TENDER #T Sealed bids submitted on the included bid form ONLY in a vendor identified envelope marked:

Transcription

1 Procurement Services 450 Cowie Hill Rd., PO Box 8388, RPO CSC Halifax, NS B3K 5M1 Telephone: (902) TENDER #T DISPOSAL OF RESIDUAL MATERIAL AT THE LAKE MAJOR WSP AND J.D. KLINE WSP Sealed bids submitted on the included bid form ONLY in a vendor identified envelope marked: Tender #T Addressed to: Halifax Water Attn: Brent Hickman Procurement Services 450 Cowie Hill Road P.O. Box 8388, RPO CSC Halifax, NS B3K 5M1 Will be received until 2:00 p.m. Atlantic Time, Tuesday, October 17, 2017 for the above Tender as per the specifications and terms and conditions. Check for changes to this request - Before submitting your bid, visit the Provincial Government Web Portal at or contact our office to see if any Addenda detailing changes have been issued on this tender. Changes may be posted up until the tender closing time. It is the bidders responsibility to acknowledge and take into account all Addenda. Bidders shall be solely responsible for the delivery of their bids in the manner and time prescribed. Bids received after the time and date specified shall be rejected. Electronic and facsimile bids are accepted. The lowest or any submission will not necessarily be accepted. Tender Issue Date October 3, 2017

2 Page 2 of 12 PROPONENT S SUBMISSION SHEET The undersigned hereby acknowledges that he/she, as an officer of the stated corporation, has read and understands the specifications, requirements, and proposed agreement regarding Disposal of Residual Material at the Lake Major WSP and J.D. Kline WSP required by Halifax Water. He/she further acknowledges that the seller s proposed product, equipment, materials, and services fully meet or exceed those as specified in Halifax Water s Tender. Additionally, the Proponent agrees that all its bid documents and responses to the aforementioned Tender will, at the option of Halifax Water, become a legally binding and essential portion of the final contract between the successful Proponent and Halifax Water. The following information must be completed to ensure tender acceptance. ADDENDA No. to INCLUSIVE WERE CAREFULLY EXAMINED. DATED THIS DAY OF, PROPONENT S COMPANY NAME: ADDRESS: CITY/ PROVINCE: POSTAL CODE: PHONE NO.: FAX NO.: ADDRESS: WEBSITE: CONTACT NAME (please print): TITLE (please print): PHONE NO.: AUTHORIZED SIGNATURE: HST REGISTRATION NO: WCB COVERAGE: YES NO * The proponent shall list and initial all addenda received during the period and shall take them into consideration when preparing their bid submission. A signed copy of each Addendum must be included with the bid submission. Failure to comply may be cause for rejection of bid submission. HALIFAX WATER RESERVES THE RIGHT TO REJECT ANY OR ALL SUBMISSIONS THE LOWEST OR ANY SUBMISSION WILL NOT NECESSARILY BE ACCEPTED. This tender will adhere to Halifax Water s Standard Terms & Conditions. They can be found on our website at

