromethane EPA 624 Volatile Organics NELAP 5/23/2001
Bromodichloromethane EPA 8260 Volatile Organics NELAP 7/1/2003
Bromoform EPA 624 Volatile Organics NELAP 5/23/2001
Bromoform EPA 8260 Volatile Organics NELAP 7/1/2003
Butyl benzyl phthalate EPA 625 Extractable Organics NELAP 5/23/2001
Butyl benzyl phthalate EPA 8270 Extractable Organics NELAP 7/1/2003
Cadmium EPA 200 7 Metals NELAP 5232001
Cadmium EPA 200 8 Metals NELAP 7/30/2009
Cadmium EPA 6010 Metals NELAP 5/23/2001
Cadmium EPA 6020 Metals NELAP 3/192007
Calcium EPA 200 7 Metals NELAP 5232001
Calcium EPA 6010 Metals NELAP 7/1/2003
Carbazole EPA 625 Extractable Organics NELAP 5/192005
Carbazole EPA 8270 Extractable Organics NELAP 7/1/2003
Carbon disulfide EPA 8260 Volatile Organics NELAP 7/1/2003
Carbon tetrachloride EPA 624 Volatile Organics NELAP 5/23/2001
Carbon tetrachloride EPA 8260 Volatile Organics NELAP 7/1/2003
Carbonaceous BOD (CBOD) SM 5210 B General Chemistry NELAP 5232001
Chemical oxygen demand EPA 410 4 General Chemistry NELAP 5232001
Chemical oxygen demand SM 5220 D General Chemistry NELAP 3/19/2007
Chloramben EPA 8151 Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
;EC.
Charlie Crist p• t)
r � i I Ana M Viamonte Ras M D b1 P H
Governor . - _. ,ti State Surgeon General
Laboratory Scope of Accreditation Page 12 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Chlordane (tech) EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Chlordane (tech) EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Chloride EPA 300 0 General Chemistry NELAP 5/232001
Chloride EPA 9056 General Chemistry NELAP 7/12003
Chloride EPA 9251 General Chemistry NELAP 7/12003
Chloride SM 411013 General Chemistry NELAP 3/19/2007
Chloride SM 4500 -CI E General Chemistry NELAP 3/192007
Chlorobenzene EPA 602 Volatile Organics NELAP 5/23/2001
Chlorobenzene EPA 624 Volatile Organics NELAP 5232001
Chlorobenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Chlorobenzilate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Chloroethane EPA 624 Volatile Organics NELAP 5232001
Chloroethane EPA 8260 Volatile Organics NELAP 7/1/2003
Chloroform EPA 624 Volatile Organics NELAP 5/23/2001
Chloroform EPA 8260 Volatile Organics NELAP 7/1/2003
Chloroprene EPA 8260 Volatile Organics NELAP 5/19/2005
Chromium EPA 200 7 Metals NELAP 5232001
Chromium EPA 200 8 Metals NELAP 7/302009
Chromium EPA 6010 Metals NELAP 7/12003
Chromium EPA 6020 Metals NELAP 3/19/2007
Chromium VI EPA 218.4 General Chemistry NELAP 5232001
Chromium VI EPA 7196 General Chemistry NELAP 7/12003
Chromium VI SM 3500 -Cr B (20th/21st General Chemistry NELAP 3/19/2007
Ed )/UV -VIS
Chrysene EPA 610 Extractable Organics NELAP 5/23/2001
Chrysene EPA 625 Extractable Organics NELAP 5/23/2001
Chrysene EPA 8270 Extractable Organics NELAP 7/1/2003
Chrysene EPA 8310 Extractable Organics NELAP 7/1/2003
cis -1,2 -D ichl oroethy lene EPA 8260 Volatile Organics NELAP 7/1/2003
cis -1,3- Dichloropropene EPA 624 Volatile Organics NELAP 5232001
cis -1,3- Dichloropropene EPA 8260 Volatile Organics NELAP 7/1/2003 i
Cobalt EPA 200 7 Metals NELAP 5232001
Cobalt EPA 200 8 Metals NELAP 7/30/2009
Cobalt EPA 6010 Metals NELAP 7/12003
Cobalt EPA 6020 Metals NELAP 3/192007 I
Conductivity EPA 120 1 General Chemistry NELAP 5232001
Conductivity EPA 9050 General Chemistry NELAP 7/12003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I I
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41- .. `A -. J . yes; : •!: '�:zA
Charlie Crist '{- a ' .1i. Ana M Viamonte Ros M D . M P H
Governor a `- , " _. State Surgeon General
Laboratory Scope of Accreditation Page 13 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Conductivity SM 2510 B General Chemistry NELAP 3/192007
Copper EPA 200 7 Metals NELAP 5/23/2001
Copper EPA 200 8 Metals NELAP 7/30/2009
Copper EPA 6010 Metals NELAP 5232001
Copper EPA 6020 Metals NELAP 3/19/2007
Corrosivity (pH) EPA 9040 General Chemistry NELAP 7/1/2003
Cyanide EPA 335 4 General Chemistry NELAP 5232001
Dacthal (DCPA) EPA 8151 Extractable Organics NELAP 7/12003
Dalapon EPA 8151 Extractable Organics NELAP 7/1/2003
Dalapon SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/19/2005
delta -BHC EPA 608 Pesticides- Herbicides -PCB's NELAP 5/23/2001
delta -BHC EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1/2003
Diallate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/302009
Dibenz(a,h)anthracene EPA 610 Extractable Organics NELAP 5/23/2001
Dibenz(a,h)anthracene EPA 625 Extractable Organics NELAP 5232001
Dibenz(a,h)anthracene EPA 8270 Extractable Organics NELAP 7/1/2003
Dibenz(a,h)anthracene EPA 8310 Extractable Organics NELAP 7/1/2003
Dibenzofuran EPA 8270 Extractable Organics NELAP 7/1/2003
Dibromochloromethane EPA 624 Volatile Organics NELAP 5232001
Dibromochloromethane EPA 8260 Volatile Organics NELAP 7/1/2003
Dibromomethane EPA 8260 Volatile Organics NELAP 7/1/2003
Mamba EPA 815! Extractable Organics NELAP 7/1/2003
Dicamba SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/192005
Dichlorodifluoromethane EPA 8260 Volatile Organics NELAP 7/1/2003
Dichloroprop (Dichlorprop) EPA 8151 Extractable Organics NELAP 7/1/2003
Dichloroprop ( Dichlorprop) SM 6640 B Pesticides- Herbicides -PCB's NELAP 5/19/2005
D.eldrm EPA 608 Pesticides- Herbicides -PCB's NELAP 5232001
Dieldrin EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1/2003
Diesel range organics (DRO) EPA 8015 Extractable Organics NELAP 7/1/2003
Diesel range organics (DRO) MA -EPH Extractable Organics NELAP 7/1/2003
Diesel range organics (DRO) NWTPH -Dx Extractable Organics NELAP 7/1/2003
Diesel range organics (DRO) NWTPH -EPH Extractable Organics NELAP 7/30/2009
Diesel range organics (DRO) 0A -2 Extractable Organics NELAP 7/12003
Diesel range organics (DRO) OK -DRO Extractable Organics NELAP 7/1/2003
Diesel range organics (DRO) SOP SA04- 22/8270/GC -MS Extractable Organics NELAP 3/19/2007
Diesel range organics (DRO) TN -EPH Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010 ,
" a e' •
' c411.1,---"r, D Ana M Vtamonte Ros M D M P.H
Charile Crlst ,� . i : h ¢ Govemor °�� . ti" "m; ©� ;- a State Surgeon General
Laboratory Scope of Accreditation Page 14 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Diesel range organics (DRO) WI -DRO Extractable Organics NELAP 7/1/2003
Diethyl ether EPA 8260 Volatile Organics NELAP 7/1 /2003
Diethyl phthalate EPA 625 Extractable Organics NELAP 5 /23 /2001
Diethyl phthalate EPA 8270 Extractable Organics NELAP 7/1 /2003
Dimethoate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30 /2009
Dimethyl phthalate EPA 625 Extractable Organics NELAP 5 /23 /2001
Dimethyl phthalate EPA 8270 Extractable Organics NELAP 7/1/2003
Di -n -butyl phthalate EPA 625 Extractable Organics NELAP 5 /23 /2001
Di -n -butyl phthalate EPA 8270 Extractable Organics NELAP 7/1/2003
Di -n -octyl phthalate EPA 625 Extractable Organics NELAP 5 /23 /2001
Di- n-octyl phthalate EPA 8270 Extractable Organics NELAP 7/1/2003
Dinoseb (2- sec - butyl- 4,6- dinitrophenol, DNBP) EPA 8151 Extractable Organics NELAP 7/1 /2003
Dinoseb (2- sec - butyl -4.6- dinitrophenol, DNBP) EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Dinoseb (2- sec - butyl -4,6- dinitrophenol, DNBP) SM 6640 B Pesticides- Herbicides -PCB's NELAP 5/19/2005
Disulfoton EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30 /2009
Endosulfan I EPA 608 Pesticides - Herbicides -PCB's NELAP 5 /23 /2001
Endosulfan I EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1 /2003
Endosulfan II EPA 608 Pesticides - Herbicides -PCB's NELAP 5 /23/2001
Endosulfan II EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1 /2003
Endosulfan sulfate EPA 608 Pesticides - Herbicides -PCB's NELAP 5 /23 /2001
Endosulfan sulfate EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Endnn EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Endnn EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1 /2003
Endnn aldehyde EPA 608 Pesticides- Herbicides -PCB's NELAP 5 /23 /2001
Endrin aldehyde EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1 /2003
Endnn ketone EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1 /2003
Ethane RSK -175 Volatile Organics NELAP 3/19 /2007
Ethanol EPA 8015 Extractable Organics NELAP 7/1 /2003 1
Ethanol EPA 8260 Volatile Organics NELAP 5/19/2005
Ethyl methacrylate EPA 8260 Volatile Organics NELAP 7/1 /2003 1
Ethyl methanesulfonate EPA 8270 Extractable Organics NELAP 7/30/2009
I
Ethyl tert-butyl alcohol SOP Volatile Organics NELAP 7/1/2003
SA05 -77 8 /8260 /GC -MS !
Ethyl benzene EPA 602 Volatile Organics NELAP 5 /23 /2001
Ethylbenzene EPA 624 Volatile Organics NELAP 5/23 /2001
Ethylbenzene EPA 8021 Volatile Organics NELAP 7/1/2003
Ethylbenzene EPA 8260 Volatile Organics NELAP 7/1 /2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
Charlie Cnst ;.: a : s rir 6° Ana M Viamonte Ros M D M P H
Governor ,:e. 4 -,� . '.." State Surgeon General
Laboratory Scope of Accreditation Page 15 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited I
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Ethylene RSK -175 Volaule Organics NELAP 3/19/2007
Ethylene glycol EPA 8015 Extractable Organics NELAP 7/1/2003 1
Ethyl -t- butylether (ETBE) SOP Volatile Organics NELAP 7/1/2003
SA05 -77 8/8260 /GC -MS
Ferrous iron SM 3500 -Fe B (20th/21st General Chemistry NELAP 3/19/2007
Ed )/UV -VIS
Fluoranthene EPA 610 Extractable Organics NELAP 5/23/2001
Fluoranthene EPA 625 Extractable Organics NELAP 5/23/2001
Fluoranthene EPA 8270 Extractable Organics NELAP 7/1/2003 i
Fluoranthene EPA 8310 Extractable Organics NELAP 7/1/2003
Fluorene EPA 610 Extractable Organics NELAP 5/23/2001
Fluorene EPA 625 Extractable Organics NELAP 5/23/2001
Fluorene EPA 8270 Extractable Organics NELAP 7/1/2003
Fluorene EPA 8310 Extractable Organics NELAP 7/1/2003
Fluoride EPA 300 0 General Chemistry NELAP 5/23/2001
Fluoride EPA 9056 General Chemistry NELAP 7/12003
Fluoride EPA 9214 General Chemistry NELAP 7/1/2003
Fluoride SM 4110 B General Chemistry NELAP 3/19/2007
Fluoride SM 4500 F-C General Chemistry NELAP 3/19/2007
Formaldehyde EPA 8315 Extractable Organics NELAP 7/1/2003
gamma -BHC (Lindane, EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
gamma - Hexachlorocyclohexane)
gamma -BHC (Lindane, EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
gamma- Hexachlorocyclohexane)
gamma - Chlordane EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Gasoline range organics (GRO) EPA 8015 Volatile Organics NELAP 7/1/2007
Gasoline range organics (GRO) MA -VPH Volatile Organics NELAP 7/1/2007
Gasoline range organics (GRO) NWTPH -Gx Volatile Organics NELAP 7/1/2007
Gasoline range organics (GRO) NWTPH -VPH Volatile Organics NELAP 7/302009
Gasoline range organics (GRO) OA -1 Volatile Organics NELAP 7/1/2007
Gasoline range organics (GRO) OK -GRO Volatile Organics NELAP 7/1/2007
Gasoline range organics (GRO) SOP SA05 -77 /8260 /GC -MS Volatile Organics NELAP 3/19/2007
Gasoline range organics (GRO) WI-GRO Volatile Organics NELAP 7/1/2007
Heptachlor EPA 608 Pesticides - Herbicides -PCB's NELAP 5232001 I
Heptachlor EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003
Heptachlor epoxide EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Heptachlor epoxide EPA 8081 Pesticides - Herbicides -PCB's NELAP 7/1/2003 1
Hexachlorobenzene EPA 625 Extractable Organics NELAP 5/23/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010 1
St . c•,
�) : `%^� `i ll ♦ '
Al. -
Charlle Cnst *, t c
5;75 a , Ana M Viamonte Ros M D M P H
Governor h L 4 ' ' - 0 . State Surgeon General
Laboratory Scope of Accreditation Page 16 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category Type Effective Date
Hexachlorobenzene EPA8270 Extractable Organics NELAP 7/1/2003
Hexachlorobutadiene EPA 625 Extractable Organics NELAP 5/232001
Hexachlorobutadiene EPA 8260 Volatile Organics NELAP 7/1/2003
Hexachlorobutadiene EPA 8270 Extractable Organics NELAP 7/1/2003
Hexachlorocyclopentadiene EPA 625 Extractable Organics NELAP 5/23/2001 1
Hexachlorocyclopentadiene EPA 8270 Extractable Organics NELAP 7/1/2003
Hexachloroethane EPA 625 Extractable Organics NELAP 5/23/2001
Hexachloroethane EPA 8270 Extractable Organics NELAP 7/12003
Hexachlorophene EPA 8270 Extractable Organics NELAP 7/30/2009
Hexachloropropene EPA 8270 Extractable Organics NELAP 7/302009
lndeno(1,2,3- cd)pyrene EPA 610 Extractable Organics NELAP 5232001
Indeno(1 ,2,3- cd)pyrene EPA 625 Extractable Organics NELAP 5232001
lndeno(1,2,3- cd)pyrene EPA 8270 Extractable Organics NELAP 7/12003
Indeno(1,2,3- cd)pyrene EPA 8310 Extractable Organics NELAP 7/1/2003
lodomethane (Methyl iodide) EPA 8260 Volatile Organics NELAP 7/12003
Iron EPA 200 7 Metals NELAP 5232001
Iron EPA 6010 Metals NELAP 7/1/2003
Iron EPA 6020 Metals NELAP 3/192007
Isobutyl alcohol (2- Methyl -l- propanol) EPA 8015 Extractable Organics NELAP 7/12003
Isobutyl alcohol (2- Methyl -l- propanol) EPA 8260 Volatile Organics NELAP 5/19/2005
Isodnn EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/302009
Isophorone EPA 625 Extractable Organics NELAP 5/23/2001
lsophorone EPA 8270 Extractable Organics NELAP 7/12003
Isopropyl alcohol (2- Propanol) EPA 8015 Extractable Organics NELAP 7/1/2003
Isopropyl alcohol (2•Propanol) EPA 8260 Volatile Organics NELAP 7/1/2003
Isopropyl ether SOP Volatile Organics NELAP 7/1/2003
SA05 -77 8 /8260 /GC -MS
Isopropyl ether SOP Volatile Organics NELAP 7/1/2003
SA05 -90 1 /8021 /GC -ELCD/
PID
Isopropylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Isosafrole EPA 8270 Extractable Organics NELAP 7/302009
Kepone EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
K,leldahl nitrogen - total EPA 351 2 General Chemistry NELAP 5/23/2001
Lead EPA 200 7 Metals NELAP 5232001
Lead EPA 200 8 Metals NELAP 7/30/2009 I
Lead EPA 6010 Metals NELAP 5/23/2001
Lead EPA 6020 Metals NELAP 3/19/2007 !
