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Home My WebLink AboutBadger Lab & Engineering Co ��'��► �� CONTRACTOR AGREEMENT- INDUSTRIAL SAMPLING AND ANALYSIS - INDUSTRIAL PRE-TREATMENT PROGRAM THIS AGREEMENT, made on the 26T" DAY OF MARCH 2O15, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and BADGER LAB & ENGINEERING CO INC, 501 W BELL STREET, NEENAH WI 54956 hereinafter referred to as the CONTRACTOR, WITNESSETH: That the City and the Contractor,for the consideration hereinafter named, enter into the following Agreement. The CITY'S Bid Specifications and Insurance requirements are attached hereto and incorporated into this Agreement. The Contractor's proposal is also attached hereto and reflects the agreement of the parties except where it conflicts with the CITY'S terms within this agreement, in which case the CITY'S Bid Specifications, Insurance requirements, and other terms of this agreement shall prevail. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The Contractor shall assign the following individual to manage the project described in this contract: (JOHN H LARSON, PROJECT MANAGER) B. Changes in Project Manager. The City shall have the right to approve or disapprove of any proposed change from the individual named above as Project _ _=__- _Manag=er._The City__shall_be provided with _a___resume or_other infor_mation for any__ _ _ ___,__ proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE II. CITY REPRESENTATIVE The City shall assign the following individual to manage the project described in this contract: (JASON ELLIS, INDUSTRIAL PRETREATMENT COORDINATOR) ARTICLE III. SCOPE OF WORK The Contractor shall provide services described in the City's February 23, 2015, Invitation for Bid for the Project titled INDUSTRIAL SAMPLING AND ANALYSIS - INDUSTRIAL PRE-TREATMENT PROGRAM and the Contractor's bid form dated MARCH 9, 2015. If anything in the contractor's proposal conflicts with this agreement, the provisions in this agreement, the provisions of this agreement shall govern. 1 The Contractor may provide additional products and/or services if such products/services are requested in writing by the Authorized Representative of the City. ARTICLE IV. CITY RESPONSIBLITIES The City shall furnish, at the Contractor's request, such information as is needed by the Contractor to aid in the progress of the project, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the Contractor's work the City will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. ARTICLE V. TIME OF COMPLETION The work to be performed under this contract shall be commenced per the time frames specified in the bid proposal. ARTICLE VI. PAYMENT A. The Agreement Sum. The City shall pay to the Contractor for the performance of the Agreement the total sum forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: • Bid 201 5-201 6 552,148.00 (Fifty two thousand One hundred Forty-eight dollars and 00/100.) • Bid 2016-2017 $52,148.00(Fifty two thousand One hundred Forty-eight dollars and 00/100.) • Bid 2017-2018 554,660.00 (Fifty four thousand Six hundred Sixty - - - - --- dollars=and=00/1=00.)— - - - - Attached (EXHIBIT A) unit price schedules shall be firm for the duration of this Agreement. B. Method of Payment. The Contractor shall submit itemized monthly statements for services. The City shall pay the Contractor within 30 calendar days after receipt of such statement. If any statement amount is disputed, the City may withhold payment of such amount and shall provide to Contractor a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services to be negotiated and set forth in a written amendment to this agreement executed by both parties prior to proceeding with the work covered under the subject amendment. 2 ARTICLE VII. CONTRACTOR TO HOLD CITY HARMLESS The Contractor covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims and demands of any kind or character whatsoever which may in any way be caused by or result from the intentional or negligent acts of the Contractor, his agents or assigns, his employees or his subcontractors related however remotely to the performance of this Contract or be caused or result from any violation of any law or administrative regulation, and shall indemnify or refund to the City all sums including court costs, attorney fees and punitive damages which the City may be obliged or adjudged to pay on any such claims or demands within thirty (30) days of the date of the City's written demand for indemnification or refund. ARTICLE VIII. INSURANCE The Contractor agrees to abide by the attached (EXHIBIT B) City of Oshkosh Insurance Requirements. The CITY does not waive this requirement due to its inaction or delayed action in the event that the Contractor's actual insurance coverage varies from the Insurance required. ARTICLE IX. TERMINATION A. For Cause. If the Contractor shall fail to fulfill in timely and proper manner any of the obligations under this Agreement, the City shall have the right to terminate this Agreement by written notice to the Contractor. In this event, the Contractor shall be entitled to compensation for any satisfactory, usable work completed. _- -- --B. For-Convenience.- - = -- ---- The City may terminate this contract at any time by giving written notice to the Contractor no later than 10 calendar days before the termination date. If the City terminates under this paragraph, then the Contractor shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the Agreement and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this Agreement. 3 In the Presence of: CONTRACTOR /CONSULTANT gy; �-��..��w, s� �'� ��s�L,n 7� (Seal of Contractor (Specify Title) if a Corporation.) By: (Specify Title) CITY OF OSHKOSH ; , BY. . ��,�� U �` __ �� ? �� Ma k A. Rohloff, City Manager (W'tness) ---__ — ------ � � � . � � �� , __ _ �, � , � And: '- (Witness) Pamela R. Ubrig, City lerk APPROVED: I hereby certify that the necessary provisions have been made to __- ' -- --- - - —pay=the=liabitity=which-will=accrue under this contract. City Att �� City Com�oller 4 EXHIBIT A __ 5 BID PRQPOSAL �ORM CITY OF �SHKOSH INDUSTRIAL SAMPLIfVG AND ANA�.YSIS PAG� 1 OF 2� From: Badqer Laboratories & Engineering Co., inc. (�idder`s company name) . BID PROPOSAL DEADLINE: 10:00 a.m. CST, Moc�day, Nlarch 9, 2015 (late submittals will �ot be accepted). � Addenda: We hereby acknowle�ge receipt of and have tharoughiy examined the written addenda(s) issued prior to the Bid Opening Date in association with this project. These addenda(s) are number_�_ through 1 , inclusive, INe r"urther understand that failure to fully list fhe numbers of afl published Addenda{s) may cause our bid to be rejected. We, the undersigned,.in compliance with the Invitation for Bids and havirtg carefully examined the specifcations for the proposed wor€c and having determined all of the conditions of the work, the rules, regulations, laws, codes, ordinances, and other governing circumstances relating to this projec�, propose ta furnish afl [abor, materials, and equipment necessary ta compfete the services � described in the project documents to the Owner's satisfactior�. By submitting this bid (or joint bid}, we the undersigned, cer�ify that each party thereto that this b�d has been arrived a� independently without consultation, cammunica�ion, or agreement as to a matter refating to this bid and with any ot�er bidder or with any competitor. BID � . Industriaf INastewater Sampling and Analysis Indt�stria( Pre-Treatment Pragram Total from Industry Annual Sampling Cos�Workshee� for Year 1 2015-2016 Fifty Two Thousand One Hundred and Forty Eight (pol(ars ) $ 52,148.00 Industrial Wastewater Sampling and Anafysis Industrial Pre-Treatment Program Tafal from Industry Annuaf Sampling Cost Warksheet far.Year 2 20i6-2017 � Fifty Two Thousand One Hundred and Forty Eiqht (DaElars ) $ 52,148.00 Industrial Wastewater Sampling and Analysis Industrial Pre-Treatment Program Total from Industry Annuaf Sampling Cost Worksheet for Year 3 2017-2018 Fiftv Four Thousand Six Hundred and Sixty (Dollars ) $ _54,660.00 Bid Totaf-Sum of annua( totals for Year 1, Year 2, Year 3 (2015-2018) For The Sum Of; , One Hundred and Fifty Eight Thousand Nine Hundred and Fifty Six (Dollars ) $ 158,956.00 � � 16 ! . ! BI� PROPOSAL FORM CITY OF OSHKOSH INDUSTRIAL SAMPLING AND ANA►LYSIS PAGE20F2 Badger Laboratories & Engineering Co., Inc. Name of Company Submitted by: Richard O. Larson, President � Name &Title of Person Submitting Bid March 9 2Q15 501. W. Bell St. Date Address of Company Neenah WI 54956 City State , � Zip ( 920 ) 729-1100 TeEe�hone Number � 17 INDUSTRY ADDRESS ANNUALCOST 1 ACCUTECH MACHINE AGAIN 151 W FERNAU AVE $924.00 2 AXLETECH INTERNATIONAL 1005 HIGH ST $2,296.00 3 GENERAC POWER SYSTEMS c�HOS.wnsro 3815 OREGON ST $400.00 4 GENERAC POWER SYSTEMS�asrncewnsM 3815 OREGON ST $936.00 5 HYDRITE CHEMICAL CO 191 W 28TH AVE $268.00 6 J J KELLER COMPANY cz-Tnr�K coMP> 7273 STATE HWY 76 $612.00 7 KINGSBURY INC 455 W WAUKAU AVE $1,148.00 S MAGNACOAT INC c�+cruPHOSCOnrwc� 615 LEEWARD CT WEST $936.00 9 MAGNACOAT INC ceucKOxioecoa.nNC� 615 LEEWARD CT WEST $936.00 10 MULTICIRCUITS 2301 UNIVERSAL $936.00 11 MU7A METAL PRODUCTS 606 E MURDOCK AVE $784.00 � ^ � O / / , ( �G 12 OSHKOSH TRUCK WEST 500 W WAUKAU AVE �2,120.00 � � I � 13 OSHKOSH TRUCK SOUTH cFACroRVSevvERS�s�� 333 W 29TH AVE(FncroRrseweR; $2,664.00 / ofi u 14 OSHKOSH TRUCK SOUTH c�-conr PReTaea.rMeNn 333 W 29TH AVE(e-conT) $936.00 15 OSHKOSH TRUCK SOUTH(IRBATCH PRETREATMEN.�i.33 W Z9TH AVE(IR BATCH) $936.00 ��i� _ � � / � 16 OSHKOSH TRUCK DEFENSE PLANT 2737 HARRISON ST $1,060.00 17 OSHKOSH CORRECTIONAL��a.uNOrxvJ 1730 W SNELL RD $2,772.00 18 OSHKOSH CORRECTIONAL cKircHeM 1730 W SNELL RD $2,412.00 19 OSHKOSH PLATING 1228 W SOUTHPARK AVE $1,872.00 20 PEPSI COLA 2541 W 20TH AVE $2,412.00 21 PIONEER METAL FINISHING caRErRenTMeNr� 164 W 28TH AVE $936.00 22 PIONEER METAL FINISHING c�ncroRVSew�� 164 W 28TH AVE $1,816.00 _ _— _ ----- 23 QUAUTY PAINT&COATWGS�PRErRearMeNn 6610 STATE RD 44 $1,088.00 24 QUALITY PAINT&COATINGS Mo�iNCTnNr� 6610 STATE RD 44 $1,088.00 25 SILVER CREEK MEATS 153 W 28TH AVE $792.00 26 SMC 2100 S OAKWOOD RD $924.00 27 FOX RIVER VALLEY ETHANOL 4995 STATE RD 91 $1,148.00 28 WALD WIRE CO 846 WITZEL AVE $936.00 29 WINNEBAGO CO LANDFILL SNELL 1955 W SNELL RD $816.00 30 WINNEBAGO CO LANDFILL Y c�sr-» 1 DO COUNTY RD Y $2,604.00 31 WINNEBAGO CO LANDFILL Y c�sr-a> 100 COUNTY RD Y $2,544.00 32 WINNEBAGO CO LANDFILL Y c�rv+sEa> 100 COUNTY RD Y $3,132.00 33 WINNEBAGO CO LANDFILL Y c�r+ASes� 100 COUNTY RD Y $3,132.00 34 WINNEBAGO CO LANDFILL Y�Pw.ses� 100 COUNTY RD Y $3,132.00 35 WPS GAS PLANT SITE 45 BROAD ST $700.00 YEAR_2015-2017_ALL INDUSTRIES ANNUAL SAMPLING COST TOTAL $52,148.00 Fou: accu-�cx �c�,INC. March 2,Zo i s ADDRESS: 151 W. FERNAU AVENLTE (parts washer) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, BOD, SS,Phos. a• b. Ammonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f 4 Cu�T� f. $7.00 $28.00 g• 4 Pb(T) g. $7.00 $28.00 h Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg�� k. 1. 4 Ag(T) 1. $7.00 $28.00 m. pH m. n. 4 Cyanide n. $22.00 $88.00 o, VOC's o. p, PAH'S p• q. BETX(NR215.03) 4• r, Oil&Grease r• S, Sulfate S• t. Chloride t• u, Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 �, PCB's w Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTI'ORING REQUIl2EMENTS: $924.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: AXLETECH INTERNATIONAL March 2,2015 ADDRESS: 1005 HIGH STREET(factory sewer) l.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as spec�ed for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a 8 BOD,SS,Phos. a $27.00 $216.00 b, 8 Ammonia-Nitrogen b. $11.00 $88.00 a COD �• d. 8 Cd(�) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 �. s zn�T� �. $�.00 $s6.00 k. 8 F3g(T) k. $15.00 $120.00 I. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n. 8 G�anide n. $22.00 $176.00 a VOC's o• p. PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r� s. Sulfate S• t. Chloride t• u. Chlorine u• v. 8 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 8 24hr. Composite FP samples y $160.00 $1,280.00 For dedicated equipment sites collect,handle,store&document Z 24hr. Composite FP samples z TOTAL ANNZJAL CHARGE FOR ALL MONITORING REQUIItEiv1ENTS: $2,296.00 **(Provide flow/sample chart) �'`S -� �?�n� ��,-- �1�1� 2014-2015 LAB CONTRACT FOR: GENERAC POWER SYSTEMS (PxosP��was� March 2,2015 ADDRESS: 3815 OREGON STREET 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, BOD, SS,Phos. a• b. Ammonia-Nitrogen b• a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 J• 4 Zn(T) j. $7.00 $28.00 k. Hg�T) k, 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOC's o. p, PAH'S P• q, BETX(NR215.03) q• r, Oil&Grease r• S, Sulfate s. t, Chloride t• u, Chlorine u• �, Record flow(GPD)** �• �,, PCB'S �'• Collect,handle,store&document x. 4 Grab samples x. $26.00 $104.00 For portable equipment sites collect,handle,store&document y 4hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONtI'ORING REQUiREMENTS: $400.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: GENERAC POWER SYSTEMS(4 stage Parts wash) March 2,2015 ADDRESS: 3815 OREGON STREET 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PAR.AME'I'BRS CHARGES TOTAL a, BOD, SS,Phos. �- b. Ammonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g• 4 Pb(T) g. $7.00 $28.00 h. Mo(T) . h. i. 4 Ni(T) i. $7.00 $28.00 J• 4 Zn(T) j. $7.00 $28.00 k. Hg�T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 C�anide n. $22.00 $88.00 o. VOC's o. p, PAH'S p• q, BET'X(NR215.03) 4• r, Oil&Grease r• S, Sulfate S• �— t. Chloride t• u. Chlorine u• �. Record flow(GPD)** �• w. PCB'S w. Collect,handle,store&document X. Grab samples X• For portable equipment sites collect,handle,store&docutnent y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONITORING REQUIItEMENTS: $936.�� **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: HYDRITE CHEMICAL COMPANY March 2,2015 ADDRESS: 191 W.28TH AVENUE(NEUTRALIZATION BASIN) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAIV�T`ER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, BOD, SS,Phos. a• b. Ammonia-Nitrogen b• c. COD c. d. Cd(T) d. e. Cr(T) e. f Cu�T� f. g. Pb(T) g• h. Mo(T) h. i. Ni(T) 1- j, Zn(T) J• k. Hg(T) k. 1. Ag�T) 1. m. 4 pH m. $3:00 $12.00 n. Cyanide n. o. VOC's �• P- PAH'S P• q, BETX(NR215.03) 9• r, Oil&Grease r• S, Suifate S• t, Chloride t• u. 4 Chlorine u. $38.00 $152.00 v. Record flow(GPD)** �• W, PCB'S w. Collect,handle,store&document x. 4 Grab samples x. $26.00 $104.00 For portable equipment sites collect,handle,store&document y 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONPfORING REQUIREMENTS: $2E 8.