TANGIPAHOA MOSQUITO ABATEMENT DISTRICT PROPOSAL FORM FOR ANNUAL CONTRACT CONTRACT NO. MC12001 PROPOSAL FOR MOSQUITO CONTROL INSECTICIDES

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1 TANGIPAHOA MOSQUITO ABATEMENT DISTRICT PROPOSAL FORM FOR ANNUAL CONTRACT CONTRACT NO. MC12001 PROPOSAL FOR MOSQUITO CONTROL INSECTICIDES CONTRACT PERIOD FROM 1/1/2012 THROUGH 12/31/2012 F.O.B. OUR DESINATION TERMS NET 30 DELIVERY 7 DAYS ARO THIS IS THE PROPOSAL OF COMPANY NAME MAILING ADDRESS CITY STATE ZIP PERSON TO CONTACT DATE PHONE NO. FAX NO. REMIT TO ADDRESS SIGNATURE TITLE The above signature on this PROPOSAL certifies that the bidder has carefully examined the instructions to bidders, terms and specifications applicable to, and made a part of this proposal. Bidder further certifies that the prices shown are in full compliance with the conditions, terms, and specifications of this proposal. HAZARDOUS MATERIAL Bidder must submit product label, material safety data sheet and EPA registry number with bid. If awarded, this information will be required on any subsequent deliveries if there is a change in chemical content. PRICE QUOTATIONS All prices for these items will be on a unit price basis a shown on the bid form since the actual amount of product ordered may exceed or be less than the approximate amount listed herein. Prices must include all shipping charges, and any other charges for the insecticide to arrive at our destination the Tangipahoa Mosquito Abatement District Office, Club Deluxe Road, Hammond, LA Prices quoted must be firm through the contract period.

2 INSTRUCTIONS TO BIDDERS FOR ANNUAL CONTRACTS GOODS SPECIAL NOTE Bidders are urged to promptly review the requirements of this specification and submit questions for resolution as early as possible during the bid period. Questions or concerns must be submitted in writing to the District office during the bid period. Otherwise, this will be construed as acceptance by the bidders that the intent of the specifications is clear and that competitive bids may be obtained as specified herein. Protests with regard to the specification documents will not considered after bids are opened. 1. This contract is to establish firm prices for materials and supplies for the contract period shown. Delivery shall be made or services provided as needed throughout the contract period, or as required by the specification. 2. Quantities, if shown, are estimated only. Smaller or larger quantities may be purchased based upon the needs of the District. There is no guaranteed minimum quantity. 3. The contract shall be firm through the period indicated on the cover sheet. Upon agreement of both the contractor and the District, the contract may be extended for a second or a third year or other shortened specified time periods. Extension of the contract into the second or third time periods shall be made by letter on or before the expiration of the contract. Extension is only possible if all prices and conditions remain the same. 4. Proposals are mailed only as a courtesy. The District does not assume responsibility for failure of bidders to receive proposals. Bidders should rely only on advertisements in the local newspaper, and should personally pick up proposals and specifications. Full information may be obtained, or any questions answered, by contacting the District office, Club Deluxe Road, Hammond, LA 70403, or by calling our office at (985) The contract title, bidder s name, address and bid opening date should be clearly printed or typed on the outside of the bid envelope. Only one bid will be accepted from each bidder for the same job. Alternates will not be accepted unless specifically requested in the proposal. Submission of more than one bid or alternates not requested may be grounds for rejection of all bids by the bidder. 6. The method of delivery of bids is the responsibility of the bidder. All bids must be received by the Tangipahoa Mosquito Abatement District, Club Deluxe Road, Hammond, LA on or before the specified bid opening date and time. Late bids will not be accepted under any circumstances. 7. After opening, bids may not be withdrawn for a period of sixty (60) days. 8. Bids shall be accepted only on proposal forms furnished by the Tangipahoa Mosquito Abatement District. The District will only accept bids from those bidders in whose names the proposal forms and/or specifications were issued. Altered or incomplete proposals, or the use of substitute forms or documents, shall render the bid non-responsive and subject to rejection. The entire proposal package, including the specifications and copies of any addenda issued shall be submitted to the District as the bid. 9. All bids must be typed or written in ink. Any erasures, strikeover and/or changes to prices should be initialed by the bidder. Failure to initial may be cause for rejection of the bid as non-responsive. 10. All proposals must be signed. Failure to do so shall cause the bid to be rejected as non-responsive. 11. Where one or more vendor s exact products or typical workmanship is designated as the level of quality desired or equivalent, the District reserves the right to determine the acceptability of any equivalent offered. 12. If bidding equivalent products, specifications, illustrative literature and any deviations shall be submitted with bid. Representative samples shall be submitted upon request, if appropriate.