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
0 •EC•
PEA �� ; ; .,2 414 Viamonte Ros M D M P.H 1
Charlie Cnst a — I�4L i, ^ - 3
1,a Ana M ' ` State Surgeon General
Governor _w • 1- - -�
Laboratory Scope of Accreditation Page 17 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category Type Effective Date
m/p- Xylenes EPA 8260 Volatile Organics NELAP 7/30/2009
Magnesium EPA 200 7 Metals NELAP 5232001
Magnesium EPA 6010 Metals NELAP 7/1/2003
Manganese EPA 200.7 Metals NELAP 5/232001
Manganese EPA 200 8 Metals NELAP 7/302009
Manganese EPA 6010 Metals NELAP 7/1/2003
Manganese EPA 6020 Metals NELAP 3/19/2007
MCPA EPA 8151 Extractable Organics NELAP 7/1/2003
MCPA SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/19/2005
MCPP EPA 8151 Extractable Organics NELAP 7/1/2003
MCPP SM 6640 B Pesticides- Herbicides -PCB's NELAP 5/19/2005
Mercury EPA 245 1 Metals NELAP 5232001
Mercury EPA 7470 Metals NELAP 5/23/2001
Mercury SM 3112 B Metals NELAP 3/19/2007
Methacrylonitrile EPA 8260 Volatile Organics NELAP 5/19/2005 i
Methane RSK -175 Volatile Organics NELAP 3/19/2007
Methanol EPA 8015 Extractable Organics NELAP 7/1/2003
Methapynlene EPA 8270 Extractable Organics NELAP 7/302009
Methoxychlor EPA 608 2 Pesticides - Herbicides -PCB's NELAP 5232001
Methoxychlor EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1/2003
Methoxychlor SM 6630 B Pesticides - Herbicides -PCB's NELAP 3/19/2007
Methyl bromide (Bromomethane) EPA 624 Volatile Organics NELAP 5/23/2001
Methyl bromide (Bromomethane) EPA 8260 Volatile Organics NELAP 7/1/2003
Methyl chloride (Chloromethane) EPA 624 Volatile Organics NELAP 5/23/2001
Methyl chloride (Chloromethane) EPA 8260 Volatile Organics NELAP 7/1/2003
Methyl methacrylate EPA 8260 Volatile Organics NELAP 7/1/2003
Methyl methanesulfonate EPA 8270 Extractable Organics NELAP 7/30/2009
Methyl parathion (Parathion, methyl) EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/302009
Methyl tert-butyl ether (MTBE) EPA 8021 Volatile Organics NELAP 7/12003
Methyl tert-butyl ether (MTBE) EPA 8260 Volatile Organics NELAP 7/12003
Methyl tert -butyl ether (MTBE) SOP Volatile Organics NELAP 4/92003
S A05 -1241 /602/G C -P ID
Methylene chlonde EPA 624 Volatile Organics NELAP 5/23/2001
Methylene chloride EPA 8260 Volatile Organics NELAP 7/1/2003
Molybdenum EPA 200 7 Metals NELAP 5232001
Molybdenum EPA 200 8 Metals NELAP 7/30/2009 ■
Molybdenum EPA 6010 Metals NELAP 5/23/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
1
■
1. 1 rA iy3, r J rrf . ' ': ' y
Charlie Crlst " �
F � ,; Ana M Viamonte Ros M D M P H
Governor ! � <'� F..� 1 State Surgeon General
Laboratory Scope of Accreditation Page 18 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
' State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Molybdenum EPA 6020 Metals NELAP 3/19/2007
Naphthalene EPA 610 Extractable Organics NELAP 5/23/2001
Naphthalene EPA 625 Extractable Organics NELAP 5/23/2001
Naphthalene EPA 8021 Volatile Organics NELAP 7/12003
Naphthalene EPA 8260 Volatile Organics NELAP 7/12003
Naphthalene EPA 8270 Extractable Organics NELAP 7/12003
Naphthalene EPA 8310 Extractable Organics NELAP 7/1/2003
n -Butyl alcohol EPA 8015 Extractable Organics NELAP 7/1/2003
n -Butyl alcohol EPA 8260 Volatile Organics NELAP 7/12003
n- Butylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Nickel EPA 200 7 Metals NELAP 5/23/2001
Nickel EPA 200 8 Metals NELAP 7/30/2009
Nickel EPA 6010 Metals NELAP 5/23/2001
Nickel EPA 6020 Metals NELAP 3/19/2007
Nitrate EPA 9056 General Chemistry NELAP 7/1/2003
Nitrate SM 4110B General Chemistry NELAP 3/192007
Nitrate as N EPA 300 0 General Chemistry NELAP 5232001
Nitrate as N EPA 353 2 General Chemistry NELAP 5232001
Nitrate as N SM 4500 -NO3 F General Chemistry NELAP 3/192007
Nitrate - nitrite EPA 300 0 General Chemistry NELAP 5232001
Nitrate - nitrate EPA 353 2 General Chemistry NELAP 5232001
Nitrite EPA 9056 General Chemistry NELAP 7/1/2003
Nitrite SM 4110 B General Chemistry NELAP 3/192007
Nitrite SM 4500 -NO3 F General Chemistry NELAP 3/19/2007
Nitrite as N EPA 300 0 General Chemistry NELAP 5/23/2001
Nitrite as N EPA 353 2 General Chemistry NELAP 5/23/2001
Nitrobenzene EPA 625 Extractable Organics NELAP 5232001
Nitrobenzene EPA 8270 Extractable Organics NELAP 7/1/2003
Nitrobenzene EPA 8330 Extractable Organics NELAP 7/1/2003
Nitroquinoline -1 -oxide EPA 8270 Extractable Organics NELAP 7/302009
n- Nitrosodiethylamine EPA 8270 Extractable Organics NELAP 7/302009
n- Nitrosodimethylamine EPA 625 Extractable Organics NELAP 5232001
n- Nitrosodimethylamine EPA 8270 Extractable Organics NELAP 7/1/2003
n- Nitroso- di- n- butylamine EPA 8270 Extractable Organics NELAP 7/30/2009
n- Nitrosodi -n- propylamine EPA 625 Extractable Organics NELAP 5/23/2001
n- Nitrosodi-n- propylamine EPA 8270 Extractable Organics NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
- ::: C.
'' en N A ✓ �rT p
Charlie Grist 1 w'r x. � 1 ` y N i I •+-+ ;1.' Ana M Viamonte Ros M D.. M P H
Governor �.... „ .0 : -,: State Surgeon General
Laboratory Scope of Accreditation Page 19 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
n- Nitrosodiphenylamme EPA 625 Extractable Organics NELAP 5/23/2001
n-Nitrosodiphenylamine EPA 8270 Extractable Organics NELAP 7/1/2003
n- Nitrosomethylethylamine EPA 8270 Extractable Organics NELAP 7/30 /2009
n- Nitrosomorpholine EPA 8270 Extractable Organics NELAP 7/30 /2009
n- Nitrosopiperidine EPA 8270 Extractable Organics NELAP 7/30 /2009
n•Nitrosopyrrolidine EPA 8270 Extractable Organics NELAP 7/30 /2009
n- Propanol EPA 8015 Extractable Organics NELAP 7/1 /2003
n- Propylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
o,o,o- Triethyl phosphorothioate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30 /2009
Octahydro- 1,3,5,7- tetramtro- 1,3,5,7- tetrazocine EPA 8330 Extractable Organics NELAP 7/1 /2003
(HMX)
Oil & Grease EPA 1664A General Chemistry NELAP 5/23 /2001
Oil & Grease EPA 9070 General Chemistry NELAP 7/1/2003
Orthophosphate as P SM 4500 -P E General Chemistry NELAP 3/19 /2007
o- Toluidine EPA 8270 Extractable Organics NELAP 7/30 /2009
Oxygen, dissolved SM 4500 -0 G General Chemistry NELAP 3/19/2007
o- Xylene EPA 8260 Volatile Organics NELAP 7/30 /2009
Parathion, ethyl EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/30 /2009
Pentachlorobenzene EPA 8270 Extractable Organics NELAP 7/30/2009
Pentachloromirobenzene EPA 8270 Extractable NELAP 7/30 /2009
Organ ics,Pesticides- Herbicides -PCB'
s
Pentachlorophenol EPA 625 Extractable Organics NELAP 5/23 /2001
Pentachlorophenol EPA 8151 Extractable Organics NELAP 7/1 /2003
Pentachlorophenol EPA 8270 Extractable Organics NELAP 7/1 /2003
pH EPA 9040 General Chemistry NELAP 7/1 /2003
pH SM 4500 -H B General Chemistry NELAP 3/19/2007
Phenacetin EPA 8270 Extractable Organics NELAP 7/30 /2009
Phenanthrene EPA 610 Extractable Organics NELAP 5 /23 /2001
Phenanthrene EPA 625 Extractable Organics NELAP 5/23!2001
Phenanthrene EPA 8270 Extractable Organics NELAP 7/1 /2003
Phenanthrene EPA 8310 Extractable Organics NELAP 7/1 /2003 ■
Phenol EPA 625 Extractable Organics NELAP 5/23/2001
Phenol EPA 8270 Extractable Organics NELAP 7/12003
Phorate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30 /2009
Phosphorus, total EPA 365 4 General Chemistry NELAP 5 /23 /2001
Picloram EPA 8151 Extractable Organics NELAP 7/1 /2003
p- lsopropyltoluene EPA 8260 Volatile Organics NELAP 7/1 /2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
1
Charlie Crlst Ana a M Vlamonte Ros MD MP H
Governor �._ ; �:, i r ' State Surgeon General
Laboratory Scope of Accreditation Page 20 of 35 I
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method /Tech Category T Effective Date
Potassium EPA 200 7 Metals NELAP 9/4/2007
Potassium EPA 6010 Metals NELAP 9/4/2007
Pronamide (Kerb) EPA 8270 Extractable Organics NELAP 7/302009
Propionitrile (Ethyl cyanide) EPA 8260 Volatile Organics NELAP 7/12003
Pyrene EPA 610 Extractable Organics NELAP 5232001
Pyrene EPA 625 Extractable Organics NELAP 5232001
Pyrene EPA 8270 Extractable Organics NELAP 7/1/2003
Pyrene EPA 8310 Extractable Organics NELAP 7/12003
Pyridine EPA 8270 Extractable Organics NELAP 7/1/2003
RDX (hexahydro- 1,3,5- trinitro- 1,3,5- triaztne) EPA 8330 Extractable Organics NELAP 7/1/2003
Residue - filterable (TDS) SM 2540 C General Chemistry NELAP 3/192007
Residue- nonfilterable (TSS) SM 2540 D General Chemistry NELAP 3/19/2007
Residue - settleable SM 2540 F General Chemistry NELAP 3/192007
Residue -total SM 2540 B General Chemistry NELAP 3/192007
Residue - volatile EPA 160 4 General Chemtstry NELAP 5232001
Safrole EPA 8270 Extractable Organics NELAP 7/302009
sec - Butylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Selenium EPA 200 7 Metals NELAP 5/23/2001
Selenium EPA 200 8 Metals NELAP 7/30/2009
Selenium EPA 6010 Metals NELAP 5232001
Selenium EPA 6020 Metals NELAP 3/19/2007
Silica as SO2 t SM 4500 -Si02 C (20t11/21st General Chemistry NELAP 3/19/2007
Ed)
Silver EPA 200 7 Metals NELAP 5232001
Silver EPA 200 8 Metals NELAP 7/30/2009
Silver EPA 6010 Metals NELAP 7/1/2003
Silver EPA 6020 Metals NELAP 3/19/2007
Silvex (2,4,5 -TP) EPA 8151 Extractable Organics NELAP 7/1/2003
Silvex (2,4,5 -TP) SM 6640 B Pesticides - Herbicides -PCB's NELAP 5/19/2005
Sodium EPA 200 7 Metals NELAP 5232001
Sodium EPA 6010 Metals NELAP 7/1/2003 '
Strontium EPA 6010 Metals NELAP 7/1/2003
Styrene EPA 8260 Volatile Organics NELAP 7/1/2003
Sulfate ASTM D516 -02 General Chemistry NELAP 9/8/2008
Sulfate ASTM D516 -90 General Chemistry NELAP 9/8/2008
Sulfate EPA 300 0 General Chemistry NELAP 5/23/2001
Sulfate EPA 9038 General Chemistry NELAP 7/1/2003
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program.
Y g Issue Date: 2/25/2010 Expiration Date: 6/30/2010
Charlle Crlst r Ana M Vlamonte Ros M D M P H
Governor i...�.'�.:. ,; , , •=' State Surgeon General
Laboratory Scope of Accreditation Page 21 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177 '
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non- Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Sulfate EPA 9056 General Chemistry NELAP 7/12003
Sulfate SM 4110 B General Chemistry NELAP 3/192007
Sulfide EPA 9030/9034 General Chemistry NELAP 7/12003
Sulfide SM 4500 -S D/UV -V1S General Chemistry NELAP 3/19/2007
Sulfide SM 4500 -S F (20th2lst General Chemistry NELAP 3/19/2007
Ed)
Sulfite -SO3 SM 4500 -S03 B General Chemistry NELAP 3/19/2007
Sulfotepp EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Surfactants - MBAS SM 5540 C General Chemistry NELAP 3/192007
T- amylmethylether (TAME) SOP Volatile Organics NELAP 7/1/2003
SA0S -77 8 /8260 /GC -MS
tert-Amyl alcohol SOP Volatile Organics NELAP 7/12003
SA05 -77 8 /8260 /GC -MS
tert-Butyl alcohol EPA 8015 Extractable Organics NELAP 7/1/2003
tert-Butyl alcohol EPA 8260 Volatile Organics NELAP 7/1/2003 ,
ten. -Butyl formate SOP Volatile Organics NELAP 7/1/2003
SA05 -77 8 /8260 /GC -MS
tert- Butylbenzene EPA 8260 Volatile Organics NELAP 7/1/2003
Tetrachloroethylene (Perchloroethylene) EPA 624 Volatile Organics NELAP 523200I
Tetrachloroethylene (Perchloroethylene) EPA 8260 Volatile Organics NELAP 7/1/2003
Tetryl (methyl- 2,4,6- trinitrophenylnitramine) EPA 8330 Extractable Organics NELAP 7/1/2003
Thallium EPA 200 7 Metals NELAP 5232001
Thallium EPA 200 8 Metals NELAP 7/30/2009
Thallium EPA 6010 Metals NELAP 7/1/2003
Thallium EPA 6020 Metals NELAP 3/19/2007
Thionazin (Zinophos) EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/302009
Tin EPA 200 7 Metals NELAP 5232001
Tin EPA 6010 Metals NELAP 7/1/2003 '
Tin EPA 6020 Metals NELAP 3/192007 i
Titanium EPA 200 7 Metals NELAP 5232001
Titanium EPA 6010 Metals NELAP 7/1/2003
Titanium EPA 6020 Metals NELAP 3/19/2007
Toluene EPA 602 Volatile Organics NELAP 523200!
Toluene EPA 624 Volatile Organics NELAP 5/23/2001
Toluene EPA 8021 Volatile Organics NELAP 7/1/2003
Toluene EPA 8260 Volatile Organics NELAP 7/1/2003
Total cyanide EPA 9012 General Chemistry NELAP 7/1/2003
Total cyanide SM 4500CN -E Gereral Chemistry NELAP 3/19/2007
Clients and Customers are urged to verify the laboratory's current certification status with
! the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
, SC.