3 Page 3 of 12 INTRODUCTION Halifax Water is accepting bids from trucking/excavating firms for the loading and trucking of residual material from the Lake Major Water Supply Plant and J.D. Kline Water Supply Plant drying beds to GFL Environmental Inc., 1569 Walton Woods Rd., Cogmagun, NS. The objective of this tender is for the transportation of residual material from the Lake Major Water Supply Plant and the J.D. Kline Water Supply Plant to GFL Environmental Inc. The Lake Major Water Supply Plant facility will be completed first followed by the J.D. Kline Water Supply Plant. Commencement of the work MUST start no later than October 30, 2017 and be completed no later than November 17, The successful bidder will have three (3) weeks to transport the material. Hours of operation at GFL Environmental Inc. are Monday to Friday, 8:00 a.m. 5:00 p.m. The successful bidder will transport approximately tonnes per day. Off-loading of material as needed. The total volume at each plant is approximately 2000 tonnes. The quantity is an estimate only. Halifax Water reserves the right to increase or decrease quantities based upon site conditions and the quality of material. All bidders responding to this tender are deemed to have familiarized themselves with the facilities included in this tender. To arrange for an inspection of the facilities listed above, please contact: Lake Major Water Supply Plant Colin Waddell, Plant Supervisor Tel: (902) J.D. Kline Water Supply Plant Andrew Houlihan, Plant Supervisor Tel: (902) GFL Environmental Inc. Bruce Brown, Office Administrator Tel: (902) , Cell: (902) or Scott Ogilvie, District Manager II Tel: (902) , Cell: (902) Bidders to provide pricing as indicated in Appendix B Bid Form. Bidders with questions of a technical nature regarding this tender may direct them to Brent Hickman, S.C.M.P., Procurement Officer, procurement@halifaxwater.ca, Tel: (902) Bid submissions must be received in the Office of Halifax Water, 450 Cowie Hill Road, Halifax, NS no later than 2:00 PM local time, Tuesday, October 17, Tenders may be submitted by to: procurement@halifaxwater.ca or fax: (902) SCOPE OF WORK The scope of work is generally described as follows: Quoted price per tonne to include all costs incurred by the bidder associated with access, loading equipment, transportation to the GFL Environmental Inc. facility and any permitting fees. Halifax Water will pay all tipping fees at the GFL Environmental Inc. facility. A scraping fee of $40.00 will be charged by GFL Environmental Inc. to Halifax Water if required, to remove any excess sludge that has accumulated in the tandem. The successful bidder can only gain access to the Lake Major and J.D. Kline facilities after 7:45 a.m.

4 Page 4 of 12 and must depart each facility no later than 4:00 p.m. Loaded trucks will only be accepted at the GFL Environmental Inc. facility between the hours of 8:00 a.m. to 5:00 p.m., Monday to Friday. Bidders are assumed to have familiarized themselves and investigated existing site and working conditions at the Lake Major Water Supply Plant and J.D. Kline Water Supply Plant and to have included all relevant site related costs in their price. No plea of ignorance of such conditions as a result of failure to make all necessary examinations will be accepted as a basis for any claims for extra compensation or an extension of time. Bidders are responsible for determining the appropriate route between the Lake Major Water Supply Plant and the GFL Environmental Inc. facility, as well as, between the J.D. Kline Water Supply Plant and the GFL Environmental Inc. facility, subject to all trucking weight restrictions. Selection of trucking equipment (i.e. tandems, tri-axles, tandems with trailers), and excavation equipment (i.e. loaders, excavators, etc.) to be at the discretion of the successful bidder as deemed appropriate for conditions. All trucks MUST be covered. All trucks to be used must be identified with their full load volume presented to the plant supervisor for agreement. Payment will be based on the weigh ticket received at the GFL Environmental Inc. facility. All receipts must be submitted to the Lake Major WSP supervisor and the J.D. Kline WSP supervisor the morning after the delivery date to calculate total tonnes delivered. ISO ENVIRONMENTAL MANAGEMENT SYSTEM (EMS) Halifax Water has established and is committed to maintaining an EMS which is consistent with the principles set out in the National Standard of Canada CAN/CSA-ISO (ISO 14001:2004). The scope of the Halifax Water EMS includes potential environmental impacts and risks associated with the activities and operations of the specific facilities identified in this tender. The scope of this EMS is formally stated as follows: The J. Douglas Kline Water Supply Plant, the Lake Major Water Supply Plant, the Bennery Lake Water Supply Plant, and the Herring Cove Wastewater Treatment Plant - facilities owned and operated by the Halifax Regional Water Commission. The EMS encompasses internal issues specific to the plant operations including water treatment processes, wastewater treatment process, sludge handling, fuel and chemical management, miscellaneous waste management, dam management and employee relations. Halifax Water has developed an Environmental Policy to document its commitment to the effective management of its environmental priorities and staff at the J. Douglas Kline, Lake Major and Bennery Lake water supply plants and the Herring Cove wastewater treatment plant, and is committed to operating the facility and conducting associated operations in a manner which ensures implementation of these policy commitments. The policy has been endorsed by the General Manager of Halifax Water, and will be circulated to all staff and personnel working on behalf of Halifax Water.

