Bell Gardens City Council
May 11, 2026

DOC #8
EE

OAA EVIDENCE
Eq
ual Employment Opportunity/Affirmative Action
Goods, Professional Services & General Service Projects EEO/AA Evidence
Vendors are required to submit evidence of compliance with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 in order to be considered a responsible vendor.

One of the following must be included with submission:
• Copy of Letter of Federal Approval
• Certificate of Employee Information Report
• Fully Executed Form AA302
• Fully Executed EEO-1 Report
See the guidelines at: http://www.state.nj.us/treasury/contract_compliance/pdf/pa.pdf for further information.

I certify that my bid package includes the required evidence per the above list and State website.

Name: ______________________________ Title: _____________________ Si
gnature: ___________________________ Date: _____________________ Tom DiScipio VP of Installations
02/09/2023
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Version January 29, 2021

CERTIFICATION
I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor/Bidder, that the foregoing information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State of New Jersey is relying on the information contained herein, and that the Vendor/Bidder is under a continuing obligation from the date of this certification through the completion of any contract(s) with the State to notify the State in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification. If I do so, I will be subject to criminal prosecution under the law, and it will constitute a material breach of my agreement(s) with the State, permitting the State to declare any contract(s) resulting from this certification to be void and unenforceable.

DOC #9

MCBRIDE-PRINCIPLES

MACBRIDE PRINCIPALS FORM
_____________________
VENDOR’S/BIDDER’S REQUIREMENT

TO PROVIDE A CERTIFICATION IN COMPLIANCE WITH THE MACBRIDE PRINCIPALS AND NORTHERN IRELAND ACT OF 1989
Pursuant to Public Law 1995, c. 134, a responsible Vendor/Bidder selected, after public bidding, by the Director of the Division of Purchase and Property, pursuant to N.J.S.A. 52:34-12, must complete the certification below by checking one of the two options listed below and signing where indicated. If a Vendor/Bidder that would otherwise be awarded a purchase, contract or agreement does not complete the certification, then the Director may determine, in accordance with applicable law and rules, that it is in the best interest of the State to award the purchase, contract or agreement to another Vendor/Bidder that has completed the certification and has submitted a bid within five (5) percent of the most advantageous bid. If the Director finds contractors to be in violation of the principals that are the subject of this law, he/she shall take such action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.

I, the undersigned, on behalf the Vendor/Bidder, certify pursuant to N.J.S.A. 52:34-12.2 that:

CHECK THE APPROPRIATE BOX
The Vendor/Bidder has no business operations in Northern Ireland; or OR
The Vendor/Bidder will take lawful steps in good faith to conduct any business operations it has in Northern Ireland in accordance with the MacBride principals of nondiscrimination in employment as set forth in section 2 of P.L. 1987, c. 177 (N.J.S.A. 52:18A-89.5) and in conformance with the United Kingdom’s Fair Employment (Northern Ireland) Act of 1989, and permit independent monitoring of its compliance with those principals.

Signature Date
Print Name and Title

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY

DIVISION OF PURCHASE AND PROPERTY
33 WEST STATE STREET, P.O. BOX 230
TRENTON, NEW JERSEY 08625-0230
BID SOLICITATION #: VENDOR/BIDDER:

X
23-02 Robertson Recreational Surfaces
Tom DiScipio, VP of Installations
02/09/2023
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Version January 29, 2021
EX

HIBIT H

ADVERTISING COMPLIANCE REQUIREMENT
Pursuant to certain state notice provisions, including but not limited to Oregon Revised Statutes Chapter 279A.220, the following public agencies and political subdivisions of the referenced public agencies are eligible to register with OMNIA Partners and access the Master Agreement contract award made pursuant to this solicitation, and are hereby given notice of the foregoing request for proposals for purposes of complying with the procedural requirements of said statutes:

Nationwide:

State of Alabama State of Hawaii State of Massachusetts State of New Mexico State of South Dakota
State of Alaska State of Idaho State of Michigan State of New York State of Tennessee State of Arizona State of Illinois State of Minnesota State of North Carolina State of Texas State of Arkansas State of Indiana State of Mississippi State of North Dakota State of Utah State of California State of Iowa State of Missouri State of Ohio State of Vermont State of Colorado State of Kansas State of Montana State of Oklahoma State of Virginia State of Connecticut State of Kentucky State of Nebraska State of Oregon State of Washington State of Delaware State of Louisiana State of Nevada State of Pennsylvania State of West Virginia
State of Florida State of Maine State of New Hampshire State of Rhode Island State of Wisconsin State of Georgia State of Maryland State of New Jersey State of South Carolina State of Wyoming District of Columbia
L
ists of political subdivisions and local governments in the above referenced states / districts may be found at http://www.usa.gov/Agencies/State_and_Territories.shtml and https://www.usa.gov/local-governments.

C
ertain Public Agencies and Political Subdivisions:

CIT

IES, TOWNS, VILLAGES AND BOROUGHS
INCLUDING BUT NOT LIMITED TO:

BAKER CITY GOLF COURSE, OR

CITY OF ADAIR VILLAGE, OR

CITY OF ASHLAND, OR

CITY OF AUMSVILLE, OR

CITY OF AURORA, OR

CITY OF BAKER, OR

CITY OF BATON ROUGE, LA

CITY OF BEAVERTON, OR

CITY OF BEND, OR

CITY OF BOARDMAN, OR

CITY OF BONANAZA, OR

CITY OF BOSSIER CITY, LA

CITY OF BROOKINGS, OR

CITY OF BURNS, OR

CITY OF CANBY, OR

CITY OF CANYONVILLE, OR

CITY OF CLATSKANIE, OR

CITY OF COBURG, OR

CITY OF CONDON, OR

CITY OF COQUILLE, OR

CITY OF CORVALLI, OR

CITY OF CORVALLIS PARKS AND RECREATION

DEPARTMENT, OR

CITY OF COTTAGE GROVE, OR

CITY OF DONALD, OR

CITY OF EUGENE, OR

CITY OF FOREST GROVE, OR

CITY OF GOLD HILL, OR

CITY OF GRANTS PASS, OR

CITY OF GRESHAM, OR

CITY OF HILLSBORO, OR

CITY OF INDEPENDENCE, OR

CITY AND COUNTY OF HONOLULU, HI

CITY OF KENNER, LA

CITY OF LA GRANDE, OR

CITY OF LAFAYETTE, LA

CITY OF LAKE CHARLES, OR

CITY OF LEBANON, OR

CITY OF MCMINNVILLE, OR

CITY OF MEDFORD, OR

CITY OF METAIRIE, LA

CITY OF MILL CITY, OR

CITY OF MILWAUKIE, OR

CITY OF MONROE, LA

CITY OF MOSIER, OR

CITY OF NEW ORLEANS, LA

CITY OF NORTH PLAINS, OR

CITY OF OREGON CITY, OR

CITY OF PILOT ROCK, OR

CITY OF PORTLAND, OR

CITY OF POWERS, OR

CITY OF PRINEVILLE, OR

CITY OF REDMOND, OR

CITY OF REEDSPORT, OR

CITY OF RIDDLE, OR

CITY OF ROGUE RIVER, OR

CITY OF ROSEBURG, OR

CITY OF SALEM, OR

CITY OF SANDY, OR

CITY OF SCAPPOOSE, OR

CITY OF SHADY COVE, OR

CITY OF SHERWOOD, OR

CITY OF SHREVEPORT, LA

CITY OF SILVERTON, OR

CITY OF SPRINGFIELD, OR
CITY OF ST. HELENS, OR
CITY OF ST. PAUL, OR

CITY OF SULPHUR, LA

CITY OF TIGARD, OR

CITY OF TROUTDALE, OR
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Version January 29, 2021

CITY OF TUALATIN, OR

CITY OF WALKER, LA

CITY OF WARRENTON, OR

CITY OF WEST LINN, OR

CITY OF WILSONVILLE, OR

CITY OF WINSTON, OR

CITY OF WOODBURN, OR

LEAGUE OF OREGON CITES

THE CITY OF HAPPY VALLEY OREGON

ALPINE, UT

ALTA, UT

ALTAMONT, UT

ALTON, UT

AMALGA, UT

AMERICAN FORK CITY, UT

ANNABELLA, UT

ANTIMONY, UT

APPLE VALLEY, UT

AURORA, UT

BALLARD, UT

BEAR RIVER CITY, UT

BEAVER, UT

BICKNELL, UT

BIG WATER, UT

BLANDING, UT

BLUFFDALE, UT

BOULDER, UT

CITY OF BOUNTIFUL, UT

BRIAN HEAD, UT

BRIGHAM CITY CORPORATION, UT

BRYCE CANYON CITY, UT

CANNONVILLE, UT

CASTLE DALE, UT

CASTLE VALLEY, UT

CITY OF CEDAR CITY, UT

CEDAR FORT, UT

CITY OF CEDAR HILLS, UT

CENTERFIELD, UT

CENTERVILLE CITY CORPORATION, UT

CENTRAL VALLEY, UT

CHARLESTON, UT

CIRCLEVILLE, UT

CLARKSTON, UT

CLAWSON, UT

CLEARFIELD, UT

CLEVELAND, UT

CLINTON CITY CORPORATION, UT

COALVILLE, UT

CORINNE, UT

CORNISH, UT

COTTONWOOD HEIGHTS, UT

DANIEL, UT

DELTA, UT

DEWEYVILLE, UT

DRAPER CITY, UT

DUCHESNE, UT

EAGLE MOUNTAIN, UT

EAST CARBON, UT

ELK RIDGE, UT

ELMO, UT

ELSINORE, UT

ELWOOD, UT

EMERY, UT

ENOCH, UT

ENTERPRISE, UT

EPHRAIM, UT

ESCALANTE, UT

EUREKA, UT

FAIRFIELD, UT

FAIRVIEW, UT

FARMINGTON, UT

FARR WEST, UT

FAYETTE, UT

FERRON, UT

FIELDING, UT

FILLMORE, UT

FOUNTAIN GREEN, UT

FRANCIS, UT

FRUIT HEIGHTS, UT

GARDEN CITY, UT

GARLAND, UT

GENOLA, UT

GLENDALE, UT

GLENWOOD, UT

GOSHEN, UT

GRANTSVILLE, UT

GREEN RIVER, UT

GUNNISON, UT

HANKSVILLE, UT

HARRISVILLE, UT

HATCH, UT

HEBER CITY CORPORATION, UT

HELPER, UT

HENEFER, UT

HENRIEVILLE, UT

HERRIMAN, UT

HIDEOUT, UT

HIGHLAND, UT
HI

LDALE, UT

HINCKLEY, UT

HOLDEN, UT

HOLLADAY, UT

HONEYVILLE, UT

HOOPER, UT

HOWELL, UT

HUNTINGTON, UT

HUNTSVILLE, UT

CITY OF HURRICANE, UT

HYDE PARK, UT

HYRUM, UT

INDEPENDENCE, UT

IVINS, UT

JOSEPH, UT

JUNCTION, UT

KAMAS, UT

KANAB, UT

KANARRAVILLE, UT

KANOSH, UT

KAYSVILLE, UT

KINGSTON, UT

KOOSHAREM, UT

LAKETOWN, UT

LA VERKIN, UT

LAYTON, UT

LEAMINGTON, UT

LEEDS, UT

LEHI CITY CORPORATION, UT

LEVAN, UT

LEWISTON, UT

LINDON, UT

LOA, UT

LOGAN CITY, UT

LYMAN, UT
L

YNNDYL, UT
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Version January 29, 2021

MANILA, UT

MANTI, UT

MANTUA, UT

MAPLETON, UT

MARRIOTT-SLATERVILLE, UT

MARYSVALE, UT

MAYFIELD, UT

MEADOW, UT

MENDON, UT
MIDVALE CITY INC., UT

MIDWAY, UT

MILFORD, UT

MILLVILLE, UT

MINERSVILLE, UT

MOAB, UT

MONA, UT

MONROE, UT

CITY OF MONTICELLO, UT

MORGAN, UT

MORONI, UT

MOUNT PLEASANT, UT

MURRAY CITY CORPORATION, UT

MYTON, UT

NAPLES, UT

NEPHI, UT

NEW HARMONY, UT

NEWTON, UT

NIBLEY, UT

NORTH LOGAN, UT

NORTH OGDEN, UT

NORTH SALT LAKE CITY, UT

OAK CITY, UT

OAKLEY, UT

OGDEN CITY CORPORATION, UT

OPHIR, UT

ORANGEVILLE, UT

ORDERVILLE, UT

OREM, UT

PANGUITCH, UT

PARADISE, UT

PARAGONAH, UT

PARK CITY, UT

PAROWAN, UT

PAYSON, UT

PERRY, UT

PLAIN CITY, UT

PLEASANT GROVE CITY, UT

PLEASANT VIEW, UT

PLYMOUTH, UT

PORTAGE, UT

PRICE, UT

PROVIDENCE, UT

PROVO, UT

RANDOLPH, UT

REDMOND, UT

RICHFIELD, UT

RICHMOND, UT

RIVERDALE, UT

RIVER HEIGHTS, UT

RIVERTON CITY, UT

ROCKVILLE, UT

ROCKY RIDGE, UT

ROOSEVELT CITY CORPORATION, UT

ROY, UT

RUSH VALLEY, UT
CITY OF ST. GEORGE, UT

SALEM, UT

SALINA, UT

SALT LAKE CITY CORPORATION, UT

SANDY, UT

SANTA CLARA, UT

SANTAQUIN, UT

SARATOGA SPRINGS, UT

SCIPIO, UT

SCOFIELD, UT

SIGURD, UT

SMITHFIELD, UT

SNOWVILLE, UT

CITY OF SOUTH JORDAN, UT

SOUTH OGDEN, UT

CITY OF SOUTH SALT LAKE, UT

SOUTH WEBER, UT

SPANISH FORK, UT

SPRING CITY, UT

SPRINGDALE, UT

SPRINGVILLE, UT

STERLING, UT

STOCKTON, UT

SUNNYSIDE, UT

SUNSET CITY CORP, UT

SYRACUSE, UT

TABIONA, UT

CITY OF TAYLORSVILLE, UT

TOOELE CITY CORPORATION, UT

TOQUERVILLE, UT

TORREY, UT

TREMONTON CITY, UT

TRENTON, UT
T

ROPIC, UT

UINTAH, UT

VERNAL CITY, UT

VERNON, UT

VINEYARD, UT

VIRGIN, UT

WALES, UT

WALLSBURG, UT

WASHINGTON CITY, UT

WASHINGTON TERRACE, UT

WELLINGTON, UT

WELLSVILLE, UT

WENDOVER, UT

WEST BOUNTIFUL, UT

WEST HAVEN, UT

WEST JORDAN, UT

WEST POINT, UT

WEST VALLEY CITY, UT

WILLARD, UT

WOODLAND HILLS, UT

WOODRUFF, UT

WOODS CROSS, UT
CO

UNTIES AND PARISHES INCLUDING BUT NOT
LIMITED TO:

ASCENSION PARISH, LA

ASCENSION PARISH, LA, CLEAR OF COURT

CADDO PARISH, LA

CALCASIEU PARISH, LA
CALCASIEU PARISH SHERIFF’S OFFICE, LA

CITY AND COUNTY OF HONOLULU, HI

CLACKAMAS COUNTY, OR

CLACKAMAS COUNTY DEPT OF TRANSPORTATION,
OR

CLATSOP COUNTY, OR

COLUMBIA COUNTY, OR
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Version January 29, 2021

COOS COUNTY, OR

COOS COUNTY HIGHWAY DEPARTMENT, OR

COUNTY OF HAWAII, OR

CROOK COUNTY, OR

CROOK COUNTY ROAD DEPARTMENT, OR

CURRY COUNTY, OR

DESCHUTES COUNTY, OR

DOUGLAS COUNTY, OR

EAST BATON ROUGE PARISH, LA

GILLIAM COUNTY, OR

GRANT COUNTY, OR

HARNEY COUNTY, OR

HARNEY COUNTY SHERIFFS OFFICE, OR

HAWAII COUNTY, HI

HOOD RIVER COUNTY, OR

JACKSON COUNTY, OR

JEFFERSON COUNTY, OR

JEFFERSON PARISH, LA

JOSEPHINE COUNTY GOVERNMENT, OR

LAFAYETTE CONSOLIDATED GOVERNMENT, LA

LAFAYETTE PARISH, LA

LAFAYETTE PARISH CONVENTION & VISITORS

COMMISSION

LAFOURCHE PARISH, LA

KAUAI COUNTY, HI

KLAMATH COUNTY, OR

LAKE COUNTY, OR

LANE COUNTY, OR

LINCOLN COUNTY, OR

LINN COUNTY, OR

LIVINGSTON PARISH, LA

MALHEUR COUNTY, OR

MAUI COUNTY, HI

MARION COUNTY, SALEM, OR

MORROW COUNTY, OR

MULTNOMAH COUNTY, OR

MULTNOMAH COUNTY BUSINESS AND

COMMUNITY SERVICES, OR

MULTNOMAH COUNTY SHERIFFS OFFICE, OR

MULTNOMAH LAW LIBRARY, OR

ORLEANS PARISH, LA

PLAQUEMINES PARISH, LA

POLK COUNTY, OR

RAPIDES PARISH, LA

SAINT CHARLES PARISH, LA

SAINT CHARLES PARISH PUBLIC SCHOOLS, LA

SAINT LANDRY PARISH, LA

SAINT TAMMANY PARISH, LA

SHERMAN COUNTY, OR

TERREBONNE PARISH, LA

TILLAMOOK COUNTY, OR

TILLAMOOK COUNTY SHERIFF'S OFFICE, OR

TILLAMOOK COUNTY GENERAL HOSPITAL, OR

UMATILLA COUNTY, OR

UNION COUNTY, OR

WALLOWA COUNTY, OR

WASCO COUNTY, OR

WASHINGTON COUNTY, OR

WEST BATON ROUGE PARISH, LA

WHEELER COUNTY, OR

YAMHILL COUNTY, OR

COUNTY OF BOX ELDER, UT

COUNTY OF CACHE, UT

COUNTY OF RICH, UT

COUNTY OF WEBER, UT

COUNTY OF MORGAN, UT

COUNTY OF DAVIS, UT

COUNTY OF SUMMIT, UT

COUNTY OF DAGGETT, UT

COUNTY OF SALT LAKE, UT

COUNTY OF TOOELE, UT

COUNTY OF UTAH, UT

COUNTY OF WASATCH, UT

COUNTY OF DUCHESNE, UT

COUNTY OF UINTAH, UT

COUNTY OF CARBON, UT

COUNTY OF SANPETE, UT

COUNTY OF JUAB, UT

COUNTY OF MILLARD, UT

COUNTY OF SEVIER, UT

COUNTY OF EMERY, UT

COUNTY OF GRAND, UT

COUNTY OF BEVER, UT

COUNTY OF PIUTE, UT

COUNTY OF WAYNE, UT

COUNTY OF SAN JUAN, UT

COUNTY OF GARFIELD, UT

COUNTY OF KANE, UT

COUNTY OF IRON, UT

COUNTY OF WASHINGTON, UT

OTHER AGENCIES INCLUDING ASSOCIATIONS,

BOARDS, DISTRICTS, COMMISSIONS, COUNCILS,

PUBLIC CORPORATIONS, PUBLIC DEVELOPMENT

AUTHORITIES, RESERVATIONS AND UTILITIES
INCLUDING BUT NOT LIMITED TO:

ADAIR R.F.P.D., OR

ADEL WATER IMPROVEMENT DISTRICT, OR
ADRIAN R.F.P.D., OR

AGNESS COMMUNITY LIBRARY, OR
AGNESS-ILLAHE R.F.P.D., OR

AGRICULTURE EDUCATION SERVICE EXTENSION

DISTRICT, OR
ALDER CREEK-BARLOW WATER DISTRICT NO. 29,
OR

ALFALFA FIRE DISTRICT, OR
ALSEA R.F.P.D., OR

ALSEA RIVIERA WATER IMPROVEMENT DISTRICT,
OR

AMITY FIRE DISTRICT, OR

ANTELOPE MEADOWS SPECIAL ROAD DISTRICT, OR

APPLE ROGUE DISTRICT IMPROVEMENT COMPANY,
OR
APPLEGATE VALLEY R.F.P.D. #9, OR

ARCH CAPE DOMESTIC WATER SUPPLY DISTRICT,
OR

ARCH CAPE SANITARY DISTRICT, OR

ARNOLD IRRIGATION DISTRICT, OR

ASH CREEK WATER CONTROL DISTRICT, OR

ATHENA CEMETERY MAINTENANCE DISTRICT, OR
AUMSVILLE R.F.P.D., OR
AURORA R.F.P.D., OR
AZALEA R.F.P.D., OR

BADGER IMPROVEMENT DISTRICT, OR
BAILEY-SPENCER R.F.P.D., OR

BAKER COUNTY LIBRARY DISTRICT, OR
BAKER R.F.P.D., OR

BAKER RIVERTON ROAD DISTRICT, OR

BAKER VALLEY IRRIGATION DISTRICT, OR
BAKER VALLEY S.W.C.D., OR

BAKER VALLEY VECTOR CONTROL DISTRICT, OR

BANDON CRANBERRY WATER CONTROL DISTRICT,
OR
BANDON R.F.P.D., OR
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Version January 29, 2021

BANKS FIRE DISTRICT, OR
BANKS FIRE DISTRICT #13, OR

BAR L RANCH ROAD DISTRICT, OR

BARLOW WATER IMPROVEMENT DISTRICT, OR

BASIN AMBULANCE SERVICE DISTRICT, OR

BASIN TRANSIT SERVICE TRANSPORTATION

DISTRICT, OR

BATON ROUGE WATER COMPANY

BAY AREA HEALTH DISTRICT, OR

BAYSHORE SPECIAL ROAD DISTRICT, OR

BEAR VALLEY SPECIAL ROAD DISTRICT, OR

BEAVER CREEK WATER CONTROL DISTRICT, OR

BEAVER DRAINAGE IMPROVEMENT COMPANY,
INC., OR

BEAVER SLOUGH DRAINAGE DISTRICT, OR

BEAVER SPECIAL ROAD DISTRICT, OR

BEAVER WATER DISTRICT, OR
BELLE MER S.I.G.L. TRACTS SPECIAL ROAD

DISTRICT, OR

BEND METRO PARK AND RECREATION DISTRICT
BENTON S.W.C.D., OR

BERNDT SUBDIVISION WATER IMPROVEMENT

DISTRICT, OR

BEVERLY BEACH WATER DISTRICT, OR
BIENVILLE PARISH FIRE PROTECTION DISTRICT 6,
LA

BIG BEND IRRIGATION DISTRICT, OR

BIGGS SERVICE DISTRICT, OR

BLACK BUTTE RANCH DEPARTMENT OF POLICE

SERVICES, OR
BLACK BUTTE RANCH R.F.P.D., OR

BLACK MOUNTAIN WATER DISTRICT, OR
BLODGETT-SUMMIT R.F.P.D., OR

BLUE MOUNTAIN HOSPITAL DISTRICT, OR

BLUE MOUNTAIN TRANSLATOR DISTRICT, OR

BLUE RIVER PARK & RECREATION DISTRICT, OR

BLUE RIVER WATER DISTRICT, OR
BLY R.F.P.D., OR

BLY VECTOR CONTROL DISTRICT, OR

BLY WATER AND SANITARY DISTRICT, OR

BOARDMAN CEMETERY MAINTENANCE DISTRICT,
OR

BOARDMAN PARK AND RECREATION DISTRICT
BOARDMAN R.F.P.D., OR

BONANZA BIG SPRINGS PARK & RECREATION

DISTRICT, OR

BONANZA MEMORIAL PARK CEMETERY DISTRICT,
OR
BONANZA R.F.P.D., OR

BONANZA-LANGELL VALLEY VECTOR CONTROL

DISTRICT, OR
BORING WATER DISTRICT #24, OR

BOULDER CREEK RETREAT SPECIAL ROAD

DISTRICT, OR
BRIDGE R.F.P.D., OR

BROOKS COMMUNITY SERVICE DISTRICT, OR
BROWNSVILLE R.F.P.D., OR

BUELL-RED PRAIRIE WATER DISTRICT, OR
BUNKER HILL R.F.P.D. #1, OR

BUNKER HILL SANITARY DISTRICT, OR

BURLINGTON WATER DISTRICT, OR

BURNT RIVER IRRIGATION DISTRICT, OR
BURNT RIVER S.W.C.D., OR
CALAPOOIA R.F.P.D., OR
CAMAS VALLEY R.F.P.D., OR

CAMELLIA PARK SANITARY DISTRICT, OR

CAMMANN ROAD DISTRICT, OR

CAMP SHERMAN ROAD DISTRICT, OR

CANBY AREA TRANSIT, OR
CANBY R.F.P.D. #62, OR

CANBY UTILITY BOARD, OR
CANNON BEACH R.F.P.D., OR

CANYONVILLE SOUTH UMPQUA FIRE DISTRICT, OR
CAPE FERRELO R.F.P.D., OR

CAPE FOULWEATHER SANITARY DISTRICT, OR

CARLSON PRIMROSE SPECIAL ROAD DISTRICT, OR

CARMEL BEACH WATER DISTRICT, OR
CASCADE VIEW ESTATES TRACT 2, OR

CEDAR CREST SPECIAL ROAD DISTRICT, OR

CEDAR TRAILS SPECIAL ROAD DISTRICT, OR
CEDAR VALLEY - NORTH BANK R.F.P.D., OR

CENTRAL CASCADES FIRE AND EMS, OR

CENTRAL CITY ECONOMIC OPPORTUNITY CORP, LA
CENTRAL LINCOLN P.U.D., OR

CENTRAL OREGON COAST FIRE & RESCUE

DISTRICT, OR

CENTRAL OREGON INTERGOVERNMENTAL

COUNCIL

CENTRAL OREGON IRRIGATION DISTRICT, OR

CHAPARRAL WATER CONTROL DISTRICT, OR

CHARLESTON FIRE DISTRICT, OR

CHARLESTON SANITARY DISTRICT, OR

CHARLOTTE ANN WATER DISTRICT, OR

CHEHALEM PARK & RECREATION DISTRICT, OR

CHEHALEM PARK AND RECREATION DISTRICT
CHEMULT R.F.P.D., OR
CHENOWITH WATER P.U.D., OR

CHERRIOTS, OR

CHETCO COMMUNITY PUBLIC LIBRARY DISTRICT,
OR

CHILOQUIN VECTOR CONTROL DISTRICT, OR
CHILOQUIN-AGENCY LAKE R.F.P.D., OR

CHINOOK DRIVE SPECIAL ROAD DISTRICT, OR

CHR DISTRICT IMPROVEMENT COMPANY, OR
C

HRISTMAS VALLEY DOMESTIC WATER DISTRICT,
OR

CHRISTMAS VALLEY PARK & RECREATION

DISTRICT, OR
CHRISTMAS VALLEY R.F.P.D., OR

CITY OF BOGALUSA SCHOOL BOARD, LA
CLACKAMAS COUNTY FIRE DISTRICT #1, OR
CLACKAMAS COUNTY SERVICE DISTRICT #1, OR

CLACKAMAS COUNTY VECTOR CONTROL

DISTRICT, OR

CLACKAMAS RIVER WATER

CLACKAMAS RIVER WATER, OR
CLACKAMAS S.W.C.D., OR

CLATSKANIE DRAINAGE IMPROVEMENT

COMPANY, OR

CLATSKANIE LIBRARY DISTRICT, OR
CLATSKANIE P.U.D., OR

CLATSKANIE PARK & RECREATION DISTRICT, OR

CLATSKANIE PEOPLE'S UTILITY DISTRICT
CLATSKANIE R.F.P.D., OR

CLATSOP CARE CENTER HEALTH DISTRICT, OR
CLATSOP COUNTY S.W.C.D., OR
CLATSOP DRAINAGE IMPROVEMENT COMPANY #15,
INC., OR

CLEAN WATER SERVICES

CLEAN WATER SERVICES, OR
CLOVERDALE R.F.P.D., OR

CLOVERDALE SANITARY DISTRICT, OR

CLOVERDALE WATER DISTRICT, OR

COALEDO DRAINAGE DISTRICT, OR
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Version January 29, 2021

COBURG FIRE DISTRICT, OR

COLESTIN RURAL FIRE DISTRICT, OR
COLTON R.F.P.D., OR
COLTON WATER DISTRICT #11, OR
COLUMBIA 911 COMMUNICATIONS DISTRICT, OR
COLUMBIA COUNTY 4-H & EXTENSION SERVICE

DISTRICT, OR

COLUMBIA DRAINAGE VECTOR CONTROL, OR

COLUMBIA IMPROVEMENT DISTRICT, OR
COLUMBIA R.F.P.D., OR

COLUMBIA RIVER FIRE & RESCUE, OR

COLUMBIA RIVER PUD, OR
COLUMBIA S.W.C.D., OR
COLUMBIA S.W.C.D., OR

CONFEDERATED TRIBES OF THE UMATILLA INDIAN

RESERVATION

COOS COUNTY AIRPORT DISTRICT, OR

COOS COUNTY AIRPORT DISTRICT, OR

COOS COUNTY AREA TRANSIT SERVICE DISTRICT,
OR

COOS COUNTY AREA TRANSIT SERVICE DISTRICT,
OR

COOS FOREST PROTECTIVE ASSOCIATION
COOS S.W.C.D., OR
COQUILLE R.F.P.D., OR

COQUILLE VALLEY HOSPITAL DISTRICT, OR

CORBETT WATER DISTRICT, OR
CORNELIUS R.F.P.D., OR

CORP RANCH ROAD WATER IMPROVEMENT, OR
CORVALLIS R.F.P.D., OR

COUNTRY CLUB ESTATES SPECIAL WATER

DISTRICT, OR

COUNTRY CLUB WATER DISTRICT, OR

COUNTRY ESTATES ROAD DISTRICT, OR

COVE CEMETERY MAINTENANCE DISTRICT, OR

COVE ORCHARD SEWER SERVICE DISTRICT, OR
COVE R.F.P.D., OR
CRESCENT R.F.P.D., OR

CRESCENT SANITARY DISTRICT, OR

CRESCENT WATER SUPPLY AND IMPROVEMENT

DISTRICT, OR

CROOK COUNTY AGRICULTURE EXTENSION

SERVICE DISTRICT, OR

CROOK COUNTY CEMETERY DISTRICT, OR

CROOK COUNTY FIRE AND RESCUE, OR

CROOK COUNTY PARKS & RECREATION DISTRICT,
OR
CROOK COUNTY S.W.C.D., OR

CROOK COUNTY VECTOR CONTROL DISTRICT, OR
CROOKED RIVER RANCH R.F.P.D., OR

CROOKED RIVER RANCH SPECIAL ROAD DISTRICT,
OR

CRYSTAL SPRINGS WATER DISTRICT, OR
CURRY COUNTY 4-H & EXTENSION SERVICE

DISTRICT, OR

CURRY COUNTY PUBLIC TRANSIT SERVICE

DISTRICT, OR
CURRY COUNTY S.W.C.D., OR

CURRY HEALTH DISTRICT, OR

CURRY PUBLIC LIBRARY DISTRICT, OR
DALLAS CEMETERY DISTRICT #4, OR

DARLEY DRIVE SPECIAL ROAD DISTRICT, OR
DAVID CROCKETT STEAM FIRE COMPANY #1, LA
DAYS CREEK R.F.P.D., OR

DAYTON FIRE DISTRICT, OR

DEAN MINARD WATER DISTRICT, OR

DEE IRRIGATION DISTRICT, OR

DEER ISLAND DRAINAGE IMPROVEMENT

COMPANY, OR

DELL BROGAN CEMETERY MAINTENANCE

DISTRICT, OR
DEPOE BAY R.F.P.D., OR
DESCHUTES COUNTY 911 SERVICE DISTRICT, OR
DESCHUTES COUNTY R.F.P.D. #2, OR

DESCHUTES PUBLIC LIBRARY DISTRICT, OR
DESCHUTES S.W.C.D., OR

DESCHUTES VALLEY WATER DISTRICT, OR

DEVILS LAKE WATER IMPROVEMENT DISTRICT, OR
DEXTER R.F.P.D., OR

DEXTER SANITARY DISTRICT, OR
DORA-SITKUM R.F.P.D., OR
DOUGLAS COUNTY FIRE DISTRICT #2, OR
DOUGLAS S.W.C.D., OR
DRAKES CROSSING R.F.P.D., OR
DRRH SPECIAL ROAD DISTRICT #6, OR

DRY GULCH DITCH DISTRICT IMPROVEMENT

COMPANY, OR

DUFUR RECREATION DISTRICT, OR

DUMBECK LANE DOMESTIC WATER SUPPLY, OR
DUNDEE R.F.P.D., OR

DURKEE COMMUNITY BUILDING PRESERVATION

DISTRICT, OR

EAGLE POINT IRRIGATION DISTRICT, OR

EAGLE VALLEY CEMETERY MAINTENANCE

DISTRICT, OR
EAGLE VALLEY R.F.P.D., OR
EAGLE VALLEY S.W.C.D., OR

EAST FORK IRRIGATION DISTRICT, OR
EAST MULTNOMAH S.W.C.D., OR

EAST SALEM SERVICE DISTRICT, OR

EAST UMATILLA CHEMICAL CONTROL DISTRICT,
OR

EAST UMATILLA COUNTY AMBULANCE AREA

HEALTH DISTRICT, OR
EAST UMATILLA COUNTY R.F.P.D., OR

EAST VALLEY WATER DISTRICT, OR

ELGIN COMMUNITY PARKS & RECREATION

DISTRICT, OR

ELGIN HEALTH DISTRICT, OR
E
LGIN R.F.P.D., OR

ELKTON ESTATES PHASE II SPECIAL ROAD

DISTRICT, OR
ELKTON R.F.P.D., OR
EMERALD P.U.D., OR

ENTERPRISE IRRIGATION DISTRICT, OR

ESTACADA CEMETERY MAINTENANCE DISTRICT,
OR
ESTACADA R.F.P.D. #69, OR
EUGENE R.F.P.D. # 1, OR

EUGENE WATER AND ELECTRIC BOARD
EVANS VALLEY FIRE DISTRICT #6, OR
FAIR OAKS R.F.P.D., OR
FAIRVIEW R.F.P.D., OR

FAIRVIEW WATER DISTRICT, OR

FALCON HEIGHTS WATER AND SEWER, OR

FALCON-COVE BEACH WATER DISTRICT, OR

FALL RIVER ESTATES SPECIAL ROAD DISTRICT, OR

FARGO INTERCHANGE SERVICE DISTRICT, OR

FARMERS IRRIGATION DISTRICT, OR

FAT ELK DRAINAGE DISTRICT, OR

FERN RIDGE PUBLIC LIBRARY DISTRICT, OR

FERN VALLEY ESTATES IMPROVEMENT DISTRICT,
OR

FOR FAR ROAD DISTRICT, OR
�����������������
Version January 29, 2021
FOREST GROVE R.F.P.D., OR

FOREST VIEW SPECIAL ROAD DISTRICT, OR
FORT ROCK-SILVER LAKE S.W.C.D., OR

FOUR RIVERS VECTOR CONTROL DISTRICT, OR

FOX CEMETERY MAINTENANCE DISTRICT, OR
GARDINER R.F.P.D., OR

GARDINER SANITARY DISTRICT, OR
GARIBALDI R.F.P.D., OR
GASTON R.F.P.D., OR
GATES R.F.P.D., OR
GEARHART R.F.P.D., OR
GILLIAM S.W.C.D., OR