,, A.: WI..., " f.il* Y a �, ;} `S
Charlie Crlsi 'T i
� ; :s,tre Ana M Viamo Ros M D M P H
Governor % 4" ., .. .,;� ...../-' State Surgeon General
Laboratory Scope of Accreditation Page 22 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method /Tech Category Type Effective Date
Total hardness as CaCO3 SM 2340 B Metals NELAP 5/23/2001
Total nitrate - nitrite EPA 9056 General Chemistry NELAP 7/12003
Total nitrate - nitrite SM 4500 -NO3 F General Chemistry NELAP 3/192007
Total organic carbon EPA 9060 General Chemistry NELAP 7/1/2003
Total organic carbon SM 5310 B General Chemistry NELAP 3/192007
Total organic carbon SM 5310 C Extractable Organics NELAP 7/30/2009
Total organic halides (TOX) EPA 9020 General Chemistry NELAP 7/1/2003
Total organic halides (TOX) SM 5320 B General Chemistry NELAP 5/23/2001
Total Petroleum Hydrocarbons (TPH) EPA 1664A General Chemistry NELAP 5232001
Total Petroleum Hydrocarbons (TPH) FL -PRO Extractable Organics NELAP 7/12003
Total Petroleum Hydrocarbons (TPH) TPHCWG Direct Method Extractable Organics NELAP 5/19/2005
Total Petroleum Hydrocarbons (TPH) TX100S Extractable Organics NELAP 7/1/2003
Total Petroleum Hydrocarbons (TPH) TX1006 Extractable Organics NELAP 7/1/2003
Total phenolics EPA 420 4 General Chemistry NELAP 3/192007
Total phenolics EPA 9066 General Chemistry NELAP 7/1/2003
Total residual chlorine SM 4500 -CI 0 General Chemistry NELAP 3/19/2007
Toxaphene (Chlorinated camphene) EPA 608 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Toxaphene (Chlorinated camphene) EPA 8081 Pesticides- Herbicides -PCB's NELAP 7/1/2003
trans- 1,2- Dichloroethylene EPA 624 Volatile Organics NELAP 5232001
trans -1,2- Dichloroethylene EPA 8260 Volatile Organics NELAP 7/112003
trans- 1,3- Dtchloropropylene EPA 624 Volatile Organics NELAP 5/23/2001
trans -1,3- Dichloropropylene EPA 8260 Volatile Organics NELAP 7/1/2003
trans- l,4- Dichloro -2- butene EPA 8260 Volatile Organics NELAP 7/1/2003
Trichloroethene (Trichloroethylene) EPA 624 Volatile Organics NELAP 5232001
Trichloroethene (Trichloroethylene) EPA 8260 Volatile Organics NELAP 7/1/2003
Tnchlorofluoromethane EPA 624 Volatile Organics NELAP 5232001
Tnchlorofluoromethane EPA 8260 Volatile Organics NELAP 7/1/2003
Turbidity EPA 180 1 General Chemistry NELAP 5232001
Turbidity SM 2130 B General Chemistry NELAP 3/192007
Vanadium EPA 200 7 Metals NELAP 5232001
Vanadium EPA 200 8 Metals NELAP 7/30/2009
Vanadium EPA 6010 Metals NELAP 7/12003
Vanadium EPA 6020 Metals NELAP 3/192007
Vinyl acetate EPA 8260 Volatile Organics NELAP 7/1/2003 i
Vinyl chloride EPA 624 Volatile Organics NELAP 5/23/2001
Vinyl chloride EPA 8260 Volatile Organics NELAP 7/12003 I
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. y g Issue Date: 2/25/2010 Expiration Date: 6/30/2010
'FLORIDA " pp :�:. •• , , g am:
Charlie Cnst r � � t
� Ana M Vlamonte Ros M.D MPH
Governor State Surgeon General
Laboratory Scope ofAccreditation Page 23 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Non - Potable Water
Certification
Analyte Method/Tech Category T Effective Date
Xylene (total) EPA 8021 Volatile Organics NELAP 7/1/2003
Xylene (total) EPA 8260 Volatile Organics NELAP 7/1/2003
Xylene (total) SOP Volatile Organics NELAP 4/9/2003
SA05 -124 1 /602/GC -PID
Xylene (total) SOP Volatile Organics NELAP 4/9/2003
SA05.66 2/624 /GC -MS
Zinc EPA 200 7 Metals NELAP 5/23/2001
Zinc EPA 200 8 Metals NELAP 7/30/2009
Zinc EPA 6010 Metals NELAP 5/23/2001
Zinc EPA 6020 Metals NELAP 3/19/2007
1
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
a" n P Charlie Cnst .. . , y� ,� ,, i �;'ti;.,� ;. Ana M Vlamonte Ros M D M P H
Governor �� ' .,_,_ , ;,.% State Surgeon General
Laboratory Scope of Accreditation Page 24 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials '
Certification
Analyte Method/Tech Category T Effective Date
1,1,1,2 - Tetrachloroethane EPA 8260 Volatile Organics NELAP 5/23/2001
1,1,1- Trichloroethane EPA 8260 Votatile Organics NELAP 5232001
1,1,2,2- Tetrachloroethane EPA 8260 Volatile Organics NELAP 5232001
l,1,2- Trichloroethane EPA 8260 Volatile Organics NELAP 5232001
1,1- Dichloroethane EPA 8260 Volatile Organics NELAP 5232001
1,1- Dichloroethylene EPA 8260 Volatile Organics NELAP 5232001
1,1- Dichloropropene EPA 8260 Volatile Organics NELAP 5232001
I,2,3- Trichlorobenzene EPA 8260 Volatile Organics NELAP 5/23/2001
1,2,3- Trichloropropane EPA 8260 Volatile Organics NELAP 5232001
1,2,4,5- Tetrachlorobenzene EPA 8270 Extractable Organics NELAP 7/30/2009
1,2,4 - Trichlorobenzene EPA 8260 Volatile Organics NELAP 5232001
i 1,2,4 - Trichlorobenzene EPA 8270 Extractable Organics NELAP 5/23/2001
1,2,4- Trimethylbenzene EPA 8021 Volatile Organics NELAP 5/23/2001
1,2,4- Trimethylbenzene EPA 8260 Volatile Organics NELAP 5/23/2001
1,2- Dibromo- 3- chloropropane (DBCP) EPA 8260 Volatile Organics NELAP 5232001
1,2- Dibromoethane (EDB, Ethylene dibromide) EPA 8260 Volatile Organics NELAP 5232001
1,2- Dichlorobenzene EPA 8260 Volatile Organics NELAP 5232001
1,2- Dichlorobenzene EPA 8270 Extractable Organics NELAP 5/23/2001
1,2- Dichloroethane EPA 8260 Volatile Organics NELAP 5232001
1,2- Dichloropropane EPA 8260 Volatile Organics NELAP 5/23/2001
1,2- Diphenylhydrazine EPA 8270 Extractable Organics NELAP 5232001
1,3,5- Trimethylbenzene EPA 8260 Volatile Organics NELAP 5232001
1,3,5 - Trinitrobenzene (1,3,5 -TNB) EPA 8270 Extractable Organics NELAP 7/302009
1,3,5 - Trinitrobenzene (1,3,5 -TNB) EPA 8330 Extractable Organics NELAP 5232001
1,3- Dichlorobenzene EPA 8260 Volatile Organics NELAP 5/23/2001
1,3- Dichlorobenzene EPA 8270 Extractable Organics NELAP 5/23/2001
1,3- Dichloropropane EPA 8260 Volatile Organics NELAP 5232001
1,3- Dinitrobenzene (1,3 -DNB) EPA 8270 Extractable Organics NELAP 7/30/2009
1,3- Dinitrobenzene (1,3 -DNB) EPA 8330 Extractable Organics NELAP 5232001
1,4- Dichlorobenzene EPA 8260 Volatile Organics NELAP 5232001
1,4- Dichlorobenzene EPA 8270 Extractable Organics NELAP 5/23/2001
1,4- Dioxane (1,4- Diethyleneoxide) EPA 8260 Volatile Organics NELAP 5/19/2005
1,4- Naphthoquinone EPA 8270 Extractable Organics NELAP 7/30/2009
1- Methylnaphthalene EPA 8310 Extractable Organics NELAP 7/30/2009
1- Methylnaphthalene (added to method at FDEP EPA 8270 Extractable Organics NELAP 7/302009
request)
1- Naphthylamme EPA 8270 Extractable Organics NELAP 7/30/2009
Clients and Customers are urged to verify the laboratory's current certification status with '
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010 1
I
I
•
i
'
Charlie Cnst WI
A
� T t A .. a t: !; Ana M Vlamonie Ros M D M P H
Governor z,.. ri - •State Surgeon General
Laboratory Scope of Accreditation
Page 25 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Analyte Method/Tech Category Certification i
g Y T Type Effective Date
2,2- Dichloropropane EPA 8260 Volatile Organics NELAP 5232001
2,3,4,6-Tetrachlorophenol EPA 8270 Extractable Organics NELAP 7/302009
2,3- Dichloropropene SOP Volatile Organics NELAP 4/9/2003
SA05 -77 8 /8260 /GC -MS
2,4,5 -T EPA 8151 Pesticides - Herbicides -PCB's NELAP 5232001
2,4,5- Trchlorophenol EPA 8270 Extractable Organics NELAP 5232001
2,4,6 - Tnchlorophenol EPA 8270 Extractable Organics NELAP 5232001
2,4,6 - Trinitrotoluene (2,4,6 -TNT) EPA 8330 Extractable Organics NELAP 5232001
2,4 -D EPA 8151 Pesttctdes- Herbicides -PCB's NELAP 5232001
2,4 -DB EPA 8151 Pesticides- Herbicides -PCB's NELAP 5/232001
2,4- Dichlorophenoi EPA 8270 Extractable Organics NELAP 5232001
2,4- Dimethylphenol EPA 8270 Extractable Organics NELAP 5/23/2001
2,4- Dcnttrophenol EPA 8270 Extractable Organics NELAP 5232001
2,4- Dimtrotoluene (2,4 -DNT) EPA 8270 Extractable Organics NELAP 5/23/2001
2,4- Dinitrotoiuene (2,4 -DNT) EPA 8330 Extractable Organics NELAP 10/82002
2,6- Dinitrotoiuene (2,6 -DNT) EPA 8270 Extractable Organics NELAP 5/23/2001
2,6- Dtnitrotoluene (2,6 -DNT) EPA 8330 Extractable Organics NELAP 10/8/2002
2- Acetylaminofluorene EPA 8270 Extractable Organics NELAP 7/30/2009
2- Ammo- 4,6- dinttrotoluene (2- am -dnt) EPA 8330 Extractable Organics NELAP 5/23/2001
2- Butanone (Methyl ethyl ketone, MEK) EPA 8260 Volatile Organics NELAP 5/23/2001
2-Chloronaphthalene EPA 8270 Extractable Organics NELAP 5232001
2- Chlorophenol EPA 8270 Extractable Organics NELAP 5/23/2001
2- Chlorotoluene EPA 8260 Volatile Organics NELAP 5232001
2- Hexanone EPA 8260 Volatile Organics NELAP 5232001
2- Methyl- 4,6- dinitrophenoi EPA 8270 Extractable Organics NELAP 5232001
2- Methylnaphthalene EPA 8270 Extractable Organics NELAP 5/23/2001
2- Methylnaphthalene EPA 8310 Extractable Organics NELAP 7/30/2009
2- Methylphenol (o- Cresol) EPA 8270 Extractable Organics NELAP 5/23/2001
2- Naphthylamine EPA 8270 Extractable Organics NELAP 7/30/2009
2- Nitroaniline EPA 8270 Extractable Organics NELAP 5/23/2001
2- Nitrophenol EPA 8270 Extractable Organics NELAP 5/23/2001
2- Nitrotoluene EPA 8330 Extractable Organics NELAP 5/23/2001
3,3'- Dichlorobenzidine EPA 8270 Extractable Organics NELAP 8/82002
3,5- Dichlorobenzoic acid EPA 8151 Pesticides - Herbicides -PCB's NELAP 5/23/2001
3 /4- Methylphenols (m/p- Cresols) EPA 8270 Extractable Organics NELAP 7/30/2009
3- Methylcholanthrene EPA 8270 Extractable Organics NELAP 7/30/2009
3- Nitroaniline EPA 8270 Extractable Organics NELAP 5/23/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010 I
1
j
. ,yg • EC.
Charlie Crist RAJ Ana M Vlamonie Ras M,D M P H
Governor �. .,. t.`_ State Surgeon General
Laboratory Scope of Accreditation Page 26 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
•
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive �
Nashville, TN 37204
Matrix: ' Solid and Chemical Materials
Certification
Analyte Method/Tech Category T Effective Date
3- Nrtrotoluene EPA 8330 Extractable Organics NELAP 5232001
4,4' -DDD EPA 8081 Pesticides- Herbicides -PCB's NELAP 5232001
4,4' -DDE EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23/2001
4,4' -DDT EPA 8081 Pesticides- Herbicides -PCB's NELAP 5/23/2001
4- Amino- 2,6- dinitrotoluene (4- am -dnt) EPA 8330 Extractable Organics NELAP 5232001
4- Ammobiphenyl EPA 8270 Extractable Organics NELAP 7/302009
4- Bromophenyl phenyl ether EPA 8270 Extractable Organics NELAP 5232001
4- Chloro -3- methylphenol EPA 8270 Extractable Organics NELAP 5/232001
4- Chloroaniline EPA 8270 Extractable Organics NELAP 5232001
4- Chlorophenyl phenylether EPA 8270 Extractable Organics NELAP 523 /2001
4- Chlorotoluene EPA 8260 Volatile Organics NELAP 5 /232001
4- Dimethyl aminoazobenzene EPA 8270 Extractable Organics NELAP 7/30 /2009
4- Methyl- 2- pentanone (MIRK) EPA 8260 Volatile Organics NELAP 5 /232001
4- Nitroaniline EPA 8270 Extractable Organics NELAP 5/23/2001
4- Nitrophenol EPA 8151 Pesticides - Herbicides -PCB's NELAP 5/23/2001
4-Nitrophenol EPA 8270 Extractable Organics NELAP 523/2001
4- Nitrotoluene EPA 8330 Extractable Organics NELAP 5232001
5- Nitro -o- toluidine EPA 8270 Extractable Organics NELAP 7/302009
7,12- Dimethylbenz(a) anthracene EPA 8270 Extractable Organics NELAP 7/30/2009
Acenaphthene EPA 8270 Extractable Organics NELAP 5/23/2001
Acenaphthene EPA 8310 Extractable Organics NELAP 5/23/2001
Acenaphthylene EPA 8270 Extractable Organics NELAP 5 /23/2001
Acenaphthylene EPA 8310 Extractable Organics NELAP 523/2001
Acetaldehyde EPA 8315 Extractable Organics NELAP 7/30 /2009
Acetone EPA 8260 Volatile Organics NELAP 5/23/2001
Acetonitrile EPA 8260 Volatile Organics NELAP 10/8/2002
Acetophenone EPA 8270 Extractable Organics NELAP 7/30/2009
Acifluorfen EPA 8151 Pesticides- Herbicides -PCB's NELAP 5/23/2001
Acrolein (Propenal) EPA 8260 Volatile Organics NELAP 5 /23/2001
Acrylonitrile EPA 8260 Volatile Organics NELAP 5 /23/2001
Aldrin EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Ally! chloride (3- Clrloropropene) EPA 8260 Volatile Organics NELAP 5/19/2005
alpha -BHC (alpha - Hexachlorocyclohexane) EPA 8081 Pesticides - Herbicides -PCB's NELAP 5 /23/2001
alpha - Chlordane EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23 /2001
Aluminum EPA 6010 Metals NELAP 5/23/2001
Aluminum EPA 6020 Metals NELAP 3/19/2007
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
Charlie Cnst i ; N r f 1 ' . � 11-04 rd f x Ana M. Vtamonte Ros M D MPH.
Governor State Surgeon General
Laboratory Scope of Accreditation Page 27 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville; TN 37204
Matrix: Solid and Chemical Materials
Certification
Analyte Method/Tech Category T Effective Date
Aniline EPA 8270 Extractable Organics NELAP 5/232001
Anthracene EPA 8270 Extractable Organics NELAP 5/23/2001
Anthracene EPA 8310 Extractable Organics NELAP 5/23/2001
Antimony EPA 6010 Metals NELAP 5232001
Antimony EPA 6020 Metals NELAP 3/19/2007
Aroclor -1016 (PCB -1016) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1221 (PCB -1221) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1232 (PCB -1232) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1242 (PCB -1242) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Aroclor -1248 (PCB -1248) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5232001
Aroclor -1254 (PCB -1254) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Aroclor -1260 (PCB -1260) EPA 8082 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Arsenic EPA 6010 Metals NELAP 5/23/2001
Arsenic EPA 6020 Metals NELAP 3/19/2007 ,
i
Barium EPA 6010 Metals NELAP 5/23/2001
Barium EPA 6020 Metals NELAP 3/192007
Benzene EPA 8021 Volatile Organics NELAP 5232 i
001
Benzene EPA 8260 Volatile Organics NELAP 5/23/2001
Benzidine EPA 8270 Extractable Organics NELAP 8/8/2002
Benzo(a)anthracene EPA 8270 Extractable Organics NELAP 5/23/2001
Benzo(a)anthracene EPA 8310 Extractable Organics NELAP 5/23/2001
Benzo(a)pyrene EPA 8270 Extractable Organics NELAP 5/23/2001
Benzo(a)pyrene EPA 8310 Extractable Organics NELAP 5/23/2001
Benzo(b)fluoranthene EPA 8270 Extractable Organics NELAP 5/23/2001
Benzo(b)fluoranthene EPA 8310 Extractable Organics NELAP 5/23/2001
Benzo(g,h,i)perylene EPA 8270 Extractable Organics NELAP 5232001
Benzo(g,h,i)perylene EPA 8310 Extractable Organics NELAP 5/23/2001
Benzo(k)fluoranthene EPA 8270 Extractable Organics NELAP 5/23/2001
Benzo(k)fluoranthene EPA 8310 Extractable Organics NELAP 5/23/2001
Benzoic acid EPA 8270 Extractable Organics NELAP 8/8/2002
Benzyl alcohol EPA 8270 Extractable Organics NELAP 5/23/2001
Beryllium EPA 6010 Metals NELAP 5/23/2001
Beryllium EPA 6020 Metals NELAP 3/19/2007
beta -BHC (beta - Hexachlorocyclohexane) EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23/2001
bis(2- Chloroethoxy)methane EPA 8270 Extractable Organics NELAP 5/23/2001
bis(2- Chloroethyl) ether EPA 8270 Extractable Organics NELAP 5232001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
I
. , � r l‘. -
Charlie Cnst ,' g t 1 J �.;� aE , , 1!1 ; :»x _ ft.
,,. Ana M Viamonte Ros M D M P H
Governor 1 "fr _; �.,!• State Surgeon General
Laboratory Scope of Accreditation Page 28 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Certification
Analyte Method/Tech Category T Effectrve Date
bis(2- Chloroisopropyl) ether EPA 8270 Extractable Organics NELAP 5232001
(2,2'-Oxybis(I - chloropropane))
i bts(2-Ethylhexyl) phthalate (DEHP) EPA 8270 Extractable Organics NELAP 5232001
Boron EPA 6010 Metals NELAP 5/23/2001
Bromide EPA 9056 General Chemistry NELAP 5232001
Bromobenzene EPA 8260 Volatile Organics NELAP 5232001
Bromochloromethane EPA 8260 Volatile Organics NELAP 5232001
Bromodichloromethane EPA 8260 Volatile Organics NELAP 5232001
Bromoform EPA 8260 Volatile Organics NELAP 5/23/2001
Butyl benzyl phthalate EPA 8270 Extractable Organics NELAP 5232001
Cadmium EPA 6010 Metals NELAP 5232001
Cadmium EPA 6020 Metais NELAP 3/192007
Calcium EPA 6010 Metals NELAP 5232001
California Waste Extraction Test CA W E T General Chemistry NELAP 4/9/2003
Carbonic EPA 8270 Extractable Organics NELAP 5232001
Carbon disulfide EPA 8260 Volatile Organics NELAP 5232001
Carbon tetrachloride EPA 8260 Volatile Organics NELAP 5232001
Cation exchange capacity EPA 9081 General Chemistry NELAP 5232001
Chloramben EPA 8151 Pesticides- Herbicides -PCB's NELAP 5232001
Chlordane (tech) EPA 8081 Pesticides- Herbicides -PCB's NELAP 5/23/2001
Chloride EPA 9056 General Chemistry NELAP 5/23/2001
Chlorine EPA 9076 General Chemistry NELAP 5/23/2001
Chlorobenzene EPA 8260 Volatile Organics NELAP 5/23/2001
Chlorobenzilate EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Chloroethane EPA 8260 Volatile Organics NELAP 5232001
Chloroform EPA 8260 Volatile Organics NELAP 5/23/2001
Chloroprene EPA 8260 Volatile Organics NELAP 5/19/2005
Chromium EPA 6010 Metals NELAP 5232001
Chromium EPA 6020 Metals NELAP 3/19/2007
Chromium VI EPA 7196 General Chemistry NELAP 5/23/2001
Chrysene EPA 8270 Extractable Organics NELAP 5232001
Chrysene EPA 8310 Extractable Organics NELAP 5/23/2001
cis- I,2- Dichloroethylene EPA 8260 Volatile Organics NELAP 5232001
cis -1,3 -Di chloropropene EPA 8260 Volatile Organics NELAP 5232001
Cobalt EPA 6010 Metals NELAP 5/23/2001
Cobalt EPA 6020 Metals NELAP 3/192007
Copper EPA 6010 Metals NELAP 5/23/2001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
C �;, 1 ; r r , `• fi � .,. Ana M Viamonte Ros M D. M P.H. harlle Crlst t
Governor : . 2 - L State Surgeon General
Laboratory Scope of Accreditation Page 29 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177 '
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Certification '
Analyte Method/Tech Category T Effective Date
Copper EPA 6020 Metals NELAP 3/19/2007
1 Corrostvity toward steel EPA 1110 General Chemistry NELAP 523200!
Dacthal (DCPA) EPA 8151 Pesticides-Herbicides-PCB's NELAP 5/23/2001
Dalapon EPA 8151 Pesticides- Herbicides -PCB's NELAP 5/23/2001
' delta•BHC EPA 8081 Pesttctdes - Herbicides-PCB's NELAP 5/23/2001
1 Dtallate EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/30/2009
Dibenz(a,h)anthracene EPA 8270 Extractable Organics NELAP 5/23/2001
Dibenz(a,h)anthracene EPA 8310 Extractable Organics NELAP 5/23/2001
Dibenzofuran EPA 8270 Extractable Organics NELAP 5/23/2001
Dibromochloromethane EPA 8260 Volatile Organics NELAP 5/23/2001
Dibromomethane EPA 8260 Volatile Organics NELAP 5/23/2001
Dicamba EPA 8151 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Dichlorodifluoromethane EPA 8260 Volatile Organics NELAP 5/23/2001
Dichloroprop (Dichlorprop) EPA 8151 Pesticides-Herbicides-PCB's NELAP 5232001
Dieldrin EPA 8081 Pesticides-Herbicides-PCB's NELAP 5/23/2001
Diesel range organics (DRO) EPA 8015 Extractable Organics NELAP 5/232001
Diesel range organics (DRO) MA -EPH Extractable Organics NELAP 5232001
Diesel range organics (DRO) NWTPH -Dx Extractable Organics NELAP 10/8/2002
Diesel range organics (DRO) NWTPH -EPH Extractable Organics NELAP 7/30/2009
Diesel range organics (DRO) OA -2 Extractable Organics NELAP 5/23/2001
Diesel range organics (DRO) OK -DRO Extractable Organics NELAP 10/8/2002
I Diesel range organics (DRO) SOP SA04- 22/8270/GC•MS Extractable Organics NELAP 3/192007
Diesel range organics (DRO) TN -EPH Extractable Organics NELAP 5/23/2001
Diesel range organics (DRO) WI -DRO Extractable Organics NELAP 5232001
Diethyl ether EPA 8260 Volaule Organics NELAP 5232001
Diethyl phthalate EPA 8270 Extractable Organics NELAP 5/23/2001
Dimethoate EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/302009
Dtmethyl phthalate EPA 8270 Extractable Organics NELAP 5/23/2001
Di -n -butyl phthalate EPA 8270 Extractable Organics NELAP 5/23/2001
Di- n•octyl phthalate EPA 8270 Extractable Organics NELAP 5232001
Dinoseb (2- sec - butyl- 4,6- dinitrophenol, DNBP) EPA 8151 Pesticides-Herbicides-PCB's NELAP 5/23/2001
Endosulfan 1 EPA 8081 Pesticides- Herbicides -PCB's NELAP 5232001
Endosulfan 11 EPA 8081 Pesticides- Herbicides -PCB's NELAP 5232001
Endosulfan sulfate EPA 8081 Pesticides - Herbicides -PCB's NELAP 5232001
Endrin EPA 8081 Pesticides-Herbicides-PCB's NELAP 5232001
Endrin aldehyde EPA 8081 Pesticides-Herbicides-PCB's NELAP 5232001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
7?` ' EC!
Charlie Chet ` . w •
' Ana M Viamonte Ros M D M P.H
Governor :� `,.,...'_` State Surgeon General
Laboratory Scope of Accreditation Page 30 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Certification
Analyte Metltod/Tech Category T Effective Date
Endrin ketone EPA 8081 Pesticides- Herbicides -PCB's NELAP 5232001
Ethanol EPA 8015 Volatile Organics NELAP 5232001
Ethanol EPA 8260 Volatile Organics NELAP 5/192005
Ethyl methacrylate EPA 8260 Volatile Organics NELAP 5/23/2001
Ethyl methanesulfonate EPA 8270 Extractable Organics NELAP 7/30 /2009
Ethyl tert-butyl alcohol SOP Volatile Organics NELAP 4/92003
SA05 -77 8 /8260 /GC -MS
Ethylbenzene EPA 8021 Volatile Organics NELAP 5 /23/2001
Ethylbenzene EPA 8260 Volatile Organics NELAP 5232001
Ethylene glycol EPA 8015 Volatile Organics NELAP 523 /2001
Ethyl- t- butylether (ETBE) SOP Volatile Organics NELAP 4/92003
SA05 -77 8/8260 /GC -MS
Extractable organic halides (EOX) EPA 9023 General Chemistry NELAP 5 /232001
Fluoranthene EPA 8270 Extractable Organics NELAP 5 /232001
Fluoranthene EPA 8310 Extractable Organics NELAP 5 /23 /2001
Fluorene EPA 8270 Extractable Organics NELAP 5 /232001
Fluorene EPA 8310 Extractable Organics NELAP 5/23/2001
Fluoride EPA 9056 General Chemistry NELAP 5 /232001
Formaldehyde EPA 8315 Extractable Organics NELAP 5232001
gamma -BHC (Lindane, EPA 8081 Pesticides- Herbicides -PCB's NELAP 5/23/2001
gamma- Hexachlorocyclohexane)
gamma - Chlordane EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Gasoline range organics (GRO) EPA 8015 Extractable Organics NELAP 5/23/2001
Gasoline range organics (GRO) MA -VPH Extractable Organics NELAP 5/23/2001
Gasoline range organics (GRO) NWTPH -Gx Extractable Organics NELAP 10/8/2002
Gasoline range organics (GRO) NWTPH -VPH Volatile Organics NELAP 7/30 /2009
Gasoline range organics (GRO) OA -1 Extractable Organics NELAP 10/8/2002
Gasoline range organics (GRO) OK -GRO Extractable Organics NELAP 10/82002
Gasoline range organics (GRO) SOP SA05- 77/8260/GC -MS Volatile Organics NELAP 3/19 /2007
Gasoline range organics (GRO) WI-GRO Extractable Organics NELAP 10/8 /2002
Heptachlor EPA 8081 Pesticides- Herbicides -PCB's NELAP 5/23/2001
Heptachlor epoxide EPA 8081 Pesticides- Herbicides -PCB's NELAP 523 /2001
Hexachlorobenzene EPA 8270 Extractable Organics NELAP 5 /23 /2001
Hexachlorobutadiene EPA 8260 Volatile Organics NELAP 5232001
Hexachlorobutadiene EPA 8270 Extractable Organics NELAP 5232001
Hexachlorocyclopentadiene EPA 8270 Extractable Organics NELAP 523 /2001
Hexachloroethane EPA 8270 Extractable Organics NELAP 5/23/2001
Hexachlorophene EPA 8270 Extractable Organics NELAP 7/30 /2009
I
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
i
'is,- . C •
.v.� ," )1 � .�
Charlie Crist ' • A 2y >∎,x; .: ' Ana M Vlamonte Ros M D M P H
Governor u:.,. _�. ud, t t,'- State Surgeon General
Laboratory Scope of Accreditation Page 31 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only'when associated with a valid certificate.
' State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Certification
Analyte MethodlTech Category T Effective Date
Hexachloropropene EPA 8270 Extractable Organics NELAP 7/302009
Ignitability EPA 1010 General Chemistry NELAP 5/23/2001
In deno(1,2,3-cd)py rene EPA 8270 Extractable Organics NELAP 5/23/2001
Indeno(1,2,3- cd)pyrene EPA 8310 Extractable Organics NELAP 5232001
lodomethane (Methyl iodide) EPA 8260 Volatile Organics NELAP 5/23/2001
Iron EPA 6010 Metals NELAP 5/23/2001
Iron EPA 6020 Metals NELAP 3/192007
Isobutyl alcohol (2- Methyl -1- propanol) EPA 8015 Volatile Organics NELAP 5232001
lsobutyl alcohol (2- Methyl -l- propanol) EPA 8260 Volatile Organics NELAP 5/19/2005
Isodrin EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/30/2009
Isophorone EPA 8270 Extractable Organics NELAP 5/23/2001
Isopropyl alcohol (2- Propanol) EPA 8015 Volatile Organics NELAP 5/23/2001
Isopropyl alcohol (2- Propanol) EPA 8260 Volatile Organics NELAP 10/8/2002
Isopropyl ether SOP Volatile Organics NELAP 4/9/2003
SA05 -77 8 /8260 /GC -MS
Isopropylbenzene EPA 8260 Volatile Organics NELAP 5232001
Isosafrole EPA 8270 Extractable Organics NELAP 7/30/2009
Kepone EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/302009
Lead EPA 6010 Metals NELAP 5232001
Lead EPA 6020 Metals NELAP 3/19/2007
m/p- Xylenes EPA 8021 Volatile Organics NELAP 7/30/2009
m/p- Xylenes EPA 8260 Volatile Organics NELAP 7/30/2009
Magnesium EPA 6010 Metals NELAP 5232001
Manganese EPA 6010 Metals NELAP 5/23/2001
Manganese EPA 6020 Metals NELAP 3/19/2007
MCPA EPA 8151 Pesticides - Herbicides -PCB's NELAP 5/23/2001
MCPP EPA 8151 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Mercury EPA 7471 Metals NELAP 5/23/2001
Methacrylanitnle EPA 8260 Volatile Organics NELAP 5/192005
Methanol EPA 8015 Volatile Organics NELAP 5232001
Methapynlene EPA 8270 Extractable Organics NELAP 7/302009
Methoxychlor EPA 8081 Pesticides-Herbicides-PCB's NELAP 5232001
Methyl bromide (Bromomethane) EPA 8260 Volatile Organics NELAP 5232001
Methyl chloride (Chloromethane) EPA 8260 Volatile Organics NELAP 5/23/2001
Methyl methacryiate EPA 8260 Volatile Organics NELAP 10/8/2002
Methyl methanesulfonate EPA 8270 Extractable Organics NELAP 7/30/2009
Methyl parathion (Parathion, methyl) EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/30/2009
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
.
Charlie Crist A a" s i s -'' ' Ana M Viamonte Ros M D. M P H ,
Governor ' y 'rr* y; }:s, State Surgeon General
Laboratory Scope of Accreditation Page 32 of 35 ,
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 - 0177 ,
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Analyte Method/Tech Cate or Certification g Y T Type Effective Date
Methyl tert-butyl ether (MTBE) EPA 8021 Volatile Organics NELAP 8/8/2002
Methyl tert -butyl ether (MTBE) EPA 8260 Volatile Organics NELAP 5/23/2001
Methylene chloride EPA 8260 Volatile Organics NELAP 5232001
Molybdenum EPA 6010 Metals NELAP 5/23/2001
Molybdenum EPA 6020 Metals NELAP 3/192007
Naphthalene EPA 8021 Volatile Organics NELAP 5232001
Naphthalene EPA 8260 Volatile Organics NELAP 5/23/2001
Naphthalene EPA 8270 Extractable Organics NELAP 5232001
Naphthalene EPA 8310 Extractable Organics NELAP 5/23/2001
n -Butyl alcohol EPA 8015 Volatile Organics NELAP 5232001
n -Butyl alcohol EPA 8260 Volatile Organics NELAP 10/82002
n- Butylbenzene EPA 8260 Volatile Organics NELAP 5232001
Nickel EPA 6010 Metals NELAP 5/23/2001 '
Nickel EPA 6020 Metals NELAP 3/19/2007
Nitrate EPA 9056 General Chemistry NELAP 5/23/2001
Nitrite EPA 9056 General Chemistry NELAP 5232001
Nitrobenzene EPA 8270 Extractable Organics NELAP 5232001 I
Nitrobenzene EPA 8330 Extractable Organics NELAP 5232001
n- Nitrosodiethylamine EPA 8270 Extractable Organics NELAP 7/302009
n- Nttrosodimethylamme EPA 8270 Extractable Organics NELAP 5232001
n- Nitroso -di -n- butylamine EPA 8270 Extractable Organics NELAP 7/30/2009
n- Nitrosodi- n- propylamine EPA 8270 Extractable Organics NELAP 5232001 ,
n- Nitrosodiphenylamine EPA 8270 Extractable Organics NELAP 5/23/2001 '
n - N itroso methyl ethy lam ine EPA 8270 Extractable Organics NELAP 7/302009 ,
n- Nitrosopiperidine EPA 8270 Extractable Organics NELAP 7/302009
n- Nitrosopyrrolidine EPA 8270 Extractable Organics NELAP 7/302009
n- Propanol EPA 8015 Volatile Organics NELAP 5/23/2001
n- Propylbenzene EPA 8260 Volatile Organics NELAP 5/23/2001
o,o,o- Triethyl phosphorothioate EPA 8270 Pesticides- Herbicides -PCB's NELAP 7/302009
Octahydro-1,3,5,7- tetramtro- 1,3,5,7- tetrazocine EPA 8330 Extractable Organics NELAP 5/23/2001 i
(HMX)
Oil & Grease EPA 9071 General Chemistry NELAP 5232001 ,
o-Toluidine EPA 8270 Extractable Organics NELAP 7/30/2009
o- Xylene EPA 8021 Volatile Organics NELAP 5/19/2005
o- Xylene EPA 8260 Volatile Organics NELAP 5/I92005 i
Paint Filter Liquids Test EPA 9095 General Chemistry NELAP 5/23/2001
Parathion, ethyl EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
frp •EC•
• Charlie Cnst LIE �; y ''.i. � _ ti Y w ' - -: ; Ana M Vlamonte Ros M D. M P,H
Governor t, State Surgeon General
Laboratory Scope of Accreditation Page 33 of 35 ,
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
- State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358 I
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Analyte Method/Tech Cate or Certification B Y T Type Effective Date
Pentachlorobenzene EPA 8270 Extractable Organics NELAP 7/30/2009
Pentachloronitrobenzene EPA 8270 Extractable NELAP 7/302009
Organ ics,Pesticides- Herbicides -PCB'
s
Pentachlorophenol EPA 8151 Pesticides - Herbicides -PCB's NELAP 5232001
Pentachlorophenol EPA 8270 Extractable Organics NELAP 5232001
pH EPA 9045 General Chemistry NELAP 5232001
Phenacetin EPA 8270 Extractable Organics NELAP 7/302009
Phenanthrene EPA 8270 Extractable Organics NELAP 5/23/2001
Phenanthrene EPA 8310 Extractable Organics NELAP 5232001
Phenol EPA 8270 Extractable Organics NELAP 5/23/2001
Picloram EPA 8151 Pesticides-Herbicides-PCB's NELAP 5232001
p- lsopropyltoluene EPA 8260 Volatile Organics NELAP 5232001
Potassium EPA 6010 Metals NELAP 5232001
Pronamide (Kerb) EPA 8270 Extractable Organics NELAP 7/30/2009
Propionitrile (Ethyl cyanide) EPA 8260 Volatile Organics NELAP 10/8/2002
Pyrene EPA 8270 Extractable Organics NELAP 5/23/2001
Pyrene EPA 8310 Extractable Organics NELAP 5/23/2001
Pyridine EPA 8270 Extractable Organics NELAP 5/23/2001
RDX (hexahydro-1,3,5- trinitro- 1,3,5- niazine) EPA 8330 Extractable Organics NELAP 5/23/2001
Safrole
EPA 8270 Extractable Organics NELAP 7/302009
sec - Butylbenzene EPA 8260 Volatile Organics NELAP 5/23/2001
Selenium EPA 6010 Metals NELAP 5/23/2001
Selenium EPA 6020 Metals NELAP 3/19/2007
Silver EPA 6010 Metals NELAP 5/23/2001
Silver EPA 6020 Metals NELAP 3/19/2007
Silvex (2,4,5 -TP) EPA 8151 Pesticides - Herbicides -PCB's NELAP 5232001
Sodium EPA 6010 Metals NELAP 5/23/2001
Strontium EPA 6010 Metals NELAP 5/23/2001
Styrene EPA 8260 Volatile Organics NELAP 5/23/2001
Sulfate EPA 9056 General Chemistry NELAP 5232001
Sulfide EPA 9030/9034 General Chemistry NELAP 5/23/2001
Synthetic Precipitation Leaching Procedure EPA 1312 General Chemistry NELAP 5232001
T- amylmethylether (TAME) SOP Volatile Organics NELAP 4/9/2003
SA05 -77 8 /8260 /GC -MS
tert-Amyl alcohol SOP Volatile Organics NELAP 4/9/2003
SA05 -77 8 /8260 /GC -MS
ten-Butyl alcohol EPA 8015 Volatile Organics NELAP 5/23/2001
I
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
1
Charlie Crlst 1 - x 3.= , ' . '
Governor . ' _ : rF ° ` !MO S T'. Ana M Vlamonte Ros M D M P H
.;. �.. State Surgeon General
Laboratory Scope of Accreditation Page 34 of 35 I
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate. ,
- State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
to Certification
Analyte Method/Tech Category T Effective Date
ten. -Butyl alcohol EPA 8260 Volatile Organics NELAP 8/8/2002
tert -Butyl formate SOP Volatile Organics NELAP 4/9/2003
SA05 -77 8 /8260 /GC -MS
tert- Butylbenzene EPA 8260 Volatile Organics NELAP 5/23/2001
Tetrachloroethylene (Perchloroethylene) EPA 8260 Volatile Organics NELAP 5/23/2001
Tetryl (methy1- 2,4,6- trinitrophenylnitramine) EPA 8330 Extractable Organics NELAP 5/232001
Thallium EPA 6010 Metals NELAP 5/23/2001
Thallium EPA 6020 Metals NELAP 3/19/2007
Thionazin (Zinophos) EPA 8270 Pesticides - Herbicides -PCB's NELAP 7/30/2009
Tin EPA 6010 Metals NELAP 5/23/2001
Tin EPA 6020 Metals NELAP 3/19/2007
Titanium
EPA 6010 Metals NELAP 5/23/2001
Titanium EPA 6020 Metals NELAP 3/19/2007
Toluene EPA 8021 Volatile Organics NELAP 5232001
Toluene EPA 8260 Volatile Organics NELAP 5/23/2001
Total cyanide EPA 9012 General Chemistry NELAP 5/23/2001
Total nitrate - nitrite EPA 9056 General Chemistry NELAP 5/23/2001
Total Petroleum Hydrocarbons (TPH) 8015 AZ Extractable Organics NELAP 5/23/2001
Total Petroleum Hydrocarbons (TPH) FL -PRO Extractable Organics NELAP 5232001
Total Petroleum Hydrocarbons (TPH) TPHCWG Direct Method Extractable Organics NELAP 5/19/2005
Total Petroleum Hydrocarbons (TPH) TX1005 Extractable Organics NELAP 5232001
Total Petroleum Hydrocarbons (TPH) TX1006 Extractable Organics NELAP 10/8/2002
Total henolics
P EPA 9066 General Chemistry NELAP 5/23/2001
Toxaphene (Chlorinated camphene) EPA 8081 Pesticides - Herbicides -PCB's NELAP 5/23/2001
Toxicity Characteristic Leaching Procedure EPA 1311 General Chemistry NELAP 5/23/2001
trans- 1,2- Dichloroethylene EPA 8260 Volatile Organics NELAP 5/23/2001
trans- 1,3- D ichloropropylene EPA 8260 Volatile Organics NELAP 5/23/2001
trans -1,4- Dichloro- 2- butene EPA 8260 Volatile Organics NELAP 5/23/2001
Tnchloroethene (Tnchloroethylene) EPA 8260 Volatile Organics NELAP 5/23/2001
Tnchlorofluoromethane EPA 8260 Volatile Organics NELAP 5/23/2001
Vanadium EPA 6010 Metals NELAP 5232001
Vanadium EPA 6020 Metals NELAP 3/19/2007
Vinyl acetate EPA 8260 Volatile Organics NELAP 5/23/2001
Vinyl chloride EPA 8260 Volatile Organics NELAP 5232001
Xylene (total) EPA 8021 Volatile Organics NELAP 5/23/2001
Xylene (total) EPA 8260 Volatile Organics NELAP 5232001
Zinc EPA 6010 Metals NELAP 5232001
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I
Charlie Cnst ;` 1 , � r T , Ana M. Viamonte Ros M D MPH
Governor a w `a,. . State Surgeon General
Laboratory Scope of Accreditation Page 35 of 35
Attachment to Certificate #: E87358 -20, expiration date June 30, 2010. This listing of accredited
analytes should be used only when associated with a valid certificate.
State Laboratory ID: E87358 EPA Lab Code: TN00032 (615) 726 -0177
E87358
TestAmerica Laboratories, Inc.
2960 Foster Creighton Drive
Nashville, TN 37204
Matrix: Solid and Chemical Materials
Certification
Analyte Method/Tech Category T Effective Date
Zinc EPA 6020 Metals NELAP 3/19/2007
Clients and Customers are urged to verify the laboratory's current certification status with
the Environmental Laboratory Certification Program. Issue Date: 2/25/2010 Expiration Date: 6/30/2010
I f
Test America
1
THE LEADER IN ENVIRONMENTAL TESTING
B. Sample Reports
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www testamencainc com
TesfAmer
THE LEADER 1N ENVIRONMENTAL'TESTING 2960 Foster Creighton Road Nashville TN 37204'800 - 765 -0990 Fax 615-726 3404
2/11/2010 9 22 07AM
Client City of St Cloud Work Order NTB0086
1300 9th Street Project Name Southside Expansion
St Cloud. FL 34769 Project Number [none]
Date Received 02/02/10
Attn Cathy Miller
SAMPLE IDENTIFICATION LAB NUMBER COLLECTION DA1 E AND TIME
Influent 2 (INF -2) NTB0086 -01 02/02/10 08 19
Reuse (EFA -2) N1 B0086 -02 02/02/10 08 21
Reuse (EFB -2) NTB0086 -03 02/02/10 08 23
Reuse (EFA -2) NTB0086 -04 02/02/10 08 17
Samples were received into laboratory at a temperature of 3 20 °C
Comments
An executed copy of the chain of custody, the project quality control data, and the sample receipt form are also included as an addendum
to this report If you have any questions relating to this analytical report, please contact your Laboratory Project Manager Any opinions
if expressed. are outside the scope of the Laboratory's accreditation
This material is intended only for the use of the individual(s) or entity to whom it is addressed, and may contain information that is
pnvileged and confidential If you are not the intended recipient or the employee or agent responsible for delivering this material to the
intended recipient, you are hereby notified that any dissemination. distribution. or copying of this matenal is strictly prohibited If you
have recievedthis matenal in error, please notify us immediately
Results are reported on a wet weight basis unless otherwise noted
The reported results were obtained in compliance with 2003 NELAC standards unless otherwise noted
These results relate only to the items tested
Estimated uncertainty is available upon request
Flonda Certification Number E87358
This report has been electronically signed
Approved By
deia.„4
TestAmerica Nashville
Judith A Beato
Project Manager Page 1 of 4
TestAmer
THE LE IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204' 800- 765-0980' Fax 615- 726 -3404
Client City of St Cloud Wort. Order NTB0086 Sampled 02/02/10
1300 9th Street Project Southside Expansion Received 02/02/10
St Cloud FL 34769 Project Number [none]
Amt Cathy Miller
LABORATOR)REPORT
Sample ID: Influent 2 (INF -2) - Lab Number: NTB0086 -01 - Matrix: %Vater
Dil Analyzed
CAS 6 Analyte Result Q Units MDL PQL Factor Date/Time By Method Batch
General Chemistry Parameters
TSS Total Suspended Solids 244 mg,1- 20 0 20 0 1 0 10 30 S \J SM2540 D 10B1392
CBOD Carbonaceous BOD 161 mg/L 200 200 1 02/08/10 09 10 St! SM 52105 10B1361
Prep Date 02/03/10 10 15
LABORATORY REPORT
Sample ID: Reuse (EFA -2) - Lab Number: NTB0086 -02 - Matnx: Water
Dil Analyzed
CAS 6 Analyte Result Q Units MDL PQL Factor By Method Batch
Dateatme
General Chemistry Parameters
CBOD Carbonaceous BOD 2.33 mg/L 2 00 2 00 1 02/08/10 09 10 SXJ SM 5210B 10B1361
Prep Date 02/03/10 10 15
LABORATORY REPORT
Sample ID: Reuse (EFB -2) - Lab Number: NTB0086 -03 - Matrix: Water
Dil Analyzed
CAS 0 Analyte Result Q Units NIDL PQL Factor Date /Time By Method Batch
General Chemistry Parameters
TSS Total Suspended Solids 2 00 L mg/L 2 00 2 00 1 02/05/10 10 10 StJ SM2540 D 10B1392
LABORATORY REPORT
Sample ID: Reuse (EFA -2) - Lab Number: NTB0086 -04 - Matrix: %Vater
Dil
CAS 6 Analyze Factor Result Q Units MDL PQL Fact Analyzed
Q Date/Time BY Method Batch
Microbiology
E761792 Fecal Coliform 1 CFU /100 ml 1 1 1 02/03/10 12 22 MXN SM 9222D 10B1338
Prep Date 02/02/10 13 27
Test4merica Nashville
Judith A Beato
Project Manager Page 2 of 4
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204 • 800- 765 -0980' Fax 615-726-3404
Client Cu} of St Cloud Work Order NTB0086
Sampled 02/02/10
1300 9th Street
Project Southside Expansion Received 02/02/10
St Cloud, FL 34769 Project Number [none]
Attn Cathy Miller
SAMPLE EX1 RACTION DA1 A
V t.Vol
Parameter Lab Number Extracted Extracted 3, ol Date Analyst Method
General Chemistry Parameters NTB0086 -0I 300 0 mL 300 0 ml- 02/03/2010 SXJ ••• DEFAULT PRLF
General C hemistry Parameters NTB0086 -02 300 0 mL 300 0 mL 02/032010 SX1 ••• DEFAULT PREF
Microbiology NTB0086 -04 100 0 mL 100 0 mL 02/02/2010 k4XN MF
General Chemists Parameters NTB0086 -01 1 0 mL 1 0 g 02105/2010 S \J SOLIDS
General Chemistry Parameters NTB0086 -03 1 0 mL 1 0 g 02/05/2010 SXJ SOLIDS
PROJECT Ql ALITY' CONTROL DATA
Blank
Analyte Blank Value Q Units Q C Batch Lab Number
General Chemistry Parameters
Total Suspended Solids 5 00 L mg/L 10B1392 10B1392-BLK I
Carbonaceous BOD 200 U mg/L 10B1361 10B1361 -BLKI
Microbiology
Fecal Cohfomi 1 L CFL /100 m1 10B1338 1081338-Uhl
PROJECT QUALITY CONTROL DATA
Duplicate
Analyte Ong Val Duplicate Q Units RPD RPD Limit Sample
Q C Batch Duplicated
General Chemistry Parameters
Total Suspended Solids <2 00 2 00
u mg/L 20 10B1392 NT80091 -05
Total Suspended Solids <2 00 2 00 U mg/L 20 10B1392 NT A2257-01
Carbonaceous BOD 2 33 2 29 mg/L 2 20 10B1361 NTB0086 -02
PROJECT QUALITY CONTROL DATA
LCS
Analyze known Val Analyzed Val Q Units ;6 Rec Target Range Q C Batch
General Chemistry Parameters
Total Suspended Solids 96 6 96 0 mg/L 99 85 - 115 10B1392
Carbonaceous BOD 198 183
mg/L 92 8 5 - 1 1 5 10B1361
TestAmerica Nashville
Judah A Beato
Project Manager Page 3 of 4
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204 765 -0980 Fax 615. 726 -3404
Client City of St Cloud Work Order NTB0086
1300 9th Street Sampled 02/02/10
Project Southside Expansion Received 02/02/10
St Cloud FL 34769 Project Number [none]
Attn Cathy Miller
CERTIFICATION SI NIMIAR%
TestAmerica Nashville
Method Matrix A2LA AIHA Nelac Florida
SM 5210B Water N/A X X
SM 9222D Water
SM2540 D Water X X
Subcontracted Laboratories
TestAmerica - Orlando, FL Florida Cert #E83012
8010 Sunport Drive Suite 116 - Orlando, FL 32809
Analysis Performed CBOD SM521 OB
Samples NTB0086 -01, NTB0086 -02
Analysis Performed Coliform Fecal SM9222D (MF)
Samples NTB0086 -04
Analysis Performed Solids Suspended SM2540D (TSS)
Samples NTB0086 -01, NTB0086 -03
DATA QUALIFIERS AND DEFINITIONS
t The compound was analyzed for but not detected
ADDITIONAL COMMENTS
When insufficient sample volume is received for Matrix Spike and Matrix Spike Duplicate Laboratory Control Spike and Laboratory Control Spike
Duplicate data is used for batch QC
TestAmerica Nashville
Judith A Beato
Project Manager Page 4 of 4
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 4310 East Anderson Road •OAando FL 32612 407 - 851 -2580• Fax 407-856-0866 -851-
Client* City of St Cloud Project NTB0086
Shipped By: Route Tracking Number
Cooler Received On. 02/02/10 12 05 And Opened On (Date /time) o2 - 1 D /2;o5
Received By Jennifer Batura Logged in by Jennifer Batura
Were custody seals on the outside of cooler? YES NO Al If Yes # Location
Were custody seals intact? YES NO N/A Ai (no seals present)
Chain of Custody Complete? YES Al NO
Discrepancy Comments
Nash - do not enter TSS if ORL code logged in
Cooler Temparture When Opened 3 20 Degrees Celsius
Temparture Blank Included YES NO ,l
Packing Material. Bubblewrap NONE Ot e pems7Ve, 6 a�
Received on Ice YES ,1 NO Other (�
Total # Of Containers `—, # Vials
Any Bottles Broken? YES NO ,I If Yes Which One(s)?
Any Missing Samples? YES NO Al If Yes Which One(s)7
pH Levels H2SO4 < =2 HNO3 < =2? HCL < =2?
NaOH > =109
# Of Containers Unpreserved between 6 and 8? Cie---
Any Air Bubbles in VOA Vials? YES NO N/A ,l (no VOA vials received)
Was there enough sample shipped in each container? YES (7 NO
Correct Preservatives Used? YES ,1 NO If No, see comments
Project Manager Judith A Beato
Corrective Actions Taken
CA
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TestArne
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THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204 765-0980 • Fax 615- 726 -3404
2/15/2010 I 32 36PM
Client City of St Cloud Work Order N iB0003
1300 9th Street Project Name Southside Expansion
St Cloud. FL 34769 Project Number [none]
Date Received 02/01/10
Attn Cathy Miller
SAMPLE IDENTIFICATION LAB Nt. MBER COLLECTIO\ DATE AND TIME
Influent (INF -2) NTB0003 -01 02/01/10 08 00
Reuse (EFA -2) NTB0003 -02 02/01/10 07 58
Reuse (EFB -2) NfB0003 -03 02/01/10 08 03
Reuse (EFA -2) NTB0003 -04 02/01/10 07 56
Aeration Basin NTB0003 -05 02/01/10 08 20
Comments
An executed copy of the chain of custody, the project quality control data. and the sample receipt form are also included as an addendum
to this report If you have any questions relating to this analytical report. please contact your Laboratory Project Manager Any opinions.
if expressed, are outside the scope of the Laboratory's accreditation
This material is intended only for the use of the individual(s) or entity to whom it is addressed, and may contain information that is
privileged and confidential If you are not the intended recipient or the employee or agent responsible for delivering this matenal to the
intended recipient. you are hereby notified that any dissemination. distnbution. or copying of this material is stnctly prohibited If you
have recieved this matenal in error. please notify us immediately
Results are reported on a wet weight basis unless otherwise noted
The reported results were obtained in compliance with 2003 NELAC standards unless otherwise noted
These results relate only to the items tested
Estimated uncertainty is available upon request
Flonda Certification Number E87358
This report has been electronically signed
Approved By �
TestAmerica Nashville
Judith A Beato
Project Manager Page 1 of 7
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204 765.0980 • Fax 615- 726 -3404
Client City of St Cloud Work Order NTB0003
13009th Street Sampled 02/01/10
Project Southside Expansion Received 02/01/10
St Cloud FL 34769 Project Number [none]
Ann Cathy Miller
Sample Cooler Information
Lab ID Cooler ID Temp Seals Containers Intact On Ice
1949 0 1C No Yes Yes
Default Cooler 1 4C No Yes Yes
TestAmenca Nashville
Judith A Beato
Project Manager Page 2 of 7
TestAmerica
, , _
THE LEADER IN ENVIRONMENTAL 7ESTlNG 2960 Foster Creighton Road Nashville TN 37204 Fax 615 - 726 - 3404
Client City of St Cloud Work Order NTB0003
Sampled 02/01/10
1300 9th Street
Project Southside Expansion Received 02/01/10
St Cloud, FL 34769 Project Number [none]
Attn Cathy Miller
LABORATORY REPORT
Sample ID: Influent (INF -2) - Lab Number: NTB0003 -01 - Matnx: Water
Dd Analyzed
CAS 4 Analyte Result Q Units MDL PQL Factor Date/Time By Method Batch
General Chemistry Parameters
TSS Total Suspended Solids 270 mg/L. 20 0 20 0 1 02/05/10 10 30 SXJ SM2540 D 10B1392
CBOD Carbonaceous BOD 230 mg /L 2 00 2 00 1 02/06/10 07 30 MX SM 5210B 10B0666
Prep Date 02/01/10 16 10
TKN Total 61eldahlNitrogen 552 mg,L 100 200 20 02/11/10 0943 REM EPA 3512 10130488
LABORATORY REPORT
Sample ID: Reuse (EFN -2) - Lab Number: NTB0003 -02 - tilatrix: Water
Dil Analyzed
CAS 0 Analyte Result Q Units MDL PQL Factor Date/T'
ate/Tiie By Method Batch
General Chemistry Parameters
CBOD Carbonaceous BOD 2 94 mg /L 2 00 2 00 1 02/06/10 07 30 MXN SA1 5210B 10B0666
Prep Date 02/01/10 16 10
LABORATORY' REPORT
Sample ID: Reuse (EFB -2) - Lab Number: NTB0003 -03 - Matrix: Water
Dil Analyzed
CAS 0 Analyte Result Q Units MDL PQL Factor Date/Time By Method Batch
General Chemistry Parameters
7664 -41 -7 Ammonia ash 00930 1 mg /L 00790 0 100 1 02/08/10 0916 SAB EPA 350 151 1081120
TSS Total Suspended Solids 200 U mg/L 200 200 1 02/05/10 1010 SXJ SM2540D 10B1392
14797-55-8 Nitrate as h 8 13 14 mg /L 0 0400 0 100 I 02/02/10 15 29 SAB EPA 353 2 1080353
14797 -65 -0 Nitnte as N 0 0250 14 L mg/L 0 0250 0 100 1 02/02/10 15 29 SAB EPA 353 2 10B0355
LABORATORY REPORT
Sample ID: Reuse (EFA -2) - Lab Number: NTB0003 -04 - Matrix: Water
Dil Analyzed
CAS d Analyte Result Q Units MDL PQL Factor Date/Time By Method Batch
Microbiology
0761792 Fecal Colifomt 1 L CFU /I00 ml 1 I I 02/02/10 10 40 MXN SM 9222D 10B0167
Prep Date 02/01/10 12 20
LABORATORY REPORT
Sample ID: Aeration Basin - Lab Number: NTB0003 -05 - Matrix: Water
Dil Analyzed
CAS # Analyte Result Q Units MDL PQL Factor Date/Time By Method Batch
Solids, Fixed and Volatile
STL00229 Total Volatile Suspended Solids 2600 13 mg /L 5 0 5 0 1 02/05/10 15 00 WG S \4 2540E 103534
Solids, Total Suspended (TSS)
STL00161 Total Suspended Solids 3300 13 mg/L 5 0 5 0 1 02 /OS /10 15 00 WG SM 2540D 103473
TestAmerica Nashville
Judith A Beato
Project Manager Page 3 of 7
TestArnerica
2960 Foster Creighton Road Nashville TN 37204 765-0960' Fax 615-726-3404
Tt-i E LEADER IN ENVIRONMENTAL TESTING
Client City of St Cloud Wort. Order NTB0003
Sampled 02/01/10
1300 9th Street
Project Southside Expansion Received 02/01/10
St Cloud. FL 34769 Project Number [none]
Atm Cathy Miller
SAMPLE EXTRACTION DATA
YrUVoI
Parameter Lab Number Extracted Extracted Vol Date Analyst Method
General Chemistry Parameters N1130003 -01 300 0 mL 300 0 mL 02,01/2010 4l \N ••• DEFAULT PREF
General Chemistry Parameters NTB0003 -02 300 0 mL 300 0 ml 02/01/2010 MXN ••• DEFAULT PREF
Microbiology NTB0003 -04 100 0 ml. 1000 mL 02/01 M \ MF
General Chemistry Parameters NTB0003 -01 20 0 mL 20 0 ml. 02/01/2010 PRC NO PREP
General Chemistry Parameters NTB0003 -03 10 0 ml_ 10 0 ml_ 02i02/2010 JHS NO PREP
General Chemistry Parameters NTB0003 -03 100mL 100mL 02/02/2010 JHS NO PREP
General Chemistry Parameters NTB0003 -03 50 0 mL 50 0 mL 02/06/2010 JIM NO PREP
General Chemistry Parameters NTB0003 -01 10 mL 1 0 g 02/05/2010 S \J SOLIDS
General Chemistry Parameters NTB0003 -03 1 0 mL 1 0 g 0 /2010 S \J SOLIDS
TestAmerica Nashville
Judith A Beato
Project Manager Page 4 of 7
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204 765 -0980 • Fax 615- 726 -3404
Client City of St Cloud Work Order Ni B0003
Sampled 02/01/10 1300 9th Street
Project Southside Expansion Received 02/01/10
St Cloud, FL 34769 Project Number [none]
Attn Cathy Miller
PROJECT QUALITI CONTROL DATA
Blank
Analyze Blank Value
Q Units Q C Batch Lab Number
General Chemistry Parameters
Ammonia as N 0 0790 u mg/L 10B1120 10B1120-81.4.1
Total Suspended Solids 5 00 U mg/L 1081392 2 -
8 106139_ BLkI
Carbonaceous BOD 2 00 U mg/L 10B0666 10B0666 -BLK I
Nitrate as N 0 0400 ti mg /L 1080353 10B0353 -BLF I
Nitrite as N 0 0250 U mg/L 1080355 1080355 -BLK 1
Total Kieldahl Nitrogen 00500 U mg/L 10B0488 10B0488 -BLk1
Microbiology
Fecal Coliform I L CFU /100 ml 10B0167 10130167-BU.!