5 Page 5 of 12 Environmental aspects have been developed based on Halifax Water s EMS scope and environmental policy that can have significant impact on the environment. Halifax Water shall ensure that any person performing tasks on its behalf will comply with the scope and the environmental policy. OCCUPATIONAL HEALTH & SAFETY Working safely and in compliance with all N.S. Safety regulations is a priority at Halifax Water. A safe workplace for our staff is a top priority for Halifax Water. Contractors are advised that it is their responsibility to ensure that the personnel assigned to this work are familiar with and fully knowledgeable and comply with the Occupational Health and Safety Act of the Province of Nova Scotia, Halifax Water s Contractor Health and Safety Policy, outlined in Appendix C, and other Provincial and Municipal safety requirements. The successful bidder must hold a certificate of recognition issued jointly by the Nova Scotia Department of Labour and an Occupational Health and Safety organization approved by the NS Department of Labor or have a letter of good standing from an occupational health and safety organization approved by NS Transportation and Public Works indicating that the contracted party is in the process of qualifying for the certificate of recognition. SMOKE FREE WORKPLACE POLICY Please be advised that effective September 1, 2014, Halifax Water has become a Smoke free Workplace. Due to the health hazards, fire risks and environmental concerns associated with smoking, Halifax Water will prohibit the use of smoking materials on all property owned by Halifax Water. This includes all tobacco products, products consumed by smoking, as well as, electronic cigarettes or vaporizers. Anyone using or consuming any of these products must leave Halifax Water property to do so. NOVA SCOTIA CONSTRUCTION SAFETY ASSOC. (NSCSA) The successful contractor(s) must provide a valid Letter of Good Standing of the Certificate of Recognition Program issued to the Contractor by the Nova Scotia Construction and Safety Association or another recognized association, indicating the Contractors current status. WORKERS COMPENSATION BOARD (WCB) The contractor must provide proof of good standing status with the Workers Compensation Board (WCB) for the entire period of the contract. The successful bidder will notify Halifax Water if their status with the WCB changes and is to provide Halifax Water with the updated proof of status as required. WORKPLACE SAFETY CERTIFICATE OF RECOGNITION (COR) The Contractor shall provide Certified Proof and a Valid Workplace Safety Certificate of Recognition (COR) from an authorized institution as listed by the WCB. INSURANCE COVERAGE The contractor must provide a Certificate of Insurance stating the contractor has two million dollars ($2,000,000) of Public General Liability Insurance and Halifax Water is added as an additional named insured in

6 Page 6 of 12 the Certificate of Insurance. The contractor shall pay for and maintain during the contract period the above insurance in the name of the contractor, and Halifax Water as named additional insured and as unnamed insured all persons employed directly or indirectly by the contractor indemnifying the contractor, and Halifax Water against all claims, damages, costs, charges, and expenses either party may incur or sustain by reason of the work being performed and in the amounts and coverage stated above. Certificated copies of all the Certificates requested must be submitted with the bidder s quotation documents. POLICE RECORD CHECK All contractors, consultants and their employees working for Halifax Water must obtain a Police Record Check (PRC). The process for obtaining PRCs is outlined in Appendix A. EVALUATION CRITERIA Halifax Water will evaluate the Tender based upon the following criteria: o Price o Ability to meet ALL specifications as outlined in this invitation Tender Bid Submission Format: The following information to be provided to ensure each bid receives full consideration. Bids not containing this information may be considered incomplete, and may be rejected: A fully completed and signed Bidder Information Sheet. (Use enclosed Form Pg. 2). A fully completed Bid Form (Appendix B ). Three References for whom you have provided relevant contract services REFERENCES Contractors are to provide a list of three (3) references for any work of a similar nature done by your firm in the past three years. References from Halifax Water staff cannot be considered as it might be perceived as a conflict of interest. Halifax Water staff shall be sole judge if their references are suitable to carry out this work. The contractor must be qualified in this field of work and through references and past performance must demonstrate their firm is qualified to carry out this work. 1 Company Contact Number Description of work provided 2 Company Contact Number Description of work provided