GLENDALE AMBULANCE DISTRICT, OR
GLENDALE R.F.P.D., OR

GLENEDEN BEACH SPECIAL ROAD DISTRICT, OR

GLENEDEN SANITARY DISTRICT, OR

GLENWOOD WATER DISTRICT, OR

GLIDE - IDLEYLD SANITARY DISTRICT, OR
GLIDE R.F.P.D., OR
GOLD BEACH - WEDDERBURN R.F.P.D., OR

GOLD HILL IRRIGATION DISTRICT, OR

GOLDFINCH ROAD DISTRICT, OR
GOSHEN R.F.P.D., OR

GOVERNMENT CAMP ROAD DISTRICT, OR

GOVERNMENT CAMP SANITARY DISTRICT, OR

GRAND PRAIRIE WATER CONTROL DISTRICT, OR

GRAND RONDE SANITARY DISTRICT, OR

GRANT COUNTY TRANSPORTATION DISTRICT, OR
GRANT S.W.C.D., OR

GRANTS PASS IRRIGATION DISTRICT, OR
GREATER BOWEN VALLEY R.F.P.D., OR
GREATER ST. HELENS PARK & RECREATION

DISTRICT, OR

GREATER TOLEDO POOL RECREATION DISTRICT,
OR

GREEN KNOLLS SPECIAL ROAD DISTRICT, OR

GREEN SANITARY DISTRICT, OR
GREENACRES R.F.P.D., OR

GREENBERRY IRRIGATION DISTRICT, OR

GREENSPRINGS RURAL FIRE DISTRICT, OR

HAHLEN ROAD SPECIAL DISTRICT, OR

HAINES CEMETERY MAINTENANCE DISTRICT, OR

HAINES FIRE PROTECTION DISTRICT, OR
HALSEY-SHEDD R.F.P.D., OR
HAMLET R.F.P.D., OR
HARBOR R.F.P.D., OR

HARBOR SANITARY DISTRICT, OR
HARBOR WATER P.U.D., OR

HARNEY COUNTY HEALTH DISTRICT, OR
HARNEY S.W.C.D., OR

HARPER SOUTH SIDE IRRIGATION DISTRICT, OR

HARRISBURG FIRE AND RESCUE, OR
HAUSER R.F.P.D., OR

HAZELDELL RURAL FIRE DISTRICT, OR

HEBO JOINT WATER-SANITARY AUTHORITY, OR
HECETA WATER P.U.D., OR
HELIX CEMETERY MAINTENANCE DISTRICT #4, OR

HELIX PARK & RECREATION DISTRICT, OR
HELIX R.F.P.D. #7-411, OR

HEPPNER CEMETERY MAINTENANCE DISTRICT, OR
HEPPNER R.F.P.D., OR

HEPPNER WATER CONTROL DISTRICT, OR

HEREFORD COMMUNITY HALL RECREATION

DISTRICT, OR

HERMISTON CEMETERY DISTRICT, OR

HERMISTON IRRIGATION DISTRICT, OR

HIDDEN VALLEY MOBILE ESTATES IMPROVEMENT

DISTRICT, OR

HIGH DESERT PARK & RECREATION DISTRICT, OR

HIGHLAND SUBDIVISION WATER DISTRICT, OR

HONOLULU INTERNATIONAL AIRPORT

HOOD RIVER COUNTY LIBRARY DISTRICT, OR

HOOD RIVER COUNTY TRANSPORTATION DISTRICT,
OR
HOOD RIVER S.W.C.D., OR

HOOD RIVER VALLEY PARKS & RECREATION

DISTRICT, OR
HOODLAND FIRE DISTRICT #74
HOODLAND FIRE DISTRICT #74, OR

HORSEFLY IRRIGATION DISTRICT, OR
HOSKINS-KINGS VALLEY R.F.P.D., OR

HOUSING AUTHORITY OF PORTLAND
HUBBARD R.F.P.D., OR

HUDSON BAY DISTRICT IMPROVEMENT COMPANY,
OR

I N (KAY) YOUNG DITCH DISTRICT IMPROVEMENT

COMPANY, OR

ICE FOUNTAIN WATER DISTRICT, OR

IDAHO POINT SPECIAL ROAD DISTRICT, OR

IDANHA-DETROIT RURAL FIRE PROTECTION

DISTRICT, OR

ILLINOIS VALLEY FIRE DISTRICT
ILLINOIS VALLEY R.F.P.D., OR
ILLINOIS VALLEY S.W.C.D., OR
IMBLER R.F.P.D., OR
INTERLACHEN WATER P.U.D., OR

IONE LIBRARY DISTRICT, OR
IONE R.F.P.D. #6-
604, OR

IRONSIDE CEMETERY MAINTENANCE DISTRICT, OR
IRONSIDE RURAL ROAD DISTRICT #5, OR

IRRIGON PARK & RECREATION DISTRICT, OR
IRRIGON R.F.P.D., OR

ISLAND CITY AREA SANITATION DISTRICT, OR

ISLAND CITY CEMETERY MAINTENANCE DISTRICT,
OR

JACK PINE VILLAGE SPECIAL ROAD DISTRICT, OR
JACKSON COUNTY FIRE DISTRICT #3, OR
JACKSON COUNTY FIRE DISTRICT #4, OR
JACKSON COUNTY FIRE DISTRICT #5, OR

JACKSON COUNTY LIBRARY DISTRICT, OR

JACKSON COUNTY VECTOR CONTROL DISTRICT, OR
JACKSON S.W.C.D., OR

JASPER KNOLLS WATER DISTRICT, OR

JEFFERSON COUNTY EMERGENCY MEDICAL

SERVICE DISTRICT, OR
JEFFERSON COUNTY FIRE DISTRICT #1, OR

JEFFERSON COUNTY LIBRARY DISTRICT, OR
JEFFERSON COUNTY S.W.C.D., OR

JEFFERSON PARK & RECREATION DISTRICT, OR
JEFFERSON R.F.P.D., OR

JOB'S DRAINAGE DISTRICT, OR

JOHN DAY WATER DISTRICT, OR

JOHN DAY-CANYON CITY PARKS & RECREATION

DISTRICT, OR
JOHN DAY-FERNHILL R.F.P.D. #5-108, OR

JORDAN VALLEY CEMETERY DISTRICT, OR

JORDAN VALLEY IRRIGATION DISTRICT, OR

JOSEPHINE COMMUNITY LIBRARY DISTRICT, OR
JOSEPHINE COUNTY 4-H & EXTENSION SERVICE

DISTRICT, OR
JOSEPHINE COUNTY 911 AGENCY, OR
JUNCTION CITY R.F.P.D., OR

JUNCTION CITY WATER CONTROL DISTRICT, OR
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Version January 29, 2021

JUNIPER BUTTE ROAD DISTRICT, OR

JUNIPER CANYON WATER CONTROL DISTRICT, OR

JUNIPER FLAT DISTRICT IMPROVEMENT COMPANY,
OR
JUNIPER FLAT R.F.P.D., OR

JUNO NONPROFIT WATER IMPROVEMENT

DISTRICT, OR
KEATING R.F.P.D., OR
KEATING S.W.C.D., OR
KEIZER R.F.P.D., OR

KELLOGG RURAL FIRE DISTRICT, OR

KENO IRRIGATION DISTRICT, OR

KENO PINES ROAD DISTRICT, OR
KENO R.F.P.D., OR

KENT WATER DISTRICT, OR

KERBY WATER DISTRICT, OR

K-GB-LB WATER DISTRICT, OR

KILCHIS WATER DISTRICT, OR
KLAMATH 9-1-1 COMMUNICATIONS DISTRICT, OR

KLAMATH BASIN IMPROVEMENT DISTRICT, OR

KLAMATH COUNTY DRAINAGE SERVICE DISTRICT,
OR

KLAMATH COUNTY EXTENSION SERVICE DISTRICT,
OR
KLAMATH COUNTY FIRE DISTRICT #1, OR
KLAMATH COUNTY FIRE DISTRICT #3, OR
KLAMATH COUNTY FIRE DISTRICT #4, OR
KLAMATH COUNTY FIRE DISTRICT #5, OR

KLAMATH COUNTY LIBRARY SERVICE DISTRICT,
OR

KLAMATH COUNTY PREDATORY ANIMAL

CONTROL DISTRICT, OR

KLAMATH DRAINAGE DISTRICT, OR

KLAMATH FALLS FOREST ESTATES SPECIAL ROAD
DISTRICT UNIT #2, OR

KLAMATH INTEROPERABILITY RADIO GROUP, OR

KLAMATH IRRIGATION DISTRICT, OR

KLAMATH RIVER ACRES SPECIAL ROAD DISTRICT,
OR
KLAMATH S.W.C.D., OR

KLAMATH VECTOR CONTROL DISTRICT, OR
KNAPPA-SVENSEN-BURNSIDE R.F.P.D., OR

LA GRANDE CEMETERY MAINTENANCE DISTRICT,
OR
LA GRANDE R.F.P.D., OR

LA PINE PARK & RECREATION DISTRICT, OR
LA PINE R.F.P.D., OR

LABISH VILLAGE SEWAGE & DRAINAGE, OR

LACOMB IRRIGATION DISTRICT, OR

LAFAYETTE AIRPORT COMMISSION, LA
LAFOURCHE PARISH HEALTH UNIT – DHH-OPH
REGION 3

LAIDLAW WATER DISTRICT, OR

LAKE CHINOOK FIRE & RESCUE, OR
LAKE COUNTY 4-H & EXTENSION SERVICE

DISTRICT, OR

LAKE COUNTY LIBRARY DISTRICT, OR
LAKE CREEK R.F.P.D. - JACKSON, OR
LAKE CREEK R.F.P.D. - LANE COUNTY, OR

LAKE DISTRICT HOSPITAL, OR
LAKE GROVE R.F.P.D. NO. 57, OR

LAKE GROVE WATER DISTRICT, OR

LAKE LABISH WATER CONTROL DISTRICT, OR

LAKE POINT SPECIAL ROAD DISTRICT, OR
LAKESIDE R.F.P.D. #4, OR

LAKESIDE WATER DISTRICT, OR
LAKEVIEW R.F.P.D., OR
LAKEVIEW S.W.C.D., OR

LAMONTAI IMPROVEMENT DISTRICT, OR

LANE FIRE AUTHORITY, OR

LANE LIBRARY DISTRICT, OR

LANE TRANSIT DISTRICT, OR

LANGELL VALLEY IRRIGATION DISTRICT, OR

LANGLOIS PUBLIC LIBRARY, OR
LANGLOIS R.F.P.D., OR

LANGLOIS WATER DISTRICT, OR

LAZY RIVER SPECIAL ROAD DISTRICT, OR

LEBANON AQUATIC DISTRICT, OR
LEBANON R.F.P.D., OR
LEWIS & CLARK R.F.P.D., OR

LINCOLN COUNTY LIBRARY DISTRICT, OR
LINCOLN S.W.C.D., OR

LINN COUNTY EMERGENCY TELEPHONE AGENCY,
OR
LINN S.W.C.D., OR

LITTLE MUDDY CREEK WATER CONTROL, OR

LITTLE NESTUCCA DRAINAGE DISTRICT, OR

LITTLE SWITZERLAND SPECIAL ROAD DISTRICT, OR

LONE PINE IRRIGATION DISTRICT, OR

LONG PRAIRIE WATER DISTRICT, OR

LOOKINGGLASS OLALLA WATER CONTROL

DISTRICT, OR

LOOKINGGLASS RURAL FIRE DISTRICT, OR
LORANE R.F.P.D., OR

LOST & BOULDER DITCH IMPROVEMENT DISTRICT,
OR

LOST CREEK PARK SPECIAL ROAD DISTRICT, OR

LOUISIANA PUBLIC SERVICE COMMISSION, LA

LOUISIANA WATER WORKS
LOWELL R.F.P.D., OR
LOWER MCKAY CREEK R.F.P.D., OR
L

OWER MCKAY CREEK WATER CONTROL

DISTRICT, OR

LOWER POWDER RIVER IRRIGATION DISTRICT, OR

LOWER SILETZ WATER DISTRICT, OR

LOWER UMPQUA HOSPITAL DISTRICT, OR

LOWER UMPQUA PARK & RECREATION DISTRICT,
OR

LOWER VALLEY WATER IMPROVEMENT DISTRICT,
OR
LUCE LONG DITCH DISTRICT IMPROVEMENT CO.,
OR

LUSTED WATER DISTRICT, OR
LYONS R.F.P.D., OR

LYONS-MEHAMA WATER DISTRICT, OR

MADRAS AQUATIC CENTER DISTRICT, OR

MAKAI SPECIAL ROAD DISTRICT, OR
MALHEUR COUNTY S.W.C.D., OR

MALHEUR COUNTY VECTOR CONTROL DISTRICT,
OR

MALHEUR DISTRICT IMPROVEMENT COMPANY, OR

MALHEUR DRAINAGE DISTRICT, OR

MALHEUR MEMORIAL HEALTH DISTRICT, OR

MALIN COMMUNITY CEMETERY MAINTENANCE

DISTRICT, OR

MALIN COMMUNITY PARK & RECREATION

DISTRICT, OR

MALIN IRRIGATION DISTRICT, OR
MALIN R.F.P.D., OR

MAPLETON FIRE DEPARTMENT, OR

MAPLETON WATER DISTRICT, OR

MARCOLA WATER DISTRICT, OR
MARION COUNTY EXTENSION & 4H SERVICE

DISTRICT, OR
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Version January 29, 2021
MARION COUNTY FIRE DISTRICT #1, OR

MARION JACK IMPROVEMENT DISTRICT, OR
MARION S.W.C.D., OR

MARY'S RIVER ESTATES ROAD DISTRICT, OR

MCDONALD FOREST ESTATES SPECIAL ROAD

DISTRICT, OR

MCKAY ACRES IMPROVEMENT DISTRICT, OR
MCKAY DAM R.F.P.D. # 7-410, OR

MCKENZIE FIRE & RESCUE, OR

MCKENZIE PALISADES WATER SUPPLY

CORPORATION, OR
MCMINNVILLE R.F.P.D., OR
MCNULTY WATER P.U.D., OR

MEADOWS DRAINAGE DISTRICT, OR

MEDFORD IRRIGATION DISTRICT, OR
MEDFORD R.F.P.D. #2, OR

MEDFORD WATER COMMISSION
MEDICAL SPRINGS R.F.P.D., OR

MELHEUR COUNTY JAIL, OR

MERLIN COMMUNITY PARK DISTRICT, OR

MERRILL CEMETERY MAINTENANCE DISTRICT, OR

MERRILL PARK DISTRICT, OR
MERRILL R.F.P.D., OR

METRO REGIONAL GOVERNMENT

METRO REGIONAL PARKS

METROPOLITAN EXPOSITION RECREATION

COMMISSION

METROPOLITAN SERVICE DISTRICT (METRO)

MID COUNTY CEMETERY MAINTENANCE DISTRICT,
OR

MID-COLUMBIA FIRE AND RESCUE, OR

MIDDLE FORK IRRIGATION DISTRICT, OR

MIDLAND COMMUNITY PARK, OR

MIDLAND DRAINAGE IMPROVEMENT DISTRICT, OR

MILES CROSSING SANITARY SEWER DISTRICT, OR
MILL CITY R.F.P.D. #2-303, OR

MILL FOUR DRAINAGE DISTRICT, OR

MILLICOMA RIVER PARK & RECREATION DISTRICT,
OR
MILLINGTON R.F.P.D. #5, OR

MILO VOLUNTEER FIRE DEPARTMENT, OR

MILTON-FREEWATER AMBULANCE SERVICE AREA

HEALTH DISTRICT, OR

MILTON-FREEWATER WATER CONTROL DISTRICT,
OR

MIROCO SPECIAL ROAD DISTRICT, OR
MIST-BIRKENFELD R.F.P.D., OR

MODOC POINT IRRIGATION DISTRICT, OR

MODOC POINT SANITARY DISTRICT, OR
MOHAWK VALLEY R.F.P.D., OR

MOLALLA AQUATIC DISTRICT, OR
MOLALLA R.F.P.D. #73, OR
MONITOR R.F.P.D., OR
MONROE R.F.P.D., OR

MONUMENT CEMETERY MAINTENANCE DISTRICT,
OR
MONUMENT S.W.C.D., OR

MOOREA DRIVE SPECIAL ROAD DISTRICT, OR
MORO R.F.P.D., OR

MORROW COUNTY HEALTH DISTRICT, OR

MORROW COUNTY UNIFIED RECREATION

DISTRICT, OR
MORROW S.W.C.D., OR

MOSIER FIRE DISTRICT, OR

MOUNTAIN DRIVE SPECIAL ROAD DISTRICT, OR
MT. ANGEL R.F.P.D., OR
MT. HOOD IRRIGATION DISTRICT, OR
MT. LAKI CEMETERY DISTRICT, OR
MT. VERNON R.F.P.D., OR
MULINO WATER DISTRICT #1, OR
MULTNOMAH COUNTY DRAINAGE DISTRICT #1, OR
MULTNOMAH COUNTY R.F.P.D. #10, OR
MULTNOMAH COUNTY R.F.P.D. #14, OR

MULTNOMAH EDUCATION SERVICE DISTRICT
MYRTLE CREEK R.F.P.D., OR

NEAH-KAH-NIE WATER DISTRICT, OR
NEDONNA R.F.P.D., OR

NEHALEM BAY FIRE AND RESCUE, OR

NEHALEM BAY HEALTH DISTRICT, OR

NEHALEM BAY WASTEWATER AGENCY, OR

NESIKA BEACH-OPHIR WATER DISTRICT, OR

NESKOWIN REGIONAL SANITARY AUTHORITY, OR

NESKOWIN REGIONAL WATER DISTRICT, OR
NESTUCCA R.F.P.D., OR

NETARTS WATER DISTRICT, OR
NETARTS-OCEANSIDE R.F.P.D., OR

NETARTS-OCEANSIDE SANITARY DISTRICT, OR

NEW BRIDGE WATER SUPPLY DISTRICT, OR

NEW CARLTON FIRE DISTRICT, OR

NEW ORLEANS REDEVELOPMENT AUTHORITY, LA
NEW PINE CREEK R.F.P.D., OR
NEWBERG R.F.P.D., OR

NEWBERRY ESTATES SPECIAL ROAD DISTRICT, OR
NEWPORT R.F.P.D., OR

NEWT YOUNG DITCH DISTRICT IMPROVEMENT

COMPANY, OR
NORTH ALBANY R.F.P.D., OR
NOR
TH BAY R.F.P.D. #9, OR

NORTH CLACKAMAS PARKS & RECREATION

DISTRICT, OR

NORTH COUNTY RECREATION DISTRICT, OR

NORTH DOUGLAS COUNTY FIRE & EMS, OR

NORTH DOUGLAS PARK & RECREATION DISTRICT,
OR

NORTH GILLIAM COUNTY HEALTH DISTRICT, OR
NORTH GILLIAM COUNTY R.F.P.D., OR

NORTH LAKE HEALTH DISTRICT, OR

NORTH LEBANON WATER CONTROL DISTRICT, OR
NORTH LINCOLN FIRE & RESCUE DISTRICT #1, OR

NORTH LINCOLN HEALTH DISTRICT, OR

NORTH MORROW VECTOR CONTROL DISTRICT, OR
NORTH SHERMAN COUNTY R.F.P.D, OR

NORTH UNIT IRRIGATION DISTRICT, OR

NORTHEAST OREGON HOUSING AUTHORITY, OR

NORTHEAST WHEELER COUNTY HEALTH DISTRICT,
OR
NORTHERN WASCO COUNTY P.U.D., OR

NORTHERN WASCO COUNTY PARK & RECREATION

DISTRICT, OR

NYE DITCH USERS DISTRICT IMPROVEMENT, OR
NYSSA ROAD ASSESSMENT DISTRICT #2, OR

NYSSA RURAL FIRE DISTRICT, OR

NYSSA-ARCADIA DRAINAGE DISTRICT, OR

OAK LODGE WATER SERVICES, OR
OAKLAND R.F.P.D., OR

OAKVILLE COMMUNITY CENTER, OR

OCEANSIDE WATER DISTRICT, OR

OCHOCO IRRIGATION DISTRICT, OR

OCHOCO WEST WATER AND SANITARY

AUTHORITY, OR

ODELL SANITARY DISTRICT, OR

OLD OWYHEE DITCH IMPROVEMENT DISTRICT, OR

OLNEY-WALLUSKI FIRE & RESCUE DISTRICT, OR

ONTARIO LIBRARY DISTRICT, OR
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Version January 29, 2021

ONTARIO R.F.P.D., OR
OPHIR R.F.P.D., OR

OREGON COAST COMMUNITY ACTION

OREGON HOUSING AND COMMUNITY SERVICES

OREGON INTERNATIONAL PORT OF COOS BAY, OR

OREGON LEGISLATIVE ADMINISTRATION
OREGON OUTBACK R.F.P.D., OR

OREGON POINT, OR

OREGON TRAIL LIBRARY DISTRICT, OR

OTTER ROCK WATER DISTRICT, OR
OWW UNIT #2 SANITARY DISTRICT, OR

OWYHEE CEMETERY MAINTENANCE DISTRICT, OR

OWYHEE IRRIGATION DISTRICT, OR

PACIFIC CITY JOINT WATER-SANITARY

AUTHORITY, OR

PACIFIC COMMUNITIES HEALTH DISTRICT, OR
PACIFIC RIVIERA #3 SPECIAL ROAD DISTRICT, OR

PALATINE HILL WATER DISTRICT, OR

PALMER CREEK WATER DISTRICT IMPROVEMENT

COMPANY, OR

PANORAMIC ACCESS SPECIAL ROAD DISTRICT, OR

PANTHER CREEK ROAD DISTRICT, OR

PANTHER CREEK WATER DISTRICT, OR
PARKDALE R.F.P.D., OR

PARKDALE SANITARY DISTRICT, OR
PENINSULA DRAINAGE DISTRICT #1, OR
PENINSULA DRAINAGE DISTRICT #2, OR

PHILOMATH FIRE AND RESCUE, OR

PILOT ROCK CEMETERY MAINTENANCE DISTRICT
#5, OR

PILOT ROCK PARK & RECREATION DISTRICT, OR
PILOT ROCK R.F.P.D., OR

PINE EAGLE HEALTH DISTRICT, OR

PINE FLAT DISTRICT IMPROVEMENT COMPANY, OR

PINE GROVE IRRIGATION DISTRICT, OR

PINE GROVE WATER DISTRICT-KLAMATH FALLS,
OR

PINE GROVE WATER DISTRICT-MAUPIN, OR

PINE VALLEY CEMETERY DISTRICT, OR
PINE VALLEY R.F.P.D., OR

PINEWOOD COUNTRY ESTATES SPECIAL ROAD

DISTRICT, OR

PIONEER DISTRICT IMPROVEMENT COMPANY, OR

PISTOL RIVER CEMETERY MAINTENANCE

DISTRICT, OR

PISTOL RIVER FIRE DISTRICT, OR
PLEASANT HILL R.F.P.D., OR

PLEASANT HOME WATER DISTRICT, OR

POCAHONTAS MINING AND IRRIGATION DISTRICT,
OR

POE VALLEY IMPROVEMENT DISTRICT, OR

POE VALLEY PARK & RECREATION DISTRICT, OR

POE VALLEY VECTOR CONTROL DISTRICT, OR
POLK COUNTY FIRE DISTRICT #1, OR
POLK S.W.C.D., OR

POMPADOUR WATER IMPROVEMENT DISTRICT, OR

PONDEROSA PINES EAST SPECIAL ROAD DISTRICT,
OR

PORT OF ALSEA, OR

PORT OF ARLINGTON, OR

PORT OF ASTORIA, OR

PORT OF BANDON, OR

PORT OF BRANDON, OR

PORT OF BROOKINGS HARBOR, OR

PORT OF CASCADE LOCKS, OR

PORT OF COQUILLE RIVER, OR

PORT OF GARIBALDI, OR

PORT OF GOLD BEACH, OR

PORT OF HOOD RIVER, OR

PORT OF MORGAN CITY, LA

PORT OF MORROW, OR

PORT OF NEHALEM, OR

PORT OF NEWPORT, OR

PORT OF PORT ORFORD, OR

PORT OF PORTLAND, OR

PORT OF SIUSLAW, OR
PORT OF ST. HELENS, OR

PORT OF THE DALLES, OR

PORT OF TILLAMOOK BAY, OR

PORT OF TOLEDO, OR

PORT OF UMATILLA, OR

PORT OF UMPQUA, OR

PORT ORFORD CEMETERY MAINTENANCE

DISTRICT, OR

PORT ORFORD PUBLIC LIBRARY DISTRICT, OR
PORT ORFORD R.F.P.D., OR

PORTLAND DEVELOPMENT COMMISSION, OR

PORTLAND FIRE AND RESCUE

PORTLAND HOUSING CENTER, OR
POWDER R.F.P.D., OR
POWDER RIVER R.F.P.D., OR

POWDER VALLEY WATER CONTROL DISTRICT, OR

POWERS HEALTH DISTRICT, OR

PRAIRIE CEMETERY MAINTENANCE DISTRICT, OR

PRINEVILLE LAKE ACRES SPECIAL ROAD DISTRICT
#1, OR
PROSPECT R.F.P.D., OR

QUAIL VALLEY PARK IMPROVEMENT DISTRICT, OR

QUEENER IRRIGATION IMPROVEMENT DISTRICT,
OR

RAINBOW WATER DISTRICT, OR

RAINIER CEMETERY DISTRICT, OR

RAINIER DRAINAGE IMPROVEMENT COMPANY, OR

RALEIGH WATER DISTRICT, OR

REDMOND AREA PARK & RECREATION DISTRICT,
OR

REDMOND FIRE AND RESCUE, OR

RIDDLE FIRE PROTECTION DISTRICT, OR

RIDGEWOOD DISTRICT IMPROVEMENT COMPANY,
OR

RIDGEWOOD ROAD DISTRICT, OR

RIETH SANITARY DISTRICT, OR

RIETH WATER DISTRICT, OR

RIMROCK WEST IMPROVEMENT DISTRICT, OR

RINK CREEK WATER DISTRICT, OR

RIVER BEND ESTATES SPECIAL ROAD DISTRICT, OR

RIVER FOREST ACRES SPECIAL ROAD DISTRICT, OR

RIVER MEADOWS IMPROVEMENT DISTRICT, OR

RIVER PINES ESTATES SPECIAL ROAD DISTRICT, OR

RIVER ROAD PARK & RECREATION DISTRICT, OR

RIVER ROAD WATER DISTRICT, OR

RIVERBEND RIVERBANK WATER IMPROVEMENT

DISTRICT, OR
RIVERDALE R.F.P.D. 11-JT, OR

RIVERGROVE WATER DISTRICT, OR

RIVERSIDE MISSION WATER CONTROL DISTRICT,
OR
RIVERSIDE R.F.P.D. #7-406, OR

RIVERSIDE WATER DISTRICT, OR

ROBERTS CREEK WATER DISTRICT, OR

ROCK CREEK DISTRICT IMPROVEMENT, OR

ROCK CREEK WATER DISTRICT, OR
ROCKWOOD WATER P.U.D., OR

ROCKY POINT FIRE & EMS, OR
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Version January 29, 2021
ROGUE RIVER R.F.P.D., OR

ROGUE RIVER VALLEY IRRIGATION DISTRICT, OR

ROGUE VALLEY SEWER SERVICES, OR

ROGUE VALLEY SEWER, OR

ROGUE VALLEY TRANSPORTATION DISTRICT, OR

ROSEBURG URBAN SANITARY AUTHORITY, OR

ROSEWOOD ESTATES ROAD DISTRICT, OR

ROW RIVER VALLEY WATER DISTRICT, OR
RURAL ROAD ASSESSMENT DISTRICT #3, OR
RURAL ROAD ASSESSMENT DISTRICT #4, OR

SAINT LANDRY PARISH TOURIST COMMISSION
SAINT MARY PARISH REC DISTRICT 2
SAINT MARY PARISH REC DISTRICT 3
SAINT TAMMANY FIRE DISTRICT 4, LA

SALEM AREA MASS TRANSIT DISTRICT, OR

SALEM MASS TRANSIT DISTRICT
SALEM SUBURBAN R.F.P.D., OR

SALISHAN SANITARY DISTRICT, OR

SALMON RIVER PARK SPECIAL ROAD DISTRICT, OR

SALMON RIVER PARK WATER IMPROVEMENT

DISTRICT, OR

SALMONBERRY TRAIL INTERGOVERNMENTAL

AGENCY, OR

SANDPIPER VILLAGE SPECIAL ROAD DISTRICT, OR

SANDY DRAINAGE IMPROVEMENT COMPANY, OR
SANDY R.F.P.D. #72, OR
SANTA CLARA R.F.P.D., OR

SANTA CLARA WATER DISTRICT, OR

SANTIAM WATER CONTROL DISTRICT, OR

SAUVIE ISLAND DRAINAGE IMPROVEMENT

COMPANY, OR
SAUVIE ISLAND VOLUNTEER FIRE DISTRICT #30J,
OR

SCAPPOOSE DRAINAGE IMPROVEMENT COMPANY,
OR

SCAPPOOSE PUBLIC LIBRARY DISTRICT, OR
SCAPPOOSE R.F.P.D., OR
SCIO R.F.P.D., OR
SCOTTSBURG R.F.P.D., OR
SEAL ROCK R.F.P.D., OR

SEAL ROCK WATER DISTRICT, OR

SEWERAGE AND WATER BOARD OF NEW ORLEANS,
LA

SHANGRI-LA WATER DISTRICT, OR

SHASTA VIEW IRRIGATION DISTRICT, OR

SHELLEY ROAD CREST ACRES WATER DISTRICT,
OR

SHERIDAN FIRE DISTRICT, OR

SHERMAN COUNTY HEALTH DISTRICT, OR
SHERMAN COUNTY S.W.C.D., OR

SHORELINE SANITARY DISTRICT, OR

SILETZ KEYS SANITARY DISTRICT, OR
SILETZ R.F.P.D., OR

SILVER FALLS LIBRARY DISTRICT, OR

SILVER LAKE IRRIGATION DISTRICT, OR
SILVER LAKE R.F.P.D., OR

SILVER SANDS SPECIAL ROAD DISTRICT, OR
SILVERTON R.F.P.D. NO. 2, OR

SISTERS PARKS & RECREATION DISTRICT, OR
SISTERS-CAMP SHERMAN R.F.P.D., OR

SIUSLAW PUBLIC LIBRARY DISTRICT, OR
SIUSLAW S.W.C.D., OR

SIUSLAW VALLEY FIRE AND RESCUE, OR
SIXES R.F.P.D., OR

SKIPANON WATER CONTROL DISTRICT, OR

SKYLINE VIEW DISTRICT IMPROVEMENT

COMPANY, OR

SLEEPY HOLLOW WATER DISTRICT, OR

SMITH DITCH DISTRICT IMPROVEMENT COMPANY,
OR

SOUTH CLACKAMAS TRANSPORTATION DISTRICT,
OR

SOUTH COUNTY HEALTH DISTRICT, OR

SOUTH FORK WATER BOARD, OR

SOUTH GILLIAM COUNTY CEMETERY DISTRICT, OR

SOUTH GILLIAM COUNTY HEALTH DISTRICT, OR
SOUTH GILLIAM COUNTY R.F.P.D. VI-301, OR

SOUTH LAFOURCHE LEVEE DISTRICT, LA

SOUTH LANE COUNTY FIRE & RESCUE, OR

SOUTH SANTIAM RIVER WATER CONTROL

DISTRICT, OR

SOUTH SHERMAN FIRE DISTRICT, OR

SOUTH SUBURBAN SANITARY DISTRICT, OR

SOUTH WASCO PARK & RECREATION DISTRICT, OR

SOUTHERN COOS HEALTH DISTRICT, OR

SOUTHERN CURRY CEMETERY MAINTENANCE

DISTRICT, OR

SOUTHVIEW IMPROVEMENT DISTRICT, OR

SOUTHWEST LINCOLN COUNTY WATER DISTRICT,
OR
SOUTHWESTERN POLK COUNTY R.F.P.D., OR

SOUTHWOOD PARK WATER DISTRICT, OR
SPECIAL ROAD DISTRICT #1, OR
SPECIAL ROAD DISTRICT #8, OR

SPRING RIVER SPECIAL ROAD DISTRICT, OR

SPRINGFIELD UTILITY BOARD, OR
ST. PAUL R.F.P.D., OR
STANFIELD CEMETERY DISTRICT #6, OR

STANFIELD IRRIGATION DISTRICT, OR

STARR CREEK ROAD DISTRICT, OR

STARWOOD SANITARY DISTRICT, OR

STAYTON FIRE DISTRICT, OR

SUBLIMITY FIRE DISTRICT, OR

SUBURBAN EAST SALEM WATER DISTRICT, OR
S

UBURBAN LIGHTING DISTRICT, OR

SUCCOR CREEK DISTRICT IMPROVEMENT

COMPANY, OR

SUMMER LAKE IRRIGATION DISTRICT, OR

SUMMERVILLE CEMETERY MAINTENANCE

DISTRICT, OR
SUMNER R.F.P.D., OR

SUN MOUNTAIN SPECIAL ROAD DISTRICT, OR

SUNDOWN SANITATION DISTRICT, OR

SUNFOREST ESTATES SPECIAL ROAD DISTRICT, OR

SUNNYSIDE IRRIGATION DISTRICT, OR

SUNRISE WATER AUTHORITY, OR

SUNRIVER SERVICE DISTRICT, OR

SUNSET EMPIRE PARK & RECREATION DISTRICT,
OR

SUNSET EMPIRE TRANSPORTATION DISTRICT, OR

SURFLAND ROAD DISTRICT, OR

SUTHERLIN VALLEY RECREATION DISTRICT, OR

SUTHERLIN WATER CONTROL DISTRICT, OR

SWALLEY IRRIGATION DISTRICT, OR

SWEET HOME CEMETERY MAINTENANCE DISTRICT,
OR

SWEET HOME FIRE & AMBULANCE DISTRICT, OR
SWISSHOME-DEADWOOD R.F.P.D., OR

TABLE ROCK DISTRICT IMPROVEMENT COMPANY,
OR

TALENT IRRIGATION DISTRICT, OR
TANGENT R.F.P.D., OR
TENMILE R.F.P.D., OR

TERREBONNE DOMESTIC WATER DISTRICT, OR
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Version January 29, 2021