Solids, Fired and Volatile
Total Volatile Suspended Solids 5 0 U mg/L 103534 400 - 103534 -1
Solids, Total Suspended (TSS)
Total Suspended Solids 5 0 U mg /L 103473 400 - 103473 -1
PROJECT QUALITI CONTROL DATA
Duplicate
Analyte Ong Val Duplicate Q Units RPD RPD Limit Q C Batch Sample
Duplicated
General Chemistry Parameters
Ammonia as N <0 0790 0 0790 U mg/L 41 1081 120 NTA2083 -01
Total Suspended Solids <2 00 2 00 U' mg/L 20 10B1392 NTA2257 -01
Total Suspended Solids <2 00 2 00 U mg/I 20 1081392 NTB0091 -05
Carbonaceous BOD 230 228 mg/L 1 20 10B0666 NTB0003 -0I
Nitrate as N 8 13 8 10 mg/L 0 4 20 1080353 NTB0003 -03
Nttnte as N <0 0250 0 0250 U mg/L 20 10B0355 NTB0003 -03
Total Kjeldahl Nitrogen 24 7 29 0 mg/L 16 46 10B0488 NTA 1996 -01
Microbiology
Fecal Conform <1 I
L CFU /100 ml 15 1080167 NT60003.04
Solids, Fired and Volatile
Total Volatile Suspended Solids 2600 2450 13 mg/L 6 5 103534 NTB0003 -05
Solids, Total Suspended (TSS)
Total Suspended Solids 3300 3080 33 mg/L 7 5 103473 NTB0003 -05
TestAmerica Nashville
Judith A Beato
Project Manager Page 5 of 7
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING 2960 Foster Creighton Road Nashville TN 37204' 800 - 765-0980' Fax 615 -726 -3404
Client City of St Cloud Work Order NTB0003
Sampled 02/01/10
1300 9th Street
Project Southstde Expansion Received 02/01/10
St Cloud FL 34769 Project Number [none]
Attn Cathy Miller
PROJECT QUALITY CONTROL DATA
LCS
Analyze known Val Analyzed Val Q Units %Rec Target Range Q C Batch
General Chemistry Parameters
Ammonia as N 5 00 4 87 mg /L 97 90 - 110 1081120
Total Suspended Solids 96 6 96 0 mg/L 99 85 - 115 1081392
Carbonaceous BOD 198 185 mg/L 93 85 - 115 1080666
Nitrate as N 6 00 5 92 mg/L 99 90 - 110 1080353
Nitrite as N 3 00 2 90 mg /L 97 90 - 110 1080355
Total kjeldahl Nitrogen 2 50 2 52 MNR mg/L 101 90 - 110 1080488
Solids, Fixed and Volatile
Total Volatile Suspended Solids 58 9 56 0 mgil- 95 48 - 146 103534
Solids, Total Suspended (TSS)
Total Suspended Solids 300 302 mg/L 101 93 - 102 101473
PROJECT QUALIT\ CONTROL DATA
Alain% Spike
Val MS Val % Sample
Analyze Ong Q Units Spike Conc Rec Target Range Batch Spiked
General Chemistry Parameters
Ammonia as N 1 88 6 67 mg/L 5 00 96 90 - 110 1081120 NTA2083 -09
Nitrate as N 8 13 13 4 14 mg/L 6 00 88 90 - 110 1080353 NTB0003 -03
Nitrite as N <0 0250 2 54 J4 mg/L 3 00 85 90 - 110 1080355 NTB0003 -03
PROJECT QCALITI CONTROL DATA
Matnx Spike Dup
RPD
Analyze Ong Val Duplicate Q Units Spike Conc % Rec RPD Limit Q C Batch Sample
Duplicated
General Chemistry Parameters
Ammonia as N 188 6 82 mg /L 5 00 99 2 41 10131 120 NTA2083 -09
Nitrate as N 8 13 13 4 14 mg/L 6 00 87 0 4 20 10B0353 NTB0003 -03
Nitrite as N <0 0250 2 52 J4 mg/L 3 00 84 0 6 20 1080355 NTB0003 -03
TestAmerica Nashville
Judith A Beato
Project Manager Page 6 of 7
TestAmerica
2960 Foster Creighton Road Nashville TN 37204 765 -0980 • Fax 615- 726 -3404
THE' LEADER IN ENVIRONMENTAL TESTING
Client City of St Cloud Work Order NTB0003
1300 Sampled 02/01 /10
300 9th Street
Project Southside Expansion Received 02/01/10
St Cloud, FL 34769 Project Number [none]
Attn Cathy Miller
CERTIFICATION SUMMARY'
TestAmerica Nashville
Method Matrix A2LA AIHA Nelac Florida
EPA 350 IM Water N/A X X
EPA 351 2 Water N/A X X
EPA 353 2 Water X N/A X X
SM 5210B Water N/A X X
SM 9222D Water
SM2540 D Water X X
Subcontracted Laboratories
TestAmenca - Orlando, FL Florida Cert #E83012
8010 Sunport Drive Suite 116 - Orlando, FL 32809
Analysis Performed CBOD SM5210B
Samples NTB0003 -01 NTB0003 -02
Analysis Performed Conform Fecal SM9222D (MF)
Samples NTB0003 -04
Analysis Performed Solids Suspended SM2540D (TSS)
Samples NTB0003 -01 NTB0003 -03
TestAmerica - Pensacola, FL (13687)
3355 McLemore Drive - Pensacola, FL 32514
Method Performed SM 25401)
Samples NTB0003 -05
Method Performed SM 2530E
Samples NTB0003 -05
DATA QUALIFIERS AND DEFINITIONS
The reported value is between the laboratory method detection limit and method reporting limit
J3 Estimated value, value may not be accurate Spike recovery or RPD outside of cntena
J4 The sample matnx interfered with the ability to make an accurate determination
MNR No results were reported for the e MS/MSD The sample used for the MS/MSD required dilution
q due to the sample matrix
Because of this, the spike compounds were diluted below the detection limit
II The compound was analyzed for but not detected
ADDITIONAL COMMENTS
When insufficient sample volume is received for Matrix Spike and Matrix Spike Duplicate Laboratory Control Spike and Laboratory Control Spike
Duplicate data is used for batch QC
TestAmerica Nashville
Judith A Beato
Project Manager Page 7 of 7
_ _
•
T estArnerica '"mmr.1
THE LEADER IN ENVIRONMENTAL TESTING
ANALYTICAL REPORT
Job Number: 400 - 45385 -1
Job Description. NTB0003
For
TestAmerica Laboratories, Inc
2960 Foster Creighton Drive
Nashville, TN 37204
Attention: Ms. Judith Beato
Approved for release
Marty Edwards
Senor Project
rolecl Manager
2/10/2010 4 41 PM
Marty Edwards
Senior Project Manager
marty.edwards @testamericainc.com
02/10/2010
The test results in this report meet all NELAP requirements for accredited parameters, unless otherwise noted, and
relate only to the referenced samples Pursuant to NELAP, this report may not be reproduced, except in full, without
written approval from the laboratory For questions please contact the Project Manager at the e-mail address listed on
this page, or the telephone number at the bottom of the page
TestAmenca Pensacola Certifications and Approvals Alabama (40150), Arizona (AZ0710), Arkansas (88- 0689), Florida
(E81010), Illinois (200041), Iowa (367), Kansas (E- 10253), Kentucky UST (53), Louisiana (30748), Maryland (233),
Massachusetts (M- FL094), Michigan (9912), New Hampshire (250507), New Jersey (FL006), North Carolina (314),
North Dakota (R -108), Oklahoma (9810), Pennsylvania (68- 00467), Rhode Island (LA000307), South Carolina (96026),
Tennessee (TNO2907), Texas (T104704286- 08 -TX), Virginia (00008), Washington (C2043), West Virginia (136), USDA
Foreign Soil Permit (P330 -08- 00006).
TestAmenca Laboratories, Inc. Wo 1N ACC,a0' ~ F
•
TestAmenca Pensacola 3355 McLemore Drive, Pensacola, FL 32514
Tel (850) 474 -1001 Fax (850) 478 -2671 www.testamencainc.com J �a s
z
Page 1 of 10
METHOD SUMMARY
Client TestAmerica Laboratones, Inc Job Number 400 - 45385 -1
Descnption Lab Location Method Preparation Method
Matrix Water
Solids, Total Suspended (TSS) TAL PEN SM SM 2540D
Solids, Fixed and Volatile TAL PEN SM SM 2540E
Lab References:
TAL PEN = TestAmerica Pensacola
Method References:
SM = "Standard Methods For The Examination Of Water And Wastewater",
TestAmenca Pensacola
Page 2 of 10
METHOD / ANALYST SUMMARY
Client TestAmerica Laboratones, Inc Job Number 400 - 45385 -1
Method Analyst Analyst ID
SM SM 2540D Gimim, Wendy WG
SM SM 2540E Gimlet, Wendy WG
TestAmenca Pensacola
Page 3 of 10
SAMPLE SUMMARY
Client TestAmerica Laboratones, Inc Job Number 400 - 45385 -1
Date/Time Date/Time
Lab Sample ID Client Sample ID Client Matrix Sampled Received
400 - 45385 -1 NTB0003 -05 Water 02/01/2010 0820 02/02/2010 0951
TestAmerica Pensacola
Page 4 of 10
Analytical Data
Client TestAmerica Laboratones, Inc Job Number 400 -45385 -1
General Chemistry
Client Sample ID NTB0003 -05
Lab Sample ID 400 - 45385 -1 Date Sampled 02/01/2010 0820
Client Matnx Water Date Received 02/02/2010 0951
Analyte Result Qual Units PQL PQL Dil Method
Total Suspended Solids 3300 J3 mg /L - 5 - 0 5 0 1 0 SM 2540D
Analysis Batch 400 - 103473 Date Analyzed 02/05/2010 1500
Total Volatile Suspended Solids 2600 J3 mg /L 5 0 5 0 1 0 SM 2540E
Analysis Batch 400 - 103534 Date Analyzed 02/05/2010 1500
TestAmerica Pensacola Page 5 of 10
Quality Control Results
Client TestAmenca Laboratones, Inc Job Number 400- 45385 -1
Method Blank - Batch: 400 - 103473 Method: SM 2540D
Preparation: N/A
Lab Sample ID MB 400 - 103473/1 Analysis Batch 400 - 103473 Instrument ID Balance 1
Client Matnx Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial WeightNolume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Result Qual PQL PQL
Total Suspended Solids 5 0 U 5 0 5 0
Lab Control Sample - Batch: 400 - 103473 Method: SM 2540D
Preparation: N/A
Lab Sample ID LCS 400 - 103473/2 Analysis Batch 400 - 103473 Instrument ID Balance 1
Client Matrix Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial Weight/Volume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Spike Amount Result % Rec Limit Qual
Total Suspended Solids 300 302 101 93 - 102
Duplicate - Batch: 400 - 103473 Method: SM 2540D
Preparation: N/A
Lab Sample ID 400 - 45385 -1 Analysis Batch 400 - 103473 Instrument ID Balance 1
Client Matnx Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial WeightNolume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Sample Result/Qual Result RPD Limit Qual
Total Suspended Solids 3300 3080 7 5 J3
Calculations are performed before rounding to avoid round -off errors in calculated results
TestAmenca Pensacola Page 6 of 10
Quality Control Results
Client TestAmerica Laboratones, Inc Job Number 400 - 45385 -1
Method Blank - Batch: 400 - 103534 Method: SM 2540E
Preparation: N/A
Lab Sample ID MB 400 - 103534/1 Analysis Batch 400 - 103534 Instrument ID Balance 1
Client Matnx Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial WeightNolume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Result Quai PQL PQL
Total Volatile Suspended Solids 5 0 U 5 0 5 0
Lab Control Sample - Batch: 400 - 103534 Method: SM 2540E
Preparation: N/A
Lab Sample ID LCS 400 - 103534/4 Analysis Batch 400 - 103534 Instrument ID Balance 1
Client Matrix Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial WeightNolume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Spike Amount Result % Rec Limit Qual
Total Volatile Suspended Solids 58 9 56 0 95 48 - 146
Duplicate - Batch: 400 - 103534 Method: SM 2540E
Preparation: N/A
Lab Sample ID 400 - 45385 -1 Analysis Batch 400 - 103534 Instrument ID Balance 1
Client Matnx Water Prep Batch N/A Lab File ID N/A
Dilution 1 0 Units mg /L Initial WeightNolume 1 0 mL
Date Analyzed 02/05/2010 1500 Final WeightNolume 1 0 mL
Date Prepared N/A
Analyte Sample Result/Qual Result RPD Limit Quai
Total Volatile Suspended Solids 2600 2450 6 5 J3
Calculations are performed before rounding to avoid round -off errors in calculated results
TestAmerica Pensacola Page 7 of 10
DATA REPORTING QUALIFIERS
Client TestAmerica Laboratones, Inc Job Number 400 - 45385 -1
Lab Section Qualifier Description
General Chemistry
J3 Estimated value, value may not be accurate Spike recovery
or RPD outside of cntena
U Indicates that the compound was analyzed for but not
detected
TestAmenca Pensacola
Page 8 of 10
SUBCONTRACT ORDER
Jb!; TestAmerica Nashville
�� NTB0003
SENDING LABORATORY: RECEIVING LABORATORY:
TestAmenca Nashville TestAmerica Pensacola
2960 Foster Creighton Road 3355 McLemore Drive
Nashwille, TN 37204 Pensacola, FL 32514
Phone 800 - 765 -0980 Phone (850) 474 -1001
Fax 615 - 726 -3404 Fax. (850) 478 -2671
Prolect,Manager Judith A Beato Project Location Florida
Client. City of St Cloud Receipt Temperature °C Ice Y / N
Nash - do not enter TSS rf ORL code logged in
Analysis Units Due Expires Interlab Price Surch Comments
Sample ID: NTB0003 -05 Water
Sampled 02/01/10 08:20
Subcontract - MLSS mg /L 02/08/10 10/27/12 07 20 $50 00 0% also run MLVSS report to MDL- ?"nsee
Marty Edwards
Containers Supplied
W_1 L Plastic W_1 L Plastic
Unpreserved (A) Unpreserved (B)
C
/ —icy /roc, �. ...4 U 3
ease y Date/Time Received By D
Released By Date/Time
Page P f c g i Y eG i@Y Date/Time Page 1 of 1
Login Sample Receipt Check List
Client TestAmenca Laboratones, Inc Job Number 400 -45385 -1
Login Number 45385 List Source TestAmerica Pensacola
Creator Chea, Vanda
List Number 1
Question T 1 F/ NA Comment
Radioactivity either was not measured or, if measured, is at or below N/A
background
The cooler's custody seal, if present, is intact N/A
The cooler or samples do not appear to have been compromised or True
tampered with
Samples were received on ice True
Cooler Temperature is acceptable True 0 0 °C
Cooler Temperature is recorded True
COC is present True
COC is filled out in ink and legible True
COC is filled out with all pertinent information True
There are no discrepancies between the sample IDs on the containers and True
the COC
Samples are received within Holding Time True
Sample containers have legible labels True
Containers are not broken or leaking True
Sample collection date /times are provided True
Appropnate sample containers are used True
Sample bottles are completely filled True
There is sufficient vol for all requested analyses, Ind any requested True
MS /MSDs
VOA sample vials do not have headspace or bubble is <6mm (1/4 ") in N/A
diameter
If necessary, staff have been informed of any short hold time or quick TAT True
needs
Multiphasic samples are not present True
Samples do not require splitting or compositing True
Is the Field Sampler's name present on COC" True
Sample Preservation Verified True
TestAmerica Pensacola
Page 10 of 10
TestAmerjca
THE LEADER IN ENVIRONMENTAL TESTING 4310 East Anderson Road • Orlando FL 851.2560 Far 40 8$8.0888
Client City of St Cloud Project NTB0003
Shipped By: Route Tracking Number
Cooler Received On 02/01/10 10 40 And Opened On (Date /time) a_ : tfD
Received By Jennifer Batura Logged in by Jennifer Batura
Were custody seals on the outside of cooler? YES NO ,/ If Yes # Location
Were custody seals intact? YES NO N/A ,/ (no seals present)
Chain of Custody Complete? YES ,/ NO
Discrepancy Comments
Nash - do not enter TSS if ORL code logged in
Cooler Temparture When Opened 1.40 Degrees Celsius
Temparture Blank Included YES NO ,/
Packing Material Bubblewrap NONE Other f Lcz c. 6 a
Received on Ice YES ,/ NO Other Total # Of Containers�i'7 # Vials
Any Bottles Broken? YES NO ,/ If Yes Which One(s)?
Any Missing Samples'? YES NO ,/ If Yes Which One(s)?
pH Levels H2SO4 < =2? HNO3 < =2? HCL < =2? NaOH > =10?
# Of Containers Unpreserved between 6 and 8?
Any Air Bubbles in VOA Vials? YES NO N/A ,1 (no VOA vials received)
Was there enough sample shipped in each container? YES ✓ / NO WitN5
1
Correct Preservatives Used? YES ,/ NO If No, see comments*
Project Manager Judith A Beato
Corrective Actions Taken
SUBCONTRACT ORDER
TestAmerica Nashville
NTB0003
SENDING LABORATORY: RECEIVING LABORATORY:
TestAmerica Nashville TestAmerica Pensacola
2960 Foster Creighton Road 3355 McLemore Drive
Nashville, TN 37204 Pensacola, FL 32514
Phone. 800 - 765 -0980 Phone (850) 474 -1001
Fax 615 - 726 -3404 Fax (850) 478-2671
Project Manager Judith A Beato Project Location Florida
Client City of St. Cloud Receipt Temperature. °C Ice. y / N
Nash - do not enter TSS if ORL code logged in
Analysis Units Due Expires Interlab Price Surch Comments
Sample ID: NTB0003 -05 Water
Subcontract MLSS mg/L Sampled 02/01/10 08:20
9 02/08/10 10/27/12 07 20 $50 00 0% M arty also runEd MLVSS report to MDL- 29 ?see
Containers Supplied
W_1 L Plastic W_1 L Plastic
Unpreserved (A) Unpreserved (B)
- kip //:o0
ease' : y DateiTime Received By
DateTme
Released By Date/Time
Received By Date/Time Page 1 of 1
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Test America
THE LEADER IN ENVIRONMENTAL TESTING
C. Length in Business and
State of FL License
1
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www testamericainc com
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Length in Business
Per the page 6 bid requirement, TestAmerica Laboratories, Inc. has been in business over the 5
year required length. TestAmenca was incorporated in the State of Delaware on August 27` 1997
Since that time TestAmenca has grown to be the leading environmental testing firm in the United
States having 36 laboratories and 31 service centers in our network.