7 Page 7 of 12 3 Company Contact Number Description of work provided TERMS AND CONDITIONS 1. INQUIRIES All questions related to this Tender shall be directed to: 2. UNIT PRICING and EXTENSIONS Brent Hickman, S.C.M.P. Procurement Officer Halifax Water procurement@halifaxwater.ca Phone: (902) The bid price shall include all wages, fringe benefits, insurance, transportation, working tools, equipment costs, etc. and other charges incurred to provide the required services. All prices should be extended and totalled. The extended price is derived by multiplying the unit price by the quantity of units required. In the event of an error in calculation of the extended price, the unit price will be taken as correct and will govern in the Bid evaluation and contract administration. Prices to be submitted on the pricing sheet provided. See Appendix B. 3. TAXES EXCLUDED The Bid prices shall exclude HST. Do not include any Provincial or Federal Sales tax. 4. CURRENCY All prices should be quoted in Canadian dollars. Please Bid your net price on each of the above commodities or services, F.O.B. destination Halifax Water, prepaid. 5. PAYMENT & INVOICING Payment shall be based on Net 30 Days from date of invoice or receipt of goods/ services, whichever is later. If special payment terms or schedules are required, these must be specified in the Bid; otherwise, Halifax Water payment terms (net 30 days) will apply. Invoices are to be ed to: Accounting_dept@halifaxwater.ca Halifax Water administers its payables via an electronic payment process known as EDI payment. Payments for this solicitation and following contract will be administered via the electronic payment process.

8 Page 8 of EXPLANATION TO BIDDERS No verbal agreement or conservation with any officer, agent or employee of Halifax Water either before or after execution of the contract shall effect or modify any of the terms or obligations contained in any of the documents comprising the said contract. 7. RIGHT TO REJECT; FINANCIAL STABILITY; NON-COMPLIANCE Failure to comply with any of the mandatory terms or conditions contained or referenced in the tender documents may result in the rejection of the Bid. All of the terms, conditions and/or specifications stated or referenced in the tender are assumed to be accepted by the Bidder and incorporated in the Bid. Bidders may be required to demonstrate financial stability, authorization to provide the goods/services being acquired, and/or regulatory agency approval, licensing or registration as needed, or otherwise clarify Bidder s capability to satisfy the tender requirements. Halifax Water reserves the right to reject Bids from any Bidder that it feels is incapable of providing the necessary labour, materials, equipment, financing or management resources to perform the work or supply the goods in a satisfactory and timely manner. Halifax Water reserves the right to waive minor non-compliance where such non-compliance is not of a material nature in its sole and absolute discretion, or to accept or reject, in whole or in part any or all Bids, with or without giving notice. Such minor non-compliance will be deemed substantial compliance and capable of acceptance. Halifax Water will be the sole judge of whether a Bid is accepted or rejected. Halifax Water reserves the right to split an award amongst Bidders as deemed in the best interest of Halifax Water. 8. CANCELLATION; NO AWARD Issuing a tender implies no obligation on Halifax Water to accept any Bid or a portion of any Bid submitted. Halifax Water does not bind itself to accepting the lowest or any tender received, but reserves the right to award the tender to its best advantage. Tenders may be cancelled in whole or in part without penalty, when a) the price Bid exceeds the funds allocated for the purchase; b) there has been a substantial change in the requirements after the tender has been issued; c) information has been received by Halifax Water after the tender has been issued that Halifax Water feels has substantially altered the procurement; or d) there was insufficient competition in order to provide the level of service, quality of good or pricing required. If no compliant Bids are received in response to a tender, Halifax Water reserves the right to enter into negotiations with one or more vendors in order to complete the procurement. Halifax Water will be the sole judge of whether there is sufficient justification to cancel any tender. No action or liability will lie or reside against Halifax Water in its exercise of its rights under this section.

9 Page 9 of INDEMNIFICATION The contractor agrees to indemnify and save harmless Halifax Water from and against all claims, actions, losses, expenses, costs or damages of every nature and kind whatsoever which may occur through the performance of this contract. 10. ADDENDA, CORRECTIONS OR EXTENSIONS OF THE TENDER Periodically, Halifax Water is required to issue notification of changes or corrections to a bid document. Normally these notifications will have a direct bearing on the cost of a project and will influence the way you bid. Halifax Water reserves the right to modify the terms of the tender at any time prior to closing, at its sole discretion. Information regarding addenda will be made available to all bidders by visiting the Provincial Government Web Portal at or contacting our office. Bidders are instructed to sign the Addenda and return it with their bid submission. Bidders are responsible for ensuring that they are aware of and have complied with all Addenda. Failure to comply with the instructions on an advisory of addendum will result in rejection of your submission, regardless of whether the changes noted in the advisory or addendum are included in the tender or not. 11. HOURS OF WORK Halifax Water core hours of operation are Monday to Friday, 8:30 am to 4:30 pm. 12. COOPERATIVE PURCHASING Halifax Water reserves the right to extend this offer to other governmental entities, including HRM, Province of Nova Scotia and other MASH sector entities.

10 Page 10 of 12 APPENDIX A POLICE RECORDS CHECK (PRC) PROCESS FOR OBTAINING POLICE RECORD CHECK FOR CONTRACTORS/CONSULTANTS 1. All contractors, consultants and their employees working for Halifax Water must obtain a Police Record Check (PRC). 2. It is the responsibility of the Halifax Water staff member that engages a contractor/consultant to ensure that a PRC is conducted. 3. To obtain a PRC, contractors or consultants should either: a) Book an appointment with or visit their local Police Department. Once completed, the results of the PRC should be sent to the address below indicating the organization the individual is currently employed with, the HW Project Manager, and the name of the project that the PRC s relate to. Halifax Water Safety & Security Dept. 450 Cowie Hill Road Halifax, NS B3P 2V3 or by patriciaj@halifaxwater.ca b) Go online to If this method is chosen, the individual will have to create a personal account with mybackcheck. They have the option of verifying their ID either online by answering a couple of quick questions regarding their credit history or in person at any of the 5000 participating Canada Post locations nationwide. Once verified, the Police will complete the PRC. The individual will receive an indicating the results are in. They will then have to login to their mybackcheck account and choose to Share the results with Halifax Regional Water Commission again indicating the organization the individual is currently employed with, the HW Project Manager and the name of the project that the PRC s relate to. For residents of the United States, a FBI record check is acceptable. 4. The Safety & Security Department will notify the Halifax Water Project Manager who requested the PRC whether the contractor/consultant has received clearance. 5. If a contractor/consultant requires Card Access to a Halifax Water facility(s) the Project Manager will schedule an appointment with the Human Resources Department to have a Contractor Card created and access granted, based on the contractors/consultant s needs. 6. Certain contractors/consultants, depending on the work or services they are providing, may require a fingerprint-based check. Halifax Water reserves the right to request fingerprints where applicable. 7. All contractors, consultants and their employees are required to renew their PRC every 3 years.

11 Page 11 of 12 APPENDIX B BID FORM TENDER # DATE CLOSING DATE CONTACT T October 3, 2017 October 17, 2017 Brent Hickman DESCRIPTION PRICE Lake Major Water Supply Plant all inclusive price per tonne J.D. Kline Water Supply Plant all inclusive price per tonne $ $ HST Extra (Do not include in price) List and describe the number and types of trucks to be used:

12 Page 12 of 12 APPENDIX C - CONTRACTOR HEALTH AND SAFETY POLICY

13 OCCUPATIONAL HEALTH & SAFETY PROGRAM MANUAL Contractor Health & Safety Policy Section 5 Rev: March 2016 Page Purpose To promote the health and safety of both Halifax Regional Water Commission (Halifax Water) employees and contracted personnel at all times when conducting work on behalf of Halifax Water. This policy does not relieve employees or contracted personnel from adhering to the Occupational Health and Safety Act (OHSA) Scope This procedure applies to all Halifax Water administered Work where the Contractor controls the Place of Work within the street right of way, public easement or Halifax Water property Definitions Corrective Action Plan (CAP) A specific plan developed to address a safety deficiency or required improvement to a safe work practice. The plan should contain tasks or changes required to mitigate future risks, provide a timeline for implementation of the tasks and identify the responsible person. Place of Work Specific Safety Plan Is a tool to identify all tasks that the Contractor will be performing throughout the duration of the Work and shall include a hazard analysis for each task identifying the controls the Contractor will be putting in place to address the hazard. The Contractor Place of Work specific safety plan shall be kept up-to-date throughout the duration of the Work. Near Miss Is an unplanned event that did not result in injury, illness, or damage but had the potential to do so. Note in the context of the OHSA the Contractor is the Constructor 5.04 References Occupational Health & Safety Act of Nova Scotia ( OHSA ) Occupational Safety General Regulations

14 OCCUPATIONAL HEALTH & SAFETY PROGRAM MANUAL Contractor Health & Safety Policy Section 5 Rev: March 2016 Page Roles and Responsibilities Owner The Owner is responsible to ensure the implementation of and adherence to this policy at all times, which includes monitoring the Work. Contractor Contractors must comply with this policy at all times and are responsible to ensure their employees, sub-contractors, suppliers and agencies comply with this policy at all times. Contractors must communicate all safety concerns and deficiencies to the Owner. A Corrective Action Plan (CAP) shall accompany the notification Implementation The Contractor must adhere to the following after securing the Contract with Halifax Water: Ongoing Compliance Throughout the duration of the Contract, the Contractor must immediately provide the Owner with copies of any regulatory inspections, such as: compliance orders; notices of compliance; directives; and/or fines administered by any regulatory authority in connection with the Work Place of Work-Specific Safety Plan Review A Contractor Place of Work Specific Safety Plan (see attached) shall be submitted to the Owner, prior to commencement of Work. The Contractor Place of Work Specific Safety Plan shall be reviewed with the Contractor at the Place of Work, before the Work commences. Accident/Near Miss Reporting and Safety Deficiencies Contractors must follow their own work safe procedures for incident/near Miss reporting and inspections processes. Contractors must immediately report all incidents and Near Misses to the Owner. If a Contractor does not have a Near Miss program, the Owner s Near Miss form may be used (see attached). If a Contractor is given notice of a safety deficiency, the Contractor must comply with the Safety Deficiency Notice for Contractors (see attached) and correct deficiencies as immediately.

15 OCCUPATIONAL HEALTH & SAFETY PROGRAM MANUAL Contractor Health & Safety Policy Section 5 Rev: March 2016 Page 5.3 Work within Halifax Water Facilities When Work is to occur within facilities operated by Halifax Water, the following forms are to be completed by the owner and Contractor: Halifax Water Safe Work Permit Contractor Orientation Sign-Off 5.07 Forms Place of Work-Specific Safety Plan Near Miss Reporting Form Safety Deficiency Notice for Contractors Halifax Water Safe Work Permit Contractor Orientation Sign-Off

16 SECTION 1- GENERAL INFORMATION: PLACE OF WORK SPECIFIC SAFETY PLAN Date: Work: Scope: Owner: Contractor: Signature Contractor Representative: Signature SECTION 2 SITE HAZARD EVALUATION Excavations, Power Lines and Traffic Control *Note: All excavations must comply at all times with Part 14 of the Occupational Safety General Regulations Excavations Method of Protection: Sloping Trench Sheild Approved Shoring Manufactured System Geotech Engineer s Certificate Have all buried utilities been located? Yes No Have all locate certificates been obtained? Yes No Is blasting required? Yes No Note: Blasting is not permitted in HRM without a valid permit. If no, go to Power Lines. HRM Blasting Permit Obtained? Yes No Permit #: Date: Name of Blasting Contractor: Address: Name of Blaster in Charge: Blaster License, Class: Number: All blasting activity must comply with the Blasting Safety Regulations Power Lines Has a Safe Clearance Report been obtained from NS Power? Yes No Copy Provided? Yes No Date of Clearance: Temporary Workplace Traffic Control Is the Contractor using his own TCP and Signers? Yes No Do they have current certificates? Yes No Has a Traffic Control plan been prepared? Yes No Is a sub-contracted service to be used? Yes No If no, go to Mobile Cranes. Name of Sub: Address: Note: Contractor will provide written verification that all sub contractors will have only certified personnel on the project and at least 1 will have a valid Emergency First Aid Certificate. Mobile Cranes (Over 5 Tonnes) Contractor shall ensure any Mobile Crane use on a Halifax Water project has a valid Engineers Certificate of Inspection and a Licensed Operator. SECTION 3 - INFORMATION RE: HAZARDOUS MATERIALS ON PROJECT Owner to provide information on hazardous materials that the contractor can potentially come into contact within the performance of the contract. Contractors shall provide MSDS sheets for all materials brought on site which require labeling. Inform affected Halifax Water personnel of noxious or hazardous materials to be brought on site by the contractor. Check if Complete

17 SECTION 4 GENERAL HALIFAX WATER SAFETY RULES Provide name of worker safety representative for crews between 5 to 19 employees: Provide contractor with facility map and general Halifax Water safety policy. Review foot protection requirements. (CSA safety shoes or boots required on Halifax Water administered projects) Review head protection requirements (Hard hats are required at all time on Halifax Water administered projects). Review vehicle use on Halifax Water property maximum 15 kph speed limited. Contractor vehicles are permitted on Halifax Water property only for transportation of tools and materials for the work. Parking of construction and contractor vehicles, as directed, by Halifax Water personnel. Review good housekeeping practices, disposal of construction materials, cardboard, and general refuse from Halifax Water property. Contractors shall report all near misses and incidents to the Halifax Water employee in charge of the project. Review drug and alcohol policy, reporting to work under the influence. Drugs and alcohol are prohibited. It is prohibited to bring into Halifax Water or posses weapons as described in Provincial legislation. Tool box minutes shall be submitted with each progress payment request. SECTION 5 WORK PERMITS Confined Space Entry Does the contractor have a confined space entry procedure? Yes No Has the entry procedure been reviewed within the last year? Yes No Do all workers have valid training cards, within the past 2 years? Yes No Hot Work Permit Review Review hot work procedures for welding, burning, and grinding. Total Energy Lock Out and Tag Out (LOTO) Review Is LOTO required? Yes No If no, go to Fall Protection. Review LOTO safety policy. Review process of locking out a device. Review process of tagging out a device. Fall Protection Is work from ladders, elevated working surfaces, or lifts required? Review legal requirements for fall protection while working from elevated work surfaces. Review legal requirements for fall protection while working from elevated lifts. SECTION 6 EMERGENCY PROCEDURES Halifax Water Alarm System Review Review alarm and when it should be used (Halifax Water evacuation, fire, spill, release). Review emergency exit routes. Halifax Water Emergency Response Review Review how to contact ambulance, fire, and police. Provide contractor with primary project contact (Project Manager, Halifax Water Engineering/Construction rep., OHS Mgr.). Review how to respond to a medical emergency (Project Manager, Halifax Water Engineering/Construction rep., OHS Mgr.). SECTION 7 TRAINING Review specific training required. Review verification of training. Check if Complete

18 Near Miss Reporting Form Reported To: Reported By: Description: Date: Region/Dept: Signature of Reporter: Corrective Actions: Signature of Supervisor: **You can also report a near miss by sending an to HWSafety@halifaxwater.ca**

19 Safety Deficiency Notice for Contractors Objective: This form is to be used by the Owner to document Contractor safety deficiencies. A copy of this notice must be given to the Contractor immediately. The Contractor must correct deficiencies immediately and return a copy of this report to the Owner within 48 hours of receipt. The Contractor must acknowledge corrective action to be taken immediately and preventative measures to be taken in the future to avoid repeat of the same incident or deficiency. To: Date & Time of Safety Deficiency: Date: Location of Safety Deficiency: Description of Safety Deficiency (include who observed safety deficiency): Work Stop Ordered (circle one)? Yes No Contractor Reply (Corrective Action Plan): Sign Off: Owner Signature Date Contractor/Representative Signature Date