THE DALLES IRRIGATION DISTRICT, OR
THOMAS CREEK-WESTSIDE R.F.P.D., OR

THREE RIVERS RANCH ROAD DISTRICT, OR

THREE SISTERS IRRIGATION DISTRICT, OR

TIGARD TUALATIN AQUATIC DISTRICT, OR

TIGARD WATER DISTRICT, OR

TILLAMOOK BAY FLOOD IMPROVEMENT DISTRICT,
OR

TILLAMOOK COUNTY EMERGENCY

COMMUNICATIONS DISTRICT, OR
TILLAMOOK COUNTY S.W.C.D., OR

TILLAMOOK COUNTY TRANSPORTATION DISTRICT,
OR

TILLAMOOK FIRE DISTRICT, OR
TILLAMOOK P.U.D., OR
TILLER R.F.P.D., OR

TOBIN DITCH DISTRICT IMPROVEMENT COMPANY,
OR
TOLEDO R.F.P.D., OR

TONE WATER DISTRICT, OR

TOOLEY WATER DISTRICT, OR

TRASK DRAINAGE DISTRICT, OR
TRI CITY R.F.P.D. #4, OR

TRI-CITY WATER & SANITARY AUTHORITY, OR

TRI-COUNTY METROPOLITAN TRANSPORTATION

DISTRICT OF OREGON

TRIMET, OR

TUALATIN HILLS PARK & RECREATION DISTRICT

TUALATIN HILLS PARK & RECREATION DISTRICT,
OR
TUALATIN S.W.C.D., OR

TUALATIN VALLEY FIRE & RESCUE

TUALATIN VALLEY FIRE & RESCUE, OR

TUALATIN VALLEY IRRIGATION DISTRICT, OR

TUALATIN VALLEY WATER DISTRICT

TUALATIN VALLEY WATER DISTRICT, OR

TUMALO IRRIGATION DISTRICT, OR

TURNER FIRE DISTRICT, OR

TWIN ROCKS SANITARY DISTRICT, OR

TWO RIVERS NORTH SPECIAL ROAD DISTRICT, OR
TWO RIVERS S.W.C.D., OR

TWO RIVERS SPECIAL ROAD DISTRICT, OR
TYGH VALLEY R.F.P.D., OR

TYGH VALLEY WATER DISTRICT, OR
UMATILLA COUNTY FIRE DISTRICT #1, OR
UMATILLA COUNTY S.W.C.D., OR

UMATILLA COUNTY SPECIAL LIBRARY DISTRICT,
OR

UMATILLA HOSPITAL DISTRICT, OR
UMATILLA R.F.P.D. #7-405, OR

UMATILLA-MORROW RADIO AND DATA DISTRICT,
OR
UMPQUA S.W.C.D., OR

UNION CEMETERY MAINTENANCE DISTRICT, OR

UNION COUNTY SOLID WASTE DISPOSAL DISTRICT,
OR

UNION COUNTY VECTOR CONTROL DISTRICT, OR

UNION GAP SANITARY DISTRICT, OR

UNION GAP WATER DISTRICT, OR

UNION HEALTH DISTRICT, OR
UNION R.F.P.D., OR
UNION S.W.C.D., OR

UNITY COMMUNITY PARK & RECREATION

DISTRICT, OR

UPPER CLEVELAND RAPIDS ROAD DISTRICT, OR
UPPER MCKENZIE R.F.P.D., OR
UPPER WILLAMETTE S.W.C.D., OR

VALE OREGON IRRIGATION DISTRICT, OR

VALE RURAL FIRE PROTECTION DISTRICT, OR

VALLEY ACRES SPECIAL ROAD DISTRICT, OR

VALLEY VIEW CEMETERY MAINTENANCE

DISTRICT, OR

VALLEY VIEW WATER DISTRICT, OR

VANDEVERT ACRES SPECIAL ROAD DISTRICT, OR
VERNONIA R.F.P.D., OR

VINEYARD MOUNTAIN PARK & RECREATION

DISTRICT, OR

VINEYARD MOUNTAIN SPECIAL ROAD DISTRICT,
OR

WALLA WALLA RIVER IRRIGATION DISTRICT, OR

WALLOWA COUNTY HEALTH CARE DISTRICT, OR

WALLOWA LAKE COUNTY SERVICE DISTRICT, OR

WALLOWA LAKE IRRIGATION DISTRICT, OR
WALLOWA LAKE R.F.P.D., OR
WALLOWA S.W.C.D., OR
WALLOWA VALLEY IMPROVEMENT DISTRICT #1,
OR
WAMIC R.F.P.D., OR

WAMIC WATER & SANITARY AUTHORITY, OR

WARMSPRINGS IRRIGATION DISTRICT, OR
WASCO COUNTY S.W.C.D., OR

WATER ENVIRONMENT SERVICES, OR

WATER WONDERLAND IMPROVEMENT DISTRICT,
OR

WATERBURY & ALLEN DITCH IMPROVEMENT

DISTRICT, OR

WATSECO-BARVIEW WATER DISTRICT, OR

WAUNA WATER DISTRICT, OR

WEDDERBURN SANITARY DISTRICT, OR

WEST EAGLE VALLEY WATER CONTROL DISTRICT,
OR

WEST EXTENSION IRRIGATION DISTRICT, OR

WEST LABISH DRAINAGE & WATER CONTROL

IMPROVEMENT DISTRICT, OR
WEST MULTNOMAH S.W.C.D., OR
WEST SIDE R.F.P.D., OR

WEST SLOPE WATER DISTRICT, OR
W

EST UMATILLA MOSQUITO CONTROL DISTRICT,
OR

WEST VALLEY FIRE DISTRICT, OR

WESTERN HEIGHTS SPECIAL ROAD DISTRICT, OR

WESTERN LANE AMBULANCE DISTRICT, OR

WESTLAND IRRIGATION DISTRICT, OR

WESTON ATHENA MEMORIAL HALL PARK &

RECREATION DISTRICT, OR
WESTON CEMETERY DISTRICT #2, OR

WESTPORT FIRE AND RESCUE, OR

WESTRIDGE WATER SUPPLY CORPORATION, OR

WESTWOOD HILLS ROAD DISTRICT, OR

WESTWOOD VILLAGE ROAD DISTRICT, OR
WHEELER S.W.C.D., OR

WHITE RIVER HEALTH DISTRICT, OR

WIARD MEMORIAL PARK DISTRICT, OR

WICKIUP WATER DISTRICT, OR
WILLAKENZIE R.F.P.D., OR

WILLAMALANE PARK & RECREATION DISTRICT, OR

WILLAMALANE PARK AND RECREATION DISTRICT

WILLAMETTE HUMANE SOCIETY

WILLAMETTE RIVER WATER COALITION, OR
WILLIAMS R.F.P.D., OR

WILLOW CREEK PARK DISTRICT, OR

WILLOW DALE WATER DISTRICT, OR

WILSON RIVER WATER DISTRICT, OR
WINCHESTER BAY R.F.P.D., OR
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Version January 29, 2021

WINCHESTER BAY SANITARY DISTRICT, OR
WINCHUCK R.F.P.D., OR
WINSTON-DILLARD R.F.P.D., OR

WINSTON-DILLARD WATER DISTRICT, OR
WOLF CREEK R.F.P.D., OR

WOOD RIVER DISTRICT IMPROVEMENT COMPANY,
OR
WOODBURN R.F.P.D. NO. 6, OR

WOODLAND PARK SPECIAL ROAD DISTRICT, OR

WOODS ROAD DISTRICT, OR

WRIGHT CREEK ROAD WATER IMPROVEMENT

DISTRICT, OR

WY'EAST FIRE DISTRICT, OR
YACHATS R.F.P.D., OR

YAMHILL COUNTY TRANSIT AREA, OR

YAMHILL FIRE PROTECTION DISTRICT, OR

YAMHILL SWCD, OR

YONCALLA PARK & RECREATION DISTRICT, OR

YOUNGS RIVER-LEWIS & CLARK WATER DISTRICT,
OR
ZUMWALT R.F.P.D., OR
K-
12 INCLUDING BUT NOT LIMITED TO:

ACADIA PARISH SCHOOL BOARD

BEAVERTON SCHOOL DISTRICT

BEND-LA PINE SCHOOL DISTRICT

BOGALUSA HIGH SCHOOL, LA

BOSSIER PARISH SCHOOL BOARD

BROOKING HARBOR SCHOOL DISTRICT

CADDO PARISH SCHOOL DISTRICT

CALCASIEU PARISH SCHOOL DISTRICT

CANBY SCHOOL DISTRICT

CANYONVILLE CHRISTIAN ACADEMY

CASCADE SCHOOL DISTRICT

CASCADES ACADEMY OF CENTRAL OREGON

CENTENNIAL SCHOOL DISTRICT

CENTRAL CATHOLIC HIGH SCHOOL
CENTRAL POINT SCHOOL DISTRICT NO.6
CENTRAL SCHOOL DISTRICT 13J
COOS BAY SCHOOL DISTRICT NO.9
CORVALLIS SCHOOL DISTRICT 509J
COUNTY OF YAMHILL SCHOOL DISTRICT 29

CULVER SCHOOL DISTRICT
DALLAS SCHOOL DISTRICT NO.2

DAVID DOUGLAS SCHOOL DISTRICT
DAYTON SCHOOL DISTRICT NO.8

DE LA SALLE N CATHOLIC HS
DESCHUTES COUNTY SCHOOL DISTRICT NO.6

DOUGLAS EDUCATIONAL DISTRICT SERVICE
DUFUR SCHOOL DISTRICT NO.29

EAST BATON ROUGE PARISH SCHOOL DISTRICT
ESTACADA SCHOOL DISTRICT NO.10B

FOREST GROVE SCHOOL DISTRICT

GEORGE MIDDLE SCHOOL

GLADSTONE SCHOOL DISTRICT
GRANTS PASS SCHOOL DISTRICT 7

GREATER ALBANY PUBLIC SCHOOL DISTRICT

GRESHAM BARLOW JOINT SCHOOL DISTRICT

HEAD START OF LANE COUNTY

HIGH DESERT EDUCATION SERVICE DISTRICT

HILLSBORO SCHOOL DISTRICT

HOOD RIVER COUNTY SCHOOL DISTRICT
JACKSON CO SCHOOL DIST NO.9
JEFFERSON COUNTY SCHOOL DISTRICT 509-J

JEFFERSON PARISH SCHOOL DISTRICT

JEFFERSON SCHOOL DISTRICT

JUNCTION CITY SCHOOLS, OR

KLAMATH COUNTY SCHOOL DISTRICT

KLAMATH FALLS CITY SCHOOLS

LAFAYETTE PARISH SCHOOL DISTRICT
LAKE OSWEGO SCHOOL DISTRICT 7J
LANE COUNTY SCHOOL DISTRICT 4J

LINCOLN COUNTY SCHOOL DISTRICT
LINN CO. SCHOOL DIST. 95C

LIVINGSTON PARISH SCHOOL DISTRICT

LOST RIVER JR/SR HIGH SCHOOL
LOWELL SCHOOL DISTRICT NO.71
SALEM-KEIZER PUBLIC SCHOOLS 24J
MARION COUNTY SCHOOL DISTRICT 103

MARIST HIGH SCHOOL, OR

MCMINNVILLE SCHOOL DISTRICT NOAO
MEDFORD SCHOOL DISTRICT 549C

MITCH CHARTER SCHOOL
MONROE SCHOOL DISTRICT NO.1J

MORROW COUNTY SCHOOL DIST, OR

MULTNOMAH EDUCATION SERVICE DISTRICT

MULTISENSORY LEARNING ACADEMY
MYRTLE PINT SCHOOL DISTRICT 41
NEAH-KAH-NIE DISTRICT NO.56

NEWBERG PUBLIC SCHOOLS
NESTUCCA VALLEY SCHOOL DISTRICT NO.101

NOBEL LEARNING COMMUNITIES
NORTH BEND SCHOOL DISTRICT 13

NORTH CLACKAMAS SCHOOL DISTRICT

NORTH DOUGLAS SCHOOL DISTRICT
NORTH WASCO CITY SCHOOL DISTRICT 21

NORTHWEST REGIONAL EDUCATION SERVICE

DISTRICT

ONTARIO MIDDLE SCHOOL
OREGON TRAIL SCHOOL DISTRICT NOA6

ORLEANS PARISH SCHOOL DISTRICT

PHOENIX-TALENT SCHOOL DISTRICT NOA

PLEASANT HILL SCHOOL DISTRICT

PORTLAND JEWISH ACADEMY

PORTLAND PUBLIC SCHOOLS

RAPIDES PARISH SCHOOL DISTRICT

REDMOND SCHOOL DISTRICT

REYNOLDS SCHOOL DISTRICT

ROGUE RIVER SCHOOL DISTRICT

ROSEBURG PUBLIC SCHOOLS
SCAPPOOSE SCHOOL DISTRICT 1J

SAINT TAMMANY PARISH SCHOOL BOARD, LA
SEASIDE SCHOOL DISTRICT 10
SHERWOOD SCHOOL DISTRICT 88J
SILVER FALLS SCHOOL DISTRICT 4J
SOUTH LANE SCHOOL DISTRICT 45J3

SOUTHERN OREGON EDUCATION SERVICE

DISTRICT

SPRINGFIELD PUBLIC SCHOOLS

SUTHERLIN SCHOOL DISTRICT
S
WEET HOME SCHOOL DISTRICT NO.55

TERREBONNE PARISH SCHOOL DISTRICT

THE CATLIN GABEL SCHOOL

TIGARD-TUALATIN SCHOOL DISTRICT

UMATILLA MORROW ESD

WEST LINN WILSONVILLE SCHOOL DISTRICT

WILLAMETTE EDUCATION SERVICE DISTRICT

WOODBURN SCHOOL DISTRICT

YONCALLA SCHOOL DISTRICT

ACADEMY FOR MATH ENGINEERING & SCIENCE
(AMES), UT

ALIANZA ACADEMY, UT

ALPINE DISTRICT, UT

AMERICAN LEADERSHIP ACADEMY, UT
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Version January 29, 2021

AMERICAN PREPARATORY ACADEMY, UT

BAER CANYON HIGH SCHOOL FOR SPORTS &

MEDICAL SCIENCES, UT

BEAR RIVER CHARTER SCHOOL, UT

BEAVER SCHOOL DISTRICT, UT

BEEHIVE SCIENCE & TECHNOLOGY ACADEMY
(BSTA) , UT

BOX ELDER SCHOOL DISTRICT, UT

CBA CENTER, UT

CACHE SCHOOL DISTRICT, UT

CANYON RIM ACADEMY, UT

CANYONS DISTRICT, UT

CARBON SCHOOL DISTRICT, UT

CHANNING HALL, UT

CHARTER SCHOOL LEWIS ACADEMY, UT

CITY ACADEMY, UT

DAGGETT SCHOOL DISTRICT, UT

DAVINCI ACADEMY, UT

DAVIS DISTRICT, UT

DUAL IMMERSION ACADEMY, UT

DUCHESNE SCHOOL DISTRICT, UT

EARLY LIGHT ACADEMY AT DAYBREAK, UT

EAST HOLLYWOOD HIGH, UT

EDITH BOWEN LABORATORY SCHOOL, UT

EMERSON ALCOTT ACADEMY, UT

EMERY SCHOOL DISTRICT, UT

ENTHEOS ACADEMY, UT

EXCELSIOR ACADEMY, UT

FAST FORWARD HIGH, UT

FREEDOM ACADEMY, UT

GARFIELD SCHOOL DISTRICT, UT

GATEWAY PREPARATORY ACADEMY, UT

GEORGE WASHINGTON ACADEMY, UT

GOOD FOUNDATION ACADEMY, UT

GRAND SCHOOL DISTRICT, UT

GRANITE DISTRICT, UT

GUADALUPE SCHOOL, UT

HAWTHORN ACADEMY, UT

INTECH COLLEGIATE HIGH SCHOOL, UT

IRON SCHOOL DISTRICT, UT

ITINERIS EARLY COLLEGE HIGH, UT

JOHN HANCOCK CHARTER SCHOOL, UT

JORDAN DISTRICT, UT

JUAB SCHOOL DISTRICT, UT

KANE SCHOOL DISTRICT, UT

KARL G MAESER PREPARATORY ACADEMY, UT

LAKEVIEW ACADEMY, UT

LEGACY PREPARATORY ACADEMY, UT

LIBERTY ACADEMY, UT

LINCOLN ACADEMY, UT

LOGAN SCHOOL DISTRICT, UT

MARIA MONTESSORI ACADEMY, UT

MERIT COLLEGE PREPARATORY ACADEMY, UT

MILLARD SCHOOL DISTRICT, UT

MOAB CHARTER SCHOOL, UT

MONTICELLO ACADEMY, UT

MORGAN SCHOOL DISTRICT, UT

MOUNTAINVILLE ACADEMY, UT

MURRAY SCHOOL DISTRICT, UT

NAVIGATOR POINTE ACADEMY, UT

NEBO SCHOOL DISTRICT, UT

NO UT ACAD FOR MATH ENGINEERING & SCIENCE
(NUAMES), UT

NOAH WEBSTER ACADEMY, UT

NORTH DAVIS PREPARATORY ACADEMY, UT

NORTH SANPETE SCHOOL DISTRICT, UT

NORTH STAR ACADEMY, UT

NORTH SUMMIT SCHOOL DISTRICT, UT

ODYSSEY CHARTER SCHOOL, UT

OGDEN PREPARATORY ACADEMY, UT

OGDEN SCHOOL DISTRICT, UT

OPEN CLASSROOM, UT

OPEN HIGH SCHOOL OF UTAH, UT

OQUIRRH MOUNTAIN CHARTER SCHOOL, UT

PARADIGM HIGH SCHOOL, UT

PARK CITY SCHOOL DISTRICT, UT

PINNACLE CANYON ACADEMY, UT

PIUTE SCHOOL DISTRICT, UT

PROVIDENCE HALL, UT

PROVO SCHOOL DISTRICT, UT

QUAIL RUN PRIMARY SCHOOL, UT

QUEST ACADEMY, UT

RANCHES ACADEMY, UT

REAGAN ACADEMY, UT

RENAISSANCE ACADEMY, UT

RICH SCHOOL DISTRICT, UT

ROCKWELL CHARTER HIGH SCHOOL, UT

SALT LAKE ARTS ACADEMY, UT

SALT LAKE CENTER FOR SCIENCE EDUCATION, UT

SALT LAKE SCHOOL DISTRICT, UT

SALT LAKE SCHOOL FOR THE PERFORMING ARTS,
UT

SAN JUAN SCHOOL DISTRICT, UT

SEVIER SCHOOL DISTRICT, UT

SOLDIER HOLLOW CHARTER SCHOOL, UT

SOUTH SANPETE SCHOOL DISTRICT, UT

SOUTH SUMMIT SCHOOL DISTRICT, UT

SPECTRUM ACADEMY, UT
S

UCCESS ACADEMY, UT

SUCCESS SCHOOL, UT

SUMMIT ACADEMY, UT

SUMMIT ACADEMY HIGH SCHOOL, UT

SYRACUSE ARTS ACADEMY, UT

THOMAS EDISON - NORTH, UT

TIMPANOGOS ACADEMY, UT

TINTIC SCHOOL DISTRICT, UT

TOOELE SCHOOL DISTRICT, UT

TUACAHN HIGH SCHOOL FOR THE PERFORMING

ARTS, UT

UINTAH RIVER HIGH, UT

UINTAH SCHOOL DISTRICT, UT

UTAH CONNECTIONS ACADEMY, UT

UTAH COUNTY ACADEMY OF SCIENCE, UT

UTAH ELECTRONIC HIGH SCHOOL, UT

UTAH SCHOOLS FOR DEAF & BLIND, UT

UTAH STATE OFFICE OF EDUCATION, UT

UTAH VIRTUAL ACADEMY, UT

VENTURE ACADEMY, UT

VISTA AT ENTRADA SCHOOL OF PERFORMING

ARTS AND TECHNOLOGY, UT

WALDEN SCHOOL OF LIBERAL ARTS, UT

WASATCH PEAK ACADEMY, UT

WASATCH SCHOOL DISTRICT, UT

WASHINGTON SCHOOL DISTRICT, UT

WAYNE SCHOOL DISTRICT, UT

WEBER SCHOOL DISTRICT, UT

WEILENMANN SCHOOL OF DISCOVERY, UT
H

IGHER EDUCATION

ARGOSY UNIVERSITY

BATON ROUGE COMMUNITY COLLEGE, LA

BIRTHINGWAY COLLEGE OF MIDWIFERY

BLUE MOUNTAIN COMMUNITY COLLEGE

BRIGHAM YOUNG UNIVERSITY - HAWAII
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Version January 29, 2021

CENTRAL OREGON COMMUNITY COLLEGE

CENTENARY COLLEGE OF LOUISIANA

CHEMEKETA COMMUNITY COLLEGE

CLACKAMAS COMMUNITY COLLEGE

COLLEGE OF THE MARSHALL ISLANDS

COLUMBIA GORGE COMMUNITY COLLEGE

CONCORDIA UNIVERSITY

GEORGE FOX UNIVERSITY

KLAMATH COMMUNITY COLLEGE DISTRICT

LANE COMMUNITY COLLEGE

LEWIS AND CLARK COLLEGE

LINFIELD COLLEGE

LINN-BENTON COMMUNITY COLLEGE

LOUISIANA COLLEGE, LA

LOUISIANA STATE UNIVERSITY

LOUISIANA STATE UNIVERSITY HEALTH SERVICES

MARYLHURST UNIVERSITY
MT. HOOD COMMUNITY COLLEGE

MULTNOMAH BIBLE COLLEGE

NATIONAL COLLEGE OF NATURAL MEDICINE

NORTHWEST CHRISTIAN COLLEGE

OREGON HEALTH AND SCIENCE UNIVERSITY

OREGON INSTITUTE OF TECHNOLOGY

OREGON STATE UNIVERSITY

OREGON UNIVERSITY SYSTEM

PACIFIC UNIVERSITY

PIONEER PACIFIC COLLEGE

PORTLAND COMMUNITY COLLEGE

PORTLAND STATE UNIVERSITY

REED COLLEGE

RESEARCH CORPORATION OF THE UNIVERSITY OF
HAWAII

ROGUE COMMUNITY COLLEGE

SOUTHEASTERN LOUISIANA UNIVERSITY

SOUTHERN OREGON UNIVERSITY (OREGON

UNIVERSITY SYSTEM)

SOUTHWESTERN OREGON COMMUNITY COLLEGE

TULANE UNIVERSITY

TILLAMOOK BAY COMMUNITY COLLEGE

UMPQUA COMMUNITY COLLEGE

UNIVERSITY OF HAWAII BOARD OF REGENTS

UNIVERSITY OF HAWAII-HONOLULU COMMUNITY

COLLEGE

UNIVERSITY OF OREGON-GRADUATE SCHOOL

UNIVERSITY OF PORTLAND

UNIVERSITY OF NEW ORLEANS

WESTERN OREGON UNIVERSITY

WESTERN STATES CHIROPRACTIC COLLEGE

WILLAMETTE UNIVERSITY

XAVIER UNIVERSITY

UTAH SYSTEM OF HIGHER EDUCATION, UT

UNIVERSITY OF UTAH, UT

UTAH STATE UNIVERSITY, UT

WEBER STATE UNIVERSITY, UT

SOUTHERN UTAH UNIVERSITY, UT

SNOW COLLEGE, UT

DIXIE STATE COLLEGE, UT

COLLEGE OF EASTERN UTAH, UT

UTAH VALLEY UNIVERSITY, UT

SALT LAKE COMMUNITY COLLEGE, UT

UTAH COLLEGE OF APPLIED TECHNOLOGY, UT
S

TATE AGENCIES
ADMIN. SERVICES OFFICE

BOARD OF MEDICAL EXAMINERS

HAWAII CHILD SUPPORT ENFORCEMENT AGENCY

HAWAII DEPARTMENT OF TRANSPORTATION

HAWAII HEALTH SYSTEMS CORPORATION

OFFICE OF MEDICAL ASSISTANCE PROGRAMS

OFFICE OF THE STATE TREASURER

OREGON BOARD OF ARCHITECTS

OREGON CHILD DEVELOPMENT COALITION

OREGON DEPARTMENT OF EDUCATION

OREGON DEPARTMENT OF FORESTRY

OREGON DEPT OF TRANSPORTATION
OREGON DEPT. OF EDUCATION

OREGON LOTTERY

OREGON OFFICE OF ENERGY

OREGON STATE BOARD OF NURSING

OREGON STATE DEPT OF CORRECTIONS

OREGON STATE POLICE

OREGON TOURISM COMMISSION

OREGON TRAVEL INFORMATION COUNCIL

SANTIAM CANYON COMMUNICATION CENTER
SEIU LOCAL 503, OPEU

SOH- JUDICIARY CONTRACTS AND PURCH

STATE DEPARTMENT OF DEFENSE, STATE OF
HAWAII

STATE OF HAWAII
STATE OF HAWAII, DEPT. OF EDUCATION

STATE OF LOUISIANA
STATE OF LOUISIANA DEPT. OF EDUCATION
STATE OF LOUISIANA, 26

TH JUDICIAL DISTRICT

ATTORNEY

STATE OF UTAH
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Noteworthy Projects
Frisbie Park
Rialto, CA
Unique equipment and bright colors make
this poured installation a destination for
community members.
�����������������
Noteworthy Projects
Shipwreck Park
Dana Point, CA
A highly designed, compliant surface using
colors that complemented the theme of a
ship on the ocean.
�����������������
Noteworthy Projects
Springs Reserve Butterfly Playground
Las Vegas, NV
Directly adjacent to an existing butterfly habitat, this project continued the butterfly theme through its
plant selection and hardscape elements
�����������������
Noteworthy Projects
Jeff Triplett Community Center
Sanford, FL
Complete sports theme park in Florida featuring
complex surface design and unique play equipment
�����������������
Noteworthy Projects
Blue Cross Blue Shield Healthy Place
Chattanooga, TN
Surfacing for an inclusive and equitable play space
in conjunction with community partner to build
healthy spaces for all
�����������������
Surfacing Regional Contact Map
Territory 1
Contact: Frank Horwath, Regional
Manager
510-260-9025 |
[email protected]

Territory 2
Contact: Vince Brantley, Regional
Manager
714-904-8219 |
[email protected]

Contact: David Purcell, Sales Manager
760-809-1875 |
[email protected]

Territory 3
Contact: Stephen Ross, Sales Manager
602-281-8833 |
[email protected]

Territory 4
Contact: Lisha Butler, Regional Manager
210-385-8261 |
[email protected]

Territory 5
Contact: Glenn Haab, Regional Manager
954-882-1366 | [email protected]

Territory 6
Contact: Karim Odeh, Regional Manager
931-265-6562 |
[email protected]

Territory 7
Contact: Aaron Henry, Sales Manager
901-417-0401 |
[email protected]

Fibar Sales - Nationwide
Rob Addis
847-220-0116 | [email protected]
�����������������
Surfacing Corporate Contacts
East Coast Operations
The Surfacing Group
6091 Seneca St. Bldg. A
Elma, NY 14059
West Coast Operations
The Surfacing Group
2140 E. Cedar Street
Tempe, AZ 85281
Office Locations:

PlayCore Corporate
544 Chestnut St
Chattanooga, TN 37402
Matt Brandon
Senior Vice President
and Group Manager
The Surfacing Group
Tom Discipio
Vice President
East Coast Operations
The Surfacing Group
Bill Stafford
General Manager
West Coast Operations
The Surfacing Group
Brad Graben
Director of Finance
The Surfacing Group
Lizette Figueroa
Director of HR
The Surfacing Group
Georgia Womack Tippens
Director of Marketing
The Surfacing Group
�����������������
Form W-9
(Rev. October 2018)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
a Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the
requester. Do not
send to the IRS.

Print or type.

See Specific Instructions on page 3.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or
single-member LLC
C Corporation S Corporation Partnership Trust/estate
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions) a
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):

Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applies to accounts maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions. 6 City, state, and ZIP code
Requester’s name and address (optional)
7 List account number(s) here (optional)
Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number
––
or
Employer identification number
–
Part II Certification
Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign
Here
Signature of
U.S. person a Date a
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)
Robertson Industries, Inc.
✔
5 2414 W 12th St, Ste 5
Tempe, AZ 85281
8 6 068663 5
nds, you are not required to sign the ce
ctions
01/02/2023
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Proposed Authorized Users:

Flexground -
2140 E Cedar St
Tempe, AZ 85281
(Provider of surfacing products and solutions mentioned within this solicitation)

Rubber Designs -
105 US-411
Ranger, GA 30734
(Provider of surfacing products and solutions mentioned within this solicitation)

Water Odyssey -
4600 Texas Hwy 123
San Marcos, TX 78666
(Provider of aquatic equipment mentioned within this solicitation)

Fibar –
80 Business Park Dr #300
Armonk, NY 10504
(Provider of surfacing products and solutions mentioned within this solicitation)

�����������������
American Recycling Center, Inc.
655 Wabassee Drive Owosso, MI 48867
Office: 989.725.5100 Fax: 989.725.5122

01/2023

Installer:

Current Status is in Good Standing

To Whom It May Concern:

American Recycling Center, Inc. is a material supplier to the safety surface industry. Since 1993 we have been a quality material supplier of the components for the installation of rubber surfaces, playgrounds & running track’s.

This letter should be used for educational purposes:

Recycled black rubber, this is to include ALL black raw material stock, is consistently mixed in holding cells as it is manufactured to ensure quality and consistency. Because of this it is understood that specific origination locations of the raw materials and /or type of recycled polymer percentages can only be implied.

American Recycling Center, Inc. does certify that directly or through a raw material vendor obtains recycled black rubber (includes SBR and/or SBR tires) Materials from Kansas.

If you have any additional questions, please feel free to contact me at any time.

Rochelle Hall Miller
American Recycling Center, Inc.
989.413-7602
�����������������

TAB 4 –

• Qualification and Experience
• References
�����������������

C) Qualification and Experience

i. Provide a brief history of the Offeror, including year it was established and corporate office location.

Robertson was founded in 1991 as a company that focused on the installation of pool decks for both commercial and residential applications. Years later, it has evolved, along side it’s partners, into the largest company in America that provides safety surfacing solutions for Playgrounds and outdoor spaces.

Robertson has included in its offerings a full suite of recreational safety surfacing options and has expanded its reach to cover a nationwide footprint. By growing capacity with regards to sales, installation, and customer service Robertson has cemented themselves as an industry leader in the play surfacing space.

Robertson Recreational Surfaces was the first surfacing company to join the Playcore family, which now includes 6 other surfacing companies. The partnership with Playcore has only helped to boost Robertson’s name and message to even more users that play on and are protected by its safe surfaces.

Robertson’s corporate head quarter is located in Tempe, AZ.

ii. Describe the Offeror’s reputation in the marketplace.

Robertson Recreational Surfaces and its partners are the largest surfacing operation in the United States. We have reached this size due to providing a quality product and customer service to all our users and customers. Our reputation is that of an industry leader who excels not only in terms of sales volume but also service and a commitment to do right by our customers. The growth of our reach has not altered our attention to detail and dedication to satisfying our customers. We continue to do outreach in the architectural world to provide cutting edge products for high design spaces and remain leaders in the world of specifications and details widely used in public solicitations across the country.

�����������������
iii. Describe the Offeror’s Reputation of products and services in the marketplace.

The reputation of Robertson product in the marketplace is evident in how commonly it is used as the driver of specifications in public bids. Schools, municipalities, architects and engineers continue to request Robertson’s surfacing products when building RFP’s across the country. Customers are satisfied not only with the product itself with the longevity of it and continue to request us as their recreational surfacing solutions.

Robertson’s commitment to excellent service can also be seen in our multi-year agreements entered with various cities and school districts. While some focus on new builds, others are contracts to maintain an uphold parks and school play spaces for years on end, trusting Robertson and our installers to continue keeping their spaces safe and aesthetically pleasing for the length of those contracts.

iv. Describe the Offeror’s experience and qualifications of key employees.

Robertson’s excellence comes from the experience and knowledge of our staff.

Across all divisions of Robertson – sales, manufacturing, installation, marketing, accounting, human resources, etc – you will find employees who have a passion for their job and a long history of performing it to a high standard.

Our key employees are industry experts with long term experience in the play and recreation market, with the most junior members of our leadership team boasting 5+ years of experience and our most senior 25+ years. The sharing of knowledge and experience is part of our culture as we move to build a team of people that can always serve as resources and subject matter experts to the customers who trust us with their projects.

The knowledge and experience does not stop with our leadership team. We consider every employee vital to our success and continue to make training and best practices a common theme in our organization. Robertson and our partners have made sure to always have employees certified to necessary safety regulatory boards as well as have participation in those boards as well, ensuring we remain with our finger to the pulse of all things recreational surfacing.

v. Describe the Offeror’s experience working with the government sector.

Given the nature of our products and services, the government sector makes up the vast majority our business. Most of our customers are school districts and �����������������
municipalities. We work with the government sector every day, communicating and collaborating continuously to meet their needs. While executing the multiple phases of a project (planning, purchasing, installing, maintaining) we work with government agencies, entities, and employees at every level – teachers, principals, superintendents, maintenance, public works, parks and recreation, administration, accounting, purchasing, and many more.

Our long-term history and daily experience working with the government sector is a driving force for our interest in being a part of cooperative purchasing agreements. We have seen through firsthand experience the tremendous value of a cooperative purchasing agreement to provide schools and cities with not only a quality, vetted, product, but also at a competitive market price.

vi. Describe past litigation, bankruptcy, reorganization, state investigations of entity or current officers and directors.

There are no instances of bankruptcy or investigation to report. Regarding reorganization, Robertson Recreational Surfaces joined the Playcore family in 2007 and is now one of 7 companies under the Playcore umbrella. Throughout the acquisitions of other surfacing entities as sister companies, Robertson has shifted and reorganized however we saw fit in order to always provide our customers with the best products and competitive prices. Whether it was incorporating new employees into our model, changing our sales and installation models, using new research and analysis, or adopting new products or ways to improve our current products, we have always been invested in learning and improvement.

vii. Provide a minimum of 5 customer references relating to the products and services within this RFP. Include entity name, contact name and title, contact phone and email, city, state, years serviced, description of services and annual volume.

References provided within this tab

viii. Provide any additional information relevant to this section

Additional documents attached

�����������������
Customer Reviews
“With the assistance of Robertson Surfacing, the Parks and Recreation Department assessed the condition of our poured in place installations and created a multi-year Maintenance/Renewal Program.  We are currently three years into the program and have used Robertson for reconditioning, repairs, replacement, as well as new installations.  Their work has consistently exceeded our expectations.  They are well organized and dependable besides being pleasure to work with.  We look forward to their continued support with all our safety surface needs.”
Robert Blankenship
Park Project Manager, Parks and Recreation Department of Mesquite, Texas "Robertson Surfacing’s dedicated management and professional sales team is always available and offer good, better, and best solutions that assist us in mitigating our unitary surfacing hazards. The install times are flexible and the turn around on orders is always met. Thank you for being the surfacing solution we can count on."
Nathan Frettoloso
Parks and Recreation, City of Irving
""Georgetown Parks and Recreation has been very impressed with the professionalism of Robertson Recreational Surfaces. Lisha has outstanding customer service and willing to work with us through the process. She is extremely knowledgeable about the products and provides answers to any question. The install crew proved to be very experienced and met our deadlines. We have used other installers and their quality of work was not up to Robertson standards. The City of Georgetown takes pride in the creating outdoor spaces for everyone to enjoy and Robertson Recreational Surfaces holds those same values. I highly recommend Robertson for your next project."
Jamie Beran
Park Superintendent, Georgetown, Texas
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Customer Reviews
"I have been with the school district for seven years and have established a good working relationship with Tot Turf on our playground surface repair needs. Anytime we have needed repairs performed on our artificial turf or PIP surfaces, Tot Turf has always responded in a reasonable time frame to investigate the problem, send a proposal and make the repair once approved to proceed. They have been highly reliable on all of our needs whether turf or PIP and have replaced a lot of our worn out Turf surfaces over these past seven years as well.

They are a reliable and responsive company to our playground surface safety needs and we will continue to use them in this new year and beyond." Ron Martin
Director of Maintenance, Martin County School District, Stuart, Florida "It is always a pleasure working with {our rep} at Robertson Tot Turf. He is always willing to listen to your needs and responds with professionalism and consideration. He is knowledgeable and diligent, turns over his quotes quickly and he gives a 110% effort to assure that his customers are satisfied from the start of the project to the end. Thanks for all that you do!"
Terri Barber
Northern California Playworks, Inc.
"{Our Rep} has been a very communicative representative for Tot turf throughout these years.