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: J.J.KELLER COMPANY March 2,2015 ADDRESS: 7273 U. S.HIGHWAY 45 (north&east holding tanks) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g• 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) �' - $7.OQ $28.00 k. 4 Hg(T) k. $15.00 $60.00 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOC's o. p, PAH'S P• q, BETX(NR215.03) q• r, Oil&Grease r• S, Sulfate S• t, Chloride t• u, Chlorine u• �, Record flow(GPD)** �• w. PCB'S w. Collect,handle,store&document x. 4 Grab samples x. $26.00. $104.00 For portable equipment sites collect,handle,store&document y 24hr. Composite FP samples y For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTTORING REQUIIiEMENTS: $612.00 ** (Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: KINGSBURY INC. March 2,2015 ADDRESS: 455 W.WAUKAU AVENUE(factory sewer) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. 4 Hg(T) k. $15:00 $60.00 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 G�anide n. $22.00 $88.00 o. VOC's o. p. PAH'S P� q. BETX(NR215.03) q• r. Oil&Grease r• S. Sulfate S• t. Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 w, PCB'S �'• Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y. 4 24hr.Composite FP samples y. $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONIT'ORTNG REQUIREMENTS: $1,148.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT Folt: MAGNACOAT (Black Oxide Coating) March 2,2015 .�DDFtESS: 620 LEEVJARD CT QVEST l.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a• b. Ammonia-Nitrogen b• a COD �• d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h• i. 4 Ni(T) i. $7.00 $28.00. j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOCs o. p. PAH'S P• q, BETX(NR215.03) q• r. Oil&Grease r• s. Sulfate S• t. Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONPI'ORING REQLTIREMENTS: $936.0� **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: MAGNACOAT (Magna Phos.Coating) March 2,2015 P,DDRESS: 620 LEEVJARD CT WEST 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAME'TERS CHARGES TOTAL a. BOD, SS,Phos. �- b. Ammonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f 4 Cu(T) f. $7.00 $28.00 g• 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 J• 4 Zn(T) j. $7.00 $28.00 k. Hg�T) k. l. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 G�anide n. $22.00 $88.00 o. VOC�S o. p, PAH,3 p. q, BETX(NR215.03) q• r, Oil&Grease r• S, Sulfate S• t, Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 �, PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr. Composite FP samples z TOTAL ANNUAI-CHARGE FOR ALL MONIT'ORING REQUIFtEMEN'TS: $936.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: MULTICIRCUITS March 2,2015 ADDRESS: 2301 UNIVERSAL 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, BOD, SS,Phos. a• b, Ammonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. 1. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOC's �• p. PAH'S P• _ q, BETX(NR215.03) q• r, Oil&Grease r• S. Sulfate S• t, Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 W PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CI�ARGE FOR ALL MONTTORING REQUIItEMENTS: $936.�0 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: MUZA METAL PRODUCTS March 2,2015 ADDRESS: 606 E.MURDOCK AVENUE (5-Stage Parts Washer} 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a• b, Ammonia-Nitrogen b. a COD �• d. 4 Cd(T) d. $7.00 $28.00 e. Cr(T) e. f. Cu(T) f g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h• i. Ni(T) i. j. Zn(T) J• k. Hg(T) k• 1. Ag(T) 1• m. pH m. n. 4 Cyanide n. $22.00 $88.00 a VOC's o• p. PAH'S P• q. BETX(NR215.03) q. r. Oil&Grease r• s. Sulfate s• t. Chloride t• u. Chlorine u• _ v. Record flow(GPD)** �. w PCB'S �'�' Collect,handle,store&document x Grab samples _ x For portable equipment sites collect,handle,store&document y 4 4hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONIT'ORING REQUIItEMENTS: $784.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPOR.ATION March 2,2015 ADDRESS: 500 W.WAUKAU AVENUE (WEST PLANT) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 8 BOD, SS,Phos. a. $27.00 $216.00 b, g Ammonia-Niixogen b. $11.00 $88.00 c. COD �• d, 8 Cd(T) d. $7.00 $56.00 e, 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g, 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i, 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k g gg�T� k. $15.00 $120.00 1 g �,g�T� 1. $7.00 $56.00 m g pg m. $3.00 $24.00 n. Cyanide n. o. VOC's o. p, PAH'S P• q. BETX(NR215.03) Q• r. Oil&Grease r� S, Sulfate S• t, Chloride t• u. Chlorine u. v, 8 Record flow(GPD)** v. $0.00 $0.00 W PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 8 24hr.Composite FP samples y $160.00 $1,280.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MOIQITORTNG REQUIREMENTS: $2,120.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29TH AVENUE (3-SANITARY SEWER COMPOSITE- SOLJ"I'H PLANT) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44:00 c. COD �• d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h• i. 8 Ni(T) i. $7.00 $56.00 j, 8 Zn(T) j. $7.00 $56.00 k. Hg(T) k. l. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n, g C�anide n. $22.00 $176.00 o. VOC's �• p, PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r• S, Sulfate . S• t. Chloride t• ❑. Chlorine_ u• v. 12 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CFIARGE FOR ALL MONTTORING REQUIItEMENTS: $2,664.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29TH AVENUE (E-COAT DISCFiE1RGE(Pretreatment)-SOUTH PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMET`ER CHARGES ANNUALLY PARAIv�'1�RS CHARGES TOTAL a. BOD, SS,Phos. a• b. Ammonia-Nitrogen b• a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28•00 g- 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 J• 4 Zn(T) j. $7.00 $28.00 k Hg�T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 G�anide n. $22.00 $88.00 o. VOC's °• P, PAH'S p. q, BETX(NR215.03) q• r, Oil&Grease r• S. Sulfate S• t, Chloride t• u. Chlorine u• v. 4 Record flow(GPD) ** v. $0.00 $0.00 W PCB'S �'�' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP sampies y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHAEtGE FOR ALL MONIT'ORING REQUIILEMENTS: $936.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29TH AVENLTE (lR BATCH DISCHARGE(Pretreatment)-SOUTH PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the foliowing: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAlv�TERS CHARGES TOTAL a. BOD, SS,Phos. a• b, Ammonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 �. 4 zn�T) - �. $�.00 �ZS.00 k. Hg�T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOC's �• p. PAH'S P• q, BET'X(NR215.03) q• r, Oil&Grease r• S, Sulfate S• t. Chloride t• u, Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 W PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr. Composite FP samples z TOTAL ANN[JAL CHARGE FOR ALL MONITORING REQUIItEMENTS: $93C.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 2737 HARRISON STREET(DEFENSE PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h• i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) J. $7.00 $28.00 k. 4 Hg(T) k. $15.00 $60.00 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. Cyanide n• o. VOC's o. p. PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r• S. Sulfate S• t. Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL P.NNIJAL CHARGE FOR ALL MONPfORING REQUIItEMEN'TS: $1,060.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORRECTIONAL INSTITUTE March 2,2015 ADDRESS: 1730 SNELL ROAD(laundry) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f g. Pb(T) g• h. Mo(T) h• i. Ni(T) i. j, Zn(T) J• k. Hg(T) k. L Ag(T) 1. m. 12 pH m. $3.00 $36.00 n. - C�anide n• o. VOC's �• p. PAH'S P• q, BETX(NR215.03) q• r. 12 Oil&Grease r. $30.00 $360.00 S. Sulfate S• t. Chloride t- u. Chlorine u• v. 12 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr.Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNTJAL CHARGE FOR ALL MONPfOR1NG REQUIREMENI'S: $2,772.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: OSHKOSH CORRECT`IONAL INSTITUTE March 2,2015 ADD1zESS: 1730 SNELL ROAD(kitchen) 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAME'TER CHARGES ANNUALLY PARAMEI�RS CHARGES TOTAL a. 12 BOD,SS,Phos. a. $27.00 $324.00 b. 12 �nmonia-Nitrogen b. $11.00 $132.00 c. COD c. d. Cd(T) d• e. Cr(T) e. f Cu�T� f. Pb(T) g• g� h. h. Ma�T) i. Ni(T) i. J• Zn(T) �• k. Hg�T) k. 1. Ag�T) l. m. 12 pH m. $3.00 $36.00 n, Cyanide n• o, VOC's °• p. PAH'S p• q. BETX(NR215.03) 4• r, Oil&Grease r• S, Sulfate S• t, Chloride t• u. Chlorine u• v. 12 Record flow(GPD)** v. $0.00 $0.00 �,�, PCB's �'° Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr.Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONPI'ORING REQUIIZEMENI'S: $2,412.00 ;�(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH PLAT'ING March 2,2015 ADDRESS: 1228 W. SOUTH PARK AVENUE 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a b. Ammonia-Nitrogen b• a COD �• d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h• i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. Hg(T) k. l. 8 Ag(T) 1. $7.00 $56.00 m. 8 pII m. $3.00 $24.00 n. 8 Cyanide n. $22.00 $176.00 o. VOC's o• p. PAH'S P• q. BET'X(NR215.03) q• r. Oil&Grease r• s. Sulfate S� t. Chloride t• u. Chlorine u• v. 8 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �'�' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 8 24hr.Composite FP samples y $160.00 $1,280.00 For dedicated equipment sites collect,handle,store&document - Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONIT'ORING REQLTIItEMENTS: $1,872.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: PEPSI COMPANY March 2,2015 ADDRESS: 2445 W.20TH AVENUE 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as spec�ed for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Anunonia-Nitrogen b. $11.00 $132.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f Cu�T� f. g. Pb(T) g• h. Mo(T) h. i. Ni(T) i. j. Zn(T) J• k. Hg�T) k. 1. Ag(T) i. m. 12 pH m. $3.0.0 $36.00 n, Cyanide n• o. VOC's o. p. PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r• s. Sulfate S• t. Chloride t• u. Chlorine u• v. 12 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr.Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONTfORING REQUII2EMENTS: $2,412.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: PIONEER METAL FINISHING (PxE�aTMENT) March 2,2015 ADDRESS: 164 W 28TH AVE. 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. _ c. COD �. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) L $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD) ** v. w. PCB'S w. Collect,handle,store&document x. Grab samples x. For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z � 24hr.Composite FP samples z TOTAL ANNLJAL CHARGE FOR ALL MONITORING REQUIItEMENTS: $936.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: PIONEER METAL FINISHING �'acTOxY sEwER� March 2,2015 ADDRESS: 164 W 28TH AVE. 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMET'ER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD �• d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. 8 Hg(T) k. $15.00 $120.00 1. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n. C�anide n- o. VOC's o• p. PAH'S p• q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD) ** v. w. PCB'S w. Collect,handle,store&document x. Grab samples x. For portable equipment sites collect,handle,store&document y 8 24hr. Composite FP samples y $160.00 $1,280.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONPfORING REQUIItEMENTS: $1,816.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: QUALIT'Y PAINT&COATINGS March 2,2015 ADDRESS: 6610 STAT'E HWY 44-PRETREATMENT 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 c. COD �• d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h• i. 4 Ni(T) i. $7.00 $28.00 �. 4 zn(� �. $�.00 $ZS.00 k. Hg(T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 G`yanide n. $22.00 $88.00 o. VOC's o• p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r• s. Sulfate s• t. Chloride t• u. Chlorine u• v. Record flow(GPD)** v. w PCB's �' Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONIT'ORING REQUIItEIv1ENTS: $1,088.00 '•(Provide flow/sample chart) 2014-2015 LAB CONTRACT Fox: QUALITY PAINT&COATINGS March 2,2015 ADDRESS: 6610 STATE HWY 44-HOLDING TANK 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg�T) k. 1. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 C�anide n. $22.00 $88.00 o. VOC's o: P• p��s p' q. BETX(NR215.03) Q• r. Oil&Grease r• S. Sulfate S• t, Chloride t• ❑, Chlorine u• �, Record flow(GPD)** �� y PCB's �' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONPI'ORING REQUIItEMENTS: $1,088.00 #°(Provide flow/samplc chart) 2014-2015 LAB CONTRACT March 2,2015 FOR: SII,VER CREEK MEATS ADDRESS: 153 W.28TH AVENUE 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAivIE'I'BR CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, 4 BOD, SS,Phos. a. $27.00 $108.00 b. 4 Ammonia-Nitrogen b. $11.00 $44.00 c. COD c. d. Cd(T) d' e. Cr(T) e. f. Cu(T) f Pb(T) g' g Mo(T) h. ._ h. i. Ni(T) i. Zn(T) �' �' k. k. Hg�T) A��T) l. 1. m. PH m� n. Cyanide n' o. VOC�S o. P• PAH'S p. q, BETX.(NR215.03) q• r. Oil&Grease r• s. Sulfate S� t. Chloride t• u. Chlorine u' �. 4 Record flow(GPD) ** �, $0.00 0.00 �, PCB'S �' Collect,handle,store&document X Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTTORING REQUIItEMENTS: $792.00 ** (Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: SMC March 2,2015 .4�D�tESS: 2100 S OAKWOOD RD(Phosphate Wash) 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PAR.AMETERS CHARGES TOTAL a. BOD, SS,Phos. a• b, Ammonia-Nitrogen b. a COD �• d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g, 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h• i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k� 1. 4 Ag(T) 1. $7.00 $28.00 m. pH m. n. 4 Cyanide n. $22.00 $88.00 o. VOC's o• p. PAH'S P• _ q. BETX(NR215.03) q• r. Oil&Grease r• s. Sulfate S• t. Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTfORING REQUIltEMENTS: $924.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT Fox: FOX RIVER VALLEY ET'HANOL LLC March 2,2015 ADDRESS: 4995 STAT'E RD 91 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVENT E��T NUMBER p�,ME�R CHARGES OF EVENI'S CHARGES TOTAL AN N UALLY PARAME'I'BRS 4 BOD, SS,Phos. a. $27.00 $108.00 a• b, $11.00 $44.00 b 4 Ammonia-Nitrogen c. COD c $7.00 $28.00 Cd(T) d' d. 4 $7.00 $28.00 e. e. 4 Cr(T) f $7.00 $28.00 f. 4 Cu(T) $7.00 $28.00 4 Pb�T) g� g' h. h. MO�T� $7.00 $28.00 i. 4 Ni(T) i. $28.00 4 Zn�T� �. $7.00 J• k. $15.00 $60.00 k. 4 Hg�T) 1 $7.00 $28.00 1. 