20 Halifax Water Safe Work Permit THIS PERMIT IS ONLY VALID IF ALL SECTIONS ARE COMPLETED AND ACKNOWLEDGED NO WORK IS ALLOWED EXCEPT THAT SHOWN ON THIS PERMIT Date of Issue: Date of Expiry: Time of Issue: Time of Expiry: Location of Work: Description of Work: Department / Company: SECTION A HAZARDOUS MATERIALS (check one) YES NO N/A 1. Hazardous Materials in the Immediate Work Area: Toxic Corrosive Flammable Other If NO or N/A for all, continue to Section B 2. Cleaning and purging of equipment: Flushing with water Inert gas purging Air ventilation Collection Drums/Trays 3. Is an adequate supply of fresh air assured? (Circle one) YES NO SECTION B LOCK OUT / TAG OUT 1. Lock Out / Tag Out Equipment Isolation: N/A Has equipment been isolated and de-energized adequately by: Electrical switch lock out and necessary tags installed Documented in the lockout log at the power supply Blanking and blocking off SECTION C HOT WORKS N/A 1. Is any of the following required? Burning / Welding / Cutting Grinding / Sandblasting 2. Fire Protection Measures: Fire extinguishers Watchperson Other 3. Are all combustible materials removed or made safe? 4. No flammable liquids, vapours, gases or dusts are present 5. Smoke/heat detectors are isolated/protected 6. Fire alarm/monitoring equipment temporarily disabled and monitoring company informed SECTION D CONFINED SPACE ENTRY N/A (Requires separate confined space entry permit) 1. Has the confined space entry permit been reviewed and signed off? 2. Has the permit been displayed at point of entry? 3. Has the confined space been prepared for safe entry? 4. Have all persons concerned been briefed on emergency procedures? Shutting, locking, and tagging appropriate valves Disconnection Draining and/or venting SECTION E AGREEMENT AGREEMENT: I have checked both the permit and the job. I understand the nature and extent of the work and the precautions to be followed in completing the work. All safety work permits must be discussed and signed by both the issuers and receivers BEFORE work is started and AFTER work is complete. This permit must be displayed on the appropriate board BEFORE any works are undertaken. Issuer (print): Issuer (signature): Job Title: Receiver (print) Receiver (signature): Company: SECTION F AGREEMENT Job Completed and/or the Work Site Clean, Safe, and Secure To be filled out if job is longer than one day: Issue Date Start Time Finish Time Issuer s Signature Receiver s Signature Site Clean and Safe NEXT SECTION TO BE COMPLETED WHEN JOB IS COMPLETED Job completed? (circle one) YES NO Signature of Issuer: Time: Signature of Receiver: Time: Is job site in safe and satisfactory condition? (circle one) YES NO Signature of Issuer: DATE: Signature of Receiver:

21 Halifax Water Facilities and Halifax Water Controlled Work Sites Contractor Safety Orientation Sign-Off Objective: A Halifax Water Supervisor or Employee must review safety orientation issues with all Contractors in Halifax Water controlled facilities or work sites in order to ensure the Contractor has the information necessary to ensure the health and safety of workers in the facility or work site. This will be done prior to work commencement and when the information on this form changes. This form will be kept on file at the facility or in the project file for a period of not less than 2 years. Contractors and visitors who are accompanied by Halifax Water staff while they are in a Halifax Water facility or work site are not required to undergo the orientation. Acknowledgment: I, the undersigned, acknowledge that I have received a Safety Awareness Orientation. Information covered in the orientation is indicated by checking the boxes below: Communication of known hazards Location of sanitary facilities. Response and rally point in the event of an evacuation or fire alarm. Restricted and non-restricted access areas in the building. General security awareness. Required personal protective equipment. Appropriate disposal of solid and liquid waste. Location of safety facilities, such as fire extinguishers, showers, eyewash stations, etc. Sign-Off: Safe Work Permit Required? Yes No Name Signature Company Supervisor or Designate Date Date K:\Forms and Templates\Engineering\6 - Tender Phase\Tender Document\Health and Safety\Section 5 - Contractor Orientation Sign Off.docm