I’ve enjoyed his thorough feedback, short and precise information, and quick responses with such positive energy. In addition, when he was not available right at the time of our inquiry, he assigned his colleagues to contact us which was very helpful. He has also met with us at a playground reviewing the safety rubber condition after years of use and provided us with useful information to remediate the problem. He is one of the best representatives I have encountered so far."
Maya Nagasaka
Miller Company Landscape Architects, San Francisco, California �����������������
References / Projects of over $100,000
2022 - Municipalities and School Districts
City of Irvine – City Wide Playground Surfacing Contract Remove and replace existing playground surfacing with new IPEMA compliant PIP Surfacing October 2022 to June 30, 2023 - $990,000
Tay Chor (949) 724-7322 [email protected]
Clark County School District - District Wide Maintenance Contract Provide Tot Turf ReFresh Roll Coats on all PIP Playground Surfaces and make needed repairs – 240 Schools with 3 Pads each
February 2022 to June 30, 2023 - $2,300,000
Doug Diaz (702) 715-3148 [email protected]
San Bernardino City School District, District Wide PIP Surfacing contract – 12-9050 Furnish and install PIP surfacing for all schools throughout the district for 3 years.

February 2103 to 2017 - $2,895,000 over 3 years
Stan Thomas, (909) 388-6100 – [email protected] San Bernardino City School District, Maintenance Contract - 17-21872 Provide regular maintenance and repair services for all schools throughout the district for 5 years.

November 2107 to Current
San Bernardino City School District
Stan Thomas, (909) 388-6100
$3,000,000+ over 5 years
City of Newport Beach - Multi Park Renovation Project – 17-22340 Replace existing playground surfacing with new IPEMA compliant PIP and Synthetic Turf Surfacing, totaling 9,566 SF
December 2017 - $117,993
Kathryne Cho (949) 644-3014 – [email protected]
City of Eastvale – JCSD – Orchard & Huber Parks
Remove and replace existing playground surfacing with new IPEMA compliant PIP Surfacing 2022 - $267,093
Travis Viseth (951) 727-3524 – [email protected]
City of Garden Grove – Garden Grove Park
Furnish and install new PIP surfacing – Includes Rocket Ship Runway Design July 2022 - $101,500
Janet Pelayo (323) 253-6268 - [email protected]
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Statement of Qualifications
Robertson started in Arizona in 1991 and was a pioneer in recreational surfacing installations. It was the Americans with Disabilities Act (ADA) and the Consumer Product Safety Commission (CPSC) regulations that propelled us into the certified playground safety surfacing world to help provide the ultimate in accessibility while meeting all safety guidelines. We continue to install safer surfaces for commercial playgrounds and recreational spaces to this day. With a National Brand and reputation of being a leader in our industry, we have expanded our services to include aquatic, fitness, open trail and sport court surfacing as well. Our core values are centered around exceeding expectations in the industry and to our customers. Our commitment to our customers is that our products and services will meet or exceed ASTM and IPEMA certifications for safer recreational surfaces. Robertson also promises forthright customer support, credible installation services, and dependable maintenance solutions that will provide peace of mind before, during, and after our work is done.

Our Southern California Service Center employs over 24 Members making up 5 to 7 working crews per day, in addition, we have 2 crews in Northern CA, 2 in Arizona and 2 in Nevada that we can pull from to meet any deadline our customers challenge us with. The AVERAGE tenure of our employees is 9+ years, there experience and attention to detail, along with knowing the regulations, compliancy requirements and appropriate working environments, make Robertson the highest qualified team to trust your safety surfacing projects with. All crew members have also been fingerprinted and approved to work in the most sensitive environments.

Access to materials; PlayCore, our parent company, has been acquiring material manufactures and distributors over the last few years, assuring we will always have access to the highest quality of materials, best pricing and no delays.

PlayCore, and all entities carry the highest rated bonding capacity and insurance requirements. Financials are also available by request and appropriate NDA being signed.

All Surfacing Products are IPEMA Certified and
compliant to ASTM 1292 as well as all other safety
surfacing requirements.
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SECTION 32 18 16.13

PLAYGROUND RESILIENT SURFACING

TOTTURF POURED IN PLACE (PIP) TPV

PART 1 - GENERAL

1.01 WORK SCOPE

A. Furnish labor, material, and equipment necessary to install the poured -in-place, resilient surfacing system as shown on the drawings and specified herein.

a. Work shall include, but not be limited to the following: layout; excavation; backfill; furnishing and installing of base material; furnishing and installing of poured -in- place, resilient surfa cing and all other incidental work to provide a co mplete resilient surfacing system.

b. Poured in place playground surfacing shall consist of a polyurethane binder mixed with recycled rubber, which will make up the attenuation cushion layer. The attenuation cushion layer is capped with TPV granu les, mixed with a polyurethane binder creating the Wear Course.

c. Surfaces shall comply with ADA and CPSC guidelines as well as ASTM Standards. Manufacturer is to be certified by IPEMA, a third -party testing organization for playground surfaces and equipment.

1.02 PERFORMANCE REQUIREMENTS

A. Area Safety: Poured in place within playground use zones shall meet or exceed the performance requirements of the CPSC, ADA and Fall Height Test ASTM F1292 -18.

The surface must yie ld both a peak deceleration of no more than 200 G -max a nd a Head Injury Criteria (HIC) value of no more than 1,000 for a head -first fall from the highest accessible portion of play equipment being installed as shown on drawings.

IPEMA certification is required. (ASTM F1292-18, section 15 The laboratory test used to determine critical fall height shall have been conducted on surfacing material samples identical in design, materials, components, and thickness and manufactured as the installed playground surface).

B. Accessibility: NOTE: Children’s o utdoor play areas shall be in compliance with the Uniform Federal Accessibility Standards (UFAS) FED -STD-795 and the Architectural �����������������

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and Engineer Instructions (9AEI) Design Criteria.

C. The requirements of the Americans wit h Disabilities Act. Accessibility Guid elines (ADAAG) 28 CFR Part 36 that provide equal or greater accessibility than the requirements of UFAS must also be met in children’s outdoor play areas.

D. Poured in place surfaces intended to serve as accessible paths of travel for persons with disabilities shall be firm, stable and slip resistant, and shall meet the requirements of ASTM F 1951-14 and ASTM F1292-18.

1.03 APPLICABLE STANDARDS

A. ASTM International

B. ASTM D2047 - Standard test method for determining the s tatic coefficient of friction of ceram ic tile and other like surfaces by the horizontal dynamometer pull meter method. This standard replaces ASTM C1028.

C. ASTM D412 – Standard test methods for vulcanized rubber and thermoplastic rubbers and thermoplastic elastomers-tension.

D. ASTM D624 - Standard test method for tear strength of conventional vulcanized rubber and thermoplastic elastomers.

E. ASTM D2859 – Standard test method for flammability of finished textile floor covering materials.

F. ASTM E303 – Standard test method for measuring surfacing frictional properties using the British Pendulum tester.

G. ASTM F1292 -18 – Standard specification for impact attenuation of surface systems under and around playground equipment.

H. ASTM F1951 – Standard specification for de termination of accessibility of surface systems under and around playground equipment.

1.04 Poured in place surfaces shall be manufactured and installed by trained, experienced company employees or certified installers who have successfully completed the “Certified Installers Training Program” required by Robertson Industries Inc. �����������������

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1.05 SUBMITTALS: THE FOLLOWING SHALL BE SUBMITTED

A. The Contractor shall submit a complete set of the material submittals, as required, including manufacturer’s name and address , specific trade names, catalog and mo del numbers, illustrations and descriptive mate rial, and samples of the proposed material for this project clearly marked as to proposed items for approval by the Owner’s representative.

B. Products submitted as equal mu st include hard copies of manufactures written specifications, warranty, purchase and use of materials.

C. Manufacturer’s descriptive data and installation instructions.

D. Manufacturer’s details showing depths of wear course and sub -base materials, anchoring systems and edge details.

E. Upon reques t, a listing of a t least five installations where products similar to these proposed for use have been installed and have been in service for a minimum period of three years. The list shall include owner or purchaser, address of installation, date of installation, contact person, and phone number.

F. A signed statement by an authorized official certifying that the surfacing system meets the requirements of ASTM F1292 -18, section 15 for a head -first fall from the highest accessible portion of the specified playground equipment.

G. A signed s tatement from the manufacturer of the poured in place surfacing attesting that all materials under this section shall be installed only by the Manufacturer’s Trained Installers.

H. A Certificate of Insurance shall be provided by the Manufacturer for poured in place surfacing for use as playground safety surfacing, covering general and product liability, of not less than $1,000,000 for each occurrence, $2,000,000 general aggregate, with an excess/umbrella liability of $25,000,000. The issuing underwrite shall be AA rated.

I. IPEMA Certification mandatory

1.06 Delivery, Storage and Handling: Materials and equipment shall be delivered and stored in accordance with the manufacturer’s recommendations.
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1.07 Project Site Conditions: Pour ed in Place surfacing must be installed on a dry sub - surface, with no prospect of rain within the initial drying period, and within the recommend temperature range of the manufacturer. Installation in weather condition of extreme heat, cold (less than 55°F ), and/or high humidity may affect cure time, and the structural integrity of the final product. Immediate surrounding sites must be reasonably free of dust conditions or this could affect the final surface look.

1.08 Sequencing and Scheduling: Poured in Place surfac ing s hall be installed after all playground equipment, shade structures, signs and any other items that will be within the surfacing area. Coordinate with General Contractor.

1.09 Surface installation coordinated by manufacturer representative.

1.10 Warranty: Poured in Place surface shall maintain required impact attenuation characteristics and be guaranteed against defects in workmanship AND material for a limited five-year period or as specified and agreed upon per alternate contract. Warranty will be specific to maintenance requirements and performance standards of completed product. Warranty is void if not installed by Manufacturers Trained and Certified Poured in Place Surfacing Installers.

1.11 Testing: NOTE: Critical Fall Height Fou r feet t hrough 1 0 feet have been tested in accordance with Section 15 – Critical Fall Height Test Procedure of ASTM F1292-18.

PART 2 – PRODUCTS

2.01 Safety surfacing shall consist of both recycled and synthetic m aterials meeting the requirements of t his specification. The type of safety surfacing shall be Robertson Industries Inc., manufactured and installed by Robertson Industries Inc., or it’s Certified Installers. Telephone: (800) 858-0519.

2.02 PRODUCT SCOPE

A. Poured in Place Surface: The poured i n place surf ace shall consist of recycled rubber mixed with a polyurethane binder, then capped with TPV granules mixed with an aliphatic binder or aromatic binder.

B. It shall consist of a uniform material manufactured i n such a way that the top portion meets the requirements specified herein for wear surface. �����������������

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C. The type of safety surfacing shall be a poured-in-place system and shall be indicated on the drawings.

2.03 ATTENUATION CUSHION LAYER SECTION

A. Impact attenuation cushion layer consists of these materials; recycled styrene butadiene rubber (SBR) and/or cryogenic crumb rubber and/or pre consumer postindustrial reclaimed scrap rubber adhered with a 100% solids polyurethane binder to form a resilient porous material.

B. Strands of SBR may vary from 0.5 mm – 2.0 mm in th ickness by 3.0 mm – 20 mm in length.

C. Chunk Premium Black Rubber Granules are 5/8” granules: This rubber is pre -consumer, post-industrial, reclaimed rubber, granulated through a 5/8” screen and contains less than 2% dust.

D. SBR Crumb Rubber (5-9 Mesh) using sieve analysis ASTM D5644 with a fiber content of .1% or less mixed in.

E. Binder shall be between 7-12% of the total weight of the material and shall provide 100 % coating of the particles.

F. The attenuation cushion layer shall be compatible w ith the wear c ourse and must meet requirements herein for impact attenuation.

2.04 WEAR COURSE

A. Wear course shall consist Thermal Plastic Vulcanized (TPV) granules with polyurethane binder formulated to pro duce an eve n, uniform, seamless surface.

Installation of surfacing shall be seamless (unless otherwise agreed upon by owner).

B. TPV shall be peroxide cured with an TPV content of 26% and shall include a processing aid to prevent hardness with 26% poly content to maintain dynamic testing characteristics, weatherization and UV stability.

C. ASTM D2240 (Shore A) hardness of 55 -65, not less than 26 percent rubber �����������������

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hydrocarbons.

D. Size of TPV granules shall be 1 -4mm across OR .5 -1.5mm across. Binder shall be not less than 20% o f total weight of rubber used in the wear surface and shall provide 100% coating of the particles.

E. Thickness of wear course shall be a minimum .5” (12.7 mm).

F. The wear course shall be porous.

2.05 BINDER

A. No Toluene Diphenyl Isocyanate (TDI) shall be used.

B. No filler materials shall be use d in urethane such as plasticizers and the catalyzing agent shall contain no heavy metals.

C. Weight of polyurethane shall be no less than 8.5 lbs. /gal (1.02 Kg/1) and no more than

9.5 lbs. /gal (1.14 Kg/1).

D. Manufacturer is permitted to modify the type of u rethane requir ed to match extreme weather conditions. Substitutions must be equal to or exceed original quality.

2.06 TOT TURF ADVANTAGE INSERTS

A. Insert – Thermal Plastic Vulcanized (TPV) angular granules with a (Shore A) hardness of 65° A ± 5 and particle size between .5-1.5 mm shall be used.

B. Thickness of the Insert shall be .5”

C. Insert shall be porous.

D. Aromatic or aliphatic urethane to be used as a binder.

E. Location –Insert to be installed under swings, swing bays, slide exits (unless otherwise noted in drawings). Customer to approve location of wear mat inserts. �����������������

09/2020

©2020 Robertson Recreational Surfaces, A PlayCore Company. 800-858-0519 www.totturf.com All rights reserved. All information contained is subject to change without notice. 7

F. Standard Color .5 -1.5mm to be used. Colors include four standard colors: Terra Cotta Red, Blue, Green, and Beige.

G. Size: Swing bay use locations shall hav e Inserts inclusive of all outside b ay structure poles. Singular swings and slide exits shall be 4’x4’x.5” in thickness.

2.07 MATERIALS

A. Wear Course – TPV Granules
Manufacturers: Rosehill Polymers
As Distributed by: Robertson Industries Inc. (800) 858-0519 Location Used: Playground Area

B. Attenuation cushion layer – Robertson Industries Inc. Shredded and/or Chunk Rubber
As Distributed by: Robertson Industries Inc. (800) 858-0519 Location Used: Playground Area
C. Binder – Aromatic VORAMER MR Products
Manufacturer: DOW Chemical
As Distributed by: Robertson Industries Inc. (800) 858-0519 Location Used: Playground Area

D. Binder – Aromatic Urethane Stobielast® S 1020
Manufacturer: Stockmeier Urethanes, USA, Inc.

As Distributed by: Robertson Industries, Inc. (800) 858-0519 Location Used: Playground Area
E. Binder – Aliphatic Urethane Premium, Non-Ambering
Manufacturer: Accella Polyurethane Systems
As Distributed by: Robertson Industries Inc. (800) 858-0519 Location Used: Playground Area

F. Chunk Premium Black Rubber Granules
Manufacturer: American Recycling Center, Inc. (989) 725-5100 655 Wabassee Drive
Owosso, MI 48867
As Distributed by: Robertson Industries Inc. (800) 858-0519 Location Used: Playground Area

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09/2020

©2020 Robertson Recreational Surfaces, A PlayCore Company. 800-858-0519 www.totturf.com All rights reserved. All information contained is subject to change without notice. 8

PART 3 – EXECUTION

3.01 SITE PREPARATION

A. Finished Grade/Slope: Verify that finished elevations or adjacent areas are as indicated on the architectural or site plans, that the appropriate sub -grade elevation has been established for the safety surface to be installed, and th at the subsurface has b een installed per architectural, site or equipment plans while meeting accessibility and use zones requirements.

B. Aggregate Sub Base: Tolerance of aggregate sub -base shall be within .5” in depth.

Verify that aggregate sub -base has be en fully compacted. Per ADA Guidelines:
compacted Aggregate sub-base – 4” of .75” minus irregular stone with fines compacted to 95% in 2” watered lifts.

C. Concrete Sub-Base: Tolerance of concrete or bituminous sub -base shall be with .125” (3.0 mm) in 10’ (3 050 mm). Per ADA Guidel ines: Concrete a minimum of 3’ – 4’ at a minimum 2500 PSI. Concrete must cure for 7 days prior to application of attenuation cushion layer. Concrete must cure 21 days if wear course is to be applied directly to concrete surface. If p oured in place surfacin g is installed, v erify that the concrete sub - base has cured (all areas appear white in color usually at 7 days) and that all concrete curing compounds and other deleterious substances that might adversely affect adhesion have been removed. Surface shall be clean and dry.

D. Asphalt Sub -Base: Asphalt cure time requires 21 -28 days. Once the new asphalt has cured, it must be pressure washed prior to the surfacing being installed. The contractor shall be responsible for flooding the pad to ensure proper slope an d tolerance. Any areas holding enough water to cover a flat nickel shall be patched prior to the arrival of our installation crews.

E. Drainage: Verify that sub -surfacing drainage, if required, has been installed to provide positive drainage.

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09/2020

©2020 Robertson Recreational Surfaces, A PlayCore Company. 800-858-0519 www.totturf.com All rights reserved. All information contained is subject to change without notice. 9

3.02 INSTALLATION

A. Poured in Place Surfacing: Components of the poured in place surfacing shall be mixed on site in a rotating tumbler to ensure components are thoroughly mixed and are in accordance with manufactures recommendations. Installati on of surfacing s hall be seamless up t o 2,000 squa re feet per day. Material shall cover all foundations and fill around all elements penetrating the surface.

B. Attenuation Cushion Layer: Whenever practical, attenuation cushion layer of surfacing material sh all be installed in one continuous pou r on the sam e day of up to 2,000 square feet. When a second pour is required, step the seam (see detail) and fully coat the step of the previous work with polyurethane binder to ensure 100% bond with new work. Apply adhesive in small q uantities so that new attenuation cushion layer can be placed before the adhesive dries.

C. Wear Course: Wear course must be quality peroxide cured TPV granules. wear surface shall be bonded to attenuation cushion layer. If necessary, additi onal primer will be used between the a ttenuation c ushion layer and wear course. Apply adhesive to attenuation cushion layer in small quantities allowing the wear course to be applied before adhesive dries. Surface shall be hand troweled to a smooth, even f inish. Expect continuous and seamless up to 2,000 square feet per day (contact sales representative for seamless in excess of 2,000 square feet). Where seams are required due to color change, size or adverse weather, a step configuration will be constructe d to maintain wear course integrity. The edge of initial pour shall be coated with adhesive and wearing surface mixture shall be immediately applied. Pads with multiple seams are encouraged to include a top coat of urethane before being placed into use. B utt joint seams are not acceptable except for repairs. Under special conditions and with Owners written approval seams may be permitted in same color pad. Consult with Manufacturer for specific applications.

D. Perimeter: For installations over existing conc rete, the perimeter shall be saw cut t o provide a keyway 1” deep x 1” wide, or formed during the pour, with surfacing rolled down into the void. Primer adhesive must be applied to all sides of the void. When connecting to a concrete curb or border, the ins ide vertical edge shall be primed with adhesive and the final 2” of the attenuation cushion layer shall be tapered to allow the wear surface material to be 1.5”– 2” thick where it joins the concrete.

E. Asphalt: When installing over new asphalt, a curb or oth er type of border is recommended aroun d the entire pad to separate the new surface from other ground materials. Primer adhesive must be applied to the inside vertical edge of the border before poured in place surface installation.
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09/2020

©2020 Robertson Recreational Surfaces, A PlayCore Company. 800-858-0519 www.totturf.com All rights reserved. All information contained is subject to change without notice. 10

F. Asphalt: When installing over existing asphalt, a key way cut of 1” deep by 1” side for the poured in place to taper into and terminate with required ADA slope.

G. Thickness: Construction methods such as the use of measured screeds or guides shall be employed to ensure that the ful l depth of specified surfacing materia l is install ed.

Surfacing system thickness throughout the playground equipment use zone shall be as required to meet the impact attenuation requirements specified herein.

H. Clean Up: Manufacturer installers shall work t o m inimize excessive adhesive on adjacent surfaces or play equipment. Spills of excess adhesive shall be promptly cleaned.

I. Protection: The safety surface shall be allowed to fully cure in accordance with Manufacturer’s instructions. The surface shall be protected by the owner from all traffic during the curing period of at a minimum of 48 hours or as instructed by the Manufacturer.

J. Manufacturer Services: For poured in place safety surfacing, a Manufacturer’s representative who is experienced in the insta llation of playground safety surfacing shall be pr ovided. The representative shall supervise the installation to ensure that the system meets the impact attenuation requirements as specified herein.

3.03 SITE AREA CLEAN UP

The site shall be kept clean and free of tools, trash, and debris and installation materials daily. Products may be stored on site during installation with appropriate protective measures and approval by the Owner’s representative.

END OF DOCUMENT

�����������������
TAB 5 –
• Value Add
�����������������
d) Value Add
i. Provide any additional information related to products and services Offeror proposes to enhance and add value to the Contract.

Robertson Recreational Surfaces is committed to continuous innovation and improvement of our products and services. We are not satisfied with being the industry leader in play surfacing today, we aim to continue to be in perpetuity. We have detailed in this proposal the value we will bring from a sales and operational capacity, so now we would like to expand on some other benefits of partnering with Robertson and the sister companies we work in conjunction with to bring the best value to our customer base.

We have made vertical integration a strategy at Robertson and our surfacing group a t large to being the value of a streamlined product to all we do business with. By controlling aspects of raw material sourcing as well as installation of products we are able to provide an added layer of quality control to all of the projects we manage. As an added benefit, when appropriate, we have the capability to influence portions of our supply chain to meet deadlines and other needs of customers to a greater extent than an operation that relies on outside channels to function.

The value of an expansive operation does not stop at logistics alone, but also positions us to be a full-service provider, offering a full suite of products and services to serve the recreational surfacing market, as well as other products we are proposing within this solicitation. We provide vast options of surfacing types for play surfacing, including poured-in- place rubber, interlocking tiles, artificial turf, bonded rubber, engineered wood fiber, and rubberized mulch. Outside of these “traditional” options, our ancillary products also serve a number of other customer needs with regards to surfacing including aquatic surfacing options for splash pads and water play areas (as well as equipment for these areas), tennis, pickleball, and basketball resurfacing products, game tiles, and more.

In order to provide the highest quality solutions to any of our customers we are very careful to source high quality raw materials and combine them with quality installation labor to ensure top notch performance. With respect to poured-in-place rubber (the most commonly sold product outside of engineered woof fiber), we elected to install Gezolan EPDM and Rosehill TPV as our wear course rubber as we found these were industry leading raw materials. �����������������
A higher polymer content, better color retention under UV testing, and sole sourcing are a few of the benefits of these rubber options. We also work closely with urethane manufacturers to offer the ideal urethane options given
each project's conditions (humidity, temperature, etc.). This ensures proper curing and longevity of the installed product. Our installation crews are all either employees of Robertson or certified sub-contractors, meaning we have vetted their work prior to assigning them to our projects and to represent our company in the field.

Considering that play is at the heart of what we do, providing safe and compliant products and services is of paramount importance at Robertson. We are not content with just being compliant to regulatory boards, but aim for an Above Compliance position, which is a commitment of all of the companies within our parent company’s umbrella. Our products are certified to IPEMA (International Playground Equipment Manufacturer’s Association), as well as ASTM (American Society of Testing and Materials) and ADA (Americans with Disabilities Act). In the past and present, members of our organization have sat in boards and been members of a few of the aforementioned regulatory agencies, showing our commitment to keep our finger on the pulse of safe, responsible play products.

Outside of sales and installation, we also offer extensive warranty and maintenance programs. We want to ensure our users continue to enjoy a quality product as long as possible.

In this section we have included some maintenance guides and service instructions on how to properly manage our installations for maximum longevity.

Please refer to additional documents in this section about the additional values we bring.

�����������������
15+ employee crews plus partnerships with the best
install contractors all over the nation - average tenured crew is 7 years
Innovators in the surfacing industry with install
techniques and product solutions
We are part of a larger group of surfacing providers that are vertically integrated - we supply and service
Best practices experts who strive on education and
continued learning for better and safer community play
and recreation.

We are a recreational and playground safety surfacing
company - IT'S ALL WE DO!
Why
Robertson
Stability with resources
across the US
Full Service Provider from
product to install to
maintenance and repairs
�����������������
Robertson's Added Value
Specifications
Thermal Plastic Vulcanized (TPV) angular
granules with a (Shore A) hardness of 65° A ±
5 and particle size between .5 – 1.5 mm
Thickness: 1/2 – 5/8 inch
Binder: Aromatic or aliphatic urethane
Location: TPV Insert to be installed under
swings, swing bays, slide exits. Customer to
approve location of wear mat inserts
Color: Terra Cotta Red, Blue, Green, or Beige
(Additional colors and shapes available at an
additional cost)
Size: Slide exits are approximately 4’ x 4’.

Swings will be 4’ deep and will cover swing
bay area (insert size specifications may vary
pending equipment)
www.roberstonsurfaces.com
Stepped seams:

High quality seams
provide 50% more
joined surface area
than competitors’
seams to separation

SUPREME ADVANTAGE INSERTS
installed with smaller supreme granules
allowing for increased bonding capacity
providing a strong, more durable wear
course
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Robertson's Added Value
Color & Design Options
100% Black
Black with less than 50% of other colors
50% Black with Standard colors
25% Black with Standard colors
100% Standard EPDM colors Aromatic
100% Standard EPDM colors Aliphatic
100% Standard TPV colors Aromatic
100% Standard TPV colors Aliphatic
100% Premium EPDM colors Aromatic
100% Premium EPDM colors Aliphatic
100% Premium TPV colors Aromatic
100% Premium TPV colors Aliphatic
Supreme TPV Aliphatic
Basic Wave Patterns
Detailed Wave Patterns
Basic Design Elements
Detailed Design Elements
Custom / Vertical
COLORS:

DESIGN:
50/50 Standard and Black
100% Standard EPDM Aromatic
with Basic Wave Patterns
100% Premium TPV Aliphatic with Extensive
Patterns & Detailed Design
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Our Vendor Partners
Exclusive North American Suppliers for
Quality Playground Surfacing Granules
�����������������
About TPV Premium Rubber
Traditional rubber safety surfaces in the past were installed using EPDM (ethylene propylene diene monomer). EPDM is a common generic term that is used for colored rubber. Depending on the manufacture at the time, including those manufactures that are no longer in business today. There was a wide range of products in the market place that ranged from top quality (produced in a plant with rigid quality standards), to those that made a product that were labeled “Just good enough”. These sub standard products had numerous failures, color lot issues, and even pigment releasing. In addition to that, some EPDM rubber granules were often formulated with sulphur, clay fillers, plasticizers and heavy metals such as Zinc. Polymer content had been reduced to as low as to include only 16% of its actual name sake EPDM (ethylene propylene diene monomer).

American Recycling Center, Inc (our supplier) with a synergy from Rosehill Polymers in the UK has made some strategic decisions to change the quality of colored rubber offerings in North America and to utilize the advancements in technology to do so. And because of that today you will see installs of Rosehill TPV around the globe with such high profile projects listed to it’s credit at the Olympics in London, Russia and Brazil.

This advancement of premium colored rubber has been branded Rosehill TPV. Starting off with no less that 22-24 % polymer, this polymer is essentially a cousin to EPDM in the elastomer arena, and the technology allowed it to fill the quality gap that was missing in safety surface materials. The Rosehill TPV elastomers are the high-performance elastomers that combine the best attributes of vulcanized rubber – such as flexibility and low compression set – with the processing ease of thermoplastics. This process is the solution to the color range issues that have always been an ongoing issue with traditional generic brands EPDM’s.

When comparing colored rubber in the safety surface industry, make sure to clarify the source of their materials. Currently there is only one Rosehill TPV brand that is proprietary and has been tested and proven by top installers of running tracks and playgrounds alike. �������� ���������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SAFETY DATA SHEET
03/29/2021
Rosehill TPV Colored Rubber Granules ( Virgin Material NOT RECYCLED )

SECTION 1: IDENTIFICATION OF THE SUBSTANCE/MIXTURE AND OF THE COMPANY/UNDERTAKING Product identifier
Product name: Rosehill TPV
Product Weight: 55 lb bags

Details of the supplier of the safety data sheet
Supplier: American Recycling Center, Inc.
655 Wabassee Drive
Owosso, MI 48867

Emergency telephone number
24-Hour Emergency Phone number: 800-424-9300
Customer Information Center: 989-725-5100

SECTION 2: HAZARDS IDENTIFICATION
Classification of the substance or mixture
Not regarded as a health or environmental hazard under current legislation.

Environment: The product is not expected to be hazardous to the environment.

Human Health: No specific hazards.

SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS
Mixtures
Composition Comments: Does not contain any harmful or hazardous ingredients.

SECTION 4: FIRST AID MEASURES
Description of first aid measures
General information: No recommendation given.

After inhalation: Not relevant
After skin contact: Not relevant.

After eye contact: Dust in the eyes: Do not rub eye.

After swallowing: Not relevant.

Information for doctor: Treat symptomatically

SECTION 5: FIREFIGHTING MEASURES
Extinguishing media
Suitable extinguishing agents:

Larger fires: Alcohol resistant foam, water spray, fog or mist. Small fires: water spray, dry powder or carbon dioxide, dry chemicals, sand, dolomite, etc.

Special hazards arising from the substance or mixture
Not classified as flammable but will burn. Carbon Monoxide may be evolved if incomplete combustion occurs.

Advice for firefighters
Protective equipment:

Self-contained breathing apparatus and full protective clothing must be worn in case of fire.

SECTION 6: ACCIDENTAL RELEASE MEASURES
Personal precautions, protective equipment and emergency procedures Personal Precautions:

For personal protection, see Section 8.

Environmental Precautions:

Not regarded as dangerous to the environment.

Additional information:

Not relevant.
�����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SECTION 7: HANDLING AND STORAGE
Usage Precautions:

No specific usage precautions noted.

Usage Description:

No special requirements.

Storage Precautions:

Store in closed original container in a dry place.

SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
Exposure Limits
None established
Personal Protection
Protective Equipment:

Gloves

Engineering Measures
Not relevant.

Respiratory Equipment
Not relevant.

Hand Protection
For prolonged or repeated skin contact use suitable protective gloves.

Eye Protection
Eye protection may be necessary depending on use.

Other Protection:

Not relevant.

SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Physical State Granular
Color Various colors
Odor Odorless
Solubility in water Insoluble in water
(by weight)
Relative Density 0.20
Bulk Density 1.55kg/l
Viscosity Solid 25
Flash Point >200 Celsius (392 Fahrenheit)

Particle Size (Micron) 500-5000

SECTION 10: STABILITY AND REACTIVITY
Stability
Stable under normal temperature conditions and recommended use.

Chemical stability:

Stable under recommended storage conditions. See Storage, Section 7.

Conditions to Avoid:

None known.

Hazardous Polymerization:

Not relevant
Materials to Avoid:

No incompatible groups noted.

SECTION 11: TOXICOLOGICAL INFORMATION
Skin Contact:

No specific health warnings noted.

Eye Contact:
�����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

No specific health warnings noted.

Health Warnings
No specific health warnings noted.

SECTION 12: ECOLOGICAL INFORMATION
Toxicity
Not regarded as dangerous for the environment.

Mobility
Not relevant, due to the form of the product.

Bioaccumulation
The product is not bio accumulating.

Degradability
The product is not readily biodegradable.

Fish Acute & Prolonged Toxicity
Not considered toxic to fish.

SECTION 13: DISPOSAL CONSIDERATIONS
Disposal Methods
Incinerate in suitable combustion chamber, or dispose of on site landfill area.

SECTION 14: TRANSPORT INFORMATION
General:

The product is not covered by international regulation on the transport of dangerous goods (IMDG, IATA, ADR/RID). No transport warning sign required.

Road Transport Notes:

Not classified
Rail Transport Notes:

Not classified
Sea Transport Notes:

Not classified
Air Transport Notes:

Not classified

SECTION 15: REGULATORY INFORMATION
Risk Phrases NC Not Classified
Safety Phrases NC Not Classified

SECTION 16: OTHER INFORMATION

California Prop. 65
This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other reproductive harm.

This information is based on our present knowledge. However, this shall not constitute a guarantee for any Specific product features and shall not establish a legally valid contractual relationship.

American Recycling Center urges each customer or recipient of this SDS to study it carefully and consult appropriate expertise, as necessary or appropriate, to become aware of and understand the data contained in this SDS and any hazards associated with the product. The information herein is provided in good faith and believed to be accurate as of the effective date of the SDS. However, no warranty, expressed or implied, is given. Regulatory requirements are subject to change and may differ between various locations.

It is the buyer’s/user’s responsibility to ensure that its activities comply with all applicable federal, state, provincial and local laws. The information presented here pertains only to the product as shipped. Since conditions for use of the product are not under the control of American Recycling Center, it is the buyer’s/user’s duty to determine the conditions necessary for the safe use of this product.

�����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

This information is not intended to convey all specific regulatory or operational requirements/information relating to this product. Additional transportation system information can be obtained through an authorized sales or customer service representative. It is the responsibility of the transporting organization to follow all applicable laws, regulations and rules relating to the transportation of the material.

Due to the proliferation of sources for information such as manufacturer-specific SDSs, American Recycling Center, Inc. is not and cannot be responsible for SDSs obtained from any source other than American Recycling Center, Inc. If you have obtained an American Recycling Center, Inc SDS from a non American Recycling Center, Inc. source or if you are not sure that the SDS is current, please contact American Recycling Center, Inc. for the most current version.

Contact: Customer Service 989 -725 -5100

The information herein is to assist customers in determining whether our products are suitable for their applications. Our products are intended for sale to industrial and commercial customers. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. We warrant that our products will meet our written specifications. Nothing herein shall constitute and other warranty express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent to be inferred. All patent rights are reserved. The exclusive remedy for all proven claims is replacement of our materials and in no event shall we be liable for special, incidental or consequential damages.

American Recycling Center, Inc
655 Wabassee Drive, Owosso, MI 48867
(989) 725-5100 www.americanrecycling.com
�����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SAFETY DATA SHEET
This form may be used to comply with OSHA’s Hazard Communication Standard, 29 CFR 1910.1200 and WHMIS Canadian Legislation. 03/29/2021
Premium Recycled Rubber Granules ( 5/8, ½ , 1-5mm, 1-4mm, 1-3.5mm, 1.3mm, .5-2mm )

SECTION 1: IDENTIFICATION OF THE SUBSTANCE/MIXTURE AND OF THE COMPANY/UNDERTAKING

Product Identifier
Product Name: 5/8 Chunk Premium Black Rubber Granules Chemical Family: Polymeric (fully processed) Cured.

Specific Materials: EPDM, SBR (high quality virgin industrial polymers) Pre consumer Post industrial Reclaimed Scrap Rubber

Product Weight: 50 lb bags

Details of the supplier of the safety data sheet:

Supplier: American Recycling Center, Inc.
655 Wabassee Drive
Owosso, MI 48867

Emergency Telephone Number
24-Hour Emergency Phone number: 800-424-9300
Customer Information Center: 989-725-5100

SECTION 2: HAZARDS IDENTIFICATION
Non-Hazardous as defined by OSHA Hazard Communication Standard CFR Title 29 Part 1910.1200 and the WHMIS Canadian Legislation.

SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS
Specific Gravity (H20 = 1): 1.15 – 1.20
Solubility in water: Insoluble
Appearance & Odor: Granular, Black – Mild Characteristic Odor % of Volatiles by volume: None

SECTION 4: FIRST AID MEASURES
Inhalation: Not Relevant
Eye Contact: Avoid Dust in Eyes, Do Not Rub eye.

Effects of Ingestion: None expected. Treat Symptomatically First Aid Procedures: Not expected to require First Aid

SECTION 5: FIREFIGHTING MEASURES
Extinguisher Media:

Standard fire extinguisher, water, CO2 Foam, Water fog, Water spray, Protein type air foam, Dry Chemical.

Special Fire Fighting Procedures:

Regular procedures for rubber fires.

Wear self-contained breathing apparatus.

Treat as a hydrocarbon fire.

Unusual Fire & Explosion Hazards:

NONE

SECTION 6: ACCIDENTAL RELEASE MEASURES
Not Relevant
No special procedures necessary.

Waste disposal method:

Sweep, vacuum into disposal containers
Dispose of according to Federal, State, and local regulations

SECTION 7: HANDLING AND STORAGE
�����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Ventilation: Local exhaust
Eye Protection: Safety glasses
Precautions in handling:

Personal hygiene: frequent washing with soap and water of exposed areas, remove and clean solid clothing.

Precautions in storage: Normal material storage

SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
Protective Equipment
Hand Protection

For prolonged or repeated skin contact use suitable protective gloves Use eye protection when necessary depending on use

SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Appearance Granular
Color black
Odor Odorless.

Solubility Insoluble in water

SECTION 10: STABILITY AND REACTIVITY
Stable under normal temperature conditions and its designed use Conditions to avoid: Do not heat above ambient temperature. Do not store near flame or ignition source.

Hazardous Polymerization: Will not occur

SECTION 11: TOXICOLOGICAL INFORMATION
Skin contact No specific health warnings noted.

Eye contact No specific health warnings noted.

Health Warnings No specific health warnings noted.

SECTION 12: ECOLOGICAL INFORMATION
Eco toxicity: Not regarded as dangerous for the environment Not regarded to be toxic to fish
Degradability The product is not biodegradable

SECTION 13: DISPOSAL CONSIDERATIONS
Dispose of in accordance with Local, State, and Federal Regulations Dispose of at authorized landfill

SECTION 14: TRANSPORT INFORMATION
No transport warning sign required

SECTION 15: REGULATORY INFORMATION
Not Relevant

SECTION 16: OTHER INFORMATION
CALIFORNIA PROPOSITION 65:

SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT: TITLE 22 CALIFORNIA CODE OF REGULATIONS: California Proposition 65 provides for labeling and disclosure of the presence of a chemical(s) known to the State of California to cause cancer or reproductive toxicity. This product does contain carbon black that is bound in the rubber, therefore if used as designed it is not found to be listed as an airborne, unbound particle.

This information is based on our present knowledge. However, this shall not constitute a guarantee for any Specific product features and shall not establish a legally valid contractual relationship.

American Recycling Center urges each customer or recipient of this SDS to study it carefully and consult appropriate expertise, as necessary or appropriate, to become aware of and understand the data contained in this SDS and any hazards associated with the product. The information herein is provided in good faith and believed to be accurate as of the effective date of the SDS. However, no warranty, expressed or �����������������
AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

implied, is given. Regulatory requirements are subject to change and may differ between various locations.

It is the buyer’s/user’s responsibility to ensure that its activities comply with all applicable federal, state, provincial and local laws. The information presented here pertains only to the product as shipped. Since conditions for use of the product are not under the control of American Recycling Center, it is the buyer’s/user’s duty to determine the conditions necessary for the safe use of this product.

This information is not intended to convey all specific regulatory or operational requirements/information relating to this product.

Additional transportation system information can be obtained through an authorized sales or customer service representative. It is the responsibility of the transporting organization to follow all applicable laws, regulations and rules relating to the transportation of the material.

Due to the proliferation of sources for information such as manufacturer-specific SDSs, American Recycling Center, Inc. is not and cannot be responsible for SDSs obtained from any source other than American Recycling Center, Inc. If you have obtained an American Recycling Center, Inc SDS from a non American Recycling Center, Inc. source or if you are not sure that the SDS is current, please contact American Recycling Center, Inc. for the most current version.

Department issuing M(M)SDS: EH&S Delivery
Contact: Customer Service 989-725-5100

The information herein is to assist customers in determining whether our products are suitable for their applications. Our products are intended for sale to industrial and commercial customers. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. We warrant that our products will meet our written specifications. Nothing herein shall constitute and other warranty express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent to be inferred. All patent rights are reserved. The exclusive remedy for all proven claims is replacement of our materials and in no event shall we be liable for special, incidental or consequential damages.

American Recycling Center, Inc
655 Wabassee Drive, Owosso, MI 48867
(989) 725-5100 www.americanrecycling.com
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SAFETY DATA SHEET
03/29/2021
PremARC® 60-80 Urethane Binder ( Aromatic )

SECTION 1: IDENTIFICATION OF THE SUBSTANCE/MIXTURE AND OF THE COMPANY/UNDERTAKING Product identifier:

Product Name: PremARC ® 60-80 Urethane Binder
Material Type: Isocyanate
Product Material Weight: 45 lbs Pail / 475 lbs Drums

Details of the supplier of the safety data sheet
Supplier: American Recycling Center, Inc.
655 Wabassee Drive
Owosso, MI 48867

Emergency telephone number:
24-Hour Emergency Phone number: 800-424-9300
Customer Information Center: 989-725-5100

SECTION 2: HAZARDS IDENTIFICATION
Classification of the substance or mixture
This material is hazardous under the criteria of the Federal OSHA Hazard Communication Standard 29CFR 1910.1200.

Skin irritation - Category 2
Eye irritation - Category 2B
Respiratory sensitization - Category 1
Skin sensitization - Category 1
Carcinogenicity - Category 2
Specific target organ toxicity - single exposure - Category 3 Specific target organ toxicity - repeated exposure - Category 2 - Inhalation Label elements
Hazard pictograms

Signal word: DANGER!
Hazards
Causes skin and eye irritation.

May cause an allergic skin reaction.

May cause allergy or asthma symptoms or breathing difficulties if inhaled.

May cause respiratory irritation.

Suspected of causing cancer.

May cause damage to organs (Respiratory Tract) through prolonged or repeated exposure if inhaled.

Precautionary statements
Prevention
Obtain special instructions before use.

Do not handle until all safety precautions have been read and understood.

Do not breathe dust/ fume/ gas/ mist/ vapors/ spray.
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Wash skin thoroughly after handling.

Use only outdoors or in a well-ventilated area.

Contaminated work clothing should not be allowed out of the workplace.

Wear protective gloves.

Use personal protective equipment as required.

In case of inadequate ventilation wear respiratory protection.

Response
IF ON SKIN: Wash with plenty of soap and water.

IF INHALED: Remove victim to fresh air and keep at rest in a position comfortable for breathing.

Call a POISON CENTER or doctor/ physician if you feel unwell.

IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue Storage
Store in a well-ventilated place. Keep container tightly closed.

Store locked up.

Disposal
Dispose of contents/ container to an approved waste disposal plant.

Other hazards
no data available

SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS
Mixtures
· Chemical characterization: This product is a mixture.

Polymethylenepolyphenyl polyisocyanate, 53862-89-8 > 60.0 - < 90.0 % polypropyleneglycol copolymer

Diphenylmethane Diisocyanate, 9016-87-9 > 10.0 - < 30.0 % isomers and homologues

4,4' -Methylenediphenyl diisocyanate 101-68-8 > 7.0 - < 13.0 %

Note
Note: CAS 101-68-8 is an MDI isomer that is part of CAS 9016-87-9.

SECTION 4: FIRST AID MEASURES
Description of first aid measures
Description of first aid measures
General advice:

If potential for exposure exists refer to Section 8 for specific personal protective equipment. First Aid responders should pay attention to self-protection and use the recommended protective clothing (chemical resistant gloves, splash protection).

Inhalation:

Move person to fresh air. If not breathing, give artificial respiration; if by mouth to mouth use rescuer protection (pocket mask, etc). If breathing is difficult, oxygen should be administered by qualified personnel. Call a physician or transport to a medical facility.

Skin contact:

Remove material from skin immediately by washing with soap and plenty of water. Remove contaminated clothing and shoes while washing. Seek medical attention if irritation persists. Wash clothing before reuse. An MDI skin decontamination study demonstrated that cleaning very soon after exposure is important, and that a polyglycol-based skin cleanser or corn oil may be more effective than soap and water. Discard items which cannot be decontaminated, including leather articles such as shoes, belts and watchbands. Suitable emergency safety shower facility should be available in work area.

Eye contact:

Component CASRN Concentration
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Immediately flush eyes with water; remove contact lenses, if present, after the first 5 minutes, then continue flushing eyes for at least 15 minutes. Obtain medical attention without delay, preferably from an ophthalmologist. Suitable emergency eye wash facility should be immediately available.

Ingestion:

If swallowed, seek medical attention. Do not induce vomiting unless directed to do so by medical personnel.

Most important symptoms and effects, both acute and delayed:

Aside from the information found under Description of first aid measures (above) and Indication of immediate medical attention and special treatment needed (below), any additional important symptoms and effects are described in Section 11:

Toxicology Information.

Indication of any immediate medical attention and special treatment needed Notes to physician: Excessive exposure may aggravate preexisting asthma and other respiratory disorders (e.g. emphysema, bronchitis, reactive airways dysfunction syndrome). Maintain adequate ventilation and oxygenation of the patient. May cause asthma-like (reactive airways) symptoms.

Bronchodilators, expectorants, antitussives and corticosteroids may be of help. May cause respiratory sensitization or asthma- like symptoms. Bronchodilators, expectorants and antitussives may be of help. Treat bronchospasm with inhaled beta2 agonist and oral or parenteral corticosteroids. Respiratory symptoms, including pulmonary edema, may be delayed. Persons receiving significant exposure should be observed 24-48 hours for signs of respiratory distress. If you are sensitized to diisocyanates, consult your physician regarding working with other respiratory irritants or sensitizers. Treatment of exposure should be directed at the control of symptoms and the clinical condition of the patient.

SECTION 5: FIREFIGHTING MEASURES
Extinguishing media
Suitable extinguishing media:

Water fog or fine spray. Dry chemical fire extinguishers. Carbon dioxide fire extinguishers. Foam. Alcohol resistant foams (ATC type) are preferred. General purpose synthetic foams (including AFFF) or protein foams may function but will be less effective.

Unsuitable extinguishing media:

Do not use direct water stream. May spread fire.

Special hazards arising from the substance or mixture
Hazardous combustion products:

During a fire, smoke may contain the original material in addition to combustion products of varying composition which may be toxic and/or irritating. Combustion products may include and are not limited to: Nitrogen oxides. Isocyanates. Hydrogen cyanide. Carbon monoxide. Carbon dioxide.

Unusual Fire and Explosion Hazards:

Material reacts slowly with water, releasing carbon dioxide which can cause pressure buildup and rupture of closed containers.

Elevated temperatures accelerate this reaction. Container may rupture from gas generation in a fire situation. Violent steam generation or eruption may occur upon application of direct water stream to hot liquids. Dense smoke is produced when product burns. Electrically ground and bond all equipment.

Advice for firefighters
Fire Fighting Procedures:

Keep people away. Isolate fire and deny unnecessary entry. Stay upwind. Keep out of low areas where gases (fumes) can accumulate. Water is not recommended but may be applied in large quantities as a fine spray when other extinguishing agents are not available. Fight fire from protected location or safe distance. Consider the use of unmanned hose holders or monitor nozzles. Immediately withdraw all personnel from the area in case of rising sound from venting safety device or discoloration of the container. Do not use direct water stream. May spread fire. Move container from fire area if this is possible without hazard. Use water spray to cool fire-exposed containers and fire-affected zone until fire is out. Contain fire water run- off if possible. Fire water run-off, if not contained, may cause environmental damage. Review the "Accidental Release Measures" and the "Ecological Information" sections of this (M)SDS.

Special protective equipment for firefighters:

Wear positive-pressure self-contained breathing apparatus (SCBA) and protective firefighting clothing (includes firefighting helmet, coat, trousers, boots, and gloves). Avoid contact with this material during firefighting operations. If contact is likely, change to full chemical resistant firefighting clothing with self-contained breathing apparatus. If this is not available, wear full chemical resistant clothing with self-contained breathing apparatus and fight fire from a remote location. For protective equipment in post-fire or non-fire clean-up situations, refer to the relevant sections.

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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SECTION 6: ACCIDENTAL RELEASE MEASURES
Personal precautions, protective equipment and emergency procedures:

Isolate area. Keep unnecessary and unprotected personnel from entering the area. Refer to section 7, Handling, for additional precautionary measures. Keep personnel out of low areas. Keep upwind of spill. Spilled material may cause a slipping hazard.

Ventilate area of leak or spill. If available, use foam to smother or suppress. See Section 10 for more specific information. Use appropriate safety equipment. For additional information, refer to Section 8, Exposure Controls and Personal Protection.

Environmental precautions:

Prevent from entering into soil, ditches, sewers, waterways and/or groundwater. See Section 12, Ecological Information.

Methods and materials for containment and cleaning up:

Contain spilled material if possible. Absorb with materials such as: Dirt. Vermiculite. Sand. Clay. Do NOT use absorbent materials such as: Cement powder (Note: may generate heat). Collect in suitable and properly labeled open containers. Do not place in sealed containers. Suitable containers include: Metal drums. Plastic drums. Polylined fiber pacs. Wash the spill site with large quantities of water. Attempt to neutralize by adding suitable decontaminant solution: Formulation 1: sodium carbonate 5 - 10%; liquid detergent 0.2 - 2%; water to make up to 100%, OR Formulation 2: concentrated ammonia solution 3 - 8%; liquid detergent 0.2 - 2%; water to make up to 100%. If ammonia is used, use good ventilation to prevent vapor exposure. Contact your supplier for clean-up assistance. See Section 13, Disposal Considerations, for additional information.

SECTION 7: HANDLING AND STORAGE
Precautions for safe handling:

Avoid contact with eyes, skin, and clothing. Avoid prolonged or repeated contact with skin. Avoid breathing vapor. Wash thoroughly after handling. Use with adequate ventilation. Keep container closed. See Section 8, EXPOSURE CONTROLS AND PERSONAL PROTECTION.

Spills of these organic materials on hot fibrous insulations may lead to lowering of the autoignition temperatures possibly resulting in spontaneous combustion.

Conditions for safe storage:

Store in a dry place. Protect from atmospheric moisture. Do not store product contaminated with water to prevent potential hazardous reaction. See Section 10 for more specific information. Additional storage and handling information on this product may be obtained by calling your sales or customer service contact.

Storage stability Storage temperature: Storage Period:
24 - 41 °C (75 - 106 °F) 6 Month

SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
Additional information about design of technical systems:

No further data; see item 7.

Control parameters:

Component Regulation Type of listing Value/Notation
4,4' -Methylenediphenyl
diisocyanate
ACGIH TWA 0.005 ppm

OSHA Z-1

C

0.2 mg/m3 0.02 ppm

Additional information: The lists that were valid during the creation were used as basis.

Exposure controls
Engineering controls:

Use only with adequate ventilation. Local exhaust ventilation may be necessary for some operations. Provide general and/or local exhaust ventilation to control airborne levels below the exposure guidelines. Exhaust systems should be designed to move the air away from the source of vapor/aerosol generation and people working at this point. The odor and irritancy of this material are inadequate to warn of excessive exposure.

Individual protection measures
Eye/face protection:

Use chemical goggles.
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Skin protection
Hand protection:

Use gloves chemically resistant to this material. Examples of preferred glove barrier materials include: Butyl rubber.

Chlorinated polyethylene. Polyethylene. Ethyl vinyl alcohol laminate ("EVAL"). Examples of acceptable glove barrier materials include: Neoprene. Nitrile/butadiene rubber ("nitrile" or "NBR"). Polyvinyl chloride ("PVC" or "vinyl"). Viton. NOTICE: The selection of a specific glove for a particular application and duration of use in a workplace should also take into account all relevant workplace factors such as, but not limited to: Other chemicals which may be handled, physical requirements (cut/puncture protection, dexterity, thermal protection), potential body reactions to glove materials, as well as the instructions/specifications provided by the glove supplier.

Other protection:

Use protective clothing chemically resistant to this material. Selection of specific items such as face shield, boots, apron, or full body suit will depend on the task.

Respiratory protection:

Atmospheric levels should be maintained below the exposure guideline. When atmospheric levels may exceed the exposure guideline, use an approved air-purifying respirator equipped with an organic vapor sorbent and a particle filter. For situations where the atmospheric levels may exceed the level for which an air-purifying respirator is effective, use a positive-pressure air-supplying respirator (air line or self-contained breathing apparatus). For emergency response or for situations where the atmospheric level is unknown, use an approved positive-pressure self-contained breathing apparatus or positive-pressure air line with auxiliary self-contained air supply.

The following should be effective types of air-purifying respirators: Organic vapor cartridge with a particulate pre-filter.

SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
Information on basic physical and chemical properties
General Information
Appearance
Form Liquid
Color Red to brown
Odor Characteristic
Odor Threshold 0.4 ppm Based on Literature for MDI. Odor is inadequate warning of excessive exposure. pH-value No test data available

Change in condition:

Melting Point No test data available

Freezing Point No test data available
Boiling Point(760mmHg) > 100 °C ( > 212 °F) Literature

Flash Point closed cup > 150 °C ( > 302 °F)
Estimated.

Evaporation Rate No test data available
(Butyl Acetate = 1)

Flammability Not applicable to liquids
(solid, gas)
.

Explosion Limits:

Lower: No test data available
Upper: No test data available

Vapor Pressure < 0.00001 mmHg at 25 °C (77 °F)
Literature

Relative Vapor Density (air =
1)
No test data available
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Relative Density (water = 1) 1.09 at 25 °C (77 °F) / 25 °C ASTM D891
Water solubility insoluble

Partition coefficient: n-
octanol/water
no data available
Auto-ignition temperature No test data available
Decomposition
temperature
No test data available
Kinematic Viscosity 2,500 cSt at 25 °C (77 °F)
ASTM D4878
Explosive properties Not explosive
Oxidizing properties No
Molecular weight No test data available

NOTE: The physical data presented above are typical values and should not be construed as a specification.

SECTION 10: STABILITY AND REACTIVITY
Reactivity:

Products based on diisocyanates like TDI and MDI react with many materials to release heat. The reaction rate increases with temperature as well as with increased contact; these reactions can become violent. Contact is increased by stirring or if the other material acts as a solvent. Products based on diisocyanates such as TDI and MDI are not soluble in water and will sink to the bottom, but react slowly at the interface. The reaction forms carbon dioxide gas and a layer of solid polyurea.

Chemical stability:

Stable under recommended storage conditions. See Storage, Section 7.

Possibility of hazardous reactions:

Can occur. Exposure to elevated temperatures can cause product to decompose and generate gas. This can cause pressure build-up and/or rupturing of closed containers. Polymerization can be catalyzed by: Strong bases. Water.

Conditions to avoid:

Exposure to elevated temperatures can cause product to decompose. Generation of gas during decomposition can cause pressure in closed systems. Pressure build-up can be rapid. Avoid moisture. Material reacts slowly with water, releasing carbon dioxide which can cause pressure buildup and rupture of closed containers. Elevated temperatures accelerate this reaction.

Incompatible materials:

Avoid contact with: Acids. Alcohols. Amines. Water. Ammonia. Bases. Metal compounds. Moist air. Strong oxidizers. Products based on diisocyanates like TDI and MDI react with many materials to release heat. The reaction rate increases with temperature as well as with increased contact; these reactions can become violent. Contact is increased by stirring or if the other material acts as a solvent. Products based on diisocyanates such as TDI and MDI are not soluble in water and will sink to the bottom, but react slowly at the interface. The reaction forms carbon dioxide gas and a layer of solid polyurea. Avoid contact with metals such as: Aluminum. Zinc. Brass. Tin. Copper. Galvanized metals. Avoid contact with absorbent materials such as: Moist organic absorbents. Avoid unintended contact with polyols. The reaction of polyols and isocyanates generate heat.

Hazardous decomposition products:

Decomposition products depend upon temperature, air supply and the presence of other materials. Gases are released during decomposition.

SECTION 11: TOXICOLOGICAL INFORMATION
Toxicological information on this product or its components appear in this section when such data is available.

Acute toxicity
Acute oral toxicity
Low toxicity if swallowed. Small amounts swallowed incidentally as a result of normal handling operations are not likely to cause injury; however, swallowing larger amounts may cause injury. Observations in animals include: Gastrointestinal irritation.

As product: Single dose oral LD50 has not been determined.

LD50, Rat, > 2,000 mg/kg Estimated.
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Acute dermal toxicity
Prolonged skin contact is unlikely to result in absorption of harmful amounts.

The dermal LD50 has not been determined.

LD50, Rabbit, > 2,000 mg/kg Estimated.

Acute inhalation toxicity
At room temperature, vapors are minimal due to low volatility. However, certain operations may generate vapor or mist concentrations sufficient to cause respiratory irritation and other adverse effects. Such operations include those in which the material is heated, sprayed or otherwise mechanically dispersed such as drumming, venting or pumping. Excessive exposure may cause irritation to upper respiratory tract (nose and throat) and lungs. May cause pulmonary edema (fluid in the lungs.) Effects may be delayed. Decreased lung function has been associated with overexposure to isocyanates.

As product: The LC50 has not been determined.

Skin corrosion/irritation
Prolonged contact may cause skin irritation with local redness.

Material may stick to skin causing irritation upon removal.

May stain skin.

Serious eye damage/eye irritation
May cause eye irritation.

May cause slight temporary corneal injury.

Sensitization
A component in this mixture has been shown to be a skin sensitizer.

Animal studies have shown that skin contact with isocyanates may play a role in respiratory sensitization.

A component in this mixture may cause an allergic respiratory response.

MDI concentrations below the exposure guidelines may cause allergic respiratory reactions in individuals already sensitized.

Asthma-like symptoms may include coughing, difficult breathing and a feeling of tightness in the chest. Occasionally, breathing difficulties may be life threatening.

Specific Target Organ Systemic Toxicity (Single Exposure) Contains component(s) which are classified as specific target organ toxicant, single exposure, category 3.

Specific Target Organ Systemic Toxicity (Repeated Exposure) Tissue injury in the upper respiratory tract and lungs has been observed in laboratory animals after repeated excessive exposures to MDI/polymeric MDI aerosols.

Carcinogenicity
Lung tumors have been observed in laboratory animals exposed to respirable aerosol droplets of MDI/Polymeric MDI (6 mg/m3) for their lifetime. Tumors occurred concurrently with respiratory irritation and lung injury. Current exposure guidelines are expected to protect against these effects reported for MDI.

Teratogenicity
In laboratory animals, MDI/polymeric MDI did not cause birth defects; other fetal effects occurred only at high doses which were toxic to the mother.

Reproductive toxicity
No relevant data found.

Mutagenicity
Genetic toxicity data on MDI are inconclusive. MDI was weakly positive in some in vitro studies; other in vitro studies were negative. Animal mutagenicity studies were predominantly negative.

Aspiration Hazard
Based on physical properties, not likely to be an aspiration hazard. No aspiration toxicity classification

COMPONENTS INFLUENCING TOXICOLOGY:

Polymethylenepolyphenyl polyisocyanate, polypropyleneglycol copolymer Acute inhalation toxicity
At room temperature, vapors are minimal due to low volatility. However, certain operations may generate vapor or mist concentrations sufficient to cause respiratory irritation and other adverse effects. Such operations include those in which material is heated, sprayed or otherwise mechanically dispersed such as drumming, venting or pumping. Excessive exposure may cause irritation to upper respiratory tract (nose and throat) and lungs. May cause pulmonary edema (fluid on lungs). Effects may be delayed. Decreased lung function has been associated with overexposure to isocyanates.

The LC50 has not been determined.
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Diphenylmethane Diisocyanate, isomers and homologues
Acute inhalation toxicity
LC50, Rat, 4 Hour, dust/mist, 0.49 mg/l
For similar material(s): 2,4'-Diphenylmethane diisocyanate (CAS 5873-54-1). LC50, Rat, 4 Hour, Aerosol, 0.387 mg/l For similar material(s): 4,4'-Methylenediphenyl diisocyanate (CAS 101-68-8). LC50, Rat, 1 Hour, Aerosol, 2.24 mg/l 4,4' -Methylenediphenyl diisocyanate
Acute inhalation toxicity
LC50, Rat, 1 Hour, dust/mist, 2.24 mg/l

SECTION 12: ECOLOGICAL INFORMATION
Ecotoxicological information on this product or its components appear in this section when such data is available.

Toxicity
Acute toxicity to fish
The measured ecotoxicity is that of the hydrolyzed product, generally under conditions maximizing production of soluble species.

Material is practically non-toxic to aquatic organisms on an acute basis (LC50/EC50/EL50/LL50 >100 mg/L in the most sensitive species tested).

Based on information for a similar material:

LC50, Danio rerio (zebra fish), static test, 96 Hour, > 1,000 mg/l, OECD Test Guideline 203 or Equivalent Acute toxicity to aquatic invertebrates
Based on information for a similar material:

EC50, Daphnia magna (Water flea), static test, 24 Hour, > 1,000 mg/l, OECD Test Guideline 202 or Equivalent Acute toxicity to algae/aquatic plants
Based on information for a similar material:

NOEC, Desmodesmus subspicatus (green algae), static test, 72 Hour, Growth rate inhibition, 1,640 mg/l, OECD Test Guideline 201 or Equivalent
Toxicity to bacteria
Based on information for a similar material:

EC50, activated sludge, static test, 3 Hour, Respiration rates., > 100 mg/l Toxicity to soil-dwelling organisms
EC50, Eisenia fetida (earthworms), Based on information for a similar material: 14 d, > 1,000 mg/kg Toxicity to terrestrial plants
EC50, Avena sativa (oats), Growth inhibition, 1,000 mg/l EC50, Lactuca sativa (lettuce), Growth inhibition, 1,000 mg/l Persistence and degradability
Biodegradability:

In the aquatic and terrestrial environment, material reacts with water forming predominantly insoluble polyureas which appear to be stable. In the atmospheric environment, material is expected to have a short tropospheric half-life, based on calculations and by analogy with related diisocyanates.
10-day Window: Not applicable

Biodegradation: 0 %
Exposure time: 28 d
Method:

OECD Test Guideline 302C or Equivalent
Bioaccumulative potential
Bioaccumulation:

Bioconcentration potential is low (BCF < 100 or Log Pow < 3).

Bioconcentration factor (BCF):
92 Cyprinus carpio (Carp) 28 d
Mobility in soil
In the aquatic and terrestrial environment, movement is expected to be limited by its reaction with water forming predominantly insoluble polyureas.
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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

SECTION 13: DISPOSAL CONSIDERATIONS
Disposal methods:

DO NOT DUMP INTO ANY SEWERS, ON THE GROUND, OR INTO ANY BODY OF WATER. All disposal practices must be in compliance with all Federal, State/Provincial and local laws and regulations. Regulations may vary in different locations. Waste characterizations and compliance with applicable laws are the responsibility solely of the waste generator. AS YOUR

SUPPLIER, WE HAVE NO CONTROL OVER THE MANAGEMENT PRACTICES OR MANUFACTURING PROCESSES OF PARTIES HANDLING OR USING THIS MATERIAL. THE INFORMATION PRESENTED HERE PERTAINS ONLY TO THE PRODUCT AS SHIPPED IN ITS INTENDED CONDITION AS DESCRIBED IN MSDS SECTION: Composition Information. FOR UNUSED & UNCONTAMINATED PRODUCT, the preferred options include sending to a licensed, permitted: Recycler. Reclaimer. Incinerator or other thermal destruction device. For additional information, refer to: Handling & Storage Information, MSDS Section 7 Stability & Reactivity Information, MSDS Section10 Regulatory Information, MSDS Section 15

SECTION 14: TRANSPORT INFORMATION
DOT Proper shipping name Environmentally hazardous substance, liquid, n.o.s.(MDI) UN number UN 3082
Class 9
Packing group
Reportability

Classifications for SEA transport (IMO-
IMDG):

Transport in bulk according to Annex I
or II of Marpol 73/78 and the IBC or
IGC code
Classification for AIR transport
(IATA/ICAO):

III
MDI

Not regulated for transport

Consult IMO regulations before transporting ocean bulk

Not regulated for transport

This information is not intended to convey all specific regulatory or operational requirements/information relating to this product.

Transportation classifications may vary by container volume and may be influenced by regional or country variations in regulations.

Additional transportation system information can be obtained through an authorized sales or customer service representative. It is the responsibility of the transporting organization to follow all applicable laws, regulations and rules relating to the transportation of the material.

SECTION 15: REGULATORY INFORMATION
OSHA Hazard Communication Standard
This product is a "Hazardous Chemical" as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200.

Superfund Amendments and Reauthorization Act of 1986 Title III (Emergency Planning and Community Right-to-Know Act of 1986) Sections 311 and 312
Skin Corrosion or irritation
Serious eye damage or eye irritation
Respiratory or skin sensitization
Specific target organ toxicity (single or repeated exposure) Reactivity Hazard
Superfund Amendments and Reauthorization Act of 1986 Title III (Emergency Planning and Community Right-to-Know Act of 1986) Section 313
This material does not contain any chemical components with known CAS numbers that exceed the threshold (De Minmis) reporting levels established by SARA Title III, Section 313

Components CASRN
Diphenylmethane Diisocyanate, isomers and homologues 9016-87-9 4,4' -Methylenediphenyl diisocyanate 101-68-8
Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) Section 103 Calculated RQ exceeds reasonably attainable upper limit.

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AMERICAN RECYCLING CENTER, INC.
655 WABASSEE DRIVE
OWOSSO, MI 48867
PHONE – 989-725-5100

Components CASRN RQ
4,4' -Methylenediphenyl diisocyanate 101-68-8 5000 lbs RQ

Pennsylvania Worker and Community Right-To-Know Act:

To the best of our knowledge, this product does not contain chemicals at levels which require reporting under this statute.

California Proposition 65 (Safe Drinking Water and Toxic Enforcement Act of 1986) This product contains no listed substances known to the State of California to cause cancer, birth defects or other reproductive harm, at levels which would require a warning under the statute.

United States TSCA Inventory (TSCA)
All components of this product are in compliance with the inventory listing requirements of the U.S. Toxic Substances Control Act (TSCA) Chemical Substance Inventory.

SECTION 16: OTHER INFORMATION
This information is based on our present knowledge. However, this shall not constitute a guarantee for any Specific product features and shall not establish a legally valid contractual relationship.

American Recycling Center urges each customer or recipient of this SDS to study it carefully and consult appropriate expertise, as necessary or appropriate, to become aware of and understand the data contained in this SDS and any hazards associated with the product. The information herein is provided in good faith and believed to be accurate as of the effective date of the SDS. However, no warranty, expressed or implied, is given. Regulatory requirements are subject to change and may differ between various locations.

It is the buyer’s/user’s responsibility to ensure that its activities comply with all applicable federal, state, provincial and local laws. The information presented here pertains only to the product as shipped. Since conditions for use of the product are not under the control of American Recycling Center, it is the buyer’s/user’s duty to determine the conditions necessary for the safe use of this product.

This information is not intended to convey all specific regulatory or operational requirements/information relating to this product.

Additional transportation system information can be obtained through an authorized sales or customer service representative. It is the responsibility of the transporting organization to follow all applicable laws, regulations and rules relating to the transportation of the material.

Due to the proliferation of sources for information such as manufacturer-specific SDSs, American Recycling Center, Inc. is not and cannot be responsible for SDSs obtained from any source other than American Recycling Center, Inc. If you have obtained an American Recycling Center, Inc SDS from a non American Recycling Center, Inc. source or if you are not sure that the SDS is current, please contact American Recycling Center, Inc. for the most current version.

Department issuing SDS: EH&S Delivery
Contact: Customer Service 989 -725 -5100

PremARC ® 60 -80 Urethane Binder

The information herein is to assist customers in determining whether our products are suitable for their applications. Our products are intended for sale to industrial and commercial customers. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. We warrant that our products will meet our written specifications. Nothing herein shall constitute, and other warranty express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent to be inferred. All patent rights are reserved. The exclusive remedy for all proven claims is replacement of our materials and in no event shall we be liable for special, incidental or consequential damages.

American Recycling Center, Inc
655 Wabassee Drive, Owosso, MI 48867
(989) 725-5100 www.americanrecycling.com
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Routine Maintenance Instructions
Poured In Place Surfacing
Because poured-in-place surfacing has many positive inherent features if installed correctly at the proper critical depth for the play equipment, it is important to keep it as near to installation quality as possible. These positive features may include proper, continuous impact attenuation; a level, accessible, firm, stable, and slip-resistant surface; proper porosity or drainage provisions; attractive surface color combinations, patterns and designs; and long-term durability.

The presence of foreign objects and deposits can quickly diminish these qualities.

These include a wide range of items from sand, dirt, and stones; to leaves, tree sap, chewing gum, bird droppings, urine and blood, scuff marks, tar, and common park maintenance products such as gasoline or grease. The longer these items are left on the surfacing, the more damage they cause, so prompt maintenance is important.

The Principal Key to Effective Poured-In-Place Surface Maintenance: Keep Loose Debris Off
Loose debris such as sand, dirt, and small stones on top of unitary surfacing can produce slip hazards. In addition, fine particles can accumulate in porous openings and clog important drainage features of some surfaces, as can matting materials such as leaf litter. These particles can also be abrasive; they accelerate wear and shorten surface life. It is recommended that a regular periodic removal of this loose debris be done. It is best to vacuum porous surfaces to clear the permeable openings as well as removing top litter, but blowing can also be an effective means of achieving this. Dry sweeping or scrubbing will remove the loose litter, but can force more fine particles into porous openings of some surfaces. This should be done at least every two-three weeks, but may be necessary more often if local conditions warrant.
�����������������
Routine Maintenance Instructions (Continued)
Lawn vacuum or blower for porous surfaces or soft-bristle push broom for non-porous surfaces
Disposable rags
Disposable gloves
2 cleaning and rinsing buckets
2 small reusable pump spray containers (for vinegar and hydrogen peroxide)
Aerosol spray cleaner (Formula 409™ has been highly recommended) Orange oil cleaner
Liquid detergent
Powder cleaning compound (Borax™ has been highly recommended) STPP (Sodium Tripolyphosphate)
White Vinegar (5% acid; available at grocery stores)
Hydrogen Peroxide (3% solution; available at drug stores) Paste or powder cleanser (Goop™ and Bon Ami™ have been highly recommended)
A Basic Routine Maintenance Equipment and Supply Kit for Poured-In-Place Surfaces
Maintenance divisions with several playgrounds that have unitary surfaces may find it useful to establish a standard routine maintenance kit for these areas. Here is a recommended list of equipment and supplies for such a kit:

It is important that the maintenance division obtains the MSDS for each of these chemical products from the manufacturer. Include them in all chemical in-service training and has them on file for future reference. The quantities of these cleaning products will depend upon the amount of unitary surfacing to be maintained.
�����������������
Routine Maintenance Instructions (Continued)
Use the Right Cleaner for Problem Deposits
Elbow grease is always useful, but it helps to use the right cleaner to remove problem deposits or spills on unitary surfacing. For these tough problems, we recommend the following:

Bird Droppings or Other Excrement
Wear disposable gloves. Do not attempt to loosen any dry excrement that is stuck to the surfacing, as this could cause disease-causing fungus in the deposition to become air-borne. Remove any loose excrement. Scrub deposits with dampened Bon Ami™, Borax™ or STPP and then wash with a Borax™ or STPP solution. Soak up residue with disposable rags. Disinfect by spraying hydrogen peroxide on affected area. Let stand for at least two minutes and then spray again with vinegar. Let stand for an additional two minutes. Soak up residue with disposable rags. Double-rinse with clean water. (Do not mix hydrogen peroxide and vinegar together. Do not mix these together; spray separately for best results.)
Blood
Wear disposable gloves. Disinfect by spraying hydrogen peroxide on affected area.

Let stand for at least two minutes and then spray again with vinegar. Let stand for an additional two minutes. Soak up residue with disposable rags. Double rinse with clean water.

Chewing Gum
Apply dry ice (regular ice isn’t as effective) to freeze the gum and chip it from the surface and remove it.
�����������������
Routine Maintenance Instructions (Continued)
Gasoline
Wash with a detergent and water. Soak up with disposable rags. Double rinse with clean water.

Grass Stains
Apply orange oil cleaner. Work in and soak up with disposable rags. Double rinse with clean water.

Moss / Algae / Mildew / Mold
Saturate with hydrogen peroxide and let stand for at least five minutes. Repeat using vinegar. Soak up with disposable rags. Double rinse with clean water.

Scuff Marks
Scrub with dampened Bon Ami™, Borax™, or STPP. Double rinse with clean water.

Soda or Juice
Saturate with Formula 407™. Work in and soak up with disposable rags. Then wash with a liquid detergent, Borax™ or STPP solution. Double rinse with clean water.

Tar / Crayon / Lipstick / Tree Sap / Motor Oil / Grease Apply one or more of the following: orange oil cleaner, Goop™, or Formula 407™.

Work in and soak up with disposable rags. Then scrub with dampened Bon Ami™, Borax™ or STPP. Double rinse with clean water.

Urine / Vomit / Nasal Discharge
Wear disposable gloves. Wash with a Borax™ or STPP solution. Soak up residue with disposable rags. Disinfect by spraying on hydrogen peroxide and let stand for at least two minutes, then spraying again with vinegar and let stand for an additional two minutes. (Do not mix these together. Spray separately for best results.) Soak up residue with disposable rags. Double rinse with clean water. �����������������
Routine Maintenance Instructions (Continued)
Acetate
Ammonia
Benzene
Carbon tetrachloride
Chlorine Bleach
Glycerin
Lighter fluid
Mineral spirits
Naphtha
Petroleum distillates
Turpentine
WD40
Petroleum Jelly

AVOID HARMFUL SOLVENTS AND CLEANING PRODUCTS
The following are effective cleaning agents but they are not recommended on most unitary safety surfaces. They may be detrimental to the surfacing because, over time, they could break down the polyurethane binding component and may lead to de- plasticization of the EPDM rubber. Most are not environmentally friendly. Some also change the appearance of the cleaned area compared to the rest of the surface, or make the surface very slippery:

The information provided here is condensed from Maintaining Safe Play, the course manual of the new NPSI Playground Maintenance Service Program.

Maintenance for Snow and Ice Conditions
To remove ice or snow, Calcium Chloride is an acceptable solution. Please follow the manufacturer’s instructions for proper use.
�����������������
A Wide Variety of Products
Our high quality products maximize play
value and minimize maintenance costs to
extend the life of your parks for years to
come. From stainless steel play features
to our highly themed Fun Forms™, Water
Odyssey can accommodate your needs.

WWW.WATERODYSSEY .COM | 512.392.1155
1 Interchangeability.

Don’t limit the potential of your aquatic
play area. Water Odyssey’s versatile
anchoring system allows individual spray
features to be interchanged and upgraded,
so you get more flexibility for your budget.
6 More interactivity, More Fun!
Explore our broad range of interactive
products that can be manipulated by
twisting & turning to promote team
building, learning, and Fun!
3 Custom capabilities
Water Odyssey specializes in creating
unique project specific products from
interactive games to highly themed
features. Let Water Odyssey bring your
aquatic play ideas to life.
4 Design services available
Eliminate extra costs by doing the job
right the first time with Water Odyssey’s
in-house design services. We design for
safety, cost effectiveness, and fun
.

U.L. Listed Controls
With maintenance presonnel in mind,
Water Odyssey’s U.L. listed control systems
are designed to be safe, east to operate,
and create fun on-demand for spray park
patrons.
7Durable Coating System
Water Odyssey’s fade-resistant Aqua
Armor™ stands up to Chlorine and UV
while its durability minimizes the effects of
vandalism, protecting your investment for
seasons to come.
2 High Quality, Competitive Price!
From stainless steel manifolds to durable
brass solenoid valves, Water Odyssey
equipment is designed and manufactured
with high-quality materials at no additional
cost to the owner to last for years to come.
8 Aquatic Play for Everyone
Water Odyssey spray features are designed
to be ADA complient, accommodating
patrons of all abilities by allowing them
to acess and interact with the water. Let
our design team layout your next ADA
complient aquatic play area.
9 Made in the USA
All Water Odyssey products are made in
the USA and fabricated at our facilities in
San Marcos, TX.
5 10
Creating Compelling Aquatic Pla y Experiences
Top 10 Reasons
why w ater odyssey is the right choice
for aquatic pla y!
Why w ater odyssey is the right choice
for aquatic pla y!
Ask about
cooperative
purchasing!
�����������������
SWITCHEROO™ ANCHORBASE SYSTEM
• The originator of the flange-mounted anchor base system for maximum interchangeability
• Ideal for sensitive budgets and future expansions
• Interchage spray features from your other facilities for a fresh look

STAINLESS STEEL MANIFOLDS AND BRASS VALVES
• High quality 304 stainless steel manifolds and brass valves come standard. • Extends the life of the water management system
• Reduces maintenance
• Stands up to extreme climates

BRASS AND STAINLESS STEEL NOZZLES
• Precision machined for the ideal water effect
• Durable and resistant to rust
• Tamper-resistant
• Easy to maintain

LOW-PROFILE FLANGES ARE EASY ON THE FEET
• All flanges are low-profile with rounded edges
• Rounded button-head hardware
• Reduces the risk of stubbed toes

WATER MANAGEMENT SYSTEMS FOR EASY INSTALLATION
• Pre-designed and pre-wired
• UL Listed control systems for safety
• Factory programmed for easy start-up
• Field programmable for future adjustments
Creating Compelling Aquatic Pla y Experiences
WWW.WATERODYSSEY .COM | 512.392.1155
�����������������

ROTATIONAL JOINTS
• Free of pinch points for safety
• Stainless steel and Delrin® construction that is corrosion & chemical resistant • 360° rotation with no mechanical stops that will break • Integral flow control valve that is factory set and field adjustable to dictate the spray zones so water won’t spray off the pad
AQUA ARMOR™ - SUPERIOR COATING SYSTEM
• Stands up to chemicals, UV, and active play
• Structural elastomeric coating that is vandal-resistant • Easy to clean from calcium build-up

CUSTOM THEMING CAPABILITIES FOR A TRUELY UNIQUE LOOK
• Hand-crafted spray features from talented artists
• Designed & manufactured to meet your vision
• Theming allows you to enhance your brand and create an immersive experience WATER ODYSSEY DESIGNS FOR SAFETY AND ADA COMPLIANCE.
• Key considerations are age-appropriate play areas, transition areas, traffic patterns, splash zones, play value, and overall aesthetic of the project. • Products are designed & manufactured to be in accordance with ASTM safety standards and ADA accessibility for maximum participation of ground level spray features, activators and interactive equipment.

SUPERIOR DESIGN SUPPORT TO HELP YOU BUDGET, PLAN, AND BRING

YOUR VISION TO LIFE
• We provide concept details, budget analysis and bid documentation including specifications, 3D renderings, plan views, piping diagrams & electrical drawings • We can provide 3D animations of your project upon request • We provide ongoing customer support for the life of the project.

Creating Compelling Aquatic Pla y Experiences
WWW.WATERODYSSEY .COM | 512.392.1155
�����������������
TAB 6 –
• Additional Required Documents (Appendix
C)
• Acknowledgement and Acceptance of
Region 4 ESC’s Open Records Policy
• Antitrust Certification
• Implementation of House Bill 1295
Certificate of Interested Parties (form 1295)
• Texas Government Code 2270 Verification
Form
• Felony Conviction Notification
• Any Additional Agreements Offeror Will
Require Participating Agencies to Sign
�����������������
Appendix C

ADDITIONAL REQUIRED DOCUMENTS
DO
C #1 Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy DO
C #2 Antitrust Certification Statements (Tex. Government Code § 2155.005) DO
C #3 Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295) DO
C #4 Texas Government Code 2270 Verification Form
DO
C #5 Felony Conviction Notification
�����������������
Appendi
x C, Doc #1

ACKNOWLEDGMENT AND ACCEPTANCE
OF REGION 4 ESC’s OPEN RECORDS POLICY
OP

EN RECORDS POLICY
All proposals, information and documents submitted are subject to the Public Information Act requirements governed by the State of Texas once a Contract(s) is executed. If an Offeror believes its response, or parts of its response, may be exempted from disclosure, the Offeror must specify page- by-page and line- by-line the parts of the response, which it believes, are exempt and include detailed reasons to substantiate the exemption. Price is not confidential and will not be withheld. Any unmarked information will be considered public information and released, if requested under the Public Information Act.

The determination of whether information is confidential and not subject to disclosure is the duty of the Office of Attorney General (OAG). Region 4 ESC must provide the OAG sufficient information to render an opinion and therefore, vague and general claims to confidentiality by the Offeror are not acceptable. Region 4 ESC must comply with the opinions of the OAG. Region 4 ESC assumes no responsibility for asserting legal arguments on behalf of any Offeror. Offeror is advised to consult with their legal counsel concerning disclosure issues result ing from this procurement process and to take precautions to safeguard trade secrets and other proprietary information.

Signature below certifies complete acceptance of Region 4 ESC’s Open Records Policy, except as noted below (additional pages may be attached, if necessary).

Chec
k one of the following responses to the Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy below:

We acknowledge Region 4 ESC’s Open Records Policy and declare that no information submitted with this proposal, or any part of our proposal, is exempt from disclosure under the Public Information Act.
 W
e declare the following information to be a trade secret or proprietary and exempt from disclosure under the Public Information Act.
(No
te: Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt. In addition, Offeror must include detailed reasons to substantiate the exemption(s). Price is not confident and will not be withheld. All information believed to be a trade secret or proprietary must be listed. It is further understood that failure to identify such information, in strict accordance with the instructions, will result in that information being considered public information and released, if requested under the Public Information Act.) Dat
e Authorized Signature & Title
x
VP of Installation 2/13/2023
�����������������
Appendix C
, Doc #2

ANTITRUST CERTIFICATION STATEMENTS
(Tex. Government Code § 2155.005)
Attorney General Form
I aff
irm under penalty of perjury of the laws of the State of Texas that:

1. I am dul
y authorized to execute this Contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below;

2. In connect
ion with this proposal, neither I nor any representative of the Company has violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15;

3. In connect
ion with this proposal, neither I nor any representative of the Company has violated any federal antitrust law; and

4. Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of this proposal to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company.

Company Contact
Signature
Printed Name
Address Position with Company
Official
Authorizing
Proposal
Signature
Phone
Printed Name
Fax
Position with Company
Robertson Recreational
Surfaces Tom DiScipio
VP of Installation
2414 W 12th Street
Tempe, AZ 85281
800-858-0519
(602) 340-0402
�����������������
Appendix C, DOC # 3
Implementation of House Bill 1295
Certificate of Interested Parties (Form 1295):

In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that a governmental entity or state agency may not enter into certain contracts with a business entity unless the business entity submits a disclosure of interested parties to the governmental entity or state agency at the time the business entity submits the signed contract to the governmental entity or state agency. The law applies only to a contract of a governmental entity or state agency that either (1) requires an action or vote by the governing body of the entity or agency before the contract may be signed or (2) has a value of at least $1 million. The disclosure requirement applies to a contract entered into on or after January 1, 2016.

The Texas Ethics Commission was required to adopt rules necessary to implement that law, prescribe the disclosure of interested parties form, and post a copy of the form on the commission’s website. The commission adopted the Certificate of Interested Parties form (Form 1295) on October 5, 2015. The commission also adopted new rules (Chapter 46) on November 30, 2015, to implement the law. The commission does not have any additional authority to enforce or interpret House Bill 1295.

Filing Process:

Staring on January 1, 2016, the commission made available on its website a new filing application that must be used to file Form 1295. A business entity must use the application to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number. An authorized agent of the business entity must sign the printed copy of the form. The completed Form 1295 with the certification of filing must be filed with the governmental body or state agency with which the business entity is entering into the contract.

The governmental entity or state agency must notify the commission, using the commission’s filing application, of the receipt of the filed Form 1295 with the certification of filing not later than the 30th day after the date the contract binds all parties to the contract. This process is known as acknowledging the certificate. The commission will post the acknowledged Form 1295 to its website within seven business days after receiving notice from the governm ental entity or state agency. The posted acknowledged form does not contain the declaration of signature information provided by the business.

A certificate will stay in the pending state until it is acknowledged by the governmental agency.

Only acknowledged certificates are posted to the commission’s website.

Electronic Filing Application:
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm Frequently Asked Questions:
https://www.ethics.state.tx.us/resources/FAQs/FAQ_Form1295.php Changes to Form 1295: https://www.ethics.state.tx.us/data/filinginfo/1295Changes.pdf �����������������
Controlling
Name of Interested Party4 Nature of interest
City, State, Country (place of business)
Intermediary
(check applicable)
CERTIFICATE OF INTERESTED PARTIES 1295FORM
1 of 1
1 OFFICE USE ONLY
2 02/13/2023
Complete Nos. 1 - 4 and 6 if there are interested parties.

Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.

Name of business entity filing form, and the city, state and country of the business entity's place of business.

Robertson Recreational Surfaces
Tempe, AZ United States
Name of governmental entity or state agency that is a party to the contract for which the form is being filed.

Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 3 Region 4 Education Service Center
Playground and Recreational Surface Products and Services 23-01
2023-982510
Date Filed:

Date Acknowledged:

Certificate Number:

CERTIFICATION OF FILING
6 Signature of authorized agent of contracting business entity My name is _______________________________________________________________,

UNSWORN DECLARATION
Check only if there is NO Interested Party.5
X
My address is _______________________________________________, _______________________, and my date of birth is _______________________.

Executed in ________________________________________County, I declare under penalty of perjury that the foregoing is true and correct. (street) (state) (zip code) (country)
(year)(month)
_______, ______________, _________.

State of ________________, on the _____day of ___________, 20_____. (city)
(Declarant)
Version V3.5.1.3ac88bc0www.ethics.state.tx.usForms provided by Texas Ethics Commission Karim Odeh 01/24/1994
418 Timberlinks Drive SIgnal Mountain TN 37377 USA
Hamilton TN 13th February 23
�����������������
Appendix C, DOC # 4
T
exas Government Code 2270 Verification Form
H
ouse Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract.

Fur
thermore, Senate Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller.

I
, ___________________________________________________, as an authorized representative of
_____________________________________________________________, a contractor
engaged by
Insert Name of Company
Region 4 Education Service Center, 7145 West Tidwell Road, Houston, TX 77092, verify by this writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the ter m of this contract, or any contract with the above -named Texas governmental entity in the future.

A
lso, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at https://comptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf.

I fu
rther affirm that if our co mpany's position on this issue is reversed and this affirmation is no longer valid, that the above-named Texas governmental entity will be notified in writing within one (1) bus
iness day and we understand that our company's failure to affirm and comply wit h the r
equirements of Texas Government Code 2270 et seq. shall be grounds for immediate contract termination without penalty to the above-named Texas governmental entity.

I
swear and affirm that the above is true and correct.
______________________________________________
________________
Signature of Named Authorized Company Representative Date Tom DiScipio
Robertson Recreational Surfaces
2/14/2023
�����������������
Appendix C, DOC # 5

FELONY CONVICTION NOTIFICATION
S ectio n 44.034, Texas Education Code, Notification of Criminal History, Subsection (a), states “A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony.”
S ubsection (b) states “A school district may terminate a contract with a person or business entity if t he district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed befor e the termination of the contract.”
Thi s Notice is Not Required of a Publicly -Held Corporation

CRIMINAL HISTORY REVIEW OF CONTRACTOR EMPLOYEES
O fferor shall review § 22.0834, Texas Education Code and 19 Texas Administrative Code §§153.1101 and 153.1117 regarding criminal history checks of school contractor employees.

The rules define continuing duties related to contracted services, direct contact with students, covered contract employee and other relevant terms within the statute.

E xcept as otherwise provided herein, Offeror will obtain and certify in writing, before work begins, that the Offeror has received all criminal history record information that relates to an employee, applicant, agent or Subcontractor of the Offeror/Contractor or Subcontractor, if the person has or will have continuing duties related to the contracted services, and the duties are or will be performed on Region 4 ESC’s, or Participating Public Agency as applicable to the Texas Education Code, property where students are regularly present or at another location where students are regularly present. Awarded Offer(s) shall assume all expenses associated with the background checks and shall immediately remove any employee or agency who was convicted of, receive probation for, or received deferred adjudication for any felony as outlined below or any misdemeanor involving moral turpitude, from Region 4 ESC’s property or other location where students are regularly present.

Offeror/Contractor or sub-contractors may not work on Region 4 ESC’s, or Participating Public Agency where the Texas Education Code may be applicable, property where students are present when they have been convicted, received probation, or deferred adjudication for the following felony offenses:

1. Any offense against a person who was, at the time the offense occurred, under 18 years of age or enrolled at a public school;

2. Any sex offense;

3. Any crimes against persons involving:
�����������������
a. Controlled substances; or
b. Property; or

4. Any other offense Region 4 ESC, or Participating Public Agency where the Texas Education Code may be applicable, believes might compromise the safety of students, employees or property.

I , ___________________________________________________, as an authorized representative of
_____________________________________________________________, the Offeror verify
that:

A. My company is not owned nor operated by anyone who has been convicted of a felony.

Signature of Company Official: ___________________________________ Date: ________ B. My company is owned or operated by the following individual(s) who has/have been convicted of a felony:

Name of Felon(s): ___________________________________________________________ Details of Conviction(s) : ______________________________________________________ Date: _______________
C. My company is a publicly held corporate, therefore, this reporting requirement is not applicable.

Signature of Company Official: ___________________________________ Date: ________ Tom DiScipio
Robertson Recreational Surfaces
2/14/2023
�����������������

TAB 1 –

• Draft Contract and Offer and
Contract Signature Form
(Appendix A)
• Terms and Conditions Acceptance
Form (Appendix B)
�����������������

CONTRACT
1 APPENDIX A

DRAFT CONTRACT
This Contract (“Contract”) is made as of __________, 202X by and between (“Contractor”) and Region 4 Education Service Center
(“Region 4 ESC”) for the purchase of ___________________________________________(“the products and services”).

RECITALS

WHEREAS, Region 4 ESC issued Request for Proposals Number R______ for _______ (“RFP”), to which Contractor provided a response (“Proposal”); and

WHEREAS, Region 4 ESC selected Contractor’s Proposal and wishes to engage Contractor in providing the services/materials described in the RFP and Proposal;

WHEREAS, both parties agree and understand the following pages will constitute the Contract between the Contractor and Region 4 ESC, having its principal place of business at 7145 West Tidwell Road, Houston, TX 77092.

WHEREAS, Contractor included, in writing, any required exceptions or deviations from these terms, conditions, and specifications; and it is further understood that, if agreed to by Region 4 ESC, said exceptions or deviations are incorporated into the Contract.

WHEREAS, this Contract consists of the provisions set forth below, including provisions of all attachments referenced herein. In the event of a conflict between the provisions set forth below and those contained in any attachment, the provisions set forth below shall control.

WHEREAS, the Contract will provide that any state and local governmental entities, public and private primary, secondary and higher education entities, non-profit entities, and agencies for the public benefit (“Public Agencies”) may purchase products and services at prices indicated in the Contract upon the Public Agency’s registration with OMNIA Partners.

1) Term of agreement. The term of the Contract is for a period of three (3) years unless terminated, canceled or extended as otherwise provided herein. Region 4 ESC shall have the right to renew the Contract for two (2) additional one-year periods or portions thereof. Region 4 ESC shall review the Contract prior to the renewal date and notify the Contractor of Region 4 ESC’s intent renew the Contract. Contractor may elect not to renew by providing three hundred sixty-five days’ (365) notice to Region 4 ESC. Notwithstanding the expiration of the initial term or any subsequent term or all renewal options, Region 4 ESC and Contractor may mutually agree to extend the term of this Agreement. Contractor acknowledges and understands Region 4 ESC is under no obligation whatsoever to extend the term of this Agreement.

The anticipated full term of the contract is five (5) years. The Contractor shall have the right to enter local “service” agreements with Participating Public Agencies accessing the contract through OMNIA Partners, so long as the effective date of such agreement is prior to the expiration of the Contract. All local agreements may have a full potential term (any combination of initial and renewal periods) not to exceed five years. Any tasks or project �����������������

CONTRACT
2 agreements executed against this Master Agreement during the effective term may survive beyond the expiration of the Master Agreement as established and agreed to by both parties. 2) Scope: Contractor shall perform all duties, responsibilities and obligations, set forth in this agreement, and described in the RFP, incorporated herein by reference as though fully set forth herein.
3) For
m of Contract. The form of Contract shall be the RFP, the Offeror’s proposal and Best and Final Offer(s).
4) O rder of Precedence. In the event of a conflict in the provisions of the Contract as accepted by Region 4 ESC, the following order of precedence shall prevail:
i. This Contract
ii. Offeror’s Best and Final Offer
iii. Offeror’s proposal
iv. RFP and any addenda

5) Commencement of Work. The Contractor is cautioned not to commence any billable work or provide any material or service under this Contract until Contractor receives a purchase order for such work or is otherwise directed to do so in writing by Region 4 ESC. 6) E ntire Agreement (Parol evidence). The Contrac t, as specified above, represents the final written expression of agreement. All agreements are contained herein and no other agreements or representations that materially alter it are acceptable. 7) A
ssignment of Contract. No assignment of Contract may be made without the prior written approval of Region 4 ESC. Contractor is required to notify Region 4 ESC when any material change in operations is made (i.e. bankruptcy, change of ownership, merger, etc.). 8) N
ovation. If Contractor sells or transfers all assets or the entire portion of the assets used to perform this Contract, a successor in interest must guarantee to perform all obligations under this Contract. Region 4 ESC reserves the right to accept or reject any new party. A change of name agreement will not change the contractual obligations of Contractor. 9) C
ontract Alterations. No alterations to the terms of this Contract shall be valid or binding unless authorized and signed by Region 4 ESC.
10) A dding Authorized Distributors/Dealers. Contractor is prohibited from authorizing additional distributors or dealers, other than those identified at the time of submitting their proposal, to sell under the Contract without notification and prior written approval from Region 4 ESC.

Contractor must notify Region 4 ESC each time it wishes to add an authorized distributor or dealer. Purchase orders and payment can only be made to the Contractor unless otherwise approved by Region 4 ESC. Pricing provided to members by added distributors or dealers must also be less than or equal to the Contractor’s pricing. 11) T

ERMINATION OF CONTRACT
a) Cancellation for Non-Performance or Contractor Deficiency. Region 4 ESC may terminate the Contract if purchase volume is determined to be low volume in any 12 -month period.

Region 4 ESC reserves the right to cancel the whole or any part of this Contract due to failure by Contractor to carry out any obligation, term or condition of the contract. Region �����������������

CONTRACT
3 4 ESC may issue a written deficiency notice to Contractor for acting or failing to act in any of the following:
i. Providing material that does not meet the specifications of the Contract; ii. Providing work or material was not awarded under the Contract; iii. Failing to adequately perform the services set forth in the scope of work and specifications;
iv. Failing to complete required work or furnish required materials within a reasonable amount of time;
v. Failing to make progress in performance of the Contract or giving Region 4 ESC reason to believe Contractor will not or cannot perform the r equirements of the Contract; or
vi. Performing work or providing services under the Contract prior to receiving an authorized purchase order.

Upon receipt of a written deficiency notice, Contractor shall have ten (10) days to provide a satisfactory response to Region 4 ESC. Failure to adequately address all issues of concern may result in Contract cancellation. Upon cancellation under this paragraph, all goods, materials, work, documents, data and reports prepared by Contractor under the Contract shall immediately become the property of Region 4 ESC. b) Termination for Cause. If, for any reason, Contractor fails to fulfill its obligation in a timely manner, or Contractor violates any of the covenants, agreements, or stipulations of this Contract Region 4 ESC reserves the right to terminate the Contract immediately and pursue all other applicable remedies afforded by law. Such termination shall be ef fective by delivery of notice, to the Contractor, specifying the effective date of termination. In such event, all documents, data, studies, surveys, drawings, maps, models and reports prepared by Contractor will become the property of the Region 4 ESC. If such event does occur, Contractor will be entitled to receive just and equitable compensation for the satisfactory work completed on such documents.
c) D
elivery/Service Failures. Failure to deliver goods or services within the time specified, or within a reasonable time period as interpreted by the purchasing agent or failure to make replacements or corrections of rejected articles/services when so requested shall constitute grounds for the Contract to be terminated. In the event Region 4 ESC must purchase in an open market, Contractor agrees to reimburse Region 4 ESC, within a reasonable time period, for all expenses incurred.
d) For ce Majeure. If by reason of Force Majeure, either party hereto shall be rendered unable wholly or in part to carry out its obligations under this Agreement then such party shall give notice and full particulars of Force Majeure in writing to the other party within a reasonable time after occurrence of the event or cause relied upon, and the obligation of the party giving such notice, so far as it is affected by such Force Majeure, shall be suspended during the continuance of the inability then claimed, except as hereinafter provided, but for no longer period, and such party shall endeavor to remove or overcome such inability with all reasonable dispatch.

The term Force Majeure as employed herein, shall mean acts of God, strikes, lockouts, or other industrial disturbances, act of public enemy, orders of any kind of government of the United States or the State of Texas or any civil or military authority; insurrections; riots; epidemics; landslides; lighting; earthquake; fires; hurricanes; storms; floods; washouts; droughts; arrests; restraint of government and people; civil disturbances; explosions, breakage or accidents to machinery, pipelines or canals, or other causes not reasonably within the control of the party claiming such inability. It is understood and agreed that the settlement of strikes and lockouts shall be entirely within the discretion of the party having the difficulty, and that the above requirement that any Force Majeure shall be remedied with all reasonable dispatch shall not require the settlement of strikes and lockouts by �����������������

CONTRACT
4 acceding to the demands of the opposing party or parties when such settlement is unfavorable in the judgment of the party having the difficulty. e) Standard Cancellation. Region 4 ESC may cancel this Contract in whole or in part by providing written notice. The cancellation will take effect 30 business days after the other party receives the notice of cancellation. After the 30th business day all work will cease following completion of final purchase order.

12) Licenses. Contractor shall maintain in current status all federal, state and local licenses, bonds and permits required for the operation of the business conducted by Contractor. Contractor shall remain fully informed of and in compliance with all ordinances and regulations pertaining to the lawful provision of services under the Contract. Region 4 ESC reserves the right to stop work and/or cancel the Contract if Contractor’s license(s) expire, lapse, are suspended or terminated.
13) S
urvival Clause . All applicable software license agreements, warranties or service agreements that are entered into between Contractor and Region 4 ESC under the terms and conditions of the Contract shall survive the expiration or termination of the Contract. All Purchase Orders issued and accepted by Contractor shall survive expiration or termination of the Contract.
14) De
livery . Conforming product shall be shipped within 7 days of receipt of Purchase Order. If delivery is not or cannot be made within this time period, the Contractor must receive authorization for the delayed delivery. The order may be canceled if the estimated shipping time is not acceptable. All deliveries shall be freight prepaid, F.O.B. Destination and shall be included in all pricing offered unless otherwise clearly stated in writing. 15) I
nspection & Acceptance. If defective or incorrect material is delivered, Region 4 ESC may make the determination to return the material to the Contractor at no cost to Region 4 ESC.

The Contractor agrees to pay all shipping costs for the return shipment. Contractor shall be responsible for arranging the return of the defective or incorrect material. 16) P
ayments . Payment shall be made after satisfactory performance, in accordance with all provisions thereof, and upon receipt of a properly completed invoice. 17) P rice Adjustments. Should it become necessary or proper during the term of this Contract to make any change in design or any alterations that will increase price, Region 4 ESC must be notified immediately. Price increases must be approved by Region 4 ESC and no payment for additional materials or services, beyond the amount stipulated in the Contract shall be paid without prior approval. All price increases must be supported by manufacturer documentation, or a formal cost justification letter. Contractor must honor previous prices for thirty (30) days after approval and written notification from Region 4 ESC. It is the Contractor’s responsibility to keep all pricing up to date and on file with Region 4 ESC. All price changes must be provided to Region 4 ESC, using the same format as was provided and accepted in the Contractor’s proposal.

Price reductions may be offered at any time during Contract. Special, time-limited reductions are permissible under the following conditions: 1) reduction is available to all users equally; 2) reduction is for a specific period, normally not less than thirty (30) days; and 3) original price is not exceeded after the time-limit. Contractor shall offer Region 4 ESC any published price reduction during the Contract term.
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CONTRACT
5 18) Audit Rights. Contractor shall, at its sole expense, maintain appropriate due diligence of all purchases made by Region 4 ESC and any entity that utilizes this Contract. Region 4 ESC reserves the right to audit the accounting for a period of three (3) years from the time such purchases are made. This audit right shall survive termination of this Agreement for a period of one (1) year from the effective date of termination. Region 4 ESC shall have the authority to conduct random audits of Contractor’s pricing at Region 4 ESC's sole cost and expense.

Notwithstanding the foregoing, in the event that Region 4 ESC is made aware of any pricing being offered that is materially inconsistent with the pricing under this agreement, Region 4 ESC shall have the ability to conduct an extensive audit of Contractor’s pricing at Contractor’s sole cost and expense. Region 4 ESC may conduct the audit internally or may engage a third- party auditing firm. In the event of an audit, the requested materials shall be provided in the format and at the location designated by Region 4 ESC.
19) D
iscontinued Products. If a product or model is discontinued by the manufacturer, Contractor may substitute a new product or model if the replacement product meets or exceeds the specifications and performance of the discontinued model and if the discount is the same or greater than the discontinued model.
20) N
ew Products/Services. New products and/or services that meet the scope of work may be added to the Contract. Pricing shall be equivalent to the percentage discount for other products. Contractor may replace or add product lines if the line is replacing or supplementing products, is equal or superior to the original products, is discounted similarly or greater than the original discount, and if the products meet the requirements of the Contract. No products and/or services may be added to avoid competitive procurement requirements. Region 4 ESC may require additions to be submitted with documentation from Members demonstrating an interest in, or a potential requirement for, the new product or service. Region 4 ESC may reject any additions without cause.
21) O
ptions. Optional equipment for products under Contract may be added to the Contract at the time they become available under the following conditions: 1) the option is priced at a discount similar to other options; 2) the option is an enhancement to the unit that improves performance or reliability.
22) W
arranty Conditions. All supplies, equipment and services shall include manufacturer's minimum standard warranty and one (1) year labor warranty unless otherwise agreed to in writing.
23) S
ite Cleanup. Contractor shall clean up and remove all debris and rubbish resulting from their work as required or directed. Upon completion of the work, the premises shall be left in good repair and an orderly, neat, clean, safe and unobstructed condition. 24) S
ite Preparation. Contractor shall not begin a project for which the site has not been prepared, unless Contractor does the preparation work at no cost, or until Region 4 ESC includes the cost of site preparation in a purchase order. Site preparation includes, but is not limited to:
moving furniture, installing wiring for networks or power, and similar pre- installation requirements.
25) R
egistered Sex Offender Restrictions. For work to be performed at schools, Contractor agrees no employee or employee of a subcontractor who has been adjudicated to be a registered sex offender will perform work at any time when students are or are reasonably expected to be present. Contractor agrees a violation of this condition shall be considered a �����������������

CONTRACT
6 material breach and may result in the cancellation of the purchase order at Region 4 ESC’s discretion. Contractor must identify any additional costs associated with compliance of this term. If no c osts are specified, compliance with this term will be provided at no additional charge.
26) Safety measures. Contractor shall take all reasonable precautions for the safety of employees on the worksite and shall erect and properly maintain all necessary safeguards for protection of workers and the public. Contractor shall post warning signs against all hazards created by its operation and work in progress. Proper precautions shall be taken pursuant to state law and standard practices to protect workers, general public and existing structures from injury or damage.
27) S
moking. Persons working under the Contract shall adhere to local smoking policies.

Smoking will only be permitted in posted areas or off premises. 28) S tored materials. Upon prior written agreement bet ween the Contractor and Region 4 ESC, payment may be made for materials not incorporated in the work but delivered and suitably stored at the site or some other location, for installation at a later date. An inventory of the stored materials must be provided to Region 4 ESC prior to payment. Such materials must be stored and protected in a secure location and be insured for their full value by the Contractor against loss and damage. Contractor agrees to provide proof of coverage and additionally insured upon request. Additionally, if stored offsite, the materials must also be clearly identified as property of Region 4 ESC and be separated from other materials. Region 4 ESC must be allowed reasonable opportunity to inspect and take inventory of stored materials, on or offsite, as necessary. Until final acceptance by Region 4 ESC, it shall be the Contractor's responsibility to protect all materials and equipment. Contractor warrants and guarantees that title for all work, materials and equipment shall pass to Region 4 ESC upon final acceptance. 29) Fundi
ng Out Clause. A Contract for the acquisition, including lease, of real or personal property is a commitment of Region 4 ESC’s current revenue only. Region 4 ESC retains the right to terminate the Contract at the expiration of each budget period during the term of the Contract and is conditioned on a best effort attempt by Region 4 ESC to obtain appropriate funds for payment of the contract.
30) I
ndemnity . Contractor shall protect, indemnify, and hold harmless both Region 4 ESC and its administrators, employees and agents against all claims, damages, losses and expenses arising out of or resulting from the actions of the Contractor, Contractor employees or subcontractors in the preparation of the solicitation and the later execution of the Contract.

Any litigation involving either Region 4 ESC, its administrators and employees and agents will be in Harris County, Texas.
31) M
arketing. Contractor agrees to allow Region 4 ESC to use their name and logo within website, marketing materials and advertisement. Any use of Region 4 ESC name and logo or any form of publicity, inclusive of press releases, regarding this Contract by Contractor must have prior approval from Region 4 ESC.
32) C
ertificates of Insurance . Certificates of insura nce shall be delivered to the Region 4 ESC prior to commencement of work. The Contractor shall give Region 4 ESC a minimum of ten (10) days’ notice prior to any modifications or cancellation of policies. The Contractor shall require all subcontractors performing any work to maintain coverage as specified. �����������������

CONTRACT
7 33) Legal Obligations. It is Contractor’s responsibility to be aware of and comply with all local, state, and federal laws governing the sale of products/services and shall comply with all laws while fulfilling the Contract. Applicable laws and regulation must be followed even if not specifically identified herein.

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OFFER AND CONTRACT SIGNATURE FORM
The undersigned hereby
offers and, if awarded, agrees to furnish goods and/or services in strict compliance with the terms, specifications and conditions at the prices proposed within response unless noted in writing.

Company Name
Address
City/State/Zip
Telephone No.

Email Address
Printed Name
Title
Authorized signature
Accepted by Region 4 E
SC:

Contract No. _________
_____
Initial Contract Term to
Region 4 ESC Authorized Board Member Date
Print Name
Region 4 ESC Authorized Board Member Date
Print Name
Robertson Recreational Surfaces
2414 W 12th St #5
Tempe, Arizona 85281
800-858-0519
[email protected]
Tom DiScipio
Vice President of Installations
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Appendix B

TERMS & CONDITIONS ACCEPTANCE FORM
Signatur
e on the Offer and Contract Signature form certifies complete acceptance of the terms and conditions in this solicitation and draft Contract except as noted below with proposed substitute language (additional pages may be attached, if necessary) . The provisions of the RFP cannot be modified without the express written approval of Region 4 ESC. If a proposal is returned with modifications to the draft Contract provisions that are not expressly approved in writing by Region 4 ESC, the Contract provisions contained in the RFP shall prevail.