4 Ag�T) m $3.00 $12.00 m. 4 pH $22.00 $88.00 n. 4 Cyanide n' o. VOC's o. PAH'S p. P� q. q, BETX(NR215.03) r. Oil&Grease r' s. Sulfate S' t. Chloride t' Chlorine u' u• $0.00 $0.00 �. 4 Record flow(GPD)** °' �y PCB'S w Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document $160.00 $640.00 y 4 24hr.Composite FP samples Y For dedicated equipment sites collect,handle,store&document 24hr.Composite FP samples z z $1,148.00 TOTAL ANNUAI-CHARGE FOR ALL MONTTORING REQUIREMENTS: **(Provide flow/sampie chart) 2014-2015 LAB CONTRACT FOR: WALD WIRE COMPANY March 2,2015 ADDRESS: 846 WITZEL AVENUE 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PAR.AMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Anunonia-Nitrogen b. a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $22.00 $88.00 o. VOCs o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $160.00 $640.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNi7AL CHARGE FOR ALL MONPI'ORING REQUIILEMENTS: $93 Fi.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFII.,L March 2,2015 ADDRESS: 3252 SNELL ROAD 1.Laboratory analysis, sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Anunonia-Nitrogen b. $11.00 $132.00 c. COD �• d. Cd(T) d• e. Cr(T) e• f. Cu(T) f g. Pb(T) S• h. Mo(T) h• i. Ni(T) i• j. Zn(T) J• k. Hg(T) k. 1. Ag(T) 1. m. pH m. ❑. C�anide n- o. VOC's o• p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r• s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u• v. 12 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S �' Collect,handle,store&document x Grab samples x For portable equipment sites collect,handie,store&document y 24Yu.Composite FP samples y For dedicated equipment sites collect,handle,store&document z 12 24hr.Composite FP samples. z $16.00 $192.00 TOTAL ANN[JAL CHARGE FOR ALL MONIT'ORING REQUIItEMENTS: �816.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFILL(PHASE 4) March 2,2015 ADDRESS: 100 COLJNTY ROAD Y 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 a COD �• d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h. Mo(T) h. i. 12 Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg�� k• 1. 12 Ag(T) 1. $7.00 $84.00 m. pH m. n. Cyanide n. o. VOC's o. p. PAH'S P• q. BETX(NR215.03) Q• r, Oil&Grease r• s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Record flow(GPD) ** v. $0.00 $0.00 W PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr.Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr. Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONiTORING REQUIREMENTS: $3,132.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFILL March 2,2015 ADDRESS: 100 W.COi7NTY ROAD Y (LST- 1 ) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 a COD �- d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h: Mo(T) h• i. 12 Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg(T) k• 1. 12 Ag(T) 1. $7.00 $84.00 m. pH m- n. G�anide n. o. VOC's o• p. PAH'S p• q. BETX(NR215.03) q. r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Record flow(GPD)** v. $0.00 $0.00 w 12 PCB's w $100.00 $1,200.00 Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document z 12 24hr.Composite FP samples z $16.00 $192.00 TOTAL ANN7JAL CHARGE FOR ALL MONTTORING REQUIREMENI'S: $2,E04.O0 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFILL March 2,2015 ADDRESS: 100 W.COUNTY ROAD Y (LST-3) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 c. COD �• d. Cd(T) d• e. Cr(T) e• f. Cu(T) f. g. Pb(T) g. h. Mo(T) h. i. Ni(T) i• j. Zn(T) j. k. Hg(T) k. 1. Ag(T) 1. m. pH m. n. G�anide n. o. VOC's o• p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Recard flow(GPD)** v. $0.00 $0.00 w PCB's w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONIT'ORING REQUIREMENTS: $2,544.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFILL(PHASE 5) March 2,2015 ADDRESS: 100 COUNTY ROAD Y 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 c. COD �• d. 12 Cd(T) d. _ $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h. Mo(T) h. i. 12 � Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg(T) k. l. 12 Ag(T) 1. $7.00 $84.00 m. pH m. n. Cyanide n• o. VOC's �• p. PAH'S P• q. BETX(NR215.03) q• r, Oil&Grease r• s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u, Chlorine u• v. 12 Record flow(GPD) ** v. $0.00 $0.00 W PCB'S �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONiTORING REQUIKEIvIENTS: $3,132.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFII,L March 2,2015 ADDRESS: 100 W. COUNTY ROAD Y (Phase 6) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMET'ERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $27.00 $324.00 b. 12 Ammonia-Nitrogen b. $11.00 $132.00 c. COD �• d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h. Mo(T) h• i. 12 Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg(T) k. 1. 12 Ag(T) l. $7.00 $84.00 m. pH m. n. Cyanide - n• o. VOC's �• p. PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r• s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u• v. 12 Record flow(GPD) ** v. $0.00 $0.00 �y PCB's �'�' Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 12 4hr.Composite FP samples y $160.00 $1,920.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNi7AL CHARGE FOR ALL MONTTORING REQUIftEMENTS: $3,132.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2, 2015 FoR: INDICATE iTNIT PRICE FOR EACH PARAMETER LISTED ,e,DnxxESS: WITH A UNIT REPRESENTING ONE DAILY EVENT COST 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PARAMETER OF EVENTS PARAMET`ERS PER EVENT ANNUALLY CHARGES a. 156 BOD, SS,Phos. a. $27.00 b. 156 Ammonia-Nitrogen b. $11.00 c. 0 COD c. $15.00 d. 160 Cd(T� d. $7.00 e. 156 Cr('1� e. $7.00 f. 156 Cu(T) f. $7.00 g. 160 Pb(T) g. $7.00 h. 0 Mo(T� h. $7.00 I. 156 Ni(T) I. $7.00 j. 156 Zn(T) j. $7.00 k. 40 Hg(T) k. $15.00 1. 156 Ag('1� 1. $7.00 m. 140 pH m. $3.00 n. 96 G�anide n. $22.00 o. 0 VOC's o. $80.00 p, 4 PAH'S P. $85.00 q. 4 BETX(NR215.03) q. $42.00 r. 12 Oil&Grease r. $30.00 s, 72 Sulfate s. $9.00 t 72 Chloride t. $5.00 u. 4 Chlorine u. $38.00 v. 192 Record flow(GPD)** v. $0.00 w 12 PCB'S w $100.00 Collect,handle,store&document x . 16 Grab samples x $26.00 For portable equipment sites collect,handle,store&document y 196 24hr.Composite FP samples y $160.00 For dedicated equipment sites collect,handle,store&document z 24 24hr.Composite FP samples z $16.00 TOTAL ANNUAL CHARGE FOR ALL MONITORING REQUIl2EMENTS: **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WPS GAS PLANT March 2,2015 �DxESS: 305 CEAPE AVE NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL BOD, SS,Phos. 0 Ammonia-Nitrogen 0 COD 0 Cd(T) 0 Cr(T) 0 Cu(T) 0 Pb(T) 0 Mo(T) 0 Ni(T) 0 Zn(T) 0 Hg(T) 0 Ag(T) 0 pH 0 4 G�anide 0 $22.00 $88.00 VOC's 0 4 PAH'S 0 $85.00 $340.00 4 BETX(NR215.03) 0 $42.00 $168.00 Oil&Grease 0 Sulfate 0 Chloride 0 Chlorine 0 Record flow(GPD)** 0 PCB's 0 Collect,handle,store&document 4 Grab samples 0 $26.00 $104.00 For portable equipment sites collect,handle,store&document 24hr. Composite FP samples 0 For dedicated equipment sites collect,handle,store&document 24hr.Composite FP samples 0 TOTAL ANNTJAL CHARGE FOR ALL MONITORING REQTJIIZEMENTS: $700.00 '*(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: FILL OUT UNIT PRICE FOR EACH PARAMF;TER LISTED ADDRESS: 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NLTMBER PARAMETER EVENT OF EVENTS PARAMETERS PER EVENT CHARGES ANNUALLY CHARGES TOTAL a. 156 BOD, SS,Phos. a. $27.00 $4,212.00 b. 156 Anunonia-Nitrogen b. $11.00 $1,716.00 c. 0 COD c. $15.Od $0.00 d. 160 Cd(T) d. $7.00 $1,120.00 e. 156 Cr(T) e. $7.00 $1,092.00 f. 156 Cu(T) f. $7.00 $1,092.00 g. 160 Pb(T) g. $7.00 $1,120.00 h. 0 Mo(T) h $7.00 $0.00 i. 156 Ni(T) i. $7.00 $1,092.00 j. 156 Zn(T) j. $7.00 $1,092.00 k. 40 Hg(T) k. $15.00 $600.00 l. 156 Ag(T) 1. $7.00 $1,092.00 m. 140 pH m. $3.00 $420.00 n. 96 G�anide n. $22.00 $2,112.00 o. 0 VOC's o. $80.00 $0.00 p. 4 GRO p. $85.00 $340.00 q. 4 BETX(NR215.03) q. $42.00 $168.00 r. 12 Oil&Grease r. $30.00 $360.00 s. 72 Sulfate s. $9.00 $648.00 t. 72 Chloride t. $5.00 $360.00 u. 4 Chlorine u. $38.00 $152.00 v. 192 Record flow(GPD)** v. $0.00 $0.00 w 12 PCB'S w $100.00 $1,200.00 Collect,handle,store&document x 16 Grab samples x $26.00 $416.00 For portable equipment sites collect,handle,store&document y 196 24hr. Composite FP samples y $160.00 $31,360.00 - For dedicated equipment sites collect,handle,store&document z 24 24hr. Composite FP samples z $16.00 TOTAL ANNiJAL CHARGE FOR ALL MONPTORING REQUIREMENTS: 48.00 � **(Provide flow/sample chart) D�. '� � '}�9 a� 2014-2015 LAB CONTRACT INDUSTRY ADDRESS ANNUALCOST 1 ACCUTECH MACHINE AGAIN 151 W FERNAU AVE $972.00 2 AXLETECH INTERNATIONAL 1005 HIGH ST $2,408.00 3 GENERAC POWER SYSTEMS caHOS.wnsHJ 3815 OREGON ST $412.00 4 GENERAC POWER SYSTEMS�asTncewasr� 3815 OREGON ST $984.00 5 HYDRITE CHEMICAL CO 191 W 28TH AVE $280.00 6 J J KELLER COMPANY cz-rnNK coMP� 7273 STATE HWY 76 a632.00 7 KINGSBURY INC 455 W WAUKAU AVE $1,204.00 8 MAGNACOAT INC cMACru,aHOS coaTiNC> 615 LEEWARD CT WEST $984.00 9 MAGNACOAT INC ceucKOxi�ecoa-riNC� 615 LEEWARD CT WEST �984.00 10 MULTICIRCUITS 2301 UNIVERSAL $984.00 11 MUZA METAL PRODUCTS 606 E MURDOCK AVE �832.00 12 OSHKOSH TRUCK WEST 500 W WAUKAU AVE $2,216.00 �3 OSHKOSH TRUCK SOUTH�ncroRVSewetzs�sp 333 W 29TH AVE�FncTORrseweR; $Z,HOB.00 14 OSHKOSH TRUCK SOUTH�-eoa.-r PR�enrnnen,n 333 W 29TH AVE�e-conT� �984.00 15 OSHKOSH TRUCK SOUTH�iR snTCH PR�FnrMenr 333 W 29TH AVE(irx er+1cH) i984.00 �Q� �—� � �D 16 OSHKOSH TRUCK DEFENSE PLANT 2737 HARRISON ST $1,108.00 17 OSHKOSH CORRECTIONAL�uuNORV� 1730 W SNELL RD 52,940.00 18 OSHKOSH CORRECTIONAL�rc�TCHeN� 1730 W SNELL RD $2,556.00 19 OSHKOSH PLATING 1228 W SOUTHPARK AVE $1,968.00 20 PEPSI COLA 2541 W 20TH AVE $2,556.00 21 PIONEER METAL FINISHING�ar�raFaa�rnneNr� 164 W 28TH AVE $984.00 22 PIONEER METAL FINISHING c�ncTORrs�R� 164 W 28TH AVE $1,896.00 23 QUALITY PAINT&COATINGS�RerRearMeNn 6610 STATE RD 44 $1,144.00 24 QUALITY PAINT&COATINGS cHO�oiNCTaNq 6610 STATE RD 44 $1,144.00 25 SILVER CREEK MEATS 153 W 28TH AVE $840.00 26 SMC 2100 S OAKWOOD RD $972.00 27 FOX RIVER VALLEY ETHANOL 4995 STATE RD 91 $1,204.00 28 WALD WIRE CO 846 WITZEL AVE $984.00 29 WINNEBAGO CO LANDFILL SNELL 1955 W SNELL RD $840.00 30 WINNEBAGO CO LANDFILL Y�sr-i� 100 COUNTY RD Y $2,628.00 31 WINNEBAGO CO LANDFILL Y�sr-3> 100 COUNTY RD Y $2,688.00 32 WINNEBAGO CO LANDFILL Y�Hnsea� 100 COUNTY RD Y �3,276.00 33 WINNEBAGO CO LANDFILL Y�ar+nses� 100 COUNTY RD Y $3,276.00 34 WINNEBAGO CO LANDFILL Y cPHases� 100 COUNN RD Y $3,276.00 35 WPS GAS PLANT SITE 45 BROAD ST $712.00 YEAR 2017-2018 ALL INDUSTRIES ANNURL SAMPLING COST TOTAL $54,660.00 FoR: ACCU-TECH MACHINE,INC. March 2,2015 ADDRESS: 151 W. FERNAU AVENLTE (parts washer) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a, BOD, SS,Phos. a• b, Anunonia-Nitrogen b• c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 �. 4 zn�T> �. $�.00 $ZS.00 k. Hg�T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. pH m. n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S P• q. BETX(NR215.03) q• r, Oil&Grease r• S. Sulfate S• t, Chloride t• u, Chlorine u• v. 4 Record flow(GPD) ** v. $0.00 $0.00 W PCB's �' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00. For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONPI'ORING REQLIIREMENTS: $972.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: AXLETECH INTERNATIONAL March 2,2015 ADDRESS: 1005 HIGH STREET(factory sewer) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the;following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 8 BOD, SS,Phos. a. $28.00 $224.00 b. 8 Ammonia-Nitrogen b. $12.00 $96.00 c. COD c. d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. S Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. 8 Hg(T) k. $15.00 $120.00 1. 8 Ag(T) 1. $7.00 $56.00 �• 8 pH m. $3.00 $24.00 n. 8 Cyanide n. $24.00 $192.00 o. VOC's o. p• PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 8 Record flow(GPD)T* v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 8 24hr.Composite FP samples y $170.00 $1,360.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiIAL CHARGE FOR ALL MONTI'ORING REQUIItEMENTS: $Z,4O S.00 **(Provide flow/sample chart) c��`�� '-'�"lL� 2014-2015 LAB CONTRACT FOR: GENERAC POWER SYSTEMS �PxosrxaTE wasx� March 2,2015 ADDRESS: 3815 OREGON STREET 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 C�anide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD) ** v. w. PCB'S w. Collect,handle,store&document x. 4 Grab samples x. $27.00 $108.00 For portable equipment sites collect,handle,store&document y 4hr. Composite FP samples y For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CHAI2GE FOR ALL MONTfORING REQUIItEMENTS: $412.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: GENERAC POWER SYSTEMS(a sr�ge Pazrs w�h� March 2,2015 ADDRESS: 3815 OREGON STREET 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b, Ammonia-Nitrogen b. c. COD �• d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 � $28.00 k. Hg(T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 C�anide n. $24.00 $96.00 � o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD) ** v. w. PCB'S w. Collect,handle;store&document x. Grab samples x. For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONI'I'ORING REQUIItEMENTS: $984.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: HYDRTTE CHEMICAL COMPANY March 2,2015 ADDRESS: 191 W.28TH AVENUE(NEUTRALIZAT`ION BASII� 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f. g. Pb(T) g. h. Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. 1. Ag(T) 1. m. 4 pH m. $3.00 $12.00 n. Cyanide n. o. VOC's a p. PAII'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. 4 Chlorine u. �40.00 $160.00 v. Record flow(GPD)** v. w. PCB'S w. Collect,handle,store&document x. 4 Grab samples x. $27.00 $108.00 For portable equipment sites collect,handle,store&document y 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTTORING REQUIlZEMENTS: $280.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: J.J.KELLER COMPANY March 2,2015 ADDRESS: 7273 U. S.HIGHWAY 45 (north&east holding tanks) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Ammonia-Nitrogen b. $12.00 $48.00 a COD �• d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h� i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. 