3 13. Written addenda issued prior to bid opening which modifies the proposal shall become a part of the proposal for the bid, and shall be incorporated within the purchase order and/or contract. Only a written interpretation or correction by Addendum shall be binding. Bidders shall not rely upon any interpretation or correction given by any other method. 14. All applicable chemicals, herbicides, pesticides and hazardous materials must be registered for sale in Louisiana by the Department of Agriculture, Sate of Louisiana, registered with EPA and must meet all requirements of Louisiana State Laws. Bidders must submit product label, material safety data sheet and EPA registry number with bid. This information will be required on any subsequent deliveries if there is a change in chemical content or a different product is being supplied. Failure to submit this data may be cause for the bid to be rejected or the contract canceled. 15. Delivery of items must be made on time to District destinations within Tangipahoa Parish. All freight charges shall be prepaid by vendor. 16. The District reserves the right to award items separately, grouped, or on an all-or-none basis and to reject any or all bids and waive any informalities. 17. The State of Louisiana Code of Governmental Ethics places restrictions on awarding contracts or purchase orders to persons who are employed by any agency of the Tangipahoa Parish Government, or any business of which he or his spouse has more than a twenty-five percent (25%) interest. The Code also prescribes other restrictions against conflict of interest and establishes guidelines to assure that appropriate ethical standards are followed. If any question exists regarding potential violation of the Code of Ethics, bidders should contact the Tangipahoa Mosquito Abatement District office prior to submission of the bid. Any violation of the Code of Ethics shall be grounds for disqualification of bid or cancellation of contract. 18. District purchases are excluded from state and local taxes. 19. The District reserves the right to terminate this contract prior to the end of the contract period on twentyfour (24) hours written notice for unsatisfactory performance. Termination under this paragraph shall not relieve either party of any obligation or liability that may have occurred prior to the effective date of termination. 20. In the event Vendor is placed in default by District for failure to accept the order or contract as bid, after being awarded by District, for failure to timely deliver, or for otherwise unsatisfactory performance, vendor may be subject up to six (6) months suspension from bidding any District work. In any event, vendor is not eligible to re-bid any project or contract for which he has been placed in default. 21. Tangipahoa Mosquito Abatement District is an equal opportunity employer. 22. In accordance with Louisiana Revised Statutes, a preference may be allowed for equivalent products, manufactured or grown in Louisiana and/or firms doing business in the State of Louisiana. Do you claim this preference if allowed? YES NO. If this preference is claimed, attach substantiating information to the proposal to show the basis for the claim. 23. Right To Audit Clause: The Contractor shall permit the authorized representative of the District to periodically inspect and audit all data and records of the Contractor relating to his performance under this contract.

4 ITEM NO. DESCRIPTION EST. ANNUAL USE TOTAL PRICE 1. Larvicide: BTI Aqueous Suspension, Liquid 200 gallons $ per gallon 2. Larvicide: BTI Granules 120 pounds $ per pound 3. Larvicide: Methoprene Pellets 200 pounds $ per pound 4. Larvicide: Methoprene Liquid 100 gallons $ per gallon 5. Larvicide: Methoprene Extended Residual Briquets 200 pounds $ per pound 6. ULV Adulticide: Permethrin + PBO, Liquid 600 gallons $ per gallon 7. ULV Adulticide: Resmethrin + PBO, Liquid 300 gallons $ per gallon 8. ULV Adulticide: Sumithrin + Prallethrin + PBO 500 gallons $ per gallon 9. ULV Adulticide: Chloropyrifos, Liquid 300 gallons $ per gallon 10. ULV Adulticide: Naled 500 gallons $ per gallon

5 Item #1 Larvicide: BTI Aqueous Larvicide Suspension, Liquid Valent BioScience Vectobac 12AS Product being bid must be composed of a minimum of Bacillus thuringiensis subspecies israelensis, strain AM The product being bid must be in an aqueous suspension formulation. POTENCY Product being bid should contain a minimum of 1200 International Toxic Units per milligram of product. receiving notice by telephone or writing.

6 Item #2 Larvicide: BTI Granules Valent BioScience Vectobac G Granules Product being bid must be composed of Bacillus thuringiensis subