Agenda packet — Vallejo City Council, November 14, 2023 (part 3 of 4)

(c) Prior to the expiration of the period
of time that the written contract
requires such insurance be provided
to the additional insured.
(2) How Limits Apply
If you have agreed in a written contract
or written agreement that another
person or organization be added as an
additional insured on your policy, the
most we will pay on behalf of such
additional insured is the lesser of:
(a) The limits of insurance specified in
the written contract or written
agreement; or
(b) The Limits of Insurance shown in
the Declarations.

Such amount shall be a part of and not
in addition to Limits of Insurance shown
in the Declarations and described in this
Section.
(3) Additional Insureds Other Insurance
If we cover a claim or "suit" under this
Coverage Part that may also be covered
by other insurance available to an
additional insured, such additional
insured must submit such claim or "suit"
to the other insurer for defense and
indemnity.

However, this provision does not apply
to the extent that you have agreed in a
written contract or written agreement
that this insurance is primary and non-
contributory with the additional insured's
own insurance.
(4) Duties in The Event Of Accident, Claim,
Suit or Loss
If you have agreed in a written contract
or written agreement that another
person or organization be added as an
additional insured on your policy, the
additional insured shall be required to
comply with the provisions in LOSS
CONDITIONS 2. - DUTIES IN THE

EVENT OF ACCIDENT, CLAIM , SUIT
OR LOSS – OF SECTION IV –
BUSINESS AUTO CONDITIONS, in the
same manner as the Named Insured.

2. Primary and Non-Contributory if
Required by Contract
Only with respect to insurance provided to
an additional insured in A.1.g. - Additional
Insured If Required by Contract, the
following provisions apply:
(1) Primary Insurance When Required By
Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be
primary. If other insurance is also
primary, we will share with all that other
insurance by the method described in
Other Insurance 5.d.
(2} Primary And Non-Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract
or written agreement that this insurance
is primary and non-contributory with the
additional insured's own insurance, this
insurance is primary and we will not
seek contribution from that other
insurance.

Paragraphs (1) and (2) do not apply to other
insurance to which the additional insured
has been added as an additional insured.

When this insurance is excess, we will have
no duty to defend the insured against any
"suit" if any other insurer has a duty to
defend the insured against that "suit". If no
other insurer defends, we will undertake to
do so, but we will be entitled to the insured's
rights against all those other insurers.

When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-
insured amounts under all that other
insurance.

We will share the remaining loss, if any, by
the method described in SECTION IV-
Business Auto Conditions, B. General
Conditions, Other Insurance 5.d.

3. AUTOS RENTED BY EMPLOYEES
Any "auto" hired or rented by your "employee"
on your behalf and at your direction will be
considered an "auto" you hire.

The SECTION IV- Business Auto Conditions, B.

General Conditions, 5. OTHER INSURANCE
Condition is amended by adding the following:
e. If an "employee’s" personal insurance also
applies on an excess basis to a covered
"auto" hired or rented by your "employee" on
your behalf and at your direction, this
insurance will be primary to the
"employee’s" personal insurance.

Form HA 99 16 12 21 Page 3 of 5

4. AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5. - FELLOW EMPLOYEE - of
SECTION II - LIABILITY COVERAGE does not
apply if you have workers' compensation
insurance in-force covering all of your
"employees".

Coverage is excess over any other collectible
insurance.

5. HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are
provided under this Coverage Form for any
"auto" you own, then the Physical Damage
Coverages provided are extended to "autos" you
hire or borrow, subject to the following limit.

The most we will pay for "loss" to any hired
"auto" is:
(1) $100,000;
(2) The actual cash value of the damaged or
stolen property at the time of the "loss"; or
(3) The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest, minus a deductible. The
deductible will be equal to the largest deductible
applicable to any owned "auto" for that
coverage. No deductible applies to "loss"
caused by fire or lightning. Hired Auto Physical
Damage coverage is excess over any other
collectible insurance. Subject to the above limit,
deductible and excess provisions, we will
provide coverage equal to the broadest
coverage applicable to any covered "auto" you
own.

We will also cover loss of use of the hired "auto"
if it results from an "accident", you are legally
liable and the lessor incurs an actual financial
loss, subject to a maximum of $1000 per
"accident".

This extension of coverage does not apply to
any "auto" you hire or borrow from any of your
"employees", partners (if you are a partnership),
members (if you are a limited liability company),
or members of their households.

6. PHYSICAL DAMAGE - ADDITIONAL

TEMPORARY TRANSPORTATION EXPENSE

COVERAGE
Paragraph A.4.a. of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $50 per day and a maximum limit of
$1,000.

7. LOAN/LEASE GAP COVERAGE
Under SECTION III - PHYSICAL DAMAGE
COVERAGE, in the event of a total "loss" to a
covered "auto", we will pay your additional legal
obligation for any difference between the actual
cash value of the "auto" at the time of the "loss"
and the "outstanding balance" of the loan/lease.
"Outstanding balance" means the amount you
owe on the loan/lease at the time of "loss" less
any amounts representing taxes; overdue
payments; penalties, interest or charges
resulting from overdue payments; additional
mileage charges; excess wear and tear charges;
lease termination fees; security deposits not
returned by the lessor; costs for extended
warranties, credit life Insurance, health, accident
or disability insurance purchased with the loan
or lease; and carry-over balances from previous
loans or leases.

8. AIRBAG COVERAGE
Under Paragraph B. EXCLUSIONS - of

SECTION III - PHYSICAL DAMAGE
COVERAGE, the following is added:

The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.

9. ELECTRONIC EQUIPMENT - BROADENED

COVERAGE
a. The exceptions to Paragraphs B.4 -
EXCLUSIONS - of SECTION III - PHYSICAL
DAMAGE COVERAGE are replaced by the
following:

Exclusions 4.c. and 4.d. do not apply to
equipment designed to be operated solely by
use of the power from the "auto's" electrical
system that, at the time of "loss", is:
(1) Permanently installed in or upon the
covered "auto";
(2) Removable from a housing unit which is
permanently installed in or upon the
covered "auto";
(3) An integral part of the same unit housing
any electronic equipment described in
Paragraphs (1) and (2) above; or
(4) Necessary for the normal operation of the
covered "auto" or the monitoring of the
covered "auto's" operating system.
b. Section III, Physical Damage Coverage,
Limit of Insurance, Paragraph C.2. is
amended to add the following:
$1,500 is the most we will pay for "loss" in
any one "accident" to all electronic
equipment (other than equipment designed
solely for the reproduction of sound, and
accessories used with such equipment) that
reproduces, receives or transmits audio,
visual or data signals which, at the time of
"loss", is:

Page 4 of 5 ends

(1) Permanently installed in or upon the
covered "auto" in a housing, opening or
other location that is not normally used
by the "auto" manufacturer for the
installation of such equipment;
(2) Removable from a permanently installed
housing unit as described in Paragraph

2.a. above or is an integral part of that
equipment; or
(3) An integral part of such equipment.
c. For each covered "auto", should loss be
limited to electronic equipment only, our
obligation to pay for, repair, return or replace
damaged or stolen electronic equipment will
be reduced by the applicable deductible
shown in the Declarations, or $250,
whichever deductible is less.

10. EXTRA EXPENSE - BROADENED

COVERAGE
Under Paragraph A. - COVERAGE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, we will
pay for the expense of returning a stolen covered
"auto" to you.

11. GLASS REPAIR - WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE - of

SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:

No deductible applies to glass damage if the
glass is repaired rather than replaced.

12. TWO OR MORE DEDUCTIBLES
Under Paragraph D. - DEDUCTIBLE - of

SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:

If another Hartford Financial Services Group,
Inc. company policy or coverage form that is not
an automobile policy or coverage form applies to
the same "accident", the following applies:
(1) If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible, it will be waived;
(2) If the deductible under this Business Auto
Coverage Form is not the smaller (or
smallest) deductible, it will be reduced by
the amount of the smaller (or smallest)
deductible.

13. AMENDED DUTIES IN THE EVENT OF

ACCIDENT, CLAIM, SUIT OR LOSS
The requirement in LOSS CONDITIONS 2.a. -

DUTIES IN THE EVENT OF ACCIDENT,
CLAIM, SUIT OR LOSS - of SECTION IV -
BUSINESS AUTO CONDITIONS that you must
notify us of an "accident" applies only when the
"accident" is known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability
company; or
(4) An executive officer or insurance manager, if
you are a corporation.

14. UNINTENTIONAL FAILURE TO DISCLOSE

HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we
will not deny coverage under this Coverage
Form because of such failure.

15. HIRED AUTO - COVERAGE TERRITORY

SECTION IV, BUSINESS AUTO CONDITIONS,
PARAGRAPH B. GENERAL CONDITIONS, 7. -

POLICY PERIOD, COVERAGE TERRITORY -
is added to include the following:
(6) For short-term hired "autos", the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
"insured's" responsibility to pay damages for
"bodily injury" or "property damage" is
determined in a "suit," the "suit" is brought in
the United States of America, the territories
and possessions of the United States of
America, Puerto Rico or Canada or in a
settlement we agree to.

16. WAIVER OF SUBROGATION
Paragraph 5. TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US - of

SECTION IV - BUSINESS AUTO CONDITIONS
A. Loss Conditions is amended by adding the
following:

We waive any right of recovery we may have
against any person or organization with whom
you have a written contract that requires such
waiver because of payments we make for
damages under this Coverage Form.

17. RESULTANT MENTAL ANGUISH COVERAGE
The definition of "bodily injury" in SECTION V-
DEFINITIONS, C. is replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death resulting from any of
these.

18. EXTENDED CANCELLATION CONDITION
Paragraph 2. of the COMMON POLICY
CONDITIONS - CANCELLATION - applies
except as follows:

If we cancel for any reason other than
nonpayment of premium, we will mail or deliver
to the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.

Form HA 99 16 12 21 Page 5 of 5

19. HYBRID, ELECTRIC, OR NATURAL GAS

VEHICLE PAYMENT COVERAGE
In the event of a total loss to a "non-hybrid" auto
for which Comprehensive, Specified Causes of
Loss, or Collision coverages are provided under
this Coverage Form, then such Physical
Damage Coverages are amended as follows:
a. If the auto is replaced with a "hybrid" auto or
an auto powered solely by electricity or
natural gas, we will pay an additional 10%,
to a maximum of $2,500, of the "non-hybrid"
auto’s actual cash value or replacement
cost, whichever is less,
b. The auto must be replaced and a copy of a
bill of sale or new lease agreement received
by us within 60 calendar days of the date of
"loss,"
c. Regardless of the number of autos deemed
a total loss, the most we will pay under this
Hybrid, Electric, or Natural Gas Vehicle
Payment Coverage provision for any one
"loss" is $10,000.

For the purposes of the coverage provision,
a. A "non-hybrid" auto is defined as an auto
that uses only an internal combustion engine
to move the auto but does not include autos
powered solely by electricity or natural gas.
b. A "hybrid" auto is defined as an auto with an
internal combustion engine and one or more
electric motors; and that uses the internal
combustion engine and one or more electric
motors to move the auto, or the internal
combustion engine to charge one or more
electric motors, which move the auto.

20. VEHICLE WRAP COVERAGE
In the event of a total loss to an "auto" for which
Comprehensive, Specified Causes of Loss, or
Collision coverages are provided under this
Coverage Form, then such Physical Damage
Coverages are amended to add the following:

In addition to the actual cash value of the "auto",
we will pay up to $1,000 for vinyl vehicle wraps
which are displayed on the covered "auto" at the
time of total loss. Regardless of the number of
autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage provision for
any one "loss" is $5,000. For purposes of this
coverage provision, signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.

MANUSCRIPT Specified Additional Insured Page 1 of 2

IRONSHORE SPECIALTY INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
Endorsement # 23
Policy Number: IEPICB5ZFB003 Effective Date of Endorsement: December 31, 2022 Insured Name: SNF Holding Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SPECIFIED ADDITIONAL INSURED(S) PRIMARY AND NON-CONTRIBUTORY This endorsement modifies insurance provided under the following:

ENVIRONMENTAL PROTECTION INSURANCE COVERAGE PACKAGE (EPIC PAC) It is hereby agreed that the policy to which this Endorsement is attached is amended as follows:

SCHEDULE
Name of Additional Insured Person(s) Or Organization(s) Blanket where required by written contact
A. SECTION II – WHO IS AN INSURED, Paragraph 4.e. is amended to specify the entity indicated in the Schedule above as:
e. Any person or organization you agree to include as an insured in a written contract, written agreement or permit, but only with respect to bodily injury , property damage , environmental damage or personal and advertising injury arising out of your operations, your work, equipment or premises leased or rented by you, or your products which are distributed or sold in the regular course of a vendor’s business, however:
(1) A vendor is not an insured as respects bodily injury, property damage , environmental damage or personal and advertising injury:
(a) For which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement except that which the vendor would have in the absence of the contract or agreement; (b) Arising out of any express warranty unauthorized by you; (c) Arising out of any physical or chemical change in the product made intentionally by the vendor; (d) Arising out of repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from you, and then repackaged in the original container;
(e) Arising out of any failure to make inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products;

MANUSCRIPT Specified Additional Insured Page 2 of 2
(f) Arising out of demonstration, installation servicing or repair operations, except such operations performed at the vendor’s location in connection with the sale of the product; or (g) Arising out of products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor. (2) A manager or lessor of premises, a lessor of leased equipment, or a mortgagee, assignee, or receiver is not an insured as respects bodily injury , property damage , environmental damage or personal and advertising injury:
(a) Arising out of any occurrence that takes place after the equipment lease expires or you cease to be a tenant; or
(b) Arising out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor of premises, or mortgagee, assignee, or receiver.

B. SECTION IV – CONDITIONS, Condition 17. Other Insurance, Paragraph a. is amended to specify the entity indicated in the Schedule above as a person or organization you agreed to insure and we will not seek contributions from any such other insurance issued to such person or organization.

ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY REMAIN UNCHANGED.

IE.DEC.EXCESS.001 (10/10) Includes copyrighted material of Insurance Service Office, Inc. with its permission Page 1 of 3

IRONSHORE SPECIALTY INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
This contract is registered and delivered as a surplus line coverage under the Surplus Line Insurance Law, O.C.G.A. Chapter 33-5.

ENVIRONMENTAL EXCESS LIABILITY DECLARATIONS
Policy Number: IEELCASB5ZFD003 Renewal of Policy Number: IEELCASB5ZFD002 Item 1. Named Insured &
Mailing Address:

SNF Holding Company
1 Chemical Plant Road
Riceboro, GA 31323
Item 2. Policy Period: Effective: December 31, 2022 - Expiration: December 31, 2023 12:01 a.m. time at your mailing address shown above
Item 3: LIMITS OF INSURANCE
a. Each Event Limit $25,000,000
b. Aggregate Limit (See Section II.A.) $25,000,000
Item 4. LIMITS OF UNDERLYING INSURANCE
a. Each Event Limit See Schedule of Underlying Insurance b. Aggregate Limit See Schedule of Underlying Insurance Item 5. CONTROLLING UNDERLYING INSURANCE
Coverage See Schedule of Underlying Insurance
Policy Number See Schedule of Underlying Insurance
Insurer See Schedule of Underlying Insurance
Policy Period See Schedule of Underlying Insurance
Limit of Insurance See Schedule of Underlying Insurance Item 6.

Policy Premium:

Premium for Acts of Terrorism (TRIA):

Total Premium (Including TRIA):

Compliance with all surplus lines placement requirements, including stamping the Policy and collection and payment of surplus lines taxes, is the responsibility of the broker.

Minimum Earned Premium: 25%

IE.DEC.EXCESS.001 (10/10) Includes copyrighted material of Insurance Service Office, Inc. with its permission Page 2 of 3 Item 7. Broker & Mailing Address: EDGEWOOD PARTNERS INSURANCE CENTER - dba Vanbridge 210 Hudson Street
Suite 601
Jersey City, NJ 07311
Item 8. Policy Coverage Form: IE.COV.EEL.001 (0409) Environmental Excess Liability Coverage Form Endorsements: See Schedule of Endorsements
Ironshore Specialty Insurance Company by:

Secretary President
January 24, 2023
Date

IE.DEC.EXCESS.001 (10/10) Includes copyrighted material of Insurance Service Office, Inc. with its permission Page 3 of 3 Named Insured: SNF Holding Company
Policy Number: IEELCASB5ZFD003
Effective 12:01 AM: December 31, 2022

SCHEDULE OF ENDORSEMENTS
Endorsement Number – Edition Date – Form Name

1. Service of Suit Clause - Georgia - SC-9 (11_18)

2. IE.PN.ALL.002 (1019) Claim and Notice Reporting

3. TRIA-N004-0420 Disclosure – Terrorism Risk Insurance Act

4. TRIA-E002-0315 Cap on Losses From Certified Acts of Terrorism

5. IRON.END.ALL.016 (0419) Insurer Address Change

6. ADM-OFAC-0419 - Sanction Limitation and Exclusion Clause

7. IE.END.EXCESS.001 (0409) Non Followed Coverage Section or Clause Endorsement

8. IE.PN.EXCESS.001 (0409) Schedule of Underlying Insurance

9. MANUSCRIPT: Designated Entity Notice of Cancellation

10. MANUSCRIPT: Aqueous Film Forming Foam (AFFF) New Conditions Sublimit IE.PN.EXCESS.001 (04/09) Page 1 of 2

IRONSHORE SPECIALTY INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
Endorsement # 8
Policy Number: IEELCASB5ZFD003 Effective Date of Endorsement: December 31, 2022 Insured Name: SNF Holding Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ENVIRONMENTAL EXCESS LIABILITY SCHEDULE OF UNDERLYING INSURANCE

CONTROLLING UNDERLYING INSURANCE
Coverage: GENERAL LIABILITY AND POLLUTION LIABILITY; ENVIRONMENTAL PROTECTION INSURANCE COVERGE

PACKAGE (EPIC)
Policy Number: IEPICB5ZFB003
Insurer: Ironshore Specialty Insurance Company (ISIC)
Policy Period: 12/31/2022 – 12/31/2023
Limits of Insurance:
$1,000,000 Each Occurrence Limit-COVERAGE PART I: Coverage A,B,C $1,000,000 Each Occurrence Limit-COVERAGE PART I: Coverage D,E,F $1,000,000 Contractors Pollution Liability Each Occurrence Limit $1,000,000 Personal and Advertising Injury Limit: Any one Person or Organization $1,000,000 Employee Benefits Administration Liability Limit: Each Employee $1,000,000 Site Pollution Each Incident Limit
$2,000,000 Products Completed Operations Aggregate
$2,000,000 General Aggregate
Coverage: GENERAL LIABILITY AND POLLUTION LIABILITY; ENVIRONMENTAL PROTECTION INSURANCE COVERGE

PACKAGE (EPIC)
Policy Number: ETITOAB51NP0122
Insurer: Liberty Mutual Insurance Company
Policy Period: 12/31/2022 – 12/31/2023
Limits of Insurance:
$1,000,000 Each Occurrence Limit-COVERAGE PART I: Coverage A,B,C $1,000,000 Each Occurrence Limit-COVERAGE PART I: Coverage D,E,F $1,000,000 Contractors Pollution Liability Each Occurrence Limit $1,000,000 Personal and Advertising Injury Limit: Any one Person or Organization $1,000,000 Employee Benefits Administration Liability Limit: Each Employee $1,000,000 Site Pollution Liability Limit
$2,000,000 Products Completed Operations Aggregate
$2,000,000 General Aggregate

IE.PN.EXCESS.001 (04/09) Page 2 of 2
Coverage: AUTOMOBILE LIABILITY (US)
Policy Number: 10 AB R30602
Insurer: Hartford Fire Insurance Company
Policy Period: 12/31/2022 – 12/31/2023
Limits of Insurance:
$1,000,000 Combined Single Limit
Coverage: AUTOMOBILE LIABILITY (Canada)
Policy Number: 05 FTO 135209
Insurer: Hartford Fire Insurance Company
Policy Period: 12/31/2022 – 12/31/2023
Limits of Insurance:
$1,000,000 Combined Single Limit
Coverage: EMPLOYERS LIABILITY
Policy Number: 10 WBR R30601
Insurer: Hartford Fire Insurance Company
Policy Period: 12/31/2022 – 12/31/2023
Limit of Insurance:
$1,000,000 Bodily Injury by Accident: Each Accident
$1,000,000 Bodily Injury by Disease: Policy Limit
$1,000,000 Bodily Injury by Disease: Each Employee
Coverage: FOREIGN LIABILITY
Policy Number: CXC D67243110 003
Insurer: ACE American Insurance Company
Policy Period: 12/31/2022 – 12/31/2023
LIMIT OF INSURANCE:

Foreign Commercial General Liability:
$2,000,000 Each Occurrence Limit
$2,000,000 General Aggregate Limit
$1,000,000 Personal and Advertising Injury Limit
$1,000,000 Damage to Premises Rented to You Limit
$4,000,000 Capping of Limits Aggregate Limit of Liability $1,000,000 Employee Benefits Liability: Each Claim Limit $1,000,000 Employee Benefits Liability: Annual Aggregate Limit Foreign Business Auto Liability:
$1,000,000 Each Accident
Foreign Employers Liability:
$1,000,000 Bodily Injury by Accident: Each Accident
$1,000,000 Bodily Injury by Disease: Each Employee
$1,000,000 Bodily Injury by Disease: Policy Limit

OTHER UNDERLYING INSURANCE
N/A
ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY REMAIN UNCHANGED.

Exhibit D City of Vallejo Business License

THIS BUSINESS LICENSE DOES NOT PERMIT A
BUSINESS THAT IS OTHERWISE PROHIBITED.

Business Name
Business Location
Business Owner(s)
License Number
Effective Date
Expiration Date

CITY OF VALLEJO

BUSINESS LICENSE
1 CHEMICAL PLANT RD

POLYDYNE INC
1 CHEMICAL PLANT RD
RICEBORO, GA 31323-3253
For all inquiries regarding this license, contact HdL
Business Support Center at 707-302-6074.
"For Services Provided in the City of Vallejo, California Only"

SNF HOLDING COMPANY

POLYDYNE INC
July 01, 2023
June 30, 2024
11710989
POLYDYNE INC :

Thank you for your payment on your City of Vallejo Business License. ALL LICENSES MUST BE AVAILABLE FOR INSPECTION UPON REQUEST. If you have questions concerning your business license, contact the Business Support Center via email at: [email protected] or by telephone at: (707) 302-6074.

Keep this portion for your license separate in case you need a replacement for any lost, stolen, or destroyed license. A fee may be charged for a replacement or duplicate license.

This certificate does not entitle the holder to conduct business before complying with all requirements of the Vallejo Municipal code and other applicable laws, nor to conduct business in a zone where conducting such business violates law.

If you have a fixed place of business within the City of Vallejo please display the Business License above in a conspicuous place at the premises. Otherwise, every Business License holder not having a fixed place of business in the City shall keep the Business License upon his or her person, or affixed in plain view any cart, vehicle, van or other movable structure or device at all times if required by the Collector.

Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender -based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ City of Vallejo

BUSINESS LICENSE

BUSINESS LICENSING
8839 N CEDAR AVE #212
FRESNO, CA 93720-1832
Date of Issue: 07/01/2023
11710989License Number: POLYDYNE INC
1 CHEMICAL PLANT RD
RICEBORO, GA 31323-3253

TO BE POSTED IN A CONSPICUOUS PLACE
AND
NOT TRANSFERABLE OR ASSIGNABLE.
2023 - 2024
TAX COLLECTOR ’S OFFICE, City Hall, 555 Santa Clara St ., Vallejo, CA. This certificate is evidence that the person (s), firm, or corporation named hereon has paid the tax required by Chapter 5.04 of the City of Vallejo Municipal Code for the type of business, the business address and for the period indicated hereon. This certificate is issued without verification that the taxpayer is subject to or exempted from licensing by local, state, Federal or other agencies. Issuance of this certificate is not an endorsement, nor a certificate of compliance with other ordinances or laws, nor an assurance that the proposed use is in conformance with the City ’s building / Fire / Zoning regulations.

CHEMICAL SUPPLIES PURCHASE AGREEMENT
This Chemical Supplies Purchase Agreement ("Agreement") is made and entered into this 1st day of July, 2023, by and between the City of Vallejo, a municipal corporation ("City"), and USALCO Modesto Plant, LLC, a California Corporation, hereinafter referred to as “Vendor,” who agree as follows:

1. Vendor shall provide City, and deliver to Fleming Hill, Travis, and Green Valley Water Treatment Plants, as required by the Vallejo Municipal Water System, the following:

Chemical: CC2210
Quantity: 405,000 Pounds
Unit Price: $0.4980
Chemical Cost: $201,690.00
(Two hundred one thousand sixty-
nine hundred dollars and Zero Cents)
Chemical: CC2220
Quantity: 8960 Gallons
Unit Price: $0.9370
Chemical Cost: $8,395.52
(Eight thousand three hundred ninty -
five dollars and fifty-two cents)
Chemical: 900S
Quantity: 2320 Gallons
Unit Price: $0.7593
Chemical Cost: $8,395.52
(Eight thousand three hundred ninty -
five dollars and fifty-two cents)
Total Chemical Cost $218,481.04
(Two hundred eighteen thousand four
hundred eighty-one dollars and f
cents)
Contingency for Misc Surcharges (10%) $21,848.10
(Twenty-one thousand eight hundred
fourty- eight dollars and ten cents)
Agreement Not to Exceed Amount: $240,329.00
(Two hundred forty thousand three
hundred twenty-nine d ollars and
fourteen cents)

The foregoing quantity(ies) is/are an approximation only, and are the quantities estimated as required by the Water System for the Agreement term. City does not expressly or by implication warrant that the actual quantities ordered during the Agreement term will correspond therewith, and reserves the right to increase or decrease the quantity of chemical ordered, at the bid price, as may be necessary or advisable. 2. Omitted. 3. Omitted. 4. Vendor further agrees that all chemicals and/or materials to be furnished and delivered shall be strictly in accordance with said specifications, except that the City reserves the right to accept material other than that called forth in said specifications provided the Water Director approves in writing such other chemical/material as equal or better prior to Vendor furnishing or delivering the same. 5. Vendor has obtained or agrees to apply, prior to performance under this Agreement, to City’s Finance Department for a business license, pay the applicable business license tax and maintain said business license during the term of this Agreement. The failure to obtain such license shall be a material breach of this Agreement and grounds for termination by City. No payments shall be made to Vendor until such business license(s) has been obtained. 6. Vendor shall be fully informed of all Federal, State, County or Municipal laws, statutes, ordinances, codes and regulations which may in any manner apply to or otherwise have effect on the material to be furnished and shall at all times abide by all such rulings, orders and decrees of those agencies, bodies or tribunals having any jurisdiction or authority over the same. 7. City hereby agrees to pay to Vendor, in lawful money of the United States of America, at the time and in accordance with the provisions set forth in said specifications the price(s) set forth above. 8. The term of this Agreement is for Fiscal Year 2023-2024, shall commence upon execution of the contract by the City Manager, and shall continue in full force and effect until June 30, 2024. City shall, at its discretion, have the right to extend the term of this Agreement for 90 days by written notice to Vendor. The total duration of this Agreement, including all extensions, shall not exceed September 30, 2024. If the term of this Agreement extends into fiscal years subsequent to that in which it is approved, such continuation of the Agreement is contingent on the appropriation of funds for such purpose by the City Council of the City of Vallejo. 9. The parties hereto shall have the right by mutual consent to extend this Agreement on a month-to-month basis, notwithstanding the termination date specified above herein. Any such agreed extension may include a revision of the unit price herein recited and such revised price shall then prevail over the unit price recited herein for the term of such extension. In the event City desires to extend this Agreement, the Water Director shall so notify the Vendor, who shall promptly accept or reject such extension in writing. 10. All notices or instruments required to be given or delivered by law or this Agreement shall be in writing and shall be effective upon receipt thereof and shall be by personal service or delivered by depositing the same in any United States Post Office, registered or certified mail, postage prepaid, addressed to: If to City: Beth Schoenberger, Water Director City of Vallejo Water Department 202 Fleming Hill Road, Vallejo, CA 94589 If to Vendor: Melanie Rock, Bid & Contract Department Manager USALCO Modesto Plant, LLC 2601 Cannery Avenue, Baltimore, MD 2126 Any party may change its address for receiving notices by giving written notice of such change to the other party in accordance with this section. 11. The City Representative shall administer this Agreement for the City, and routine administrative communications shall be made to the City Representative, or the representative's designee: Joe Abitong, Water Operations Superintendent City of Vallejo Water Department 202 Fleming Hill Road, Vallejo, CA 94589 [email protected] 12. INSURANCE Vendor shall procure and maintain for the duration of the contract all necessary insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Vendor, the Vendor’s agents, representatives, employees or subcontractors. 13. MINIMUM SCOPE OF INSURANCE 1. Insurance shall be at least as broad as: a. Standard Workers’ Compensation & Employer’s Liability Including Occupations Disease Coverage b. Comprehensive General Liability Insurance c. Comprehensive Automobile Liability Insurance d. Umbrella/Excess Liability Coverage e. Broad Form Contractors Pollution Liability Insurance 2. Insurance Services Office form covering Automobile Liability, code 1 (any auto) 3. Worker’s Compensation insurance as required by the State of California and Employer’s Liability Insurance. 14. VENDOR SHALL MAINTAIN LIMITS NO LESS THAN: TYPE OF INSURANCE MINIMUM LIMITS OF LIABILITY Standard Workers' Compensation & Employer's Liability Including Occupations Disease Coverage Statutory limits as required by the State of California including $1 million Employers’ Liability per accident, per employee for bodily injury or disease. If Vendor is self-insured, provide a certificate of Permission to Self-Insure, signed by the California Department of Industrial Relations and Self-Insurance.

Comprehensive General Liability Insurance
$5,000,000 per occurrence for bodily injury, personal injury, property damage and products and completed operations, product liability, contractor’s pollution liability. If Commercial General Liability Insurance or other form with a general aggregate liability is used, either the general aggregate limit shall apply separately to this product or the minimum required aggregate limit or be twice the required occurrence limit. Policy shall be endorsed to name the City as an additional insured per the conditions detailed below. ISO Form CG 20 10 (1/85) or its equivalent is required.

Comprehensive Automobile Liability Insurance
$5,000,000 per accident for bodily injury and property damage, to include automobile pollution liability. If the Vendor is subject to the Motor Carrier Act of 1980, Automobile Liability Policy must be endorsed to include MCS-90 Endorsement for transportation of hazardous materials/waste/substances. If not, the policy shall be endorsed to include Transportation Pollution Liability Coverage to cover the materials transported by the Vendor. Umbrella/Excess Liability Coverage If an Umbrella or Excess Liability Policy is used to meet the liability limits, coverage shall be as broad as specified for underlying coverages and cover those insured in the underlying policies.

7. If an umbrella or excess insurance policy is used to satisfy the required limits of insurance, it shall be endorsed to contain a provision that such coverage shall also apply on a primary and non-contributory basis for the benefit of City before the City’s own insurance shall be called upon to protect it as a named insured. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best’s rating of no less than A: VII. Verification of Coverage Vendor shall furnish the Agencies with original endorsements effecting coverage required by this clause. The endorsements are to be signed by a person authorized by that insurer to bind coverage on its behalf. The endorsements are to be on forms provided by the City. All endorsements are to be received and approved by City before work commences. As an alternative to City forms, the Vendor’s insurer may provide complete, certified copies of all required insurance policies, including endorsements affecting the coverage required by the City. 17. INDEMNIFICATION To the maximum extent permitted by law, the Vendor shall, at its own expense, indemnify, defend with counsel acceptable to City listed on the Standard Agreement for chemical requirements, (which acceptance will not be unreasonably withheld), and hold harmless the City and its officers, officials, employees, agents and volunteers ("Indemnities") from and against any and all liability, loss, damage, claims, suits, actions, arbitration proceedings, administrative proceedings, regulatory proceedings, civil penalties and fines, expenses and costs (including, without limitation, claims expenses, attorney's fees and costs and fees of litigation) (collectively, "Liability") of every nature, whether actual, alleged or threatened, arising out of or in connection with the negligent acts or omissions, or willful misconduct of the Vendor pursuant to the Standard Agreement or the Vendor’s failure to comply with any of the terms of the Standard Agreement. The Vendor shall not be required to indemnify an Indemnitee for the Indemnitee’s own negligence or willful misconduct. The Vendor’s obligation to indemnify, defend and hold harmless under this provision shall not be excused because of the Vendor’s inability to evaluate Liability, or because the Vendor evaluates Liability and determines that the Vendor is not or may not be liable. The Vendor must respond within 30 calendar days to any tender for defense and indemnity by City, unless the time for responding has been extended by an authorized representative of the City in writing. If the Vendor fails to accept tender of defense and indemnity within 30 calendar days, in addition to any other remedies authorized by law, so much of the money due or that may become due the Vendor under the Standard Agreement as shall reasonably be considered necessary by the City may be retained by the City until disposition has been made of the matter subject to tender, or until the Vendor accepts the tender, whichever occurs first. The Vendor waives any and all rights to express or implied indemnity against the Indemnitees concerning any Liability of the Vendor arising out of or in connection with the furnishing of chemicals by the Vendor pursuant to the Standard Agreement or the Vendor’s failure to comply with any of the terms of the Standard Agreement. 18. This Agreement, including all attachments, contains the entire agreement between the parties and supersedes whatever oral or written understanding they may have had prior to the execution of this Agreement. This Agreement shall not be amended or modified except by a written agreement executed by each of the parties hereto. 19. This Agreement shall in all respects be governed by the law of the State of California without regard to its conflicts of law rules. Litigation arising out of or connected with this Agreement shall be instituted and maintained in the courts of Solano County in the State of California or in the United States District Court, Eastern District of California, Sacramento, California, and the parties consent to jurisdiction over their person and over the subject matter of any such litigation in such courts, and consent to service of process issued by such courts. 20. The following Exhibits are attached hereto and incorporated herein by reference: Exhibit A: Price/Quote for Chemicals Exhibit B: Manufacturer’s Information for Chemical Exhibit C: Insurance and Endorsements (including any attachments) Exhibit D: City of Vallejo Business License [SIGNATURES ON FOLLOWING PAGE] IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year shown below the name of each of the parties. USALCO MODESTO PLANT, LLC a California corporation By: Ken Gayer Chief Executive Officer DATE: Vallejo Business License No. (City Seal) CITY OF VALLEJO, a municipal corporation By: Mike Malone City Manager DATE: ATTEST: By: Dawn Abrahamson City Clerk APPROVED AS TO CONTENT: Beth Schoenberger Water Director APPROVED AS TO FORM: for Veronica A.F. Nebb City Attorney APPROVED AS TO INSURANCE: Armond Sarkis Risk Manager Exhibit A Price/Quote of Chemicals
From: Kyle Porter
Sent: Friday, June 2, 2023 12:25 PM
To: Joe Abitong <[email protected]>
Cc: Melanie Rock <[email protected]>
Subject: RE: [External] RE: Extension offer – USALCO – Contract: City of Vallejo, CA - Aluminum Coagulant to Fleming Hill & Green Valley
Joe,
We can offer the following price reductions to Vallejo.

CC 2210 - .5580/lb  .4980/lb (.06/lb)
CC 2220 - .9820/lb  .9370/lb (.045/lb)
A few other suggestions I have for how you could potentially save some money here The freight for the CC 2220 alone is close to .20/lb since it’s such a small shipment. Is there anyway you could purchase more per order? Or would it be possible to evaluate using the CC 2210 at this plant? If you could use the CC 2210 at this other plant, we could deliver a small load to this facility and the rest to your main plant taking CC 2210 which would save you quite a bit of money.

Both of these blends are rather expensive chemistries in a relative sense of what we supply from Modesto. If you are interested, I’m happy to supply you samples of some alternative chemistries or come by to do some testing next time I’m in Northern California.

Thank you,
Kyle Porter
Business Development Manager
2601 Cannery Avenue | Baltimore, MD 21226
M : 443.274.8008 | [email protected]
Learn more by visiting usalco.com
This email message and any attachments are conﬁdential information of USALCO. The information is intended to be conveyed only to the designated recipient(s) of the message. If you are not an intended recipient, please notify the sender immediately and delete the message from your email system. Unauthorized use, dissemination, distribution, or reproduction of this message by other than the intended recipient is strictly prohibited and may be unlawful. If you have any concerns, please contact us at [email protected]. 1 of 4
This Message Is From an External Sender
This message came from outside your organization.

Current price is still .7493/lb delivered. It’s under Quote 63055 Kyle Porter
Business Development Manager
2601 Cannery Avenue | Baltimore, MD 21226
M : 443.274.8008 | [email protected]
Learn more by visiting usalco.com
This email message and any attachments are conﬁdential information of USALCO. The information is intended to be conveyed only to the designated recipient(s) of the message. If you are not an intended recipient, please notify the sender immediately and delete the message from your email system. Unauthorized use, dissemination, distribution, or reproduction of this message by other than the intended recipient is strictly prohibited and may be unlawful. If you have any concerns, please contact us at [email protected].

From: Milos Teply <[email protected]>
Sent: Tuesday, October 24, 2023 2:43 PM
To: Brandy Canatella <[email protected]>
Cc: Joe Abitong <[email protected]>
Subject: Fw: porter [External] 900S
Hello Brandy, can you provide current price of 900S? Thank you.

Milos Teply
Plant Operator for City of Vallejo
Exhibit B Manufacture’s Information for Chemical

CC 2210
Revision: 03/26/21 Page: 1/6

SECTION 1: PRODUCT AND COMPANY IDENTIFICATION
Product identifier
Chemical Name Mixture
CAS No. Mixture
Trade Name CC 2210
Product Code None
Relevant identified uses of the substance or mixture and uses advised against Identified Use(s) Water Treatment Chemical
Uses Advised Against None
Company Identification USALCO Modesto Plant, LLC
2601 Cannery Ave
Baltimore, MD 21226
Telephone (410)-354-0100
Fax (410)-354-1021
E-Mail (competent person) [email protected]
Emergency telephone number
Emergency Phone No. CHEMTREC 24 hr. (800) 424-9300; Not classified as dangerous for transport.

SECTION 2: HAZARDS IDENTIFICATION
Classification of the substance or mixture
OSHA HCS (29 CFR 1910.1200) Not classified as dangerous for supply/use.

Label elements
Hazard Symbol None
Signal word(s) None
Hazard Statement(s) None
Precautionary Statement(s) Avoid contact with skin and eyes.

Wear protective gloves/eye protection.

IF INHALED: Get medical advice/attention if you feel unwell.

IF ON SKIN: Wash with plenty of soap and water. If irritation (redness, rash, blistering) develops, get medical attention.

IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If irritation develops and persists, get medical attention.

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

Other hazards None

SAFETY DATA SHEET
OSHA HCS (29 CFR 1910.1200)

CC 2210
Revision: 03/26/21 Page: 2/6

SECTION 3: COMPOSITION/INFORMATION ON INGREDIENTS

Hazardous Ingredient(s) % wt.* CAS No. Hazard classification Aluminum Chlorohydrate 40 - 50 12042-91-0 Not classified as dangerous for supply/use.

Proprietary Compound 10 Trade Secret Aquatic Acute 3; H402 Aquatic Chronic 3; H412
Water 40 - 50 7732-18-5 Not classified as dangerous for supply/use.

Additional Information - Substances in the product which may present a health or environmental hazard, or which have been assigned occupational exposure limits, are detailed below: None
SECTION 4: FIRST AID MEASURES

Description of first aid measures
Inhalation Get medical advice/attention if you feel unwell.

Skin Contact Wash affected skin with soap and water. If irritation (redness, rash, blistering) develops, get medical attention.

Eye Contact Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If irritation develops and persists, get medical attention.

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

Most important symptoms and effects, both acute and
delayed
None
Indication of any immediate medical attention and
special treatment needed
IF SWALLOWED: Immediately call a POISON CENTER or
doctor/physician.

SECTION 5: FIRE-FIGHTING MEASURES
Extinguishing Media
-Suitable Extinguishing Media Non-combustible. As appropriate for surrounding fire. -Unsuitable Extinguishing Media None anticipated.

Special hazards arising from the substance or
mixture
Combustion or thermal decomposition will evolve toxic and irritant vapours.

Advice for fire-fighters A self contained breathing apparatus and suitable protective clothing should be worn in fire conditions. Keep containers cool by spraying with water if exposed to fire.

SECTION 6: ACCIDENTAL RELEASE MEASURES
Personal precautions, protective equipment and
emergency procedures
Avoid contact with skin and eyes. Wear protective gloves/eye protection.

Environmental precautions Prevent liquid entering sewers, basements and work pits. Avoid release to the environment.

CC 2210
Revision: 03/26/21 Page: 3/6

Methods and material for containment and cleaning up Cover spills with inert absorbent material. Transfer to a container for disposal or recovery.

Reference to other sections None
Additional Information None
SECTION 7: HANDLING AND STORAGE
Precautions for safe handling Avoid contact with skin and eyes.

Conditions for safe storage, including any incompatibilities -Storage temperature Keep in a cool, well ventilated place. Store at temperatures not exceeding 50°C / 122 °F. Protect from sunlight.
-Incompatible materials This product should be stored away from sources of strong heat, oxidizing chemicals,and reducing agents.

Specific end use(s) Water Treatment Chemical
SECTION 8: EXPOSURE CONTROLS/PERSONAL PROTECTION
Occupational Exposure Limits

SUBSTANCE. CAS No.
(8hr TWA) (STEL)
Note:

PEL
(OSHA)
TLV
(ACGIH)
PEL
(OSHA)
TLV
(ACGIH)
Aluminum Chlorohydrate, as Al 12042-91-0 15 mg/m3 (T)
5 mg/m3 (R) 1 mg/m3 (R) ----- ----- -----
- (T) Total Particulate; (R) Respirable Particulate
Recommended monitoring method NIOSH 7013 (Aluminum and compounds, as Al) Exposure controls
Appropriate engineering controls Not normally required.

Personal protection equipment
Eye/face protection

Wear protective eyewear (goggles, face shield, or safety glasses).

Skin protection (Hand protection/ Other)

Wear suitable gloves if prolonged skin contact is likely. Check with protective equipment manufacturer's data.

Respiratory protection

Normally no personal respiratory protection is necessary. In case of insufficient ventilation, wear suitable respiratory equipment. Check with protective equipment manufacturer's data.

Thermal hazards Not normally required. Use gloves with insulation for thermal protection, when needed.

Environmental Exposure Controls Avoid release to the environment.

CC 2210
Revision: 03/26/21 Page: 4/6

SECTION 9: PHYSICAL AND CHEMICAL PROPERTIES
Information on basic physical and chemical properties
Appearance Liquid
Color. Almost colourless to pale yellow
Odor None
Odor Threshold (ppm) Not available
pH (Value) 4.0 - 4.5
Melting Point (°C) / Freezing Point (°C) - 6.6 (20 °F)
Boiling point/boiling range (°C): 100 °C (212 °F)
Flash Point (°C) Non-combustible
Evaporation Rate Similar to water
Flammability (solid, gas) Not applicable
Explosive Limit Ranges Non-combustible
Vapor pressure (Pascal) Similar to water
Vapor Density (Air=1) Similar to water
Density (g/ml) 1.25 - 1.34
Solubility (Water) Miscible
Solubility (Other) Not available
Partition Coefficient (n-Octanol/water) Not available
Auto Ignition Point (°C) Non-combustible
Decomposition Temperature (°C) Not available
Kinematic Viscosity (cSt) Similar to water
Explosive properties Not explosive
Oxidizing properties Not oxidising
Other information Not available
SECTION 10: STABILITY AND REACTIVITY
Reactivity Stable under normal conditions.

Chemical stability Stable.

Possibility of hazardous reactions None anticipated.

Conditions to avoid Incompatible materials.

Incompatible materials Substances that react with water or aluminum.

Hazardous decomposition product(s) None anticipated.

SECTION 11: TOXICOLOGICAL INFORMATION
Exposure routes: Inhalation, Skin Contact, Eye Contact
Aluminum Chlorohydrate (CAS No. 12042-91-0):

Acute toxicity Oral LD50 = 9187 mg/kg (Rat)
Dermal LD0 = >2000 mg/kg (Rat)
Irritation / Corrosivity Unlikely to cause eye irritation. Unlikely to cause skin irritation.

Sensitisation It is not a skin sensitiser.

Repeated dose toxicity Not to be expected.

Carcinogenicity It is unlikely to present a carcinogenic hazard to man.

NTP IARC ACGIH OSHA NIOSH
No. No. No. No. No.

Mutagenicity Negative
Toxicity for reproduction Negative

CC 2210
Revision: 03/26/21 Page: 5/6

Reproductive toxicity Not to be expected
Other information None known.

SECTION 12: ECOLOGICAL INFORMATION
Ecotoxicity
Proprietary Compound (CAS No. Trade Secret):

Short term LC50 (96 hr): 10 - 100 mg/l (Danio rerio)
EC50 (48 hour): 38 mg/L (Daphnia magna)
Long Term Not available.

Persistence and degradability Not readily biodegradable.

Bioaccumulative potential The product has no potential for bioaccumulation.

Mobility in soil Not available.

Results of PBT and vPvB assessment Not classified as PBT or vPvB.

Other adverse effects Not available.

SECTION 13: DISPOSAL CONSIDERATIONS
Waste treatment methods Disposal should be in accordance with local, state or national legislation. Consult an accredited waste disposal contractor or the local authority for advice.

SECTION 14: TRANSPORT INFORMATION

U.S. DOT Sea transport
(IMDG)
Air transport
(ICAO/IATA)
UN number
Not classified as dangerous for transport. Proper Shipping Name Transport hazard class(es)
Packing group
Environmental hazards
Special precautions for user
Transport in bulk according to Annex II of MARPOL73/78 and the IBC Code: Not applicable SECTION 15: REGULATORY INFORMATION
Safety, health and environmental regulations/legislation specific for the substance or mixture:

TSCA (Toxic Substance Control Act) - Inventory Status: All components listed or polymer exempt.

Designated Hazardous Substances and Reportable Quantities (40 CFR 302.4):

Chemical Name CAS No. Typical %wt. RQ (Pounds)
None ----- ----- -----
SARA 311/312 - Hazard Categories: None
Fire Sudden Release Reactivity Immediate (acute) Chronic (delayed) SARA 313 - Toxic Chemicals (40 CFR 372):

Chemical Name CAS No. Typical %wt.

CC 2210
Revision: 03/26/21 Page: 6/6

None ----- -----
SARA 302 - Extremely Hazardous Substances (40 CFR 355):

Chemical Name CAS No. Typical %wt. TPQ (pounds)
None ---- ---- ----
California Proposition 65 List:

Chemical Name CAS No. Type of Toxicity
None ----- -----
SECTION 16: OTHER INFORMATION
The following sections contain revisions or new statements: 1-16.

Date of preparation: May 19, 2015
Hazard Statement(s) and Risk Phrases Listed in: SECTION 2:/ SECTION 3:

Hazard Statement(s)
- H402: Harmful to aquatic life.
- H412: Harmful to aquatic life with long lasting effects.

Training advice: None.

Disclaimer: We believe the statements, technical information and recommendations contained herein are reliable, but they are given without warranty or guarantee of any kind. The information contained in this document applies to this specific material as supplied. It may not be valid for this material if it is used in combination with any other materials. It is the user’s responsibility to satisfy oneself as to the suitability and completeness of this information for the user’s own particular use.

CC 2220
Revision: 03/24/21 Page: 1/6

SECTION 1: PRODUCT AND COMPANY IDENTIFICATION
Product identifier
Chemical Name Mixture
CAS No. Mixture
Trade Name CC 2220
Product Code None
Relevant identified uses of the substance or mixture and uses advised against Identified Use(s) Water Treatment Chemical
Uses Advised Against None
Company Identification USALCO Modesto Plant, LLC
2601 Cannery Ave
Baltimore, MD 21226
Telephone (410)-354-0100
Fax (410)-354-1021
E-Mail (competent person) [email protected]
Emergency telephone number
Emergency Phone No. CHEMTREC 24 hr. (800) 424-9300; Not classified as dangerous for transport.