4 Hg(T) k. $15.00 $60.00 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o• p. PAH'S p• q. BETX(NR215.03) q• r. Oil&Grease r. s. Sulfate s• t. Chloride t. u. Chlorine ❑• v. Record flow(GPD) ** v. w. PCB'S w. Collect,handle,store&document x. 4 Grab samples x. $27.00 $108.00 For portable equipment sites collect,handle,store&document y 24hr. Composite FP samples y For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNCJAL CHARGE FOR ALL MONTTORING REQUIREMENTS: $632.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: KINGSBURY INC. March 2,2015 ADDRESS: 455 W.WAUKAU AVENUE(factory sewer) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Anmionia-Nitrogen b. $12.00 $48.00 c. COD �. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. _ $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. 4 Hg(T) k. $15.00 $60.00 l. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate S. t. Chloride t. u. Chlorine U, v. 4 Record flow(GPD) ** v. $0.00 $0.00 w. PCB'S w, Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y. 4 24hr.Composite FP samples y. $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONPfORING REQUII2EMENTS: $1,204.00 **(Provide flow 1 sample chart) 2014-2015 LAB CONTRACT FOR: MAGNACOAT (Black Oacide Coaring) March 2,2015 .�DD�SS: 620 LEEWARD CT WEST 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handIe,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANN[JAL CHARGE FOR ALL MONTTORING REQUIItEMENTS: $984.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: MAGNACOAT (Magna Phos. Coating) March 2,2015 .�DFtESS: 620 LEEWARD CT WEST 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUIv�ER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 G�anide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q, r. Oil&Grease r. s. Sulfate S. t. Chloride t. u. Chlorine u, v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S W Collect,handle,store&document x Grab samples - X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNTJAL CHARGE FOR ALL MONIT'ORING REQUffLEMENI'S: $984.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: MULTICIRCLTITS March 2,2015 ADDRESS: 2301 UNIVERSAL 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as spec�ed for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD �. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g: 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNTJAL CHARGE FOR ALL MONPI'ORING REQUIItEMENI'S: $984.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: MUZA METAL PRODUCTS March 2,2015 ADDRESS: 606 E.MURDOCK AVENUE (5-Stage Parts Washer) 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. Cr(T) e. f. Cu(T) f. g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. 1. Ag(T) 1. m. pH m. n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD)** v. w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 4hr. Composite FP samples y $170.00 $680,00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONIT'ORING REQUIItEMENTS: $832.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 500 W. WAUKAU AVENTJE (WEST PLANT) 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 8 BOD, SS,Phos. a. $28.00 $224.00 b. 8 Ammonia-Nitrogen b. $12.00 $96.00 c. COD c. d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. 8 Hg(T) k. $15.00 $120.00 1. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n. Cyanide n. o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Suifate s. t. Chloride t. u. Chlorine u. v. 8 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 8 24hr.Composite FP samples y $170.00 $1,360.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONPI'ORING REQUIIZENIENTS: $2,216.00 ** (Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29T'H AVENUE (3-SANITARY SEWER COMPOSIT`E- SOUTH PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PAR.AMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Ammonia-Nitrogen b. $12.00 $48.00 �, COD c. d, 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i, 8 Ni(T) i. $7.00 $56.00 j, 8 Zn(T) j. $7.00 $56.00 k. Hg(T) k. 1. 8 Ag(T) 1. . $7.00 $56.00 m 8 pg m. $3.00 $24.00 n, S Cyanide n. $24.00 $192.00 o. VOC's a p. PAH'S P• q. BETX(NR215.03) q• r. Oil&Grease r• S, Sulfate S• t, Chloride t• u, Chlorine u• v. 12 Record flow(GPD)** v. $0.00 $0.00 w PCB'S �'�' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr.Composite FP samples y $170.00 $2,040.00 For dedicated equipment sites collect,handle,store&document Z 24hr. Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MOIdITORING REQUIREMENTS: $2,808.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29TH AVENLTE (E-COAT DISCI�ARGE(Pretreatment)-SOUTH PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 �. 4 zn(T) �. $�.00 $2s.00 k. Hg�T) k. l. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC`s o, p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease I. s. Sulfate S. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S W Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNIJAL CHARGE FOR ALL MOi1ITORING REQUIItEMENTS: $984.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 333 W.29TH AVENCTE (IIZ BATCH DISCHARGE(Pretreatment)-SOUTH PLANT) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PAR.AMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Anunonia-Nitrogen b. c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 j. 4 Zn(T) j. $7.00 $28.00 k. Hg(T) k. l. 4 Ag(T) 1. $7.00 $28_00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(I�'R215.03) _ q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,fiandle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples a TOTAL ANNiIAL CHARGE FOR ALL MONTI'ORING REQUII2EMENTS: $9g4.0O **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORPORATION March 2,2015 ADDRESS: 2737 HARRISON STREET(DEFENSE PLANT) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Auvnonia-Nitrogen b. $12.00 $48.00 c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f 4 Cu(T) f. $7.00 $28.00 g• 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 4 Zn(T) j. $7.00 $28.00 �' k, $15.00 $60.00 k. 4 Hg(T) l. 4 Ag(T) l. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. �'anide n. o. VOCs o. p, PAH'S p• q. BET`X(NR215.03) q. r, Oil&Grease r• s. Sulfate S- t. Chloride t• u. Chlorine u• v. 4 Record flow(GPD)** v. $0.00 $0.00 W . PCB'S `�' Collect,handle,store&document X Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONIT'ORING REQUIItEMENTS: $1,108.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORRECTIONAL INSTITUT`E March 2,2015 ADDRESS: 1730 SNELL ROAD(laundry) 1.Laboratory analysis,sample retainage or dispos.al,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f. a• Pb(T) g• h Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. 1. Ag(T) 1. m. 12 pH m. $3.00 $36.00 n. Cyanide n. o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. 12 Oil&Grease r. $32.00 $384.00 s. Sulfate s. t. Chloride t. u. Chlorine u. v. 12 Record flow(GPD)** v. $0.00 $O.QO w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $170.00 $2,040.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONTTORING REQUIItEMENTS: . $2,940.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: OSHKOSH CORRECTIONAL INS`I'IT'UTE March 2,2015 ADDRESS: 1730 SNELL ROAD(lcitchen) 1.Laboratory analysis,sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVENT EVENT I•]UMBER pA�METER CHARGES OF EVENTS CHARGES TOTAL AN N UALLY PARAMETERS a $28.00 $336.00 a. 12 BOD, SS,Phos. $12.00 $144.00 b 12 p,mmonia-Nitrogen b' � COD d d Cd(T) e. e. Cr�T� f. f Cu(T) Pb(T) g' g Mo(T) h. h. i i. Ni(T) Zn(T) �' �• k. k. Hb�T) 1. L Ag�T� m $3.00 $36.00 m. 12 pH n Cyanide n' o. VOC's o. PAH'S p' p 15.03) q� q. BETX(NR2 r. Oil&Grease r' s. Sulfate S' Chloride t' t. u u, Chlorine $0.00 $0.00 �. 12 Record flow(GPD)** °' �, PCB's W Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document $170.00 $2,040.00 y 12 24hr. Composite FP samples Y For dedicated equipment sites collect,handle,store&document 24hr. Composite FP samples z z $2,556.00 TOTAL ANNUAI-CHARGE FOR ALL MOI�TITORING REQUIREMENTS: *�(Provide flow/sample cha�t) 2014-2015 LAB CONTRACT FOR: OSHKOSH PLATING March 2,2015 ADDRESS: 1228 W. SOUTH PARK AVENUE 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Ammonia-Nitrogen b. a COD �, d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. Hg�T) k. 1. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n. 8 Cyanide n. $24.00 $192.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r, s. Sulfate S. t. Chloride t, u. Chlorine ❑, v. 8 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S W Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 8 24hr. Composite FP samples y $170.00 $1,360.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples Z TOTAL ANNUAL CHARGE FOR ALL MONII'ORING REQUIIZEMENTS: $1,968.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: PEPSI COMPANY March 2,2015 ADDRESS: 2445 W.20TH AVENUE 1.Laboratory analysis, sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f. g. Pb(T) g. h. Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. I. Ag(T) 1. m. 12 pH m. $3.00 $36.00 n. G`yanide n. o. VOC's o. p- PAH'S p. � q. BETX(NR215.03) q. ' r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 12 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S w Collect,handie,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $170.00 $2,040.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANN[JAL CHARGE FOR ALL MONIT'ORING REQUIREMENTS: $2,556.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2,2015 FOR: PIONEER METAL FIIJISHING (P�T�ATMENT) ADDRESS: 164 W 28TH AVE. 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: E�NT PER EVENT NLTMBER p�METER CHARGES OF EVENTS CHARGES TOTAL ANNUALLY PARAMETERS a. a BOD, SS,Phos. b b ?,mmonia-Nitrogen c. $28.00 � COD d $7.00 d. 4 Cd(T) e. $7.00 $28.00 e. 4 Cr(T) f. $7.00 $28.00 f 4 Cu(T) $7.00 $28.00 4 Pb�T� g' g. h. $28.00 h. Mo(T) i $7.00 i. 4 Ni(T) � $7.00 $28.00 j. 4 Zn�T� k. k. Hg(T) i $7.00 $28.00 . 1. 4 p'g(T) m. $3.00 $12.00 m. 4 pH n. $24.00 $96.00 n 4 G`Yanide o. o VOC's PAH'S p. P BETX(NR215.03) q' q. r. r Oil&Grease s. s. Sulfate t. � t Chloride u. u Chlorine v. � Record flow(GPD)** W �, PCB'S Collect,handle,store&document x. X Grab samples For portable equipment sites collect,handle,store&document $170.00 $680.00 4 24hr.Composite FP samples y Y For dedicated equipment sites collect,handle,store&document Z . Z 24hr.Composite FP samples $984.00 TOTAL ANN[J.�I.��RGE FOR ALL MONTTORING REQ�EM��TS' **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: PIONEER METAL FINISHING (FACTOxY sEwER) March 2,2015 ADDRESS: 164 W 28TH AVE. 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUNIBER PER EVENT EVENT OF EVENTS PARAlV�TER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. BOD, SS,Phos. a. b. Anunonia-Nitrogen b. c. COD c. d. 8 Cd(T) d. $7.00 $56.00 e. 8 Cr(T) e. $7.00 $56.00 f. 8 Cu(T) f. $7.00 $56.00 g. 8 Pb(T) g. $7.00 $56.00 h. Mo(T) h. i. 8 Ni(T) i. $7.00 $56.00 j. 8 Zn(T) j. $7.00 $56.00 k. 8 Hg(T) k. $15.00 $120.00 l. 8 Ag(T) 1. $7.00 $56.00 m. 8 pH m. $3.00 $24.00 n. Cyanide n. o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate S, t. Chloride t. u. Chlorine u. v. Record flow(GPD)** v. w. PCB'S W. Collect,handle,store&document x. Grab samples x. For portable equipment sites collect,handle,store&document y 8 24hr. Composite FP samples y $170.00 $1,360.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNUAL CHARGE FOR ALL MONPI'ORiNG REQUIl2EMENTS: $1,896.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2,2015 FOR: QUALITY PAINT&COATINGS �DxESS: 6610 STAT`E HVJY 44'PRETR��'TMENT 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVEN'T EVENT NUMBER p�,gA1v1ETER CHARGES OF EVENTS CHARGES TOTAL AN N UALLY PARAMETERS a. $28.00 $112.00 a 4 BOD,SS,Phos. $12.00 $48.00 b. 4 p,mmonia-Nitrogen b' c. COD c. $7.00 $28.00 Cd(T) d' d. 4 $7.00 $28.00 e. 4 Cr(T) f. $7.00 $28.00 f. 4 Cu�T� g, $7.00 �28.00 g• 4 Pb�T� h. h. MO�T� i. $7.00 $28.00 i. 4 Ni(T) $7.00 $28.00 J• 4 Zn�T� k. k. Hg�T) 1. $7.00 $28.00 1. 4 Ag�T� m. $3.00 $12.00 m. 4 PH n. $24.00 $96.00 n 4 Cyanide VOC's °' o. PAH'S p. p BETX(NR215.03) q' q• r. r Oil&Grease Suifate - S' s. t. t Chloride u. Chlorine u' � Record flow(GPD)** �' w PCB's W Collect,handle,store&document x Grab samples X For portabie equipment sites collect,handle,store&document $1'70.00 $680.00 y 4 24hr.Composite FP samples Y For dedicated equipment sites collect,handle,store&document 24hr.Composite FP samples z Z $1,144.00 TOTAL ANNLTAI-CHARGE FOR ALL MONI'I'ORING REQUIItEMENrs= **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: QUALIT'Y PAIN'I'&COATINGS March 2,2015 �Dx�ss: 6610 STATE IIWY 44-HOLDING TANK 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Aincnonia-Nitrogen b. $12.00 $48.00 c. COD c. d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g• $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 �. a zn(T) �. $�.00 �ZB.00 k. Hg(T) k. l. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 C�anide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. Record flow(GPD) ** �. w PCB's W Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 4 24hr. Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr.Composite FP samples z TOTAL ANNTJAL CHARGE FOR ALL MONTTORING REQUIREMENTS: $1,144.00 t*(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: SII.,VER CREEK MEATS March 2,2015 ADDRESS: 153 W.28TH AVENUE . 1.Laboratory analysis, sample retainage or disposal,analysis report iransmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Ammonia-Nitrogen b. $12.00 $48.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f. �. Pb(T) g. h. Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. 1. Ag(T) 1. m. pH m. n. Cyanide n. o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANN[JAL CHARGE FOR ALL MONTTORING REQLTIREMENTS: $840.00 'r*(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2,2015 FOR: SMC hos hate Wash) �,DDRESS: 2100 S OAKVJOOD RD(P P 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: E�ENT PER EVEN'T C�RGES NUMBER pA�tA1v1ETER OF EVENTS CHARGES TOTAL ANf�UALLY p�R?,Iv1ETERS a. a BOD,SS,Phos. b b �,nunonia-Nitrogen � COD d $7.00 $28.00 c. $7.00 $28.00 d. 4 Cd(T) e. 4 Gr(T) f. $7.00 $28.00 e. $28.00 f. 4 Cu(T) g $7.00 4 Pb�T� h. b� Mo(T) i $7.00 $28.00 h. $28.00 i. 4 Ni(T) � $7.00 .1• 4 Zn�T� k' $28.00 k. Hg�T) 1 $7.00 1. 