Check one of the following responses:
 Of
feror takes no exceptions to the terms and conditions of the RFP and draft Contract. (Note: I
f none are listed below, it is understood that no exceptions/deviations are taken.)  Off
eror takes the following exceptions to the RFP and draft Contract. All exceptions must be clearly explained, reference the corresponding term to which Offeror is taking exception and clearly state any proposed modified language, proposed additional terms to the RFP and draft Contract must be included:
(Note: U
nacceptable exceptions may remove Offeror’s proposal from consideration for award. Region 4 ESC shall be the sole judge on the acceptance of exceptions and modifications and the decision shall be final.

If an of
fer is made with modifications to the contract provisions that are not expressly approved in writing, the contract provisions contained in the RFP shall prevail.) Section/Page Term, Condition, or
Specification
Exception/Proposed Modification Accepted
(For Region 4
ESC’s use)
x
Appendix A Section
14 Page 4
Shipping within 7 days Lead times may vary from 4-16 weeks due to raw material availability
Appendix D, Exhibit
A, 3.3 L Guaranteed Sales Volume Robertson elects not to guarantee contract sales volume �����������������
TAB 2 –
• Products/Pricing
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a) P
roducts/pricing
i. Offerors shall provide pricing based on a discount from a price list or catalog, or fixed price, or a combination of both with indefinite quantities.

See attached Excel file
ii. Include an electronic copy of the catalog from which discount, or fixed price, is calculated.

See attached Excel file
iii. If applicable, provide a national co-efficient for standard and non-standard hours that may be used when the UPB is being utilized. For clarification, additional co-efficients are not being requested as an awarded Contractor(s) may utilize the UPB’s city index.

Standard hours: 1.0 multiplier
For standard work we will use our same hourly rate that is accounted for in our pricing and included
Non-Standard hours: 1.5 multiplier
For non-standard work, including prevailing wages, Davis-Bacon, Union Labor, etc. we will include no more than a 1.5 multiplier to our standard hourly rate.

Our pricing is inclusive of labor rates and pricelist is notated to show how said rates are impacted by non-standard hours. As our projects are always dependent on scope we are cognizant of that and price jobs accordingly to always provide best value to customers and market competitive pricing through this cooperative purchasing opportunity.
iv. Provide any applicable Billable Labor Rates by Classification.

Depending on the state, our scope of work is categorized differently leading to �����������������
multiple billable labor rates across all the 48 states we offer install services in.

We are careful to always provide labor rates that satisfy Prevailing Wage compliance in each of those states, and always submit that paperwork to the proper authorities for review and approval at the conclusion of the project.

Our labor rates, complying with state regulations, are rolled into our labor- inclusive pricing (please reference section i. and attached price list). v. Describe if pricing is available for all products and services? Robertson Recreational Surfaces is offering any interested Agency our complete portfolio of surfacing products and solutions to meet any need covered within this Solicitation. This includes, but is not limited to, playground safety surfacing, trails, outdoor rec areas, aquatic surfacing, trails and tracks, dog park surfacing, outdoor waterplay equipment, multi-use rec areas, courts, and indoor safety surfacing options.

All of the aforementioned products and services will be offered to any interested agency as a turn-key solution including installation services and, when applicable, sub-base preparation and other site preparation work related to our scope of work.
vi. Describe any shipping charges.

Robertson Recreational Surfaces includes shipping charges within our pricing unless otherwise stated on the attached price list.
vii. Describe any warranties and provide pricing for warranties on all products and services.

See attached Warranties at the bottom of this section.
viii. Describe any additional discounts or rebates available. Additional discounts or rebates may be offered for large quantity orders, single ship to location, growth, annual spend, guaranteed quantity, etc.

Robertson Recreational Surfaces reserves the right to offer additional discounting based on volume purchases, including, but not limited to, projects with larger scopes, addressing multiple sites or locations, or multi-year contracts.

Due to multiple factors influencing these situations, each opportunity will be �����������������
evaluated and discussed on an individual basis.
ix. Describe how customers verify they are receiving Contract pricing.

Any Agency may verify accurate pricing based on the parameters of this solicitation by requesting a copy of the price book we are submitting by contacting one of our representatives or representatives from OMNIA Partners.

We are always happy to discuss any pricing questions with any representative of the agency in question, Region 4, or OMNIA Partners, as we recognize our quotes are dependent on scope details and not an “off the shelf” style of pricing. x. Describe payment methods offered.

We accept payment via ACH Wire Transfer as well as a check received by certified mail. On a case-by-case basis, we will accept credit card payment (with applicable fees) as well as explore extending net-30, net-60, or other available credit options to any participating agency.
xi. Propose the frequency of updates to the Offeror’s pricing structure. Describe any proposed indices to guide price adjustments. If offering a catalog contract with discounts by category, while changes in individual pricing may change, the category discounts should not change over the term of the Contract.

Robertson Recreational Surfaces standard practice is to update pricing annually as we receive price increases from our vendors, raw material suppliers, and installation mechanisms. These updates sometimes include the introduction of any new products we are offering or the removal of products we deem fit to stop offering.

While this has been our standard approach to price updates for the last 20+ years, we recognize that in the events of dramatic changes to the marketplace (like ones we experienced in parts of ’20 and ‘21) we may request additional updates to our pricing. In this case we would provide advance notice to Region 4 and OMNIA Partners as well as include documentation to justify our request for increases outside of standard annual changes. We would also commit to transparent discussions with any agency, as we have in the past, in the event this situation occurs again.
xii. Describe how future product introductions will be priced and align with Contract pricing proposed.
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We are always committed to providing all our customers with the best solutions possible, so future product introductions are to be expected. In this event, we would go through the proper channels through OMNIA Partners and Region 4 to submit a contract amendment to add any new products into our offering to participating agencies through this cooperative purchasing opportunity.

Regarding pricing to an agency, any new product would be approached with a similar model to our current products, which is to provide all customers with competitive pricing and the best value in accordance with fair market costs for each respective good/service.
xiii. Provide any additional information relevant to this section.

Additional documentation has been added within this section.

Fe
deral Funding Pricing
Due to products and services potentially used in response to an emergency or disaster recovery situation in which federal funding may be used, provide alternative pricing that does not include cost plus a percentage of cost or pricing based on time and materials; if time and materials is necessary, a ceiling price that the contractor exceeds at its own risk will be needed as determined and set by the Participating Public Agency. Products and services provided in a situation where an agency is eligible for federal funding, Offeror is subject to and must comply with all federal requirements applicable to the funding including, but not limited to the FEMA Special Conditions section located in the Federal Funds Certifications Exhibit.

N
ot to Exceed Pricing
Region 4 ESC requests pricing be submitted as not to exceed pricing. Unlike fixed pricing, the Contractor can adjust submitted pricing lower if needed but, cannot exceed original pricing submitted. Contractor must allow for lower pricing to be available for similar product and service purchases. Cost plus pricing as a primary pricing structure is not acceptable. �����������������
Products and Services
Engineered Wood
Fiber (EWF) Safety
Surfacing
Loose-Fill Rubber
Nuggets/Mulch Safety
Surfacing
Loose-Fill Shredded
Rubber Safety
Surfacing
Aquatic & Splash Pad
Surfacing
Poured in Place (PIP)
Rubber Safety
Surfacing
Interlocking Rubber
Safety Tiles
Synthetic Turf Safety
Surfacing
Bonded Rubber Safety
Surfacing
Rubber & Pea Gravel
Walking Trail Surfacing
Rubber & Pea Gravel
Sport Court Surfacing
Rubber Walking Trail
Surfacing
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Products and Services
Pressure Washing
Tot Turf ReFresh Roll Coats – Aromatic & Aliphatic
PIP Repairs
Wear Course
Perimeter and Color/Design Seams
2-Layer Full System Repairs
Tot Turf ReNew 1.5” Re-Top PIP Surfacing
Bonded Rubber Roll Coats & Repairs
Synthetic Turf Maintenance
Rubber Tile Maintenance – Replacement
Aquatic Surfacing Roll Coats & Repairs
Sport Court Surfacing Roll Coats & Repairs
Walking Trail Surfacing Roll Coats & Repairs
Color & Material Upgrades
Design and Layout
Tough Mobilization & Staging/Access – Podium and
above ground installations
Temporary Chain-Link Fencing for duration of project
Remove and properly dispose of existing surfacing
materials
Construct appropriate drainage system
Construct Curbing/Borders
Furnish and install an appropriate subbase including
compaction of native soil
Tot Turf Advantage (High Density Inserts) – PIP and
Tiles
Extended Warranty
Overnight Security
HIC/Gmax Testing
Maintenance & Repair Services:

Related Products & Services Available:
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SCOPE OF WORK - PIP SURFACING
All scope of work/proposals to be based on most updated drawings, details, specifications, and all addendums provided by customer/architect and/or site visits by a safety surfacing specialist. Changes to actual scope of work at time of installation may require a change order and could cause delays in scheduling, please inform our project manager of any changes 2 weeks in advance of anticipated start date.

Temporary Fencing and/or Security to also be discussed for every project.

New Construction - Poured in Place Rubber Safety Surfacing System Furnish and install new IPEMA Certified PIP Rubberized Safety Surfacing per ADA, ASTM and IPEMA Standards.
2-Layer System to include ½” Wear Course and an Attenuation/Cushion Layer based on manufacturer’s stated fall heights or stated thickness in drawings or specifications, whichever is greater.

Includes a 5-Year Warranty Color(s) and Design per drawings Includes a 5-Year Warranty
Options:

Tot Turf Advantage (High Density Inserts) per specs - .5 mm size granules Extended Warranty
Maintenance - Tot Turf ReFresh Maintenance Roll Coat
Tot Turf ReFresh Aromatic/Aliphatic Roll Coat over PIP EPDM/TPV Surfaces. Includes broom / blow cleaning and a 2-Layer checkerboard application for best penetration. Pressure washing recommended, must specify to be included. 24-48 Hour Curing Time Required Renovation - Total Remove and Replace of PIP Surfacing
Remove and properly dispose of existing surfacing materials Repair and/or re-compact existing subbase, include additional subbase material if required
Furnish and install new IPEMA Certified PIP Rubberized Safety Surfacing per ADA, ASTM and IPEMA Standards.
2-Layer System to include ½” Wear Course and an Attenuation/Cushion Layer based on manufacturer’s stated fall heights or stated thickness in drawings or specifications, whichever is greater.

Color, Design and Urethane TBD Includes a 5-Year Warranty �����������������

SCOPE OF WORK - PIP SURFACING
Renovation - Loose-Fill to New PIP
Remove and properly dispose of existing surfacing materials Construct appropriate drainage system if required
Furnish and install an appropriate subbase including compaction of native soil Furnish and install new IPEMA Certified PIP Rubberized Safety Surfacing per ADA, ASTM and IPEMA Standards.
2-Layer System to include ½” Wear Course and an Attenuation/Cushion Layer based on manufacturer’s stated fall heights or stated thickness in drawings or specifications, whichever is greater.

Color, Design and Urethane TBD Includes a 5-Year Warranty Renovation - Tot Turf ReNew 1.5” Re-Top (1” cushion layer & ½” wear course) Completely remove 9” to 12” width of the perimeter PIP allowing new PIP system to be flush with sidewalk and appropriately tapering up to new PIP surface level Remove and dispose of any loose wear course
Remove and dispose of hardened wear course
Replace/Fill in areas where loose or harden PIP was removed with proper cushion material Furnish and install a Tot Turf 1.5” ReNew System over entire existing PIP surface Color, Design and Urethane TBD
Includes a 3-year warranty

POURED IN PLACE BONDED RUBBER SAFETY SURFACING
Furnish and install new IPEMA Certified Bonded Rubber Safety Surfacing per ADA, ASTM and IPEMA Standards.

Tot Turf Bonded Rubber Safety Surfacing Incudes a minimum of 2” colored bonded rubber over an SBR bonded cushion layer Optional - Tot Turf Advantage (High Density Inserts) per specs - .5 mm size granules.

Color, Design and Urethane TBD
Includes a 5-Year Warranty
ADDITIONAL PIP SITE PREP REQUIREMENTS (by others)
Construct appropriate drainage system per drawings and details Construct Curbing/Borders per drawings and details
Furnish and install an appropriate subbase including compaction of native soil
HIC/Gmax Testing (by 3rd Party)
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TotTurf® Limited Warranty
Issued to:
(Property Owner)

Robertson Industries, Inc. warrants that its TotTurf® safety surfacing installed at Installation Site shall be free of defects in workmanship and materials for a period of 5years limited, from June 3, 201 9, provided that the surfacing is installed by Robertson Industries, Inc. This warranty includes unreasonable rubber deterioration (limited color fade), and surface brittleness resulting in cracking.

THE WARRANTY CONTAINED HERE IS EXPRESSLY IN LIEU OF (AND PURCHASER

HEREBY WAIVES) ALL OTHER WARRANTIES, EXPRESSED, STATUTORY, OR

IMPLIED IN FACT OR BY LAW, INCLUDING MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. PURCHASER FURTHER AGREES THAT IN NO EVENT SHALL ROBERTSON INDUSTRIES, INC. ON ANY CLAIM OF ANY KIND HAVE ANY

LIABILITY TO BUYER FOR LOSS OF USE, LOSS OF PROFITS OR FOR ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES.

The Purchaser and Robertson Industries, Inc. expressly agree that the remedies provided in this warranty are in lieu of all other remedies against Robertson Industries, Inc. which Purchaser might otherwise have, to include but not limited to, consequential damages, direct damages, and indirect damages, and further that Rob ertson Industries, Inc. sole obligations hereunder are limited to the repair or replacement of defective material. If the same material is not available Robertson Industries, Inc. reserves the right to supply material of a similar grade, color and quality. Unless reasonable written notice is provided to Robertson Industries, Inc., by purchaser of a warranty claim all claims shall be barred.

Reasonable notice is defined as written notice received thirty (30) days from the date the defect was either discovered or should have been discovered with reasonable diligence.

THE WARRANTY DOES NOT COVER DAMAGE DURING THE CURING PROCESS (Unless specified per contract), SHRINKING OF LESS THAN 3/8”, SLIGHT COLOR

VARIATIONS INCLUDING AMBERING, COLOR FADING, DAMAGE DUE TO STAINS,

BURNS, CUTS, GOUGES, AND INDENTATIONS CAUSED BY UNUSUAL USE,

PROBLEMS CAUSED BY MOISTURE, ALKALI, HYDROSTATIC PRESSURE, CRACKING,

SHIFTING OR LIFTING OF THE SUBSTRATE OVER WHICH THE SURFACING PRODUCT HAS BEEN INSTALLED. DAMAGE FROM VANDALISM AND EXCESSIVE WEAR AND TEAR EXCLUDED. THIS WARRANTY EXCLUDES TRANSFER STATION, SWINGS AND SLIDE EXITS.

MUST APPLY URETHAN E TOP COAT (TOTTURF APPROVED) EVERY 18 MONTHS AND SUPPLY DOCUMENTATION for Warranty Validation.

Richard Hawley, Corporate VP/GM
Robertson Industries, Inc. Revision 1/11/2012

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Warranty Statement
Warranty
Fountain People shall warrant all properly installed and maintained Water Odyssey™ equipment (excluding consumables) for a period of one year from date of shipment, unless otherwise qualified, below. For systems with a factory start-up, the warranty shall extend for 18 months from date of shipment or one year from date of start-up, whichever comes first.

Fountain People, at its option, shall replace or repair any materials, components, or workmanship found to be defective, within the warranty period when returned to the factory, freight prepaid. No equipment or parts may be returned to Fountain People for repair or replacement without a factory issued RMA (Return Material Authorization).

Special Provisions
The following equipment shall be warranted for the terms noted when properly installed and maintained:

Structural Pipe: Stainless steel pipe and anchor bases used in the fabrication of Water Odyssey™ play equipment shall be warranted against structural failure for a period of 25 years.

Finish Coating: Shall be warranted for a period of 2 years against peeling or fading under normal environmental conditions.

ColorCast™ Accents: Shall be warranted for a period of 2 years against fading or cracking under normal environmental conditions.

Nozzles: Brass or stainless steel, 5 Years. PVC nozzles, 2 years.

Polyurethane Components (including Fun Forms™) shall be warranted for a period of 2 Years.

Water Odyssey™ Dynamic Sequencing Control Module 02-6210, Valve Boxes and Fiberglass Components shall be warranted against defects for a period of 3 years. All DSC Controller components, other than the 02-6210 module, are warranted for 1 year.

UV Disinfection Units Manufactured by ETS/ATG UV (excluding consumables) shall be warranted for a period of five (5) years after commencement of operation providing that the owner has entered into a service agreement with a factory trained and certified representative to annually (during the warranty period) service the unit as outlined in the Basic Operator’s Guide using original manufacturers parts.

Exclusions
This warranty does not include damage resulting from lightning, vandalism, improper maintenance, operator error, Acts of God, failure to comply with codes of the jurisdiction having authority, or other conditions beyond the control of Fountain People. Nor does this warranty cover labor, freight charges, or incidental materials required to implement repairs.

Fountain People shall not be held liable for damage to other equipment or materials, or loss of time, profits, or any inconvenience, directly or indirectly, resulting from the failure of equipment or materials furnished by Fountain People.

Fountain People will not accept liability for any costs associated with the removal or replacement of equipment in difficult- to-access locations. These extraordinary costs shall be the responsibility of the customer, regardless of the reason necessitating removal of the product from service. This warranty may exclude damage to metals resulting from chemical control devices that use electrolysis as a means for generating chlorine or other chemicals to treat water. No other warranty, expressed or implied, exists beyond that included in this statement.

Water Odyssey™ by Fountain People, Inc. | P .O. Box 807 San Marcos, TX 78667 | P: 512-.392.1155 | waterodyssey.com �����������������

Aqua Armor™ Fact Sheet

Aqua Armor™ is a UV stabilized, textured structural elastomeric polymer with a UV and chlorine resistant sealer coat.

Water Odyssey’s Aqua Armor™ is the best and most durable coating system available in the industry today.

It is applied in a four-step carefully controlled process that ensures a durable, fade-resistant finish that is far superior to polyester powder coat systems.

Unlike powder coating, Aqua Armor™ is field repairable to factory standards.

• The Toughest Coating in the Industry
• Vandal-Resistant
• Bright Long-lasting Color

Recommended Cleaning Materials:
- Scrubbing Bubbles® for light work.
- Lime Away®, or CLR® properly diluted, for heavier staining. - Use only Scotch Brite® or S.O.S.® plastic fiber scrubber sponges. - Do not use muriatic or other acid.

Warranty: 2 Years against peeling or fading under normal environmental conditions.

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Fountain People, Inc.

PO Box 807
San Marcos, Texas 78667

Subject: Water Odyssey product safety
Safety of child and patron is of utmost concern to Fountain People and Water Odyssey. Water Odyssey considers safety of the patron as a major factor in the design of aquatic play features.

Every feature is critiqued to ensure it is a safe and reliable product for child play.

As Manufacturer of Aquatic play elements we practice and design our products in accordance with ASTM standards F2461-16e1 and F1487-17, as well as CPSC (Consumer Product Safety Commission) guidelines, when and where applicable, utilizi ng the most current standards of care acceptable by the National Playground Safety Institute. Following CPSI (Certified Playground Safety Inspector) professional code of ethics, never conducting safety audits of aquatic play elements to discredit or promote the sales of said element or product, but rather to concentrate on safety engineered into the design and fabrication of said element or product for its intended use in an aquatic playground/splash pad.

In conjunction, recommendations communicated to the owner/operator of aquatic play splash pads are to maintain a safe play environment in accordance with local codes and ASTM safety standards. Proper splash pad supervision for use of aquatic play elements shall be addressed and maintained during all hours of operation.

Furthermore I would like to add that, in accordance with our Quality Management System procedures and in efforts to continually improve our product quality and safety, all feedback is reviewed and evaluated for consideration into our product design, while maintaining current ASTM standard practices.

Sincerely,
Jose Gomez
QHSE Compliance Manager
Certified Playground Safety Inspector (CPSI)
Po Box 807
San Marcos, TX 78667
Office: 512-392-1155 ext 241
Fax: 512-392-1154

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TAB 3 –
• Performance Capability
• OMNIA Partners Documents
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b) Performance Capability
i. Include a detailed response to Appendix D, Exhibit A, OMNIA Partners Response for National Cooperative Contract. Responses should highlight experience, demonstrate a strong national presence, describe how Offeror will educate its national sales force about the Contract, describe how products and services will be distributed nationwide, include a plan for marketing the products and services nationwide, and describe how volume will be tracked and reported to OMNIA Partners.

The information located here in Tab 3 will address all of these matters and include all relevant appendixes, exhibits, etc.
ii. The successful Offeror will be required to sign Appendix D, Exhibit B, OMNIA Partners Administration Agreement prior to Contract award. Offerors should have any reviews required to sign the document prior to submitting a response.

Offeror’s response should include any proposed exceptions to OMNIA Partners Administration Agreement on Appendix B, Terms and Conditions Acceptance Form.

We agree to these terms and have included the appropriate paperwork in this tab of our response
iii. Include completed Appendix D, Exhibits F. Federal Funds Certifications and G. New Jersey Business Compliance.

These are included
iv. If applicable, describe any energy and/or operational saving improvements and cost savings measures.

We are always working to find the most efficient ways to do business. We forecast and stock commonly used raw materials in warehouses to reduce shipping costs on a per-project basis. We aim to send crews that can install multiple product types to projects where multiple products are sold to save on travel time and labor costs, �����������������
always passing savings along to our customers. When applicable for larger jobs, we will send multiple or larger crews to bring installations to a conclusion in a timelier manner.

We have also vertically integrated portions of our material supply chain to more efficiently produce and ship products to job sites and reduce freight charges. v. Describe how Offeror responds to emergency orders.

Emergency orders in our business are typically the result of delays in other, previous portions of projects prior that are to be complete prior to the beginning of our scope. In these scenarios we adjust production or installation schedules however we can help meet deadlines, grand openings, or any other time-related constraint our customers may be facing.

We have taken steps to better control our own installation mechanisms as well as supply of raw materials which allows us to better serve customers in dire situations as we are working to rely less on other vendors or sub-contractors in order to execute our scope of work.
vi. Describe Offeror’s history and ability to meet service and warranty needs.

In order to achieve the best longevity of our products it is very important to address warranty and service needs quickly, which is a commitment of ours, both historically and more so going forward. We start by asking for information regarding the need, to include photos as well as a synopsis of the issue at hand. From there we evaluate and send a representative in person if needed to begin to plan a response and solution.

Once a solution is agreed upon between our operations team and our customer, we take the steps to bring that solution to fruition, which typically entails sending out an authorized installer or member of our team to perform fixes. In some occasions customers are able to perform repairs themselves, in which case we assist by expediating the necessary materials.
vii. Describe Offeror’s customer service/problem resolution process. Include hours of operation, number of services, etc.

Upon receiving notice of an issue we ask for supporting evidence to access the situation (photos, videos, description of the issue). From there our customer service team issues their statement on the matter at hand as well as options for resolution. �����������������
If this initial resolution is not accepted, we escalate the issue to our Service Center Managers, then if needed a Director of Construction. It is out goal to resolve any problems amicably, treat our customer as partners, and ensure they continue to be satisfied with their purchase.

Any agency or customer can contact their local representative, as well as contact our office via phone/email Monday-Friday 8:00am-5:00pm at (800) 858-0519 or [email protected]
viii. Describe Offeror’s invoicing process. Include payment terms and acceptable methods of payments. Offerors shall describe any associated fees pertaining to credit cards/p-cards.

Our standard practice is to communicate payment terms at the time of the receipt of an order. Depending on the determinations of our credit team, we range from requiring full pre-payment to a partial deposit to extending full payment terms for projects hinging on project details.

Assuming most participating agencies on this cooperative purchasing opportunity are associated with a government entity and in good standing with said entity, we typically extend terms in these situations to be paid upon invoice. Unless pre- payment of some capacity is needed, we invoice within 30 days, unless 60- or 90-day terms are communicated to us along with submission of an order.

We accept payment via ACH Wire Transfer, certified checks, or credit cards (subject to 3% fee)
ix. Describe Offeror’s contract implementation/customer transition plan.

Upon award, our response would be an immediate implementation of the contract amongst our sales team with the intention of quickly incorporating it with any sales opportunity with a participating agency. We will also re-train our sales team on the value of cooperative purchasing and specifically the value OMNIA Partners brings when working with an eligible customer.

Our plan is to also begin channels of communication with key existing customers to communicate that future business could be done through this new opportunity. We would incorporate the award of this contract into future presentations with these customers as well as new ones as well.

Given our national reach we have a presence in a number of trade shows and �����������������
conferences, both national and regional, and intend to broadcast and advertise any potential partnership with Region 4 and OMNIA Partners at these events.

Cooperative purchasing will grow to be a focus point of our direct selling efforts. x. Describe the financial condition of Offeror.

Robertson Recreational Surfaces is one of 40+ companies under the Playcore umbrella. Playcore is the nation’s leader in play and recreation, and is currently owned by Court Square Capital partners, a private equity company with over 8 billion dollars in assets under management. Financial documents will be included in this section.
xi. Provide a website link in order to review website ease of use, availability, and capabilities related to ordering, returns and reporting. Describe the website’s capabilities and functionality.
https://www.robertsonsurfaces.com/
All ord
ers and customer needs are best suited to flow through our representatives and regional managers in order to provide the best service to anyone we do business with.

The value add of our website is to give any interested party an idea of what services we provide and solutions we offer. Our website is loaded with very useful information about our products, resource available, project and image library, etc.

Also, there is quite a bit of documentation available in the form of specifications, warranty documents, edge details, architectural resources and more. xii. Describe the Offeror’s safety record.

C
onsidering that children are the main users of the products we sell and markets we participate in, we take safety very seriously. All the products we install are complaint to the following standards:
* IPEMA (International Playground Equipment Manufacturer’s Association) * ASTM (American Society for Testing and Materials)
* ADA (Americans with Disabilities Act)
We have documentation of all of our safety certifications and would be happy to share them with any interested party. We also provide Safety Data Sheets on any product we install, which verify the makeup and lack of toxicity to our materials as �����������������
well as other accompanying tests (Flammability, slip resistance, etc.).

Compliance aside, it is within our mission and core values at Robertson (and any Playcore company) to take an above compliance standpoint to ensure we are creating safe spaces for play and recreation.
xiii. Provide any additional information relevant to this section.

Additional documents and information can be found attached to this section. �����������������
Who We Are
Robertson started in Arizona in 1991 and primarily
installed pool deck installations in commercial and
residential* applications. It was the Americans with
Disabilities Act (ADA) and the Consumer Product
Safety Commission (CPSC) regulations that
propelled us into the playground world to help
provide the ultimate in accessibility, while meeting
all safety guidelines. We continue to install safer
surfaces for commercial playgrounds and
recreational spaces to this day. Since 1991 we have
added service centers, installation professionals, and
representatives across the US to help provide safer,
more accessible playgrounds and recreation for all
communities and people with all abilities. In 2017,
our parent company acquired the installation
company Sport Surface Specialties. Today we work
together as one team to install compliant play and
recreational surfaces across North America.
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What We Care About
Inclusive, Accessible Play for All
At Robertson we understand the benefits of play. We think all people of all ages and abilities should play outside in the safest spaces possible. We install accessible surfaces for all and proudly go "beyond compliance" for a safer surface.

Compliance
Robertson has been partnered with IPEMA for as long as we have been able to contribute to safer communities at play. We are active in IPEMA regulation development and proudly serve as board members for improved play and recreation
development across the US.

The Environment
Robertson is committed to doing its part to improve the environment. Robertson proudly uses recycled rubber in our installs.

Play Equity
We believe that outdoor recreation is critical to community vitality. We strive to provide equitable safer surfacing for all communities and socio-economic populations.

We all need to play and we all want safer
spaces to recreate.
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Who We Serve
Municipalities Public Education Developers Multi-Family Housing
Private Schools Early Childhood
Centers
Military Housing
and Bases
Other
Commercial and
Industry
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Our Partners
We proudly partner with many associations and organizations to provides safer play. These are a few of our partners working with us for a better play environment for all.
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Appendix D

REQUIREMENTS FOR NATIONAL COOPERATIVE CONTRACT

TO BE ADMINISTERED BY

OMNIA PARTNERS
The following documents are used in evaluating and administering national cooperative contracts and are included for Supplier’s review and response.

E
xhibit A – RESPONSE FOR NATIONAL COOPERATIVE CONTRACT
E
xhibit B – ADMINISTRATION AGREEMENT, EXAMPLE
E
xhibit C – MASTER INTERGOVERNMENTAL COOPERATIVE PURCHASING

AGREEMENT, EXAMPLE
E
xhibit D – PRINCIPAL PROCUREMENT AGENCY CERTIFICATE, EXAMPLE E
xhibit E – CONTRACT SALES REPORTING TEMPLATE
E
xhibit F – FEDERAL FUNDS CERTIFICATIONS
E
xhibit G – NEW JERSEY BUSINESS COMPLIANCE
E
xhibit H – ADVERTISING COMPLIANCE REQUIREMENT
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EX

HIBIT A
RE

SPONSE FOR NATIONAL COOPERATIVE CONTRACT

1.0 Scope of National Cooperative Contract
C
apitalized terms not otherwise defined herein shall have the meanings given to them in the Master Agreement or in the Administration Agreement between Supplier and OMNIA Partners.

1.1 Requirement
R
egion 4 ESC (hereinafter defined and referred to as “Principal Procurement Agency”), on behalf of itself and the National Intergovernmental Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public Sector (“OMNIA Partners”), is requesting proposals for Playground and Recreational Surface Products and Services. The intent of this Request for Proposal is any contract between Principal Procurement Agency and Supplier resulting from this Request for Proposal ( “Master Agreement”) be made available to other public agencies nationally, including state and local governmental entities, public and private primary, secondary and higher education entities, non- profit entities, and agencies for the public benefit (“Public Agencies”), through OMNIA Partners’ c ooperative purchasing program. The Principal Procurement Agency has executed a Principal Procurement Agency Certificate with OMNIA Partners, an example of which is included as Exhibit D, and has agreed to pursue the Master Agreement. Use of the Master Agreement by any Public Agency is preceded by their registration with OMNIA Partners as a Participating Public Agency in OMNIA Partners’ cooperative purchasing program.

Registration with OMNIA Partners as a Participating Public Agency is accomplished by Public Agencies entering into a Master Intergovernmental Cooperative Purchasing Agreement, an example of which is attached as Exhibit C, and by using the Master Agreement, any such Participating Public Agency agrees that it is registered with OMNIA Partners , whether pursuant to the terms of the Master Intergovernmental Purchasing Cooperative Agreement or as otherwise agreed to. The terms and pricing established in the resulting Master Agreement between the Supplier and the Principal Procurement Agency will be the same as that available to Participating Public Agencies through OMNIA Partners.

A
ll transactions, purchase orders, invoices, payments etc., will occur directly between the Supplier and each Participating Public Agency individually, and neither OMNIA Partners, any Principal Procurement Agency nor any Participating Public Agency, including their respective agents, directors, employees or representatives, shall be liable to Supplier for any acts, liabilities, damages, etc. , incurred by any other Participating Public Agency. Supplier is responsible for knowing the tax laws in each state.

T
his Exhibit A defines the expectations for qualifying Suppliers based on OMNIA Partners’ requirements to market the resulting Master Agreement nationally to Public Agencies. Each section in this Exhibit A refers to the capabilities, requirements, obligations, and prohibitions of competing Suppliers on a national level in order to serve Participating Public Agencies through OMNIA Partners. �����������������
Version January 29, 2021
T
hese requirements are incorporated into and are considered an integral part of this RFP. OMNIA Partners reserves the right to determine whether or not to make the Master Agreement awarded by the Principal Procurement Agency available to Participating Public Agencies , in its sole and absolute discretion, and any party submitting a response to this RFP acknowledges that any award by the Principal Procurement Agency does not obl igate OMNIA Partners to make the Master Agreement available to Participating Procurement Agencies.

1.2 Marketing, Sales and Administrative Support
D
uring the term of the Master Agreement OMNIA Partners intends to provide marketing, sales , partnership development and administrative support for Supplier pursuant to this section that directly promotes the Supplier’s products and services to Participating Public Agencies through multiple channels, each designed to promote specific products and services to Public Agencies on a national basis.

O
MNIA Partners will assign the Supplier a Director of Partner Development who will serve as the main point of contact for the Supplier and will be responsible for managing the overall relationship between the Supplier and OMNIA Partners. The Director of Partner Development will work with the Supplier to develop a comprehensive strategy to promote the Master Agreement and will connect the Supplier with appropriate stakeholders within OMNIA Partners including, Sales, Marketing, Contracting, Training, and Operations & Support.

T
he OMNIA Partners marketing team will work in conjunction with Supplier to promote the Master Agreement to both existing Participating Public Agenc ies and prospective Public Agencies through channels that may include:

A. M
arketing collateral (print, electronic, email, presentations) B. Website
C. Trade shows/conferences/meetings
D. Advertising
E. Social Media
T
he OMNIA Partners sales teams will work in conjunction with Supplier to promote the Master Agreement to both existing Participating Public Agencies and prospective Public Agencies through initiatives that may include:

A. I
ndividual sales calls
B. Joint sales calls
C. Communications/customer service
D. Training sessions for Public Agency teams
E. Training sessions for Supplier teams
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T
he OMNIA Partners contracting teams will work in conjunction with Supplier to promote the Master Agreement to both existing Participating Public Agencies and prospective Public Agencies through:

A. S
erving as the subject matter expert for questions regarding joint powers authority and state statutes and regulations for cooperative purchasing B. Training sessions for Public Agency teams
C. Training sessions for Supplier teams
D. Regular business reviews to monitor program success
E. General contract administration
S
uppliers are required to pay an administrative fee of 3% of the greater of the Contract Sales under the Master Agreement and Guaranteed Contract Sales under this Request for Proposal. Supplier will be required to execute the OMNIA Partners Administration Agreement (Exhibit B). At Supplier’s option, Suppliers may pay additional fees beyond administrative fees, such as technology fees, to OMNIA Partners and/or a third party for additional support and/or access to OMNIA Partners’ technology platform.

1.3 Estimated Volume
T
he dollar volume purchased under the Master Agreement is estimated to be approximately $50M annually. While no minimum volume is guaranteed to Supplier, the estimated annual volume is projected based on the current annual volumes among the Principal Procuremen t Agency, other Participating Public Agencies that are anticipated to utilize the resulting Master Agreement to be made available to them through OMNIA Partners, and volume growth into other Public Agencies through a coordinated marketing approach between Supplier and OMNIA Partners. 1 .4 Award Basis
T
he basis of any contract award resulting from this RFP made by Principal Procurement Agency will, at OMNIA Partners’ option, be the basis of award on a national level through OMNIA Partners . If multiple Su ppliers are awarded by Principal Procurement Agency under the Master Agreement, those same Suppliers will be required to extend the Master Agreement to Participating Public Agencies through OMNIA Partners . Utilization of the Master Agreement by Participating Public Agencies will be at the discretion of the individual Participating Public Agency.

Certain terms of the Master Agreement specifically applicable to the Principal Procurement Agency (e.g. governing law) are subject to modification for each Participating Public Agency as Supplier, such Participating Public Agency and OMNIA Partners shall agree without being in conflict with the Master Agreement.

Participating Agencies may request to enter into a separate supplemental agreement to further define the level of service requirements over and above the minimum defined in the Master Agreement (i.e. invoice requirements, order requirements, specialized delivery, diversity requirements such as minority and woman owned businesses, historically underutilized business, governing law, etc.) (“Supplemental Agreement”).

It shall be the responsibility of the Supplier to comply, when applicable, with the prevailing wage legislation in effect in the jurisdiction of the Participating Agency. It �����������������
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s
hall further be the responsibility of the Supplier to monitor the prevailing wage rates as established by the appropriate department of labor for any increase in rates during the term of the Master Agreement and adjust wage rates accordingly. In instances where supplemental terms and conditions create additional risk and cost for Supplier, Supplier and Participating Public Agency may negotiate additional pricing above and beyond the stated contract not -to-exceed pricing so long as the added price is commensurate with the addit ional cost incurred by the Supplier. Any supplemental agreement developed as a result of the Master Agreement is exclusively between the Participating Agency and the Supplier (Contract Sales are reported to OMNIA Partners).

A
ll signed Supplemental Agreements and purchase orders issued and accepted by the Supplier may survive expiration or termination of the Master Agreement. Participating Agencies’ purchase orders may exceed the term of the Master Agreement if the purchase order is issued prior to the expiration of the Master Agreement . Supplier is responsible for reporting all sales and paying the applicable administrative fee for sales that use the Master Agreement as the basis for the purchase order, even though Master Agreement may have expired.

1.5 Objectives of Cooperative Program
T
his RFP is intended to achieve the following objectives regarding availability through OMNIA Partners’ cooperative program:

A. P
rovide a comprehensive competitively solicited and awarded national agreement offering the Products covered by this solicitation to Participating Public Agencies; B. Establish the Master Agreement as the Supplier’s primary go to market strategy to Public Agencies nationwide;
C. Achieve cost savings for Supplier and Public Agencies through a single solicitation process that will reduce the Supplier’s need to respond to multiple solicitations and Public Agencies need to conduct their own solicitation process; D. Combine the aggregate purchasing volumes of Participating Public Agencies to achieve cost effective pricing.

2.0 REPRESENTATIONS AND COVENANTS
A
s a condition to Supplier entering into the Master Agreement, which would be available to all Public Agencies, Supplier must make certain representations, warranties and covenants to both the Principal Procurement Agency and OMNIA Partners designed to ensure the success of the Master Agreement for all Participating Public Agencies as well as the Supplier.

2.1 Corporate Commitment
S
upplier commits that (1) the Master Agreement has received all necessary corporate authorizations and support of the Supplier’s executive management, (2) the Master Agreement is Supplier's primary “go to market” strategy for Public Agencies, (3) the Master Agreement will be promoted to all Public Agencies, including any existing customers, and Supplier will transition existing customers, upon their request, to the �����������������
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M
aster Agreement, and (4) that the Supplier has read and agrees to the terms and conditions of the Administration Agreement with OMNIA Partners and will execute such agreement concurrent with and as a condition of its execution of the Master Agreement with the Principal Procurement Agency. Supplier will identify an executive corporate sponsor and a separate national account man ager within the RFP response that will be responsible for the overall management of the Master Agreement.

2.2 Pricing Commitment
S
upplier commits the not -to-exceed pricing provided under the Master Agreement pricing is its lowest available (net to buyer) to Public Agencies nationwide and further commits that if a Participating Public Agency is eligible for lower pricing through a national, state, regional or local or cooperative contract, the Supplier will match such lower pricing to that Participating Public Agency under the Master Agreement.

2.3 Sales Commitment
S
upplier commits to aggressively market the Master Agreement as its go to market strategy in this defined sector and that its sales force will be trained, engaged and committed to offering the Master Agreement to Public Agencies through OMNIA Partners nationwide. Supplier commits that all Master Agreement sales will be accurately and timely reported to OMNIA Partners in accordance w ith the OMNIA Partners Administration Agreement. Supplier also commits its sales force will be compensated, including sales incentives, for sales to Public Agencies under the Master Agreement in a consistent or better manner compared to sales to Public Agencies if the Supplier were not awarded the Master Agreement.

3.0 SUPPLIER RESPONSE
S
upplier must supply the following information in order for the Principal Procurement Agency to determine Supplier’s qualifications to extend the resulting Master Agreement to Participating Public Agencies through OMNIA Partners.

3.1 Company
A. B
rief history and description of Supplier to include experience providing similar products and services.

B. Total number and location of sales persons employed by Supplier.

C. Number and location of support centers (if applicable) and location of corporate office.

D. Annual sales for the three previous fiscal years.
a. Submit FEIN and Dunn & Bradstreet report.

E. Describe any green or environmental initiatives or policies.

F. Describe any diversity programs or partners supplier does business with and how Participating Agencies may use diverse partners through the Master Agreement.

Indicate how, if at all, pricing changes when using the diversity program. If there �����������������

3.0 Supplier Response

3.1 Company

A) Brief history and description of Supplier to include experience providing similar products and services.

Robertson started in Arizona in 1991 and was primarily installed pool deck installations in commercial and residential applications. It was the Americans with Disabilities Act (ADA) and the Consumer Product Safety Commission (CPSC) regulations that propelled us into the playground world to help provide the ultimate in accessibility, while meeting all safety guidelines. We continue to install safe surfaces for commercial playgrounds and recreational spaces to this day. Our core values are centered around exceeding expectations in the industry and to or customers. Our commitment to our customers is that our products and services will meet or exceed ASTM and IPEMA certifications for safe recreational surfaces. Robertson also promises forthright customer support, credible installation services, and dependable maintenance solutions that will provide peace of mind before, during, and after our work is done.

B) Total number and location of sales persons employed by Supplier.

Our sales team is made up of 12 employees in a variety of positions including Regional sales managers, sales managers, direct sales associates, and house account managers.

These employees work out of various locations including California, Arizona, Texas, Tennessee, New York, and Florida.

This sales staff manages and supports hundreds of representatives in the field for the various local partners we have that help us cover 48 states. More information can be found in the attached documents on this tab.

C) Number and location of support centers (if applicable) and location of corporate office.

Headquartered in Phoenix Arizona, Robertson also has satellite offices and service �����������������
centers in Chattanooga TN, Buffalo NY, Fort Payne AL, Oakland CA, Corona CA, Upland CA, Phoenix AZ, San Antonio TX, Ranger GA, Calhoun GA, Columbia SC, Owosso MI, Ocala FL
D) Annual sales for the three previous fiscal years.
2020 - $27,626,535.06
2021 - $27,914,707.63
2022 - $34,614,171
Submit FEIN and Dunn & Bradstreet report.

FEIN Number – 86-0686635
D & B Included at the bottom of this section.

E) Describe any green or environmental initiatives or policies.

Our poured in place rubber product, the most commonly sold product we offer, is installed using a base material made from a byproduct of tire re-treading. Another cushion option we offer and commonly work with is chunk, or pre-consumer, post- industrial rubber that helps keep manufacturing waste from landfills. We have been able to get our chunk rubber approved in various states for grants that require the use of recycled products in order to achieve funding. An example is listed below (please note the supplier of our chunk, American Recycling, is a sister company and partner of ours).

F) Describe any diversity programs or partners supplier does business with and how Participating Agencies may use diverse partners through the Master Agreement.

Indicate how, if at all, pricing changes when using the divers ity program. If there are any diversity programs, provide a list of diversity alliances and a copy of their certifications.

Robertson has a policy in place for providing equal opportunity to all employees and applicants for employment, in accordance with all applicable equal employment opportunities/affirmative action laws, directives and regulations of federal, state and local governing bodies or agencies
G) Indicate if supplier holds any of the below certifications in any classified areas and include proof of such certification in the response:
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Minority Women Business Enterprise : No
Small Business Enterprise or Disadvantaged Business Enterprise : No Historically Underutilized Businesses : No
Other recognized diversity certificate holder : No

H) List any relationships with subcontractors or affiliates intended to be used when providing services and identify if subcontractors meet minority-owned standards. If any, list which certifications subcontractors hold and certifying agency.

We have a number of affiliates and subcontractors we partner with to give our customers the best service possible. These include not only sister companies and other businesses under our corporate umbrella but also certified sub-contractor crews that we work with to execute installations. These partnerships are all over the country. There are no certifications to report in this section

I) Describe how supplier differentiates itself from its competitors.

Robertson differentiates from the competition in multiple ways. As a vertically integrated business, we control the supply and manufacturing of some of the raw materials we install, allowing us to better account for quality control and have the ability to influence logistics and lead times.

We have a continued dedication to research and innovation and are not satisfied with being an industry leader today, we want to continue to be in perpetuity. We carefully examine our materials to be sure to provide the best quality and certify any subcontractor or installer we partner with to ensure they are skilled and professional.

Our attention to detail and customer service (in short, our team members) also set us aside from the competition with the top level experience we give to customers not only during the sales and installation period but afterwards when we continue to take care of their needs.

J) Describe any present or past litigation, bankruptcy or reorganization involving supplier.

Robertson surfaces is owned by Playcore, who as of 2017 has been owned by Court Square Capital management. Our parent company is always looking to add additional resources and companies to better serve our customer and provide a complete suite of solutions. Recent acquisitions in the surfacing arena include Rubber Designs, American Recycling Company, Fibar, Sport Surface Specialties, and Flexground.

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K) Felony Conviction Notice

No to all

L) Describe any debarment or suspension actions taken against supplier

None.

3.2 Distribution, Logistics

A) Each offeror awarded an item under this solicitation may offer their complete product and service offering/a balance of line. Describe the full line of products and services offered by supplier.

Within this solicitation we are offering our full product offerings to any agencies that participate in this cooperative agreement. Our full line of products include solutions for a number of surfacing products including : Playground Surfacing, Trails and Tracks, Outdoor recreational areas, aquatic surfacing, tennis court resurfacing, dog park surfacing, outdoor water play equipment, splash pads, indoor safety surfacing, and multi-use rec spaces.

These markets are served using a number of product options including : EPDM Rubber, TPV Rubber, Chunk Rubber, SBR, Interlocking tiles (both buffing topped and EPDM topped), artificial turf, bonded rubber, shredded rubber, rubber nuggets, engineered wood fiber, and water play equipment using stainless steel piping and fiberglass components.

B) Describe how supplier proposes to distribute the products/service nationwide. Include any states where products and services will not be offered under the Master Agreement, including U.S. Territories and Outlying Areas.

We will distribute all products using our nationwide sales source comprised of regional managers, sales managers, direct sales representatives, and account managers. These employees manage and support a wide network of dealers and reps in the field that help drive business and will promote the contract.

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Operationally, we have a broad team of employees who coordinate with installers in the field to bring projects through fruition. We have a VP of installation, who has 2 directors of construction each managing half of the nation. Each Director of Construction has a number of service center managers and operations managers that report up to them that help cover the distribution of products and collaboration with installers and local sub-contractors.

C) Describe how Participating Agencies are ensured they will receive the Master Agreement pricing; include all distribution channels such as direct ordering, retail or in-store locations, through distributors, etc. Describe how Participating Agencies verify and audit pricing to ensure its compliance with the Master Agreement.

While our sales reach is extensive, all quoting goes back to our home offices and headquarters, allowing us to be sure all pricing is within communicated guideline and price points outlined in our submitted spreadsheets. Furthermore, any agency can request a copy of our price book from us, Region 4, or OMNIA Partners for further verification that any price will be below the ceiling pricing submitted to and approved by Region 4/OMNIA Partners.

D) Identify all other companies that will be involved in processing, handling or shipping the products/service to the end user.

Other companies include Sport Surface Specialties, Fibar, Rubber Designs, Water Odyssey, and Flexground. Other companies may be used on a per-job basis, primarily as sub-contractors to carry out the work. Please reference attached document for authorized users.

E) Provide the number, size and location of Supplier’s distribution facilities, warehouses and retail network as applicable.

We have a number of warehouses and distribution fa cilities across the country, detailed out in 3.1 C. These locations vary in size from full warehouses to distribution centers and office locations.

We do not participate in a retail sales model.
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3.3 Marketing and Sales

A) A. Provide a detailed ninety-day plan beginning from award date of the Master Agreement describing the strategy to immediately implement the Master Agreement as supplier’s primary go to market strategy for Public Agencies to supplier’s teams nationwide, to include, but not limited to:

B) Provide a detailed ninety-day plan beginning from award date of the Master Agreement describing the strategy to market the Master Agreement to current Participating Public Agencies, existing Public Agency customers of Supplier, as well as to prospective Public Agencies nationwide immediately upon award, to include, but Robertson Recreational Surfaces recognizes the opportunity for growth with the acceptance of this vendor partnership. Per your suggested plan, our team will implement best marketing practices for ensuring public agencies are alerted to our national contact.

First 30 Days:
• At implementation, we will draft and release a full press release digitally and to key customers/partners of our contract award
• Our team will update www.robertsonsurfaces.com to include OMNIA logo and an active link to OMNIA website for contract details
• Robertson will begin to update marketing materials to include any new OMNIA content including logos and links to the OMNIA site for details • Robertson will announce the new contract agreement via email marketing targeting over 20k recipients in all regions of the US
• Robertson will recreate OMNIA benefit sheets and trade show signage for sales to support features and benefits of the contract agreement.

Within First 90 Days:
• Robertson will recreate OMNIA benefit sheets and trade show signage for sales to support features and benefits of the contract agreement. • Robertson will routinely remind and train sales distribution about the Omnia contract through email updates, quarterly newsletters, tradeshow materials, website, and social media
• Robertson will request and document sales opportunity information from regional sales force to ensure contract is being properly supported at the ground level �����������������
not limited to:

C) Describe how Supplier will transition any existing Public Agency customers’ accounts to the Master Agreement available nationally through OMNIA Partners. Include a list of current cooperative contracts (regional and national) Supplier holds and describe how the Master Agreement will be positioned among the other cooperative agreements.

Upon award, we plan to quickly communicate the new opportunity to all existing customers in order to drive new business through this new cooperative opportunity.

If awarded, OMNIA Partners will be positioned as our primary go-to-market solution for any cooperative opportunities.

D) Acknowledge Supplier agrees to provide its logo(s) to OMNIA Partners and agrees to provide permission for reproduction of such logo in marketing communications and promotions. Acknowledge that use of OMNIA Partners logo will require permission for reproduction, as well.

We acknowledge and agree.

E) Confirm Supplier will be proactive in direct sales of Supplier’s goods and services to Public Agencies nationwide and the timely follow up to leads established by OMNIA Partners. All sales materials are to use the OMNIA Partners logo. At a minimum, the Supplier’s sales initiatives should communicate:

i. Master Agreement was competitively solicited and publicly awarded by a Principal Procurement Agency
In conjunction with the strategy implementation for public agencies, the Robertson team will implement the following actions for Participating Public Agencies immediately upon reward and executed within the first 90 days.
• At implementation, our team will draft and release a full press release digitally and directly to key customers/partners of our contract award • Digital and social announcements will be posted with links to the OMNIA contract page • Include OMNIA logos and information in all applicable presentations to customers • Robertson will also include OMNIA contract information on print industry listings when possible
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ii. Best government pricing
iii. No cost to participate
iv. Non-exclusive

We acknowledge and confirm.

F) Confirm Supplier will train its national sales force on the Master Agreement. At a minimum, sales training should include:

i. Key features of Master Agreement
ii. Working knowledge of the solicitation process
iii. Awareness of the range of Public Agencies that can utilize the Master Agreement through OMNIA Partners
iv. Knowledge of benefits of the use of cooperative contracts

We acknowledge and confirm

G) Provide the name, title, email and phone number for the person(s), who will be responsible for:

i. Executive Support – Tom DiScipio, VP of Installations, [email protected] 716.341.1011

ii. Marketing – Georgia Tippens, Director of Marketing, [email protected] 423.333.5480

iii. Sales – Karim Odeh, Regional Sales Manager, [email protected] 931.265.6562

iv. Sales Support - Karim Odeh, Regional Sales Manager, [email protected] 931.265.6562

v. Financial Reporting – Susan Chadwick, Accounting Manager, [email protected] 602.707.6888

vi. Accounts Payable - Susan Chadwick, Accounting Manager, [email protected] 602.707.6888

vii. Contracts – Shelley Monk, Contract Administrator,
[email protected] 602.460.1121

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H) Describe in detail how Supplier’s national sales force is structured, including contact information for the highest-level executive in charge of the sales team.

Our VP of Installations also oversees national sales. Tom DiScipio, [email protected] 716.341.1011

Tom oversees a team of Regional Sales Managers that cover the 50 US states we do business in throughout 6 different regions. Outside of these regional managers, there are a few sales managers, house account managers, and direct sales representatives that roll up into our sales management staff.

Employee sales staff aside, we also work closely with and support a vast network of field representatives across our partnering brands who we supply surfacing and waterplay solutions for as they visit customers in the field and uncover opportunities.

I) Explain in detail how the sales teams will work with the OMNIA Partners team to implement, grow and service the national program.

Our sales team will be introduced to and work closely with our OMNIA Partners team members to collaborate on opportunities and attack target markets together. This can include trainings, joint sales calls, marketing efforts, and presentation to help drive the OMNAI Partners and Robertson partnership.

Explain in detail how Supplier will manage the overall national program throughout the term of the Master Agreement, including ongoing coordination of marketing and sales efforts, timely new Participating Public Agency account setup, timely contract administration, etc.

Robertson is open to keeping a healthy line of communication going with OMNIA Partners through a monthly call to discuss progress, updates, schedule necessary trainings or support sessions, and keep information flowing between OMNIA Partners regional team and our sales management team.

J) State the amount of Supplier’s Public Agency sales for the previous fiscal year. Provide a list of Supplier’s top 10 Public Agency customers, the total purchases for each for the previous fiscal year along with a key contact for each.

1. Clark County School District (Nevada) - $1,671,487

2. San Diego Unified School District (California) - $1,040,200

3. City of Irvine (California) - $644,377

4. Menifee Unified School District (California) - $549,000 �����������������

5. Clark County (Nevada) - $524,303

6. City of Ennis (Texas) - $413,940

7. San Bernadino City Unified School District (California) - $277,000

8. City of Eastvale (California) - $267,093

9. City of Riverside (California) - $250,800

10. City of Dallas (Texas) - $243,487

Regarding contacts, we work with multiple people among these customers depending on their need (multiple schools, city parks, public works vs parks and rec, etc). We are happy to provide key contacts upon request. We have included a list of references of multi-year contracts including contacts as an aside to this list of agencies that only captured 2022 sales.

Also, please note a sizeable portion of our business flows through dealer reps and partners in the field (as described the sales portion of this solicitation), that sales data is not reflected in the above top customers.

K) Describe Supplier’s information systems capabilities and limitations regarding order management through receipt of payment, including description of multiple platforms that may be used for any of these functions.

We operate a number of platforms to help track our sales, orders, and manage the installation side of the business. We use Hubspot for daily quoting and CRM management, Dynamics for macro business management, and Buildertrend to track and manage installations. These platforms allow us to be efficient and organized to help meet customer needs in a timely manner.

L) Provide the Contract Sales (as defined in Section 10 of the OMNIA Partners Administration Agreement) that Supplier will guarantee each year under the Master Agreement for the initial three years of the Master Agreement (“Guaranteed Contract Sales”).

Robertson is electing not to guarantee a volume number, please reference Tab 1, Appendix B

M) Even though it is anticipated many Public Agencies will be able to utilize the Master Agreement without further formal solicitation, there may be circumstances where Public Agencies will issue their own solicitations. The following options are available �����������������
when responding to a solicitation for Products covered under the Master Agreement.

i. Respond with Master Agreement pricing (Contract Sales reported to OMNIA Partners).

ii. If competitive conditions require pricing lower than the standard Master Agreement not-to-exceed pricing, Supplier may respond with lower pricing through the Master Agreement. If Supplier is awarded the contract, the sales are reported as Contract Sales to OMNIA Partners under the Master Agreement.

iii. Respond with pricing higher than Master Agreement only in the unlikely event that the Public Agency refuses to utilize Master Agreement (Contract Sales are not reported to OMNIA Partners).

iv. If alternative or multiple proposals are permitted, respond with pricing higher than Master Agreement, and include

Detail Supplier’s strategies under these options when responding to a solicitation.

Our strategy in this instance would be to reach out to customers and have a discussion to better understand their decision to procure business in the way that they did and use our knowledge of cooperative purchasing (alongside guidance and support from OMNIA Partners team members) to attempt to find ways that taking advantage of this contract is beneficial for that agency.

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E

XHIBIT B

ADMINISTRATION AGREEMENT, EXAMPLE

ADMINISTRATION AGREEMENT
T
HIS ADMINISTRATION AGREEMENT (this “ Agreement”) is made this ___ day of ______ 20__, between National Intergovernmental Purchasing Alliance Company, a Delaware corporation d/b/a OMNIA Partners, Public Sector (“OMNIA Partners”), and ________________ (“Supplier”).

RE
CITALS
W
HEREAS, the ___________________ (the “ Principal Procurement Agency ”) has entered into a Master Agreement effective _________________, Agreement No_______, by and between the Principal Procurement Agency and Supplier, (as may be amended from time to time in accordance with the terms thereof, the “ Master Agreement”), as attached hereto as Exhibit A and incorporated herein by reference as though fully set forth herein, for the purchase of ____________________________ (the “Product”);
W
HEREAS, said Master Agreement provides that any or all public agencies, including state and local governmental entities, public and private primary, secondary and higher education entities, non-profit entities, and agencies for the public benefit (collectively, “Public Agencies”), that register (either via registration on the OMNIA Partners website or execution of a Master Intergovernmental Cooperative Purchasing Agreement, attached hereto as Exhibit B ) (each, hereinafter referred to as a “Participating Public Agency”) may purchase Product at prices stated in the Master Agreement; W
HEREAS, Participating Public Agencies may access the Master Agreement which is offered through OMNIA Partners to Public Agencies;
W
HEREAS, OMNIA Partners serves as the contract administrator of the Master Agreement on behalf of Principal Procurement Agency;
W
HEREAS, Principal Procurement Agency desires OMNIA Partners to proceed with administration of the Master Agreement; and
W
HEREAS, OMNIA Partners and Supplier desire to enter into this Agreement to make available the Master Agreement to Participating Public Agencies and to set forth certain terms and conditions governing the relationship between OMNIA Partners and Supplier.

NO
W, THEREFORE, in consideration of the payments to be made hereunder and the mutual covenants contained in this Agreement, OMNIA Partners and Supplier hereby agree as follows:

DE

FINITIONS

1. C
apitalized terms used in this Agreement and not otherwise defined herein shall have the meanings given to them in the Master Agreement.
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TERMS

AND CONDITIONS

2. The M
aster Agreement and the terms and conditions contained therein shall apply to this Agreement except as expressly changed or modified by this Agreement. Supplier acknowledges and agrees that the covenants and agreements of Supplie r set forth in the solicitation and Supplier’s response thereto resulting in the Master Agreement are incorporated herein and are an integral part hereof.

3. OMN
IA Partners shall be afforded all of the rights, privileges and indemnifications afforded to Principal Procurement Agency by or from Supplier under the Master Agreement, and such rights, privileges and indemnifications shall accrue and apply with equal effect to OMNIA Partners , its agents, employees, directors, and representatives under this Agreement including, but not limited to, Supplier’s obligation to obtain appropriate insurance.

4. OMN
IA Partners shall perform all of its duties, responsibilities and obligations as contract administrator of the Master Agreement on behalf of Principal Procurement Agency as set forth herein, and Supplier hereby acknowledges and agrees that all duties, responsibilities and obligations will be undertaken by OMNIA Partners solely in its capacity as the contract administrator under the Master Agreement.

5. Wit
h respect to any purchases by Principal Procurement Agency or any Participating Public Agency pursuant to the Master Agreement, OMNIA Partners shall not be: (i) construed as a dealer, re-marketer, representative, partner or agent of any type of the Supplier, Principal Procurement Agency or any Participating Public Agency; (ii) obligated, liable or responsible for any order for Product made by Principal Procurement Agency or any Participating Public Agency or any employee thereof under the Master Agreement or for any payment required to be made with respect to such order for Product; and (iii) obligated, liable or responsible for any failure by Principal Procureme nt Agency or any Participating Public Agency to comply with procedures or requirements of applicable law or the Master Agreement or to obtain the due authorization and approval necessary to purchase under the Master Agreement. OMNIA Partners makes no representation or guaranty with respect to any minimum purchases by Principal Procurement Agency or any Participating Public Agency or any employee thereof under this Agreement or the Master Agreement.

6. OMN
IA Partners shall not be responsible for Supplier’s performance under the Master Agreement, and Supplier shall hold OMNIA Partners harmless from any liability that may arise from the acts or omissions of Supplier in connection with the Master Agreement.

7. Suppli
er acknowledges that, in connection with it s access to OMNIA Partners confidential information and/or supply of data to OMNIA Partners, it has complied with and shall continue to comply with all laws, regulations and standards that may apply to Supplier, including, without limitation: (a) U nited St ates f ederal and state information security and privacy statutes, regulations and/or best practices, including, without limitation, the Gramm- Leach-Bliley Act, the Massachusetts Data Security Regulations (201 C.M.R. 17.00 et. seq.), the Nevada encryption statute (N.R.S. § 603A), the California data security law (Cal. Civil Code § 1798.80 et. seq.) and California Consumer Privacy Act (Cal. Civil Code § 1798.100 et. seq.); and (b) applicable industry and regulatory standards and best practices (collectively, “Data Regulations”).

Wit
h regard to Personal Information that Supplier collects, receives, or otherwise processes under the Agreement or otherwise in connection with performance of the Agreement, Supplier agrees that it will not: (i) sell, rent, relea se, disclose, disseminate, make available, transfer, or otherwise Robertson Recreato
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c
ommunicate orally, in writing, or by electronic or other means, such Personal Information to another business or third party for monetary or other valuable consideration; or (ii) retain, use, or disclose such Personal Information outside of the direct business relationship between Supplier and OMNIA Partners or for any purpose other than for the specific purpose of perform ance of the Agreement, including retaining, using, or disclosing such Personal Information for a commercial purpose other than for performance of the Agreement . By entering into the Agreement, Supplier certifies that it understands the specific restrictions contained in this Section 7 and will comply with them. For purposes hereof, “Personal Information” means information that identifies, relates to, describes, is reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular consumer or household, and includes the speci fic elements of “personal information” as defined under Data Regulations, as defined herein. Supplier will reasonably assist OMNIA Partners in timely responding to any third party “request to know” or “request to delete” (as defined pursuant to Data Regulations) and will promptly provide OMNIA Partners with information reasonably necessary for OMNIA Partners to respond to such requests. Where Supplier collects Personal Information directly from Public Agencies or others on OMNIA Partners ’ behalf, Supplier will maintain records and the means necessary to enable OMNIA Partners to respond to such requests to know and requests to delete.
8 . WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, OMNIA

PARTNERS EXPRESSLY DISCLAIMS ALL EXPRESS OR IMPLIED REPRESENTATIONS AND WARRANTIES REGARDING OMNIA PARTNERS’ PERFORMANCE AS A CONTRACT ADMINISTRATOR OF THE MASTER AGREEMENT. OMNIA PARTNERS SHALL NOT BE

LIABLE IN ANY WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT, CONSEQUENTIAL,

EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN IF OMNIA PARTNERS IS ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

TER
M OF AGREEMENT; TERMINATION
9 . This Agreement shall be in effect so long as the Master Agreement remains in effect, provided, however, that the provisions of Sections 3 – 8 and 11 – 22, hereof and the indemnifications afforded by the Supplier to OMNIA Partners in the Master Agreement, to the extent such provisions survive any expiration or termination of the Master Agreement, shall survive the expiration or termination of this Agreement.

NAT

IONAL PROMOTION
10 . OMNIA Partners and Supplier shall publicize and promote the availability of the Master Agreement’s products and services to Public Agencies and such ag encies’ employees.

Supplier shall require each Public Agency to register its participation in the OMNIA Partners program by either registering on the OMNIA Partners website ( www.omniapartners.com/publicsector), or executing a Master Intergovernmental Cooperative Purchasing Agreement prior to processing the Participating Public Agency’s first sales order. Upon request, Supplier shall make available to interested Public Agencies a copy of the Master Agreement and such price lists or quotes as may be necessary for such Public Agencies to evaluate potential purchases. 1 1. Supplier shall provide such marketing and administrative support as set forth in the solicitation resulting in the Master Agreement, including assisting in development of marketing materials as reasonably requested by Principal Procurement Agency and OMNIA Partners. Supplier shall be responsible for obtaining permission or license of use and payment of any license fees for all content and images Supplier provides to OMNIA Partners or posts on the OMNIA Partners website. �����������������
Version January 29, 2021
S
upplier shall indemnify, defend and hold harmless OMNIA Partners for use of all such content and images including copyright infringement claims. Supplier and OMNIA Partners each hereby grant to the other party a limited, revocable, non-transferable, non-sublicensable right to use such party’s logo (each, the “Logo”) solely for use in marketing the Master Agreement. Each party shall provide the other party with the standard terms of use of such party’s Logo, and such party shall comply with such terms in all material respects. Both parties shall obtain approval from the other party prior to use of such party’s Logo. Notwithstanding the foregoing, the parties understand and agree that except as provided herein neither party shall have any right, title or interest in the other party’s Logo. Upon termination of this Agreement, each party shall immediately cease use of the other party’s Logo.

ADM

INISTRATIVE FEE, REPORTING & PAYMENT
1 2. An “Administrative Fee” shall be defined and due to OMNIA Partners from Supplier in the amount of __ percent (__%) (“Administrative Fee Percentage”) multiplied by the total purchase amount paid to Supplier, less refunds, credits on returns, rebates and discounts, for the sale of products and/or services to Principal Procurement Agency and Participating Public Agencies pursuant to the Master Agreement (as amended from time to time and including any renewal thereof) (“Contract Sales ”). From time to time the parties may mutually agree in writing to a lower Administrative Fee Percentage for a specifically identified Participating Public Agency’s Contract Sales.
1 3. Supplier shall provide OMNIA Partners with an electronic accounting report monthly, in the format prescribed by OMNIA Partners , summarizing all Contract Sales for each calendar month. The Contract Sales reporting format is provided as Exhibit C (“Contract Sales Report ”), attached hereto and incorporated herein by reference. Contract Sales Reports for each calendar month shall be provided by Supplier to OMNIA Partners by the 10th day of the following month. Failure to provide a Contract Sales Report within the time and manner specified herein shall constitute a material breach of this Agreement and if not cured within thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master Agreement, at Principal Procurement Agency’s sole discretion, and/or this Agreement, at OMNIA Partners’ sole discretion.

14. A
dministrative Fee payments are to be paid by Supplier to OMNIA Partners at the frequency and on the due date stated in Section 12, above, for Supplier’s submission of corresponding Contract Sales Reports. Administrative Fee payments are to be made via Automated Clearing House (ACH) to the OMNIA Partners designated financial institution identified in Exhibit D. Failure to provide a payment of the A dministrative Fee with in the time and manner specified herein shall constitute a material breach of this Agreement and if not cured within thirty (30) days of written notice to Supplier shall be deemed a cause for termination of the Master Agreement, at Principal Procurement Agency’s sole discretion, and/or this Agreement, at OMNIA Partners’ sole discretion.

All Administrative Fees not paid when due shall bear interest at a rate equal to the lesser of one and one-half percent (1 1/2%) per month or the maximum rate permitted by law until paid in full. 1 5. Supplier shall maintain an accounting of all purchases made by Participating Public Agencies under the Master Agreement. OMNIA Partners, or its designee, in OMNIA Partners’ sole discretion, reserves the right to compare Participating Public Agency records with Contract Sales Reports submitted by Supplier for a period of four (4) years from the date OMNIA Partners receives such report. In addition, OMNIA Partners may engage a third party to conduct an independent audit of Supplier’s monthly reports. In the event of such an audit, Supplier shall provide all materials reasonably requested relating to such audit by OMNIA Partners at the location designated by OMNIA Partners. In the event an underreporting of Contract Sales and a resulting underpayment of �����������������
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Ad
ministrative Fees is revealed, OMNIA Partners will notify the Supplier in writing. Supplier will have thirty (30) days from the date of such notice to resolve the discrepancy to OMNIA Partners’ reasonable satisfaction, including payment of any Administrative Fees due and owing, together with interest thereon in accordance with Section 13, and reimbursement of OMNIA Partners’ costs and expenses related to such audit.

G

ENERAL PROVISIONS
1 6. This Agreement, the Master Agreement and the exhibits referenced herein supersede any and all other agreements, either oral or in writing, between the parties hereto with respect to the subject matter hereto and no other agreement, statement, or promise relating to the subject matter of this Agreement which is not contained or incorporated herein shall be valid or binding. In the event of any conflict between the provisions of this Agreement and the Master Agreement, as between OMNIA Partners and Supplier, the provisions of this Agreement shall prevail. 1 7. If any action at law or in equity is brought to enforce or interpret the provisions of this Agreement or to recover any A dministrative Fee and accrued interest, the prevailing party shall be entitled to reasonable attorney’s fees and costs in addition to any other relief to which it may be entitled.
18 . This Agreement and OMNIA Partners’ rights and obligations hereunder may be assigned at OMNIA Partners’ sole discretion to an affiliate of OMNIA Partners, any purchaser of any or all or substantially all of the assets of OMNIA Partners, or the successor entit y as a result of a merger, reorganization, consolidation, conversion or change of control, whether by operation of law or otherwise. Supplier may not assign its obligations hereunder without the prior written consent of OMNIA Partners.
19 . All written c ommunications given hereunder shall be delivered by first -class mail, postage prepaid, or overnight delivery on receipt to the addresses as set forth below.

A. O
MNIA Partners:

O
MNIA Partners
Attn: President
840 Crescent Centre Drive
Suite 600
Franklin, TN 37067
B. S
upplier:
____________________
____________________
____________________
____________________
20 . If any provision of this Agreement shall be deemed to be, or shall in fact be, illegal, inoperative or unenforceable, the same shall n ot affect any other provision or provisions herein contained or render the same invalid, inoperative or unenforceable to any extent whatever, and this Agreement will be construed by limiting or invalidating such provision to the minimum extent necessary to make such provision valid, legal and enforceable.

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21. This Agreement may not be amended, changed, modified, or altered without the prior written consent of the parties hereto, and no provision of this Agreement may be discharged or waived, except by a writing signed by the parties. A waiver of any particular provision will not be deemed a waiver of any other provision, nor will a waiver given on one occasion be deemed to apply to any other occasion.
22 . This Agreement shall inure to the benefit of and shall be binding upon OMNIA Partners, the Supplier and any respective successor and assign thereto; subject, however, to the limitations contained herein.
23 . This Agreement will be construed under and gov erned by the laws of the State of Delaware, excluding its conflicts of law provisions and any action arising out of or related to this Agreement shall be commenced solely and exclusively in the state or federal courts in Williamson County Tennessee.
24 . This Agreement may be executed in counterparts, each of which is an original but all of which, together, shall constitute but one and the same instrument. The exchange of copies of this Agreement and of signature pages by facsimile, or by .pdf or similar e lectronic transmission, will constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of the original Agreement for all purposes . Signatures of the parties transmitted by facsimile, or by .pdf or similar electronic transmission, will be deemed to be their original signatures for any purpose whatsoever. [INSERT SUPPLIER ENTITY NAME] NATIONAL

INTERGOVERNMENTAL

PURCHASING ALLIANCE

COMPANY, A DELAWARE

CORPORATION D/B/A OMNIA

PARTNERS, PUBLIC SECTOR
Signature Signature
Sarah Vavra
Name Name
Sr. Vice President, Public Sector
Contracting
Title Title
Date Date
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Requirements for National Cooperative Contract