TestAmerica affiliate companies include EMLab P &K, the leader in analytical microscopy and
indoor air quality, QED Environmental Systems, Inc., the leading supplier of groundwater sampling
equipment and remediation pumping systems; TestAmerica Drilling Corp , provider of innovative
environmental and geotechnical drilling; and TestAmerica Air Emissions Corp. (METCO
Environmental), specializing in air emissions testing. TestAmenca currently employs nearly 2,800
professionals dedicated to exceptional service and solutions for our clients' environmental testing
needs.
As required, included is our State of Florida business license. Please let us know If any further
information is needed.
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www.testamencainc.com
3
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Test America ,,,_
THE LEADER IN ENVIRONMENTAL TESTING
Completed Pricing Bid Form
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www testamericainc.com
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 1 - DRINKING WATER ANALYSIS:
Analyses shall be performed in accordance to 40CFR, Part 141
a Sixteen (16) samples analyzed for
Total Tnhalomethanes (T- THM's)
Frequency Quarterly, as required
Maximum turn - around time required 10 DAYS
Price per sample $ 3 5 each Total $ 560 x 4 = $2, 240
b Sixteen (16) samples analyzed for
Haloacetic Acids (HAA5's)
Frequency Quarterly, as required
Maximum turn - around time required 10 DAYS
Price per sample $ 90 each Total $ 1, 44 0 x 4 = $ 5, 760
c Four (4) samples analyzed for
Nitrate - Nitrite $ 15 each Total $ 6 0
Frequency Annually
Maximum turn - around time required 10 DAYS
d At least fifty -seven (57) samples analyzed for
Total Coliform Samples $ 12 each Total $ 684 x 12 = $ 8 , 208
Frequency Monthly
Maximum turn - around time required 10 DAYS
e Two (2) water distribution samples analyzed for
Fluorides $ 12 each Total $ 24 x 12 = $ 2 8 8
Frequency Monthly
Maximum turn - around time required 10 DAYS
Total Price for Section 1: $ 16,556 yearly
Name of Bidder TestAmerica Laboratories, Inc.
8
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 2 — WASTE WATERANALYSIS:
a Weekly samples analyzed for
Twelve (12) Total Suspended
Solids $ 8 each Total $ 96 M -S x 52 = $4,992
Ten (10) Carbonaceous
Oxygen Demand $ 20 each Total $ 200 M -F x 52 = $10,400
Seven (7) Fecal Coliform
Bacteria $ 12 each Total $ 84 M -S x 52 = $4,368
Frequency Seven (7) days per week, with accommodations made during weeks with holidays or
plant malfunctions
Maximum turn - around time required 10 DAYS
b One (1) sample analyzed for
Nitrate $ 15 each Total $ 15 Weekly x 52 = $780
Nitrite $ 15 each Total $ 15 Weekly x 52 = $780
Ammonia $ 13 each Total $ 13 Weekly x 52 = $676
TKN $ 23 each Total $ 23 Weekly x 52 = $1,196
Maximum turn - around time required 10 DAYS
c One (1) sample analyzed for
MLSS $ 8 each Total $ 8 Monthly x 12 = $96
MLVSS $ 8 each Total $ 8 Monthly x 12 = $96
Maximum turn - around time required 10 DAYS
d One (1) sample analyzed for
Total Dissolved Solids $ 8 each Total $ 8 Bi- Weekly x 26 = $208
Chloride $ 11 each Total $ 11 Bi- Weekly x 26 = $286
Sodium $ 10 each Total $ 10 Weekly x 52 = $520
Maximum turn - around time required 10 DAYS
Total Price for Section 2 $ 24,398 yearly
Name of Bidder Test America Laboratories , Inc .
9
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
BID FORM
SECTION 3 — COURIER FEE. .
Courier Fee (Daily) $ 2 0 (1 /day) Total $ 7 , 3 0 0 (365 days)
Total Price for Section 1 — Drinking Water $ 16 , 556
Total Price for Section 2 - Waste Water $ 24 ,198
Total Price for Section 3 - Courier Fee $ 7 ,100
Total Price for Sections 1, 2, & 3 $ 4 8 . 2 54
Name of Bidder TestAmeri,ca Laboratories , Inc .
10
Test America ___
THE LEADER IN ENVIRONMENTAL TESTING
All Signed Affidavits
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www.testamencainc com
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VI. RESPONDENT'S CERTIFICATION
I have carefully examined the Request for Proposal.
I hereby propose to furnish the goods /services specified in the Request for Proposal I agree that my
submittal will remain firm for a period of at least ninety (90) days in order to allow the City adequate
time to evaluate the submittals and determine a ranking of the most qualified firms
I certify that all information contained in this submittal is truthful I further certify that I am duly
authorized to provide this submittal on behalf of the firm as its act and deed and that the firm is ready,
willing and able to perform if awarded the contract
I further certify, under oath, that this submittal is made without prior understanding, agreement,
connection, discussion, or collusion with any other person, firm or corporation tendering a submittal for
the same service, that no officer, employee or agent of the City of St Cloud or any other respondent is
interested in said submittal, and that the undersigned executed this Respondent's Certification with full
knowledge and understanding of the matters therein contained and was duly authorized to do so.
I acknowledge receipt of addenda # 1 # # # # # #
TestAmerica Laboratories, Inc.
NAME OF USINES
SIG U'
Jennifer Hamaker, Sales Coordinator
NAME & TITLE, TYPED OR PRINTED
MAILING ADDRESS
2960 Foster Creighton Drive
Nashville. TN 37204
CITY, STATE, ZIP CODE
(800) 765 - 0980 jennifer.hamaker@testamericainc.com
TELEPHONE NUMBER E - MAIL ADDRESS
STATE OF Tennessee )
)SS
COUNTY OF Davidson )
The foregoing instrument was sworn to and subscribed before me this 30th day of March
20 10 by Jennifer Hamaker who is personally known to me X or
produced as identification.
C aRH C ! L- l,,, Te44443R
# ' RY PUBLIC, State o
Q i ( ame 474 c ,� . .,� C� fission No 4 E£ t — fission Expires. i/, / ,,/
, C oU �
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (A) SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOTARY PUBLIC OR OTHER OFFICAL AUTHORIZED TO ADMINISTER OATHS
1 This sworn statement is submitted to the CITY OF ST. CLOUD, FLORIDA
by Jennifer Hamaker, Sales Coordinator
(print individual's name and title)
for TestAmerica Laboratories, Inc.
(pant name of entity submitting sworn statement)
whose business address is 2960 Foster Creighton Drive Nashville. TN 37204
and Of applicable) its Federal Employer Identification Number (FEIN) is 23
(If the entity has no FEIN, include the Social Securely Number of the individual signing this sworn
statement - - )
2. 1 understand that a " "public entity crime" as defined in Paragraph 287 133 (1)(g), Florida Statutes,
means a violation of any state or federal law by a person with respect to and directly related to the
transaction of business with any public entity or with an agency or political subdivision of any other
state or of the United States, including but not limited to, any bid or contract for goods or services to
be provided to any public entity or an agency or political subdivision of any other state or of the
United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentations
3 I understand that "convicted" or "conviction" as defined in Paragraph 287 133 (1)(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in any federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a
plea of guilty or non contendere
4 I understand that an "affiliate" as defined in Paragraph 287 133(1)(a), Florida Statutes, means.
1 A predecessor or successor of a person convicted of a public entity crime; or
2 An entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executives, partners, shareholders, employees, members, and agents who are active
in the management of an affiliate. The ownership by one person of shares constituting a
controlling interest in another person, or a pooling of equipment or income among persons when
not for fair market value under an arm's length agreement, shall be a prima facie case that one
person controls another person. A person who knowingly enters into a joint venture with a
person who has been convicted of a public entity crime in Florida during the preceding 36
months shall be considered an affiliate
5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any
natural person or entity organized under the laws of any state or of the United States
with legal power to enter into a binding contract and which bids or applies to bid on contracts for the
provision of goods or services let by a public entity, or which otherwise transacts or applies to
transact business with a public entity The term "person" includes those officers, directors,
executives, and partners, shareholders, employees, members, and agents who are active in
management of an entity.
18
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
6 Based on information and belief, the statement, which I have marked below, is true in relations to
the entity submitting this sworn statement (Indicate which statement applies)
c Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, nor any affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989
The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, or an affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989
❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of
the entity, or an affiliate of the entity has been charged with and convicted of a public entity
crime subsequent to July 1, 1989 However, there has been a subsequent proceeding before a
Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order
entered by the Hearing Officer determined that it was not in the public interest to place the entity
submitting this sworn statement on the convicted vendor list (attach a copy of the final order)
1 UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR
THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY
AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN
WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC
ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE
IN THE / /5 nature 4 RMATION CONTAINED IN THIS FORM.
STATE OF Tennessee
COUNTY OF Davidson
The foregoing instrument was sworn to and subscribed before me this 30th day of March
20 10, by Jennifer Hamaker who is personally known to me X or produced
as identi - • n.
� n Expires / //
OTARY PUBLI , Sta • of . , • = L
Print Name E , - r- FE
w
m � e +
19
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (B) AMERICANS WITH DISABILITIES ACT (ADA)
DISABILITY NONDISCRIMINATON STATEMENT
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
This sworn statement is submitted to the CITY OF ST CLOUD, FLORIDA
by Jennifer Hamaker, Sales Coordinator
(print individual's name and title)
for TestAmerica Laboratories, Inc.
(pnnt name of entity submitting sworn statement)
whose business address is 2960 Foster Creighton Drive Nashville, TN 37204
and Of applicable) its Federal Employer Identification Number (FEIN) is 23 - 2919996
(If the entity has no FEIN, include Social Security Number of the individual signing this sworn
statement.
I, being duly first sworn state
That the above named firm, corporation or organization is in compliance with and agreed to continue to
comply with, and assure that any subcontractor, or third party contractor under this project complies
with all applicable requirements of the laws listed below including, but not limited to, those provision
pertaining to employment, provision of programs and services, transportation, communications, access
to facilities, renovations, and new construction
The American with Disabilities Act of 1990 (ADA), Pub. L 101 -336, 104 Stat327,42USC1210112213
and 47 USC Sections 225 and 661 including Title I, Employment; Title II, Public Services Title III,
Public Accommodations and Services Operated by Private entities; Title IV, Telecommunications, and
Title V, Miscellaneous Provisions
The Florida Americans with Disabilities Accessibility Implementation Act of 1993, Section 553 501-
1 553.513, Florida Statutes:
The Rehabilitation Act of 1973, 229 USC Section 794,
The Federal Transit Act, as amended 49 USC Section 1612,
The Fair Housing Act, s a ended 42USC Section 3601 -3631
gnatur
The oregoing instrument was sworn to and subscribed before me this 3 prh day of March
20 10, by Jennifer Hamaker who is personally known
to me X or produced as identification
/ Notary Public Sigl�(ure
My Commission Expires ,( f
�•�,+C, L pil rent
Notary Publ . - - n r ! or Typed
O /)/
FE G'
tti OF
C) EN [73SFE
20 N :
DI l ?L
oo Ci0
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (C) BUSINESS ENTITY AFFIDAVIT
(VENDOR/BIDDER DISCLOSURE)
1, Jennifer Hamaker , being first duly sworn, do hereby state
The full legal name and business address of the person(s),or entity contracting or transacting business
with the City of St Cloud ( "City ") are (Post Office addresses are not acceptable), as follows
23 2919996
Federal Employer Identification Number (If none, Social Secunty Number)
TestAmerica Laboratories. Inc.
Name of Entity, Individual, Partners or Corporation
2960 Foster- Creighton Drive
Street Address Suite
Nashville TN 37204
City State Zip Code
OWNERSHIP DISCLOSURE AFFIDAVIT
1 If the contact or business transaction is with a corporation, the full legal name and business
address shall be provided for each officer and director and each stockholder who holds directly
or indirectly five percent (5%) or more of the corporation's stock If the contract or business
transaction,is with a trust, the full legal name and address shall be provided for each trustee and
each beneficiary. All such names and addresses are (Post Office addresses are not
acceptable), as follows -
Full Legal Name Address Ownership
4101 Shuffel Street NW
TestAmerica Holdings Inc. North Canton, 011 44720 100 %
%
%
ok
%o
21
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
2 The full legal names and business address of any other individual (other than subcontractors,
materialmen, suppliers, laborers, or lenders) who have, or will have, any interest (legal
equitable, beneficial or otherwise) in the contract or business transaction with the City are (Post
Office addresses are not acceptable), as follows
None
(4 i i t'� 3 -30 -10
p n ature of Affiant Date
Jennifer Hamaker
Print Name
The foregoing instrument was sworn to and subscribed before me this 30 th day of March ,
2010 by Jenn' fer Hamaker who is personally known to me x or produced
as identification.
Notary Public — State of TQ/VNeZSPtr
0 4 • 641A4/4 C
Notary Public Signat
1 . ; b
Notary Public-Name Typed fir inte. N f�
My Commission expires: 0 • \
IREE t � •- , � r i - t. A �
MMISSION EXP %�z
MY C9 O � � .
JANUARY 2, 2011 ��
22
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VII. (D) CITY OF ST. CLOUD
DRUG -FREE WORKPLACE COMPLIANCE FORM
IDENTICAL TIE BIDS
Preference shall be given to businesses with drug -free workplace programs. Whenever two or
more bids, which are equal with respect to price, quality, and service, are received by the State or
by any political subdivision for the procurement of commodities or contractual services, a bid
received from a business that certifies that it has implemented a drug -free workplace program shall
be given preference in the award process Established procedures for processing tie bids will be
followed if none of the tied vendors have a drug -free workplace program In order to have a drug -
free workplace program, a business shall
The undersigned vendor in accordance with Florida Statute 287 087 hereby certifies that
TestAmerica Laboratories, Inc. does
(Name of Business)
1 Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the
actions that will be taken against employees for violations of such prohibition
2 Inform employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining a drug -free workplace, any available drug counseling rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in Subsection 1
4. In the statement specified in Subsection 1, notify the employees that, as a condition of working
on the commodities or contractual services that are under bid, the employee will abide by the
terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo
contender to, any violation of Chapter 1893 or of any controlled substance law of the United
States or any state, for a violation occurring in the workplace no later than five (5) days after
such conviction
5 Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, by any employee who is
so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this form complies fully with the above
requirements
Vendor's Signature. r _ �� /�; Date 3 - 3 0 - 10
23
*N /A - Our Orlando Service Center is in Orange County.
City of St Cloud
ITB No 10 -011 Laboratory Analyses
VII. (E) City of St. Cloud
Local Vendor Affidavit of Eligibility
Through the signature below, the affiant. on behalf of and as the authorized representative of
, does hereby swear and affirm as follows
The affiant is the (title either owner, president, or managing
member) of , and that qualifies as an
Osceola County person, firm, and /or corporation (hereinafter, referred to as, "local vendor ") for one or more of the
following criterion in accordance with Local Vendor Ordinance 2009 -05 (Attachment 'C' to this ITB No 2009 -093)
(Check all that apply)
Headquarters, manufacturing facility, or locally -owned franchise is located in, or has had a street
address within, the legal boundaries of Osceola County for at least one (1) year immediately prior to the issuance
of this solicitation (post office boxes do not qualify as a verifiable business address) The following documentation
is attached hereto to validate the resident status
a A copy of the vendor's most recent real property tax receipt
b A copy of the vendor's lease agreement
Thirty percent (30 %) or more of the vendor's full time employees have their primary residence located
within the legal boundaries of Osceola County Attached hereto is a list of employees, including their addresses
and telephone numbers
Owner /principal of the local vendor maintains a primary residence within Osceola County Attached
hereto is a copy of the owner's /principal's most recent real property tax receipt showing homestead property
By signing /notarizing this Affidavit, the affiant hereby certifies that the foregoing information is complete
and accurate and is submitted for the City's use in determining whether the named entity qualifies as a local
vendor in accordance with Ordinance No 2009 -05, City of St Cloud, Florida. The City of St Cloud may at
anytime, for purposes of validating eligibility, request the vendor to provide current information in accordance with
Ordinance No 2009 -05 In addition to the foregoing, the undersigned acknowledges that the information provided
in accordance herewith constitutes a public record and is subject to disclosure as provided by law
Affiant's Signature Affiant's Printed Name
Title Date
Phone
Mailing Address
Fax
E - mad
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was executed before me this day of , 20 , by
as of
who personally swore or affirmed that he /she is authorized to execute this Affidavit and thereby bind the vendor,
and who is personally known to me OR has produced as identification
(Affix notary seal) NOTARY PUBLIC, State of Florida
Notary Name — Printed or Typed
24
Test America
THE LEADER IN ENVIRONMENTAL TESTING
References - Previous
Experience List
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www.testamencainc com
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
VIII. PREVIOUS EXPERIENCE LIST
The Bidder shall indicate at least five (5) recent jobs or projects for public water /sewer systems,
completed or in progress by the Bidder, including, but not limited to, any previous experience similar in
size and scope to the Scope of Work indicated in this Invitation to Bid
1.
Company Name City of Winter Garden
Contact Name and Title Gary Skipper, Wastewater Superintendent
Address 101 East Crest Avenue Winter Garden, FL 34787
Phone Number 407
Type of Contract Ongoing Various Projects
Duration of Contract Performing Work for 10+ years
$ value of Contract $ 30K annually on average (varies)
2.
I Company Name City of Leesburg
Contact Name and Title Kathy Holley, Operator
Address 1600 CR 470 Okahumpka. FL 34762
Phone Number 352 - 728 -9841
Type of Contract Ongoing Various Projects
Duration of Contract Performing Work for 3+ years
$ value of Contract $12K annually on average (varies)
3.
Company Name City of Wildwood
Contact Name and Title Bobby Valentich, Wastewater Department
Address 1290 Industrial Drive Wildwood, FL 35785
Phone Number 352
Type of Contract Ongoing Various Projects
Duration of Contract Performing Work for 10+ years
$ value of Contract $15K annually on average (varies)
4.
Company Name City of Apopka
Contact Name and Title Linda Bolles, Lead Laboratory Technician
Address 748 East Cleveland Street Apopka, FL 32703
Phone Number , 407 - 703 - 1688
Type of Contract Ongoing Various Projects
Duration of Contract Performing Work for 3+ years
$ value of Contract $ 3K annually on average (varies)
5.
Company Name FDEP Central District
Contact Name and Title Kal i na Warren. Watershed Mgmt . & Montoring Manager I
Address 3319 Maguire Boulevard Orlando, FL 32803
Phone Number 407 - 894 -7555
Type of Contract Ongoing Various Proi ects
Duration of Contract Performing Work for 2+ years
$ value of Contract I $7,300 annually on average (varies)
25
Test America
THE LEADER IN ENVIRONMENTAL TESTING
Certificate of Insurance
2960 Foster Creighton Drive Nashville, TN 37204 tel 800 765 0980 fax 615 726 3404 www.testamencainc.com
DATE(MM /DD /YYYY)
ACORD.. CERTIFICATE OF LIABILITY INSURANCE 04/01/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Aon Risk Services, Inc of Florida
1001 Brl ckel 1 Bay Dri ve AND CONFERS NO RIGHTS LPON THE CERTIFICATE HOLDER THiS
Sui to 1100 CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE
Ml aml FL 33131 USA CON ERAGE AFFORDED BY THE POLICIES BELOW.
PIiO\F (866) 283 -7122 F,A\- (847) 953 -5390 INSURERS AFFORDING COVERAGE \AIC #
I \SL RED I \SLRERA ill 1nois union Insurance Company 27960 1_
ai
TestAmerica Laboratories, Inc INSURER Zurich American Ins Co 16535 '..
4101 Shuffel Street Nw
North Canton OH 44720 USA INSURER[ American Zurich ins Co 40142 . le
INSURER American Guarantee & Liability Ins Co 26247 9
MR RER E 0
COVERAGES I '`
THE POLICIES OF INSURANCE LISTED BELOW iIAVE BEEN ISSLED TO THE INSURED NAMED ABOVE FOR THE POLiO( PERIOD INDICATED NOTW ITHSTANDiNG
ANY REQL IREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLMENT WITH RESPECT TO WHICH THiS CERTIFICATE N4 AY 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
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLCED Bti PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED
1\SR AUD'L POLICY EF'FECTI%E POLICY EXPIRATION
I TR I \SRD TN PE OF INSLRA \CE POLICY \L MBER D \TE(YIAIIUU \Yl') DATFIAIAP,DUO'Y) LIMITS
B ERALLI,ABILIri GL0925885702 04/01/09 04/01/10 EACIIOCCURRE \CE 51,000,000
LOMMERCIAL GENERAL LIABILITY
CLAIMS MADE © OCCL R DAMAGE TO RENTED $250, 000
PREMISES (Ed occurence)
MED E \P (Am one pawn) $5,000
n
GE NERAL GGREGAE 51,000,000 n
N
GENERAL AGGREGATE 52,000,000 'i
GE\L AGGREGATE LIMIT APPLIES PER r
© POLICY ❑ PRO El PRODUCTS- COMROP AGG 52,000,000 p
JECT LOC
0
111
to
B ALTOMOBILE LI ABILITY BAP 9258856 02 04/01/09 04/01/10 COMBINED SINGLE LIMIT p
X A \Y ALTO (Ea accident) 51, 000, 000 Z
_ ALL OWNED AL TOS BODILY INJURY es
SCIIEDL LED AL TOS w u
( Per p.rnl F^
AIRED AUTOS . i
BODII Y INILRY
NON OWNED ALTOS IPrr aaalent) L1
loom
PROPERTY DAMAGE
(Per accident)
GARAGE LI ABILITY ALTO 0 \L\ - EA ACCIDE \T
9
ANY AUTO
OTHER TITAN EA ACC
AUTO ONLY
AGG
D E \CESS ILMBRELLALItBILIT1 AuC925889902 04/01/09 04/01/10 EACIIOCCLRRENCE 54,000,000
© OCCUR ❑ CLAIMS MADE AGGREGATE 54,000,000
Ei DEDUCTIBLE
RETENTION
C wc925885502 04/01/09 04 /01 /1u X h frC STATI - I IOTII-
AORKERS COMPENSATION AND
-
EMPLOYERS' LIABILITY ORY 1 IMITS FR
A \Y PROPRIETOR PARTNER, EXECUTIVE
E L EACH ACCIDENT 51,000,000
OFFICER•MEMBFR EXCLL DEW' E L DISEASE -EA EMPLOYEE 51,000,000 Mil
IC de crrbe under SPECIAL PROVISIONS E L DISEASE - POLICY LIMIT 51, 000, 000
below gEk
+
A CE0623902187002 04/01/09 04/01/10 Each Claim 55,000,000 .. . "11
OTHER Prof & Pollution Liab
Env Prof (E&O) Total Claims 55,000,000
DESCRIPTION OF OPERATIO\S,LOCATIO\S \ EIIICLES EXCLI KIONS ADDED BY E\ DORSEMC\T,SPECIAL PROVISIONS a
Evidence of Coverag
Additional Insured where required by contract with respect to General Liability, Automobile Liability and Excess la
CERTW CATE HOLDER CANCELLATION
TestAmmerl ca Laboratories , Inc SHOULD ANY OF TIIE ADO\ E DESCRIBED POLICIES BE CANCELLED BEFORE TILE EXPIRATION
4101 Shuffel Street NW DATE TIIEREOF TIIE ISSUING INSURER WILL ENDEAVOR TO MAIL
North canton, OH 44720 USA 30 DA\ S WRITTEN NOTICE TO TIIE CERTIFICATE BOLDER NAMED TO TIIE LEFT
BUT FAILURE TO DO SO SIIALL IMPOSE NO OBLIGATION OR LIABILITY
OF AN\ KIND 1 PON TIIE INSURER ITS AGENTS OR REPRESENTATIVES
ALTIIORIZEU REPRESENTATIVE SC20rzta, IIdG. l4 ' 84 �fp id
ACORD 25 (2001)01 ACORD CORPORATIO 1988 11111
Attachment to ACORD Certificate for TestAmerica Laboratories, Inc
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the Insurer(s) - This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy
[INSURED INSURER
TestAmerica Laboratories, Inc INSURER
4101 Shuffel Street Nw
North Canton OH 44720 USA INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits
INSR ADM. P01.IC1 NUMBER POLICt FOLK'
LTR 14SRD Tl PE OF INSURANCE POLICI DESCRIPTION EFFFC IN E EAPIIUTION LIMITS
DATE DATE
DESCRIPTION OF OPERATIONS /LOCATIONS,VEHICLESEXCLUSIONS ADDED Ell ENDORSEMENT/SPECIAL PROVISIONS
Liability not in excess of limits of liability as shown on this document.
waiver of subrogation with respect to General Liability, Automobile Liability, workers
Compensation and Excess Liability as required by written contract and as permitted by law
Cancellation Provision shown herein is subject to shorter or longer time periods depending on the
jurisdiction of, and reason for, the cancellation.
Certificate No : 570033712717
MEMORANDUM OF INSURANCE DATE OF ISSUE: 04101/2009
PRODUCER COMPANIES AFFORDING COVERAGE
AON RISK SERVICES, INC OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE 1100 COMPANY A AMERICAN GUARANTEE & LIABILITY INS
MIAMI, FL 33131 -4937 LETTER CO (26247)
CONTACT ELIZABETH DOERR, AON GLENVIEW
PHONE (847) 953 -7045 COMPANY B ILLINOIS UNION INSURANCE COMPANY
EMAIL: ELIZABETH_DOERR @ARS.AON.COM LETTER (27960)
INSURED: TESTAMERICA ENVIRONMENTAL COMPANY c ZURICH AMERICAN INS CO (16535)
SERVICES, LLC ETAL (SEE BELOW) LETTER
4101 Shuffel Drive NW COMPANY
North Canton, OH 44720 LETTER D AMERICAN ZURICH INS CO (40142)
COMPANY E
LETTER
•
COVERAGES
This memorandum verifies that the following coverages are in force General Liability, Automobile Liability, Workers'
Compensation, Umbrella and Environmental Professional
This memorandum is furnished to you as a matter of information for your convenience It is not intended to reflect all the
terms and conditions or exclusions of such policies This memorandum is not an insurance policy and does not amend,
alter, or extend the coverage afforded by the listed policies. The insurance afforded by the listed policy is subject to all the
terms, exclusions and conditions of such policies
•
CO TYPE OF INSURANCE POLICY EFF EXP
LIMITS SHOWN ARE AS REQUESTED
LTR NUMBER DATE , DATE
COMMERCIAL
GENERAL LIABILITY GL0925885702 04/01/2009 04/01/2010 GENERAL AGGREGATE Si 2,000,000
© COM GEN LIABILITY PRODUCTS- COMP /OP AGG $ 2 000 000
■ CLAIM OCCUR PERSONAL & ADV INJURY $ 1 000 000
A OWN & CONT PROT
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any fire) $ 250,000
MED EXPENSE (Any one
AUTOMOBILE . person) $ 5,000
LIABILITY
X ANY AUTO
. ALL OWNED AUTOS COMBINED SINGLE LIMIT $ 1,000,000
III SCHEDULED AUTOS
A HIRED AUTOS BAP 9258856 02 04/01/2009 04/01/2010 BODILY INJURY (Per Person) $
X NON -OWNED AUTOS
GARAGE LIABILITY BODILY INJURY (Per Accident) $
SELF - INSURED —
PHYSICAL DAMAGE PROPERTY DAMAGE $
EXCESS LIABILITY AUC925889902 04/01/2009 04/01/2010
B X UMBRELLA FORM I EACH OCCURRENCE $ 4,000,000
OTHER THAN UMB AGGREGATE $ 4,000,000
WORKERS' COMPENSATION WC925885502 04/01/2009 04/01/2010 , El STATUTORY LIMITS $
A I AND EACH ACCIDENT $ 1,000,000
EMPLOYER'S LIABILITY I DISEASE- POLICY LIMIT { $ 1,000,000
J 1 DISEASE -EACH EMPLOYEE I S 1,000,000
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS
COMPANY BI ENVIRONMENTAUPROFESSIONAL LIABILITY ,CEOG23902187002, 04/01/2009 TO 04/01/2010, $5,000,000 EACH CLAIM, $5,000,000 TOTAL ALL
CLAIMS
NAMED INSURED (CONTINUED) TESTAMERICA LABORATORIES, INC , AEROTECH LABORATORIES, INC TESTAMERICA ENVIRONMENTAL
MIRCROBIOLOGY LABORATORY, INC , (DBA EMLAB P &K) P &K MICROBIOLOGY SERVICES, INC , TESTAMERICA AIR EMISSION CORP (DBA METCO),
TESTAMERICA DRILLING CORP (DBA WEST HAZMAT), AND QED ENVIRONMENTAL SERVICES, INC
WAIVER OF SUBROGATION WITH RESPECT TO GENERAL LIABILITY, AUTOMOBILE LIABILITY, WORKERS' COMPENSATION AND UMBRELLA LIABILITY AS
REQUIRED BY WRITTEN CONTRACT AND AS PERMITTED BY LAW
ADDITIONAL INSURED WHERE REQUIRED BY CONTRACT WITH RESPECT TO GENERAL LIABILITY, AUTOMOBILE LIABILITY AND UMBRELLA LIABILITY
https / /aonline aon com/
City of St Cloud
ITB No 2010 -011 Laboratory Analyses
ATTACHMENT `C'
Insurance Requirements
City of Saint Cloud
ACORD Certificate of Insurance Requirements
FAX OR E -MAIL THIS IMMEDIATELY TO YOUR INSURANCE AGENT
Please have our insurance agent or y ce age t fax e-mail email an acceptable ACORD Form (Word or PDF) to
City of St. Cloud
Attention: Division of Purchasing & Materials Management
1300 9th Street
Saint Cloud, FL 34769
E-mail purchasing @stcloud.org FAX. (407) 957 -7369
The ACORD certificate must reflect the following:
A. Producer — the name, email address, telephone number and fax number of your agent
B Insured — your company /group name
C. Insurers — the insurance companies providing coverage
a. Proof of the carrier's FSC rate (must be a 7 or better) with the ACORD form on
agent/carner letterhead
D. The Best Number assigned to this carrier
a. Name of carriers as they appear in the A.M. Best ratings guide or Internet site at
ambest.com.
b Proof of the carrier's Best Rating (must be A- or better) with the ACORD form or
e- mailed with the ACORD form on agent/carrier letterhead
E. The NAIC number, assigned to this carrier
F General liability in the amounts shown for all vendors and contractors
G Auto liability if avendor /event vehicle will be on City property
a $1 million required where vehicle is used to perform contracted work
b $500,000 required for all other vendors (vehicle driven to /from worksite)
H. Garage Liability, if a city vehicle is being repaired at your facility
I. Excess Liability, if a contractor. The minimum is $2,000,000, but this amount may be
greater depending on the award contract amount.
J Worker's Compensation, if you will have two or more employees on City property WC
Statutory Ilmitsmust be marked.
K. Other.
a. Liquor liability - must also include a hold harmless agreement and authorization
by the City Council.
b Builder's Risk Insurance per project amounts
c. Environmental Insurance if applicable
d. Errors and Omissions if Consultant services
L. Description of Operations The City of Saint Cloud must be listed as additional insured.
You must show the work/event and the dates of the project (both begin and end dates).
M Certificate Holder — must shoal City of Saint Cloud, 1300 9th St, St Cloud, FL 34769
N. Cancellation — minimum 30 days
Public Entities/Municipalities Sovereign immunity standard should appear in Description
of Operations with $100,000/$200,000 limits. If self funded, rating requirement is waived.
8
City of St Cloud
ITB No. 2010 -011 Laboratory Analyses
. CERTIFICATE LIABILITY _ OF ABILITY INSURANCE
P13131.10B1 FAX THt6 CERr1F1CATE is ISSUED AS A MATTER OF aFOFt11AT10N
WAp
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1 A ` HOL ALUM ALUM R. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
N. AL THE COVERAGE AFFORDED BY THE POLICIES BELOW_
NooRno A.
INSURER II
INSLRER C.
R SLIRERS AFFORDING COVERAG NAIL: Bests 1 __
- AWL RID
Pa r:dta L ------ D Iti Et
1 INSURER E. —_ I I
COJERAGES
THE 'ULK.+S OE INSURANCE LISTED BELOW HAVE BEEN 6SUED TO THE INSURED NAMED ABOVE FOR This POLICY PERM INDICATED. NOtV.T isTAND NG
A TY REOUIRELIENT TERM OR CONDITION OF ANY CONTRACT OR OThER DOCUMENT W RH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE 3.SUPoWCE AFFORDED BY THE POUCES DESCRIBED HERE,/ IS SUBJECT TO AU. THE TERMS EXCLUSIONS AND CUNUITICI6 OF SUCI-
P )UCIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAR) CLAIMS
POIJCIEFFECTSE i, I TYPE OF BOIFAICB POLL? NleRet
DATE BiEeo VYl Dery f� tarts
GENERAL LMSTUTY SA01 1 1 .000 I 1,1
BLA
CMSTERC Al GIINERM LIABILITY r/R Oat1AGE WIT al.e t[e j i t 50 1�I��
i wan MADE ( OCCUR
1i ED EI PIIVq ar wRPA) 1
I nd Partki VAtrtdors and 0
u 8 P_� . Corprac tors a i PERSONAL PERSONAL A AAM P+Y 0 00 • 0
_ -- __ -- F 1 GEMMEL AGGREGATE 1 s 1 ZOQ F I I-
Wirt. AGGREGATE !IS T9 P
LINT APPUEB PL ; PRODUC IS cOIgP AGO f 1,000,000
POLICY MI �ECr ■ Lnc - -- - - - 4 _
ALrtONOBRE UABLLfPY I COM9MED SINGLE L ART
AM• AJTO (EN I f c 1,000.000 or
ALL OWNED AUIO$ If Yendorlcontractor 1 SODA YIL/yNY —"' $
—1 so1FaILLTO AUTOS vehidels will the on Q (AA faun) L $500.000
NUM AUTOS .yam.
- -_ UMW II I Cit I""I^'•`7 RY ' rent
PROPERTY DAMAGE f
GARAGE LM I IT TBelt[6 -B pB Ined on 1 EA :
-- Pie r Al/TO ONLY M.(a1tM $ 1,000,000
1
H �—
1 ANY AUTO Car Neale el Yank, l Y w —
S
— 0�� AGG S
1903E SS uABB,rr ULTI OCCUR NCE s 2,000,000 -
OCCUR l la AiNB WDF - AGGREGATE s 2,11:10,000* __
--
If a Contractor l 1 s
OGI1CnB1E I _ ___,
RETErrnON 1 - __ _
S
EW M - TIOK �tW0 or mom ST[f� ��� —
employees on this I F L. EACH AGUCENT s - 100,000 -
pro�ect I -E asu D,� s 100,
FL Ll _ POLICY LSIT l L 500.000 -
—_
' orl�OTHER 1 e - Liquor Liability, Bu R -
Environmental, Errors & Omissions, etc K ` 1.000.000
' r_ __
Del( RPPTION GP OPERA/N SYLOGATIGNBNBBaESlEICS Doom ADDED BY HpO 7fr7SPBOML M
PRO9OIAS _ - -- —,
certificate holder is listed as additional insured with repects to: (put project name here)
E L ! and the dates of the projsctrevent (both begs and end dates required)
C Ji MCATE HOLDER I 1 AM ON& ENURES - SOURER LETTER CANCEL AT)ON
—
E M City OS St Cloud B OF THE ABOYa 01:101101:1011101:10111110 MUCKS TIE CAN( 139.031 p .DR3 TIE
Attn Purchasing I N °tMNIApDATE om
GN D T • et ISSUISSUING B1G cosoAIrnmu. DoreAwoR ro am-
—
1300 9th Street - 30 win wonTEN N o an Ta TIP CERTI CATE POLDER WORD 10 THE LEFT,
`>r Cloud, floras 3.4769 BUT FAR TO IIAI. SUCH NOT= OPALS IPOSE NO OBLEIATTONOR IMIALTT•
GP ANY AND UPON TNE comma" ITS AGENTS OR R EPRESIT TTATTHFS
AUTI1R)�p RBRP�ITATNE --
ACC Po 2S-S 0971 --
MACORD CORPORATION Leis
9