4 Ag�T� m. pg n $24.00 $96.00 m. n. 4 CYanide o. _�_ o VOCs p p PAH'S q. BETX(NR215.03) q, r. r Oil&Grease S �_ S Sulfate t t Chloride u Chlorine $0.00 $0.00 u. �• � 4 Record flow(GPD)** W �, PCB'S Collect,handle,store&document X X Grab samples For portable equipment sites collect,handle,store&document $170.00 $680.00 y 4 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document Z 24hr.Composite FP samples $972.00 Z �,rrrs: TOTP.L�°�NIN�°'1'CH�GE FOR ALL MONTTORING REQiJIRE ** (Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: FOX RNER VALLEY ETHANOL LLC March 2,2015 �,DDFtESS: 4995 STATE RD 91 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the foilowing: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 4 BOD, SS,Phos. a. $28.00 $112.00 b. 4 Ammonia-Nitrogen b. $12.00 $48.00 c. COD a d. 4 Cd(T) d. $7.00 $28.00 e. 4 Cr(T) e. $7.00 $28.00 f. 4 Cu(T) f. $7.00 $28.00 g. 4 Pb(T) g. $7.00 $28.00 h. Mo(T) h. i. 4 Ni(T) i. $7.00 $28.00 �. 4 zn�T� �. $�.00 $as.00 k. 4 Hg(T) k. $15.00 $60.00 1. 4 Ag(T) 1. $7.00 $28.00 m. 4 pH m. $3.00 $12.00 n. 4 Cyanide n. $24.00 $96.00 o. VOC's o. p. PAH'S p. q. BETX(NR215.03) q. r. Oil&Grease r. s. Sulfate s. t. Chloride t. u. Chlorine u. v. 4 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 4 24hr.Composite FP samples y $170.00 $680.00 For dedicated equipment sites collect,handle,store&document z� 24hr.Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONI'I'ORING REQUIREivIENI'S: $1,204.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2,2015 FOR: W�D w�E COMPANY pDDRESS: 846 WITZEL AVENUE L Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVENT E�� NUMBER p�T'ER CHARGES OF EVENTS CHARGES TOTAL AN N UALLY PAR.AMET`ERS a. a BOD, SS,Phos. b b Ammonia-Nitrogen c. c. COD d. $7.00 $28.00 d. 4 Cd(T) e. $7.00 $28.00 e. 4 Cr(T) f. $7.00 $28.00 f 4 Cu(T) $7.00 $28.00 4 Pb�T) g h. MO�T) h $7.00 $28.00 i. 4 Ni(T) � $7.00 $28.00 4 Zn(T) k. Hg(T) i $7.00 $28.00 1. 4 Ag�T� m. $3.00 $12.00 m. 4 pH n. $24.00 $96.00 n 4 Cyanide o. o VOC's PAH'S p. q. BETX(NR215.03) q' r Oil&Grease s. S Sulfate t. t Chloride u. u Chlorine $0.00 $0.00 � 4 Record flow(GPD)** v. w �, PCB'S Collect,handle,store&document X Grab samples x For portable equipment sites collect,handle,store&document $1�0.00 $680.00 y 4 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document z Z 24hr. Composite FP samples $984.00 TOTAL ANNUAL C�GE FOR ALL MONITORING REQUII�MENTS' , **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY LANDFILL March 2,2015 ADDRESS: 3252 SNELL ROAD 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PAR.AMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 c. COD c. d. Cd(T) d. e. Cr(T) e. f. Cu(T) f. g. Pb(T) g. h. Mo(T) h. i. Ni(T) i. j. Zn(T) j. k. Hg(T) k. 1. Ag(T) l. m. pH m. n. Cyanide n. o. VOC's o. p. PAH'S p. q. BET'X(NR215.03) q. r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Record flow(GPD)** v. $0.00 $0.00 w PCB'S w Collect,handle,store&document x Grab samples x For portable equipment sites collect;handle,store&document y 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document z 12 24hr. Composite FP samples z $16.00 $192.00 ToTar,arrrruEu,c�xGE Fox ai,L Morrrro�rG xEQu��v�rs: $840.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: WINNEBAGO COUNTY LANDFII,L March 2,2015 ADD1zESS: 100 VJ.COLTNTI'ROAD Y (LST- 1 ) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD,SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 c. COD �• d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h. Mo(T) h. i. 12 Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg(T) k. l. 12 Ag(T) 1. $7.00 $84.00 m. pH m. n. Cyanide n. o. VOC's o. p. PAH'S p• q. BETX(NR215.03) q. r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Record flow(GPD)** v. $0.00 $0.00 w 12 PCB's w $100.00 $1,200.00 Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 24hr.Composite FP samples y For dedicated equipment sites collect,handle,store&document z 12 24hr.Composite FP samples z $16.00 $192.00 TOTAL ANN[JAL CHARGE FOR ALL MONIT'ORING REQUIItEMENTS: $Z,C2g.0O **(Provide flow/sample chart) - 2014-2015 LAB CONTRACT March 2,2015 pOR: V,rINNEBAGO COUN"I'Y LANDFILL ADDRESS: 100 VJ.COLTNTY ROAD Y (LST-3) 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVENT EVENT NUMBER p�ME�R CHARGES OF EVENTS CHARGES TOTAL AN N UALLY PARAMME'1�RS a. $28.00 $336.00 a 12 BOD, SS,Phos. b $12.00 $144.00 b 12 Anunonia-Nitrogen c. a COD d. d. Cd�T� e. e. Cr(T) f £ Cu�T� g- g Pb(T) h. h. MO�T� i. i. N1�T� j �• Zn(T) k. k, Hg(T) 1 L Ag�T) m. m. pH n. n Cyanide _ o. o VOC's pAH'S P• p� 15.03 q' q BETX_(NR2 ) Oil&Grease r' r. S $9.00 $108.00 S 12 Sulfate $5.00 $60.00 t. 12 Chloride t� Chlorine u� u. $0.00 $0.00 � 12 Record flow(GPD)** °' w �, PCB's Coilect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document $170.00 $2,040.00 y 12 24hr.Composite FP samples Y - For dedicated equipment sites collect,handle,store&document 24hr.Composite FP samples z Z $2,688.00 TOTAL ANNLTAL CHARGE FOR ALL MONTTORING REQUIREMENrs: ** (Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COLJNT'Y LANDFILL(PHASE 4) March 2,2015 ADDRESS: 100 COUNTY ROAD Y 1.Laboratory analysis,sample retainage or disposal,analysis report iransmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 a COD �, d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb('I� g. $7.00 $84.00 h. Mo(T) g. i. 12 Ni(T) i. $7.00 $84.00 j. 12 Zn(T) j. $7.00 $84.00 k. Hg�T) k. l. 12 Ag(T) l. $7.00 $84.00 m. PH m. n. C�anide n. o. VOC's o, p. PAH'S p. q. BETX(NR215.03) q, r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u. v. 12 Record flow(GPD) ** v. $0.00 $0.00 w PCB'S w, Collect,handle,store&document x Grab samples X For portable equipment sites collect,handle,store&document y 12 24hr. Composite FP samples y $170.00 $2,040:00 � For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples Z TOTAL ANNUAL CHARGE FOR ALL MONtI'ORING REQUII2EMENTS: $3 27C.00 > **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FOR: WINNEBAGO COUNTY Lf�NDFILL(PHASE 5) March 2,2015 ADDRESS: 100 COUNTY ROAD Y 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: PER EVENT EVENT I•NMBER P�ME�R CHARGES OF EVENTS CHARGES TOTAL AN N UALLY PARAMEI�RS a, 12 BOD, SS,Phos. a. $28.00 $336.00 b 12 Ammonia-Nitrogen b. $12.00 $144.00 c. COD c. d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(T) e. _ $7.00 $84.00 f 12 Cu(T) f. $7.00 $84.00 12 Pb(T) g. $7.00 $84.00 g' h. h. Mo(T) i 12 Ni�T� i. $7.00 $84.00 12 Zn(T) j. $7.00 $84.00 �' k. k. Hg�T) 1. 12 Ag�T) l. $7.00 $84.00 m. PH m. n Cyanide n' o. VOC's o. PAH'S p' p BET'X(NR215.03) g• 4• Oil&Grease r' r• $9.00 $108.00 S. 12 Sulfate S' t. 12 Chloride t. $5.00 $60.00 Chlorine u' u. $0.00 v. 12 Record flow(GPD)** v. $0.00 �, PCB'S W Collect,handle,store&document X Grab sampies X For portable equipment sites collect,handle,store&document $1�0.00 $2,040.00 y 12 24hr.Composite FP samples Y For dedicated equipment sites coilect,handle,store&document 24hr.Composite FP samples z z $3,276.00 TOTAL ANNUAI-CF3P.RGE FOR ALL MONTTORING REQIJIItEMFNf3: **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: VJINNEBAGO COUNTY LANDFII.,L March 2,2015 ADDRESS: 100 W. COLINTY ROAD Y (Phase 6) 1.Laboratory analysis, sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHA.RGES ANNUALLY PARAMETERS CHARGES TOTAL a. 12 BOD, SS,Phos. a. $28.00 $336.00 b. 12 Ammonia-Nitrogen b. $12.00 $144.00 a COD �. d. 12 Cd(T) d. $7.00 $84.00 e. 12 Cr(TJ e. $7.00 $84.00 f. 12 Cu(T) f. $7.00 $84.00 g. 12 Pb(T) g. $7.00 $84.00 h. Mo(T) h. i. 12 Ni(T) i. $7.00 $84.00 �. i2 zn(T) �. $�.00 $s4.00 k. Hg(T) k. 1. 12 Ag(T) 1. $7.00 $84.00 m. pH m. n. Cyanide n. a VOC's o. p. PAH'S p- q. BET'X(NR215.03) q. r. Oil&Grease r. s. 12 Sulfate s. $9.00 $108.00 t. 12 Chloride t. $5.00 $60.00 u. Chlorine u, v. 12 Record flow(GPD) ** v. $0.00 $0.00 w PCB's w Collect,handle,store&document x Grab samples x For portable equipment sites collect,handle,store&document y 12 4hr. Composite FP samples y $170.00 $2,040.00 For dedicated equipment sites collect,handle,store&document z 24hr. Composite FP samples z TOTAL ANNiJAL CHARGE FOR ALL MONIT'ORING REQUTREMENTS: $3,Z�C.00 **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: WPS GAS PLANT March 2,2015 �DxESS: 305 CEAPE AVE NUMBER PER EVENT EVENT OF EVENTS PARAMETER CHARGES ANNUALLY PARAMETERS CHARGES TOTAL BOD, SS,Phos. p Anunonia-Nitrogen p COD p Cd(T) p Cr(T) p Cu(T) p Pb(T) 0 Mo(T) p Ni(T) p Zn(T) p Hg�T) 0 Ag�T) 0 PH 0 4 G`yanide 0 $24.00 $96.00 VOC's p � P�'s 0 $85.00 $340.00 4 BETX(NR215.03) 0 $42.00 $168.00 Oil&Grease p Sulfate p — Chloride p Chlorine p Record flow(GPD) ** p PCB's p Collect,handle,store&document 4 Grab samples 0 $27.00 $108.00 For portable equipment sites collect,handle,store&document 24hr.Composite FP samples 0 For dedicated equipment sites collect,handle,store&document 24hr. Composite FP samples p TOTAL ANNiJAL CHARGE FOR ALL MONPTORING REQUIItEMENTS: $'I12.00 't(Provide flow/sample chart) 2014-2015 LAB CONTRACT March 2, 2015 Fox: INDICATE iJNIT PRICE FOR Er�CH PARAMETER LISTED �DxESS: WITA A TJNIT REPItESENTING ONE DAII�Y EVENT COST 1.Laboratory analysis,sample retainage or disposal,analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: pARAMETER NUMBER PER EVENT OF EVENTS PARAMETERS ANNUALLY CHARGES a. 156 BOD, SS,Phos. a. $25.00 b. 156 Ammonia-Nitrogen b. $12.00 �, p COD c. $16.00 d. 160 Cd(T) d. $7.00 e. 156 Cr(T) e. $7.00 f 156 Cu(T) £ $7.00 160 Pb(T) g. $7.00 g' h. $7.00 h. 0 Mo(T) I $7.00 I. 156 Ni(T) $7.00 j. 156 Zn(T) �' k, 40 Hg(T) k. $15.00 1. 156 Ag(T) � l. $7.00 m, 140 pH m. $3.00 n. 96 Cyanide n. $24.00 VOC's o. $80.00 °• � $85.00 p, 4 PAH'S p. 4 BETX(NR215.03) q. $42.00 q' r. $32.00 r. 12 Oil&Grease S $9.00 S. 72 Sulfate t $5.00 t. �2 Chloride u $40.00 u. 4 Chlorine � $0.00 v. 192 Record flow(GPD)** W $100.00 w 12 PCB'S Collect,handle,store&document X 1( Grab samples x $27.00 For portable equipment sites collect,handle,store&document Y 196 24hr.Composite FP samples y $170.00 For dedicated equipment sites collect,handle,store&document Z 24 24hr.Composite FP samples z $16.00 TOTAL ANNUAL CHARGE FOR ALL MONPLORING REQUIREMENI'S: **(Provide flow/sample chart) 2014-2015 LAB CONTRACT FoR: FILL OUT iJNIT PRICE FOR EACH PARAMETER LISTED ADDRESS: 1.Laboratory analysis, sample retainage or disposal, analysis report transmittal, sample report chain-of-custody documentation and bench sheets complete as specified for the following: NUMBER PARAMETER EVENT OF EVENTS PARAMETERS PER EVENT CHARGES ANNUALLY CHARGES TOTAL a. 156 BOD,SS,Phos. a. $28.00 $4,368.00 b. 156 Ammonia-Nitrogen b. $�12.00 $1,872.00 c. 0 COD c. $16.00 $0.00 d. 160 Cd(T) d. $7.00 $1,120.00 e. 156 Cr(T) ' e. $7.00 $1,092.00 f. 156 Cu(T) f. $7.00 $1,092.00 g. 160 Pb(T) g. $7.00 $1,120.00 h. 0 Mo(T) h $7.00 $0.00 i. 156 Ni(T) i. $7.00 $1,092.00 j. 156 Zn(T) j. $7.00 $1,092.00 k. 40 Hg(T) k. $15.00 $600.00 1. 156 Ag(T) 1. $7.00 $1,092.00 m. 140 pH m. $3.00 $420.00 n. 96 G`yanide n. $24.00 $2,304.00 o. 0 VOC's o. $80.00 $0.00 p. 4 GRO p. $85.00 $340.00 q. 4 BETX(NR215.03) q. $42.00 $168.00 r. 12 Oil&Grease r. $32.00 $384.00 s. 72 Sulfate s. $9.00 $648.00 t. 72 Chloride t. $5.00 $360.00 u. 4 Chlorine u. $40.00 $160.00 v. 192 Record flow(GPD)** v. $0.00 $0.00 w 12 PCB'S w $100.00 $1,200.00 Collect,handle,store&document x 16 Grab samples x $27.00 $432.00 For portable equipment sites collect;handle,store&document y 196 24hr. Composite FP samples y $170.00 $33,320.00 For dedicated equipment sites - collect,handle,store&document - z 24 24hr. Composite FP samples z $16.00 / TOTAL ANNIJAL CHARGE FOR ALL MONI'I'ORING REQUIREMENTS: � � � �� , **(Provide flow/sample chart) � n� 'Y � 2014-2015 LAB CONTRACT EXHIBIT B 6 �'� BADGLAB-01 DJANSSEN ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM'YY) �� 3/27l2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement{s). PRODUCER � CONTACT NAME: �OP@@�1�8�1SS@Il Ansay&Associates,LLC. FV AHO No E�:�920)722-7531 FAx (920)722-9011 201 East Bell Street AIC No: Neenah,WI 54957 nooRess:�nfo@ansay.com INSURER(S)AFFORDING COVERAGE NAIC# iNSUReRn:Cincinnati Insurance Company 10677 wsuReo wsuRea e:Nautilus Insurance Co 17370 Badger Laboratories& INSURERC: Engineering Co.Inc INSURER D: 501 West Bell Street Neenah,WI54956 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE - INSD NND POLICY NUMBER MM/DDY� MM DD �P LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ��OOO�OOO CLAIMS-MADE �OCCUR EPP 0172582 01/01/2013 01/01/2016 pREMISES Ea occu ence S �,�0�,�� MED EXP(Any one person) $ ��,0�0 PERSONAL&ADVINJURY $ 'I,OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2�000,000 POLICY�jE a �LOC PRODUCTS-COMPlOPAGG $ Z,OOO,OOO OTHER: $ AUTOMOBILE LIABILITY EO aBcIN�eD SINGLE LIMIT $ �,OOO,OOO A X ANYAUTO EBA 0172582 01/01/2015 01/01l2016 BODILY INJURY(Perperson) $ ALLOWNED SCHEDULED BODILYINJURY Peraccident $ AUTOS AUTOS � ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Peraccident $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ Z,OOO�OOO A EXCESS LIAB CLAIMS-MADE EPP 0172582 01/01/2075 01/01/2016 AGGREGATE $ 2,0�0,0�� DED X RETENTION$ �O�OOO $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY �,�N STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE EWCO291946 01/07/2015 01/01/2016 E.L.EACHACCIDENT $ �OO�OOO OFFICER/MEMBER EXCLUDED7 � N�A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ �0�,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $OO,OOO B Prof Pollution CCP200306613 07/01/2014 07/01/2015 Prof Polluton Liab 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 107,Additional Remarks Schedule,may be attached if more space is required) City of Oshkosh,and its officers,council members,agents,em pioyees and authorized volunteers are listed as additional insured per form CA-233. 30 days notice of cancellation is included with the exception of 10 days for cancel of nonpayment. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of OshkOSh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE ��7 7�-�'24�P.K—� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �'� BADGLAB-01 DJANSSEN '4��R°ry CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Doreen Janssen Ansay&Associates,LLC. FV PHONE 920 722-7531 FAx (920)722-9011 201 East Bell Street AIC No e�:� I A/C No: Neenah,WI 54957 . no R�ESS:info@ansay.com INSURER(S)AFFORDING COVERAGE NAIC# irusuRean:Cincinnati Insurance Company 10677 INSURED INSURERB:NBUtIIUS II1SU�811C2 CO 17370 Badger Laboratories& INSURER C: Engineering Co.lnc INSURERD: 501 West Bell Street Neenah,WI 54956 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE.REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �LTR n'PE OF INSURANCE I�NSD WVD POLICY NUMBER MM/DDY/YYYY MM/DD� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 'I,OOO�OOO CLAIMS-MADE �OCCUR EPP0172582 01/01/2013 01/01/2016 pREMISES Eaoccurrence S ��0,0�0 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ �,OOO,OOO GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ Z,OOO,OOO POIICY�jE� �LOC PRODUCTS-COMP/OP AGG $ Z,OOO,OOO OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ��0�,0�� A x qNYAUTO EBA0172582 01/01/2015 01/01l2016 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) X HIREDAUTOS X NON-OWNED PROPERTYDAMAGE AUTOS Per accident $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ Z,OOO,OOO A EXCESS LIAB CLAIMS-MADE EPP 0172582 01/01/2015 01/01/2016 qGGREGATE $ 2,0�0,�� DED X RETENTION$ �O�OOO $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE EWCO291946 01/01/2015 01/01/2016 E.L.EACHACCIDENT $ �00��0 OFFICER/MEMBER EXCLUDED? � N�A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ �00�000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $OO,OOO B Prof Pollution CCP200306613 07/01/2014 07/01/2015 Prof Polluton Liab 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 701,Additional Remarks Schedule,may be attaehed if more space is required) City of Oshkosh,and its officers,council members,agents,em ployees and authorized volunteers are listed as additional insured per form CA-233. 30 days notice of cancellation is included with the exception of 10 days for cancel of nonpayment. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Oshkosh THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1130 Oshkosh,WI 54903-1130 AUTHORIZED REPRESENTATIVE !��7 7�'��'L—� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS' COMMERCIAL GENERAL LIABILITY � BROADENED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Endorsement-Table of Contents: Beqins on Paqe: Coveraqe: 1. Employee Benefit Liabiliry Coverage..................................................................................................2 2. Unintentional Failure to Disclose Hazards..........................................................................................7 3. Damage to Premises Rented to You...................................................................................................8 4. Suppiementary Payments '��9 ............................................................................................................. . . ....................................................................................9 5. Medical Payments........................................ . . 6. Voluntary Properry Damage(Coverage a.) and Care, Custody or Control 9 Liability Coverage (Coverage b.).................................................................. 7. 180 Day Coverage for Newly Formed or Acquired Organizations.................................................. 10 8. Waiver of Subrogation ....................................................................................................................... 10 9. Automatic Additional Insured-Specified Relationships: ................................................................ 10 . Managers or Lessors of Premises; . Lessor of Leased Equipment; . Vendors; . State or Political Subdivisions-Permits Relating to Premises; • State or Political Subdivisions-Permits; and . Contractors'Operations 10. Broadened Contractual Liability-Work Within 50'of Railroad Property......................................... 14 11. Property Damage to Borrowed Equipment....................................................................................... 14 12. Employees as Insureds-Specified Health Care Services: ............................................................ 14 . Nurses; . Emergency Medical Technicians; and . Paramedics 13. Broadened Notice of Occurrence...................................................................................................... 14 B. Limits of Insurance: The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- ment, except as provided below: 1. Employee Benefit Liability Coverage Each Employee Limit: $ 1,000,000 Aggregate Limit: $ 3,000,000 Deductible: $ 1,000 3. Damage to Premises Rented to You The lesser of: a. The Each Occurrence Limit shown in the Declarations; or b. $500,000 unless otherwise stated$ i,000,o00 4. Supplementary Payments a. Bail bonds: $ 1,000 b. Loss of earnings: $ 350 5. Medical Payments Medical Expense Limit: $ 10,000 Includes copyrighted material of Insurance page 1 of 15 GA 233 02 07 Services Office, Inc.,with its permission. 6. Voluntary Property Damage(Coverage a.) and Care, Custody or Control Liability Coverage (Coverage b.) Limits of Insurance (Each Occurrence) Coverage a.$1,000 Coverage b.$5,000 unless otherwise stated $ Deductibles (Each Occurrence) Coverage a. $250 Coverage b.$250 unless otherwise stated $ COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM (a) Area (For Limits in Excess of (For Limits in Excess of (b) Payroll $5,000) $5,000) (c) Gross Sales (d) Units e Other b. Care, Custody � or Control TOTAL ANNUAL PREMIUM $ 11. Property Damage to Borrowed Equipment Each Occurrence Limit: $ 10,000 Deductible: $ 250 C. Coverages: have used up the ap- plicable limit of insur- 1. Employee Benefit Liability Coverage ance in the payment of a. The following is added to SECTION I judgments or settle- - COVERAGES: Employee Benefit ments. Liability Coverage. No other obligation or liabil- (1) Insuring Agreement ity to pay sums or perform acts or services is covered (a) We will pay those sums that unless explicitly provided for the insured becomes legally under Supplementary Pay- obligated to pay as dam- ments. ages caused by any act, er- ror or omission of the in- (b) This insurance applies to sured, or of any other per- damages only if the act, er- son for whose acts the in- ror or omission, is negli- sured is legally liable, to gently committed in the which this insurance ap- "administration" of your plies. We will have the right "employee benefit pro- and duty to defend the in- gram'; and sured against any "suit" 1) Occurs during the pol- seeking those damages. icy period;or However, we will have no duty to defend against any 2) Occurred prior to the "suit" seeking damages to effective date of this which this insurance does endorsement provided: not apply. We may, at our discretion, investigate any a) You did not have report of an act, error or knowledge of a omission and settle any ora�before the ef- claim or "suiY' that may re- fective date of this sult. But: endorsement. 1) The amount we will pay You will be for damages is limited deemed to have as described in SEC- TION III - LIMITS OF knowledge of a INSURANCE; and claim or "suit" when any 2) Our right and duty to "authorized repre- defend ends when we sentative"; Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 2 of 15 i) Reports all, or formance of investment any part, of the vehicles; or act, error or 3) Advice given to any omission to us y person with respect to o Suan' other that person's decision to participate or not to ii) Receives a participate in any plan written or ver- included in the "em- bal demand or ployee benefit pro- claim for dam- gram". ages because (f) Workers' Compensation of the act, er- ror or omis- and Similar Laws sion; and Any claim arising out of b) There is no other your failure to comply with applicable insur- the mandatory provisions of ance. any workers compensation, unemployment compensa- (2) Exclusions tion insurance, social secu- rity or disability benefits law This insurance does not apply or any similar law. to: (g) ERISA (a) Bodily Injury, Property Damage or Personal and Damages for which any in- Advertising Injury sured is liable because of liabiliry imposed on a fiduci- 'Bodily injury", property ary by the Employee Re- damage" or "personal and tirement Income Security advertising injury". Act of 1974, as now or (b) Dishonest, Fraudulent, hereafter amended, or by Criminal or Malicious Act any similar federal, state or local laws. Damages arising out of any (h) Available Benefits intentional, dishonest, fraudulent, criminal or mali- Any claim for benefits to the cious act, error or omission, extent that such benefits committed by any insured, are available, with reason- including the willful or reck- able effort and cooperation less violation of any statute. of the insured, from the ap- plicable funds accrued or (c) Failure to Perform a Con- other collectible insurance. tract Damages arising out of fail- (�) Taxes,Fines or Penalties ure of performance of con- Taxes, fines or penalties, tract by any insurer. including those imposed (d) Insufficiency of Funds under the Internal Revenue Code or any similar state or Damages arising out of an local law. insufficiency of funds to (j) Employment-Related meet any obligations under Practices any plan included in the "employee benefit pro- Any liability arising out of gram". any: (e) Inadequacy of Perform- (1) Refusal to employ; ance of Investment / Ad- vice Given With Respect (2) Termination of em- to Participation ployment; Any claim based upon: (3) Coercion, demotion, evaluation, reassign- 1) Failure of any invest- ment, discipline, defa- ment to perform; mation, harassment, 2) Errors in providing in- humiliation, discrimina- formation on past per- tion or other employ- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 3 of 15 ment-related practices, (e) A trust, you are an insured. acts or omissions; or Your trustees are also in- (4) Consequential liability sureds, but only with re- spect to their duties as as a result of (1), (2) or trustees. (3)above. This exclusion applies �2) Each of the following is also an whether the insured may be insured: held liable as an employer (a) Each of your "employees" or in any other capacity and who is or was authorized to to any obligation to share administer your "empioyee damages with or repay benefit program". someone else who must pay damages because of (b) Any persons, organizations the injury. or "employees" having proper temporary authori- (3) Supplementary Payments zation to administer your "employee benefit program" SECTION I - COVERAGES, if you die, but only until your SUPPLEMENTARY PAY- legal representative is ap- MENTS - COVERAGES A AND pointed. B also apply to this Coverage. b. Who is an Insured (c) Your legal representative if you die, but only with re- As respects Employee Benefit Liabil- spect to duties as such. iry Coverage, SECTION II - WHO IS That representative will AN INSURED is deleted in its en- have all your rights and du- tirety and replaced by the following: ties under this Coverage P art. (1) If you are designated in tne Declarations as: (3) Any organization you newly ac- quire or form, other than a part- (a) An individual, you and your nership, joint venture or limited spouse are insureds, but liability company, and over only with respect to the which you maintain ownership conduct of a business of or majority interest, will qualify which you are the sole as a Named Insured if no other owner. similar insurance applies to that (b) A partnershi or oint ven- organization. However, cover- P 1 age under this provision: ture, you are an insured. Your members, your part- (a) Is afforded only until the ners, and their spouses are 180th day after you acquire also insureds but only with or form the organization or respect to the conduct of the end of the policy period, your business. whichever is earlier; and (c) A limited liability company, (b) Does not apply to any act, you are an insured. Your error or omission that was members are also insureds, committed before you ac- but only with respect to the quired or formed the or- conduct of your business. ganization. Your managers are in- c. Limits of Insurance sureds, but only with re- spect to their duties as your As respects Employee Benefit Liabil- managers. ity Coverage, SECTION III - LIMITS (d) An organization other than OF INSURANCE is deleted in its en- a partnership, joint venture tirety and replaced by the following: or limited liability company, (1) The Limits of Insurance shown you are an insured. Your in Section B. Limits of Insur- executive officers and di- ance, 1. Employee Benefit Li- rectors are insureds, but ability Coverage and the rules only with respect to their below fix the most we will pay duties as your officers or di- regardless of the number of: rectors. Your stockholders are also insureds, but only (a) Insureds; with respect to their liability as stockholders. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc., with its permission. Page 4 of 15 (b) Claims made or "suits" (b) The deductible amount brought; stated in the Declarations applies to all damages (c) Persons or organizations sustained by any one "em- making claims or bringing ployee", including such "suits ; "employee's" dependents (d) Acts, errors or omissions; or and beneficiaries, because of all acts, errors or omis- (e) Benefits included in your sions to which this insur- "employee benefit pro- ance applies. gram". (c) The terms of this insurance, (2) The Aggregate Limit shown in including those with respect Section B. Limits of Insurance, to: 1. Employee Benefit Liability Coverage of this endorsement 1� defendhtthed as red is the most we will pay for all a ainst an damages because of acts, er- seekin those dam' rors or omissions negligently 9 committed in the "administra- ages;and tion" of your "employee benefit 2) Your duties, and the program'. duties of any other in- (3) Subject to the limit described in volved insured, in the (2) above, the Each Employee event of an act, error or Limit shown in Section B. Limits omission, or claim, of Insurance, 1. Employee apply irrespective of the Benefit Liability Coverage of application of the deductible this endorsement is the most we amount. will pay for all damages sus- tained by any one "employee", (d) We may pay any part or all including damages sustained by of the deductible amount to such "employee's" dependents effect settlement of any and beneficiaries, as a result of: claim or "suiY' and, upon (a) An act, error or omission;or notification of the action taken, you shall promptly (b) A series of related acts, er- reimburse us for such part rors or omissions, regard- of the deductible amount as less of the amount of time we have paid. that lapses between such d. Additional Conditions acts, errors or omissions, negligently committed in the As respects Employee Benefit Li- , , „ ability Coverage, SECTION IV - 'administration' of your em- COMMERCIAL GENERAL LIABIL- ployee benefit program". ITY CONDITIONS is amended as However, the amount paid un- follows: der this endorsement shall not (1) Item 2. Duties in the Event of exceed, and will be subject to Occurrence, Offense, Claim or the limits and restrictions that Suit is deleted in its entirety and apply to the payment of benefits replaced by the following: in any plan included in the em- ployee benefit program". 2. Duties in the Event of an Act, Error or (4) Deductible Amount Omission,or Claim or Suit (a) Our obligation to pay dam- a. You must see to it that we are noti- ages on behalf of the in- fied as soon as practicable of an act, sured applies only to the error or omission which may result in amount of damages in ex- a claim. To the extent possible, no- cess of the deductible tice should include: amount stated in the Decla- (1) What the act, error or omission rations as applicable to was and when it occurred;and Each Employee. The limits of insurance shall not be (2) The names and addresses of reduced by the amount of anyone who may suffer dam- this deductible. ages as a result of the act, error or omission. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 5 of 15 b. If a claim is made or "suit" is brought b. Method of Sharing against any insured,you must: If all of the other insur- (1) Immediately record the specifics ance permits contribu- of the claim or "suit" and the tion by equal shares, date received; and we will follow this method also. Under (2) Notify us as soon as practicable. this approach each in- You must see to it that we receive surer contributes equal written notice of the claim or "suit" as amounts until it has soon as practicable. paid its applicable limit of insurance or none of c. You and any other involved insured the loss remains, must: whichever comes first. (1) Immediately send us copies of If any of the other in- any demands, notices, sum- surance does not per- monses or legal papers re- mit contribution by ceived in connection with the equal shares, we will claim or"suiY'; contribute by limits. Under this method, (2) Authorize us to obtain records each insurer's share is and other information; based on the ratio of its (3) Cooperate with us in the investi- applicable limit of in- gation or settlement of the claim surance to the total ap- or defense against the "suit"; plicable limits of insur- and ance of all insurers. (4) Assist us, upon our request, in c. No Coverage the enforcement of any right This insurance shall not against any person or organiza- cover any loss for tion which may be liable to the which the insured is insured because of an act, error entitled to recovery un- or omission to which this insur- der any other insur- ance may aiso apply. ance in force previous d. No insured will, except at that in- to the effective date of sured's own cost, voluntarily make a this Coverage Part. payment, assume any obligation, or e. Additional Definitions incur any expense without our con- sent. As respects Employee Benefit Li- ability Coverage, SECTION V - (2) Item 5. Other Insurance is de- DEFINITIONS is amended as fol- leted in its entirety and replaced lows: by the following: (1) The following definitions are 5. Other Insurance added: If other valid and collectible 1. "Administration" means: insurance is available to the insured for a loss we cover a. Providing information to under this Coverage Part, "employees", including our obligations are limited their dependents and as follows: beneficiaries, with re- a. Primary Insurance spect to eligibility for or scope of employee This insurance is pri- benefit programs"; mary except when c. b. Interpreting the "em- below applies. If this ployee benefit pro- insurance is primary, grams"; our obligations are not affected unless any of c. Handling records in the other insurance is connection with the also primary. Then, we "employee benefit pro- will share with all that grams"; or other insurance by the d. Effectin continuin method described in b. 9, g or below. terminating any "em- ployee's" participation Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 6 of 15 in any benefit included benefits, workers' com- in the "employee bene- pensation and disability fit program". benefits; and However, "administration" d. Vacation plans, includ- does not include: ing buy and sell pro- grams; leave of ab- a. Handling payroll de- sence programs, in- ductions; or cludin milita g ry, mater- b. The failure to effect or nity, family, and civil maintain any insurance leave; tuition assis- or adequate limits of tance plans; transpor- coverage of insurance, tation and health club including but not limited subsidies. to unemployment in- (2) The following definitions are surance, social security deleted in their entirety and re- benefits, workers' com- placed by the following: pensation and disability benefits. 21. "SuiY' means a civil pro- ceeding in which money 2. "Cafeteria plans" means damages because of an plan authorized by appiica- act, error or omission to ble law to allow "employ- which this insurance applies ees to elect to pay for cer- are alleged. "Suit" includes: tain benefits with pre-tax dollars. a. An arbitration pro- ceeding in which such 3. "Employee benefit pro- damages are claimed grams" means a program and to which the in- providing some or all of the sured must submit or following benefits to "em- does submit with our ployees", whether provided consent• through a "cafeteria plan" or ' otherwise: b. Any other alternative dispute resolution pro- a. Group life insurance; ceeding in which such group accident or damages are claimed health insurance; den- and to which the in- tal, vision and hearing sured submits with our plans; and flexible consent; or - spending accounts; provided that no one c. An appeal of a civil other than an "em- proceeding. ployee" may subscribe to such benefits and 8. "Employee" means a per- such benefits are made son actively employed, for- generally availabie to merly employed, on leave those "employees" who of absence or disabled, or satisfy the plan's eligi- retired. "Employee" in- bility requirements; cludes a "leased worker". "Employee" does not in- b. Profit sharing plans, clude a "temporary worker". employee savings plans, employee stock 2• Unintentional Failure to Disclose Haz- ownership plans, pen- ards sion plans and stock SECTION IV-COMMERCIAL GENERAL subscription plans, LIABILITY CONDITIONS, 7. Represen- provided that no one tations is hereby amended by the addi- other than an em- tion of the following: ployee" may subscribe to such benefits and Based on our dependence upon your such benefits are made representations as to existing hazards, if generally available to unintentionally you should fail to disclose all "employees" who all such hazards at the inception date of are eligible under the your policy, we will not reject coverage plan for such benefits; under this Coverage Part based solely on c. Unemployment insur- such failure. ance, social security Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 7 of 15 3. Damage to Premises Rented to You e) Settling, cracking, shrinking or ex- a. The last Subparagraph of Paragraph pansion; or 2. SECTION i - COVERAGES, COVERAGE A. - BODILY INJURY f) Nesting or infesta- AND PROPERTY DAMAGE, 2. LI- tion, or discharge ABILITY Exclusions is hereby de- or release of leted and replaced by the following: waste products or secretions, by in- Exclusions c.through q. do not apply sects, birds, ro- to damage by fire, explosion, light- dents or other ning, smoke or soot to premises animals. while rented to you or temporarily occupied by you with permission of (b) Loss caused directly or indi- the owner. rectly by any of the follow- b. The insurance provided under SEC- ing: TION I - COVERAGES, COVERAGE 1) Earthquake, volcanic A. BODILY INJURY AND PROP- eruption, landslide or ERTY DAMAGE LIABILITY applies any other earth move- to "property damage" arising out of inent; water damage to premises that are 2 Water that backs u both rented to and occupied by you. ) p or overflows from a (i) As respects Water Damage Le- sewer, drain or sump; gal Liability, as provided in 3 Water under the Paragraph 3.b.above: ) ground surface press- The exclusions under SECTION ing on, or flowing or 1 - COVERAGES, COVERAGE seeping through: A. BODILY INJURY AND PROPERTY DAMAGE LIABIL- a) Foundations, ITY, 2. Exclusions, other than i. walls, floors or War and the Nuclear Energy paved surfaces; Liability Exclusion, are deleted b) Basements, and the following are added: whether paved or This insurance does not apply not;or to: c) Doors, windows or (a) "Properry damage": other openings. 1) Assumed in any con- (c) Loss caused by or resulting tract; or from water that leaks or flows from plumbing, heat- 2) Loss caused by or re- ing, air conditioning, or fire sulting from any of the protection systems caused following: by or resulting from freez- a) Wear and tear; ing, unless: b) Rust, corrosion, 1) You did your best to maintain heat in the fungus, decay, building or structure; or deterioration, hid- den or latent de- 2) You drained the fect or any quality equipment and shut off in property that the water supply if the causes it to dam- heat was not main- age or destroy it- tained. self; c) Smog; (d) Loss to or damage to: 1) Plumbing, heating, air d) Mechanical conditioning, fire pro- breakdown in- tection systems, or cluding rupture or other equipment or ap- bursting caused pliances;or by centrifugal force; 2) The interior of any building or structure, or to personal properry in the building or structure Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 8 of 15 caused by or resulting 5. Medical Payments from rain, snow, sleet or ice, whether driven The Medical Expense Limit of Any One by wind or not. Person as stated in the Declarations is amended to the limit shown in Section B. c. Limit of Insurance Limits of Insurance, 5. Medicai Pay- The Damage to Premises Rented to ments of this endorsement. You Limit as shown in the Declara- 6. Voluntary Property Damage and Care, tions is amended as follows: Custody or Control Liability Coverage (2) Paragraph 6. of SECTION III - a. Voluntary Property Damage Cov- LIMITS OF INSURANCE is erage hereby deleted and replaced by the following: We will pay for "property damage" to property of others arising out of op- 6. Subject to 5. above, the erations incidental to the insured's Damage to Premises business when: Rented to You Limit is the most we will pay under (1) Damage is caused by the in- COVERAGE A. BODILY sured; or INJURY AND PROPERTY DAMAGE LIABILITY, for (2I Damage occurs while in the in- damages because of sured s possession. "property damage" to With your consent, we will make premises while rented to these payments regardless of fault. you or temporarily occupied by you with permission of b. Care, Custody or Control Liability the owner, arising out of Coverage any one "occurrence" to SECTION I - COVERAGES, COV- which this insurance ap- ERAGE A. BODILY INJURY AND plies. PROPERTY DAMAGE LIABILITY, 2. (3) The amount we will pay is lim- Exclusions, j. Damage to Property, ited as described in Section B. Subparagraphs (3), (4) and (5) do Limits of Insurance, 3. Dam- not apply to "property damage" to age to Premises Rented to the property of others described You of this endorsement. therein. 4. Supplementary Payments With respect to the insurance provided by this section of the endorsement, the fol- Under SECTION I - COVERAGE, SUP- lowing additional provisions apply: PLEMENTARY PAYMENTS - COVER- AGES A AND B: a. The Limits of Insurance shown in the Declarations are replaced by the lim- a. Paragraph 2. is replaced by the fol- its designated in Section B. Limits of lowing: Insurance, 6. Voluntary Property Up to the limit shown in Section B. Damage and Care, Custody or Limits of Insurance, 4.a. Bail Bonds Control Liability Coverage of this of this endorsement for cost of bail endorsement with respect to cover- bonds required because of accidents age provided by this endorsement. or traffic law violations arising out of These limits are inclusive of and not the use of any vehicle to which the in addition to the limits being re- Bodily Injury Liability Coverage ap- placed. The Limits of Insurance plies. We do not have to furnish shown in Section B. Limits of Insur- these bonds. ance, 6. Voluntary Property Dam- age and Care, Custody or Control b. Paragraph 4. is replaced by the fol- Liability Coverage of this endorse- lowing: ment fix the most we will pay in any one "occurrence" regardless of the All reasonable expenses incurred by number of: the insured at our request to assist us in the investigation or defense of (1) Insureds; the claim or "suit", including actual loss of earnings up to the limit shown (2) Claims made or "suits" brought; in Section B. Limits of Insurance, or 4.b. Loss of Earnings of this en- (3) Persons or organizations mak- dorsement per day because of time ing claims or bringing "suits". off from work. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 9 of 15 b. Deductible Clause 9. Automatic Additional Insured - Speci- (1) Our obligation to pay damages fied Relationships on your behalf applies only to a. The following is hereby added to the amount of damages for each SECTION 11-WHO IS AN INSURED: "occurrence" which are in ex- cess of the deductible amount (1) Any person or organization de- stated in Section B. Limits of scribed in Paragraph 9.a.(2) Insurance, 6. Voluntary Prop- below (hereinafter referred to as erty Damage and Care, Cus- additional insured) whom you tody or Control Liability Cov- are required to add as an addi- erage of this endorsement. The tional insured under this Cover- limits of insurance will not be re- age Part by reason of: duced by the application of such deductible amount. (a) A written contract or agreement; or (2) Condition 2.Duties in the Event (b) An oral agreement or con- of Occurrence, Offense, Claim tract where a certificate of or Suit, applies to each claim or insurance showing that per- 'suit" irrespective of the amount. son or organization as an (3) We may pay any part or all of additional insured has been the deductible amount to effect issued, settlement of any claim or "suiY' is an insured,provided: and, upon notification of the ac- tion taken, you shall promptly (a) The written or oral contract reimburse us for such part of the or agreement is: deductible amount as has been paid by us. 1) Currently in effect or 7. 180 Da Covera e for Newl Formed or becomes effective Y 9 Y during the policy pe- Acquired Organizations riod; and SECTION II - WHO IS AN INSURED is 2) Executed prior to an amended as follows: "occurrence" or offense to which this insurance Subparagraph a. of Paragraph 4. is would apply; and hereby deleted and replaced by the fol- lowing: (b) They are not specifically named as an additional in- a. Insurance under this provision is af- sured under any other pro- forded only until the 180th day after vision of, or endorsement you acquire or form the organization added to, this Coverage or the end of the policy period, Part. whichever is earlier; 8. Waiver of Subrogation (2) Only the following persons or organizations are additional in- SECTION IV-COMMERCIAL GENERAL sureds under this endorsement, LIABILITY CONDITIONS, 9. Transfer of and insurance coverage pro- Rights of Recovery Against Others to vided to such additional in- Us is hereby amended by the addition of sureds is limited as provided the following: herein: We waive any right of recovery we may (a) The manager or lessor of a have because of payments we make for premises leased to you with injury or damage arising out of your on- whom you have agreed per going operations or "your work" done un- Paragraph 9.a.(1) above to der a written contract requiring such provide insurance, but only waiver with that person or organization with respect to liability aris- and included in the "products-completed ing out of the ownership, operations hazard". However, our rights maintenance or use of that may only be waived prior to the "occur- part of a premises leased to rence" giving rise to the injury or damage you, subject to the following for which we make payment under this additional exclusions: Coverage Part. The insured must do This insurance does not nothing after a loss to impair our rights. pP y At our request, the insured will bring "suiY' a I to: or transfer those rights to us and help us i) Any "occurrence" enforce those rights. which takes place after Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 10 of 15 you cease to be a ten- c) Any physical or ant in that premises. chemical change 2) Structural alterations, in the product new construction or made intentionally demolition operations by the vendor; performed by or on be- d) Repackaging, un- half of such additional less unpacked insured. solely for the pur- pose of inspection, (b) Any person or organization demonstration, from which you lease testing, or the equipment with whom you substitution of have agreed per Paragraph parts under in- 9.a.(1) above to provide in- structions from the surance. Such person(s) or manufacturer, and organization(s) are insureds then repackaged solely with respect to their in the original liability arising out of the container; maintenance, operation or use by you of equipment e) Any failure to leased to you by such per- make such in- son(s) or organizations(s). spections, adjust- However, this insurance ments, tests or does not apply to any "oc- servicing as the currence which takes place vendor has after the equipment lease agreed to make or expires. normally under- takes to make in (c) Any person or organization the usual course (referred to below as ven- of business, in dor) with whom you have connection with agreed per Paragraph the distribution or 9.a.(1) above to provide in- sale of the prod- surance, but only with re- spect to "bodily injury" or ucts; "properry damage" arising f) Demonstration, in- out of "your products" which stallation, servic- are distributed or sold in the ing or repair op- regular course of the ven- erations, except dor's business, subject to such operations the following additional ex- performed at the clusions: vendor's premises 1) The insurance afforded in connection with the vendor does not the sale of the apply to: product; a) "Bodily injury" or 9) Products which, "property damage" after distribution or for which the ven- sale by you, have dor is obligated to been labeled or pay damages by relabeled or used reason of the as- as a container, sumption of liabil- part or ingredient ity in a contract or of any other thing agreement. This or substance by or exclusion does not for the vendor. apply to liability for 2) This insurance does damages that the not apply to any in- vendor would sured person or or- have in the ab- ganization: sence of the con- tract or agree- a) From whom you ment; have acquired b) Any express war- such products, or any ingredient, ranty unauthorized part or container, by you; entering into, ac- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc., with its permission. Page 11 of 15 companying or 2) This insurance does containing such not apply to "bodily in- products; or jury", "property dam- age" or "personal and b) When liability in- advertising injury" aris- cluded within the ing out of operations products- performed for the state completed opera- or political subdivision. tions hazard" has been excluded (f) Any person or organization under this Cover- with which you have agreed age Part with re- per Paragraph 9.a.(1) spect to such above to provide insurance, products. but only with respect to li- (d) Any state or political subdi- olrk performed for that vision with which you have additional insured by you or agreed per Paragraph on your behalf. A person or 9.a.(1) above to provide in- organization's status as an surance, subject to the fol- insured under this provision lowing additional provision: of this endorsement contin- This insurance applies only ues for only the period of with respect to the following time required by the written hazards for which the state contract or agreement, but or political subdivision has in no event beyond the ex- issued a permit in connec- piration date of this Cover- tion with premises you own, age Part. If there is no rent or control and to which written contract or agree- this insurance applies: ment, or if no period of time is required by the written 1) The existence, mainte- contract or agreement, a nance, repair, con- person or organization's struction, erection, or status as an insured under removal of advertising this endorsement ends signs, awnings, cano- when your operations for pies, cellar entrances, that insured are completed. coal holes, driveways, manholes, marquees, (3) Any insurance provided to an hoist away openings, additional insured designated sidewalk vaults, street under Paragraph 9.a.(2): banners, or decora- (a) Subparagraphs (e) and (f) tions and similar expo- does not apply to "bodily sures; or injury" or "properry damage" 2) The construction, erec- included within the "prod- tion, or removal of ele- ucts-completed operations vators; or hazard"; 3) The ownership, main- (b) Subparagraphs (a), (b), (d), tenance, or use of any (e)and (f) does not apply to elevators covered by "bodily injury", "property this insurance. damage" or "personal and advertising injury" arising (e) Any state or political subdi- out of the sole negligence vision with which you have or wiliful misconduct of the agreed per Paragraph additional insured or their 9.a.(1) above to provide in- agents, "employees" or any surance, subject to the fol- other representative of the lowing provisions: additional insured; or i) This insurance applies (c) Subparagraph (f) does not only with respect to op- apply to "bodily injury", erations performed by "property damage" or "per- you or on your behalf sonal and advertising injury" for which the state or arising out of: political subdivision has 1) Defects in design fur- issued a permit. nished by or on behalf Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 12 of 15 of the additional in- spects any other insurance sured; or policy issued to the addi- 2) The rendering of, or tional insured, and such other insurance policy shali failure to render, any be excess and/or noncon- professional architec- tributing, whichever applies, tural, engineering or with this insurance. surveying services, in- cluding: (b) Any insurance provided by a) The preparing, this endorsement shall be primary to other insurance approving or fail- available to the additional ing to prepare or insured except: approve maps, shop drawings, 1) As otherwise provided opinions, reports, in SECTION IV - surveys, field or- COMMERCIAL GEN- ders, change or- ERAL LIABILITY ders or drawings CONDITIONS,5. Other and specifications; Insurance, b. Excess and Insurance;or b) Supervisory, in- 2) For any other valid and spection, archi- collectible insurance tectural or engi- available to the addi- neering activities. tional insured as an additional insured by 3) "Your work" for which a attachment of an en- consolidated (wrap-up) dorsement to another insurance program has insurance policy that is been provided by the written on an excess primecontractor-project basis. In such case, manager or owner of the coverage provided the construction project under this endorse- in which you are in- ment shall also be ex- volved. cess. b. Only with regard to insurance pro- vided to an additional insured desi (2) Condition 11. Conformance to g� Specific Written Contract or nated under Paragraph 9.a.(2) Sub- Agreement is hereby added: paragraph (f) above, SECTION III - LIMITS OF INSURANCE is amended 11. Conformance to Specific to include: Written Contract or The limits applicable to the additional Agreement insured are those specified in the With respect to additional written contract or agreement or in insureds described in Para- the Declarations of this Coverage graph 9.a.(2)(f)above only: Part, whichever are less. If no limits are specified in the written contract If a written contract or or agreement, or if there is no written agreement between you contract or agreement, the limits ap- and the additional insured plicable to the additional insured are specifies that coverage for those specified in the Declarations of the additional insured: this Coverage Part. The limits of in- a. Be provided by the In- surance are inclusive of and not in surance Services Of- addition to the limits of insurance fice additional insured shown in the Declarations. form number CG 20 10 c. SECTION IV - COMMERCIAL GEN- or CG 20 37 (where ERAL LIABILITY CONDITIONS is edition specified); or hereby amended as follows: b. Include coverage for (1) Condition 5. Other Insurance is completed operations; amended to include: or (a) Where required by a written c. Include coverage for contract or agreement, this "your work"; insurance is primary and / and where the limits or cov- or noncontributory as re- erage provided to the addi- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc., with its permission. Page 13 of 15 tional insured is more re- 11. of this endorsement fix the strictive than was specifi- most we will pay in any one "oc- cally required in that written currence" regardless of the contract or agreement, the number of: terms of Paragraphs a Insureds; 9.a.(3)(a), 9.a.(3)(b) or 9.b. � ) above, or any combination , , thereof, shall be interpreted (b) Claims made or 'suits' as providing the limits or brought; or coverage required by the (c) Persons or organizations terms of the written contract making claims or bring or agreement, but only to "suits". the extent that such limits or coverage is included within (2) Deductible Clause the terms of the Coverage (a) Our obligation to pay dam- Part to which this endorse- ages on your behalf applies ment is attached. If, how- only to the amount of dam- ever, the written contract or ages for each "occurrence" agreement specifies the In- which are in excess of the surance Services Office Deductible amount stated in additional insured form number CG 20 10 but does Section B. Limits of Insur- not specify which edition, or ance, 11. of this endorse- specifies an edition that ment. The limits of insur- does not exist, Paragraphs ance will not be reduced by 9.a.(3)(a) and 9.a.(3)(b) of the application of such De- this endorsement shall not ductible amount. apply and Paragraph 9.b. of (b) Condition 2. Duties in the this endorsement shall ap- Event of Occurrence, Of- P�Y• fense, Ciaim or Suit, ap- 10. Broadened Contractual Liability-Work plies to each claim or "suit" Within 50'of Railroad Property irrespective of the amount. It is hereby agreed that Paragraph f.(1) of (c) We may pay any part or all Definition 12. "Insured contract" (SEC- of the deductible amount to TION V-DEFINITIONS) is deleted. effect settlement of any claim or suiY' and, upon 11. Property Damage to Borrowed Equip- notification of the action ment taken, you shall promptly reimburse us for such part a. The following is hereby added to Ex- of the deductible amount as clusion j. Damage to Property of has been paid by us. Paragraph 2., Exclusions of SEC- TION I -COVERAGES, COVERAGE 12. Employees as Insureds - Specified A. BODILY INJURY AND PROP- Health Care Services ERTY DAMAGE LIABILITY: It is hereby agreed that Paragraph Paragraphs (3) and (4) of this exclu- 2.a.(1)(d) of SECTION 11 - WHO IS AN sion do not apply to tools or equip- INSURED, does not apply to your "em- ment loaned to you, provided they ployees" who provide professional health are not being used to perform opera- care services on your behalf as duly li- tions at the time of loss. censed: b. With respect to the insurance pro- a. Nurses; vided by this section of the en- b. Emergency Medical Technicians;or dorsement, the following additional provisions apply: c. Paramedics, (1) The Limits of insurance shown in the jurisdiction where an "occurrence" in the Declarations are replaced or offense to which this insurance applies by the limits designated in Sec- takes place. tion B. Limits of Insurance, 11. of this endorsement with respect 13. Broadened Notice of Occurrence to coverage provided by this Para ra h a. of Condition 2. Duties in endorsement. These limits are the Event of Occurrence, Offense, inclusive of and not in addition to Claim or Suit SECTION IV - COMMER- the limits being replaced. The CIAL GENERAL LIABILITY CONDI- Limits of Insurance shown in Section B. Limits of Insurance, Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 14 of 15 TIONS) is hereby deleted and replaced (2) The names and addresses of by the following: any injured persons and wit- a. You must see to it that we are noti- nesses; and fied as soon as practicable of an (3) The nature and location of any "occurrence" or an offense which injury or damage arising out of may result in a claim. To the extent the "occurrence" or offense. possible, notice should include: This requirement applies only when (1) How, when and where the "oc- the "occurrence" or offense is known currence" or offense took place; to an "authorized representative". Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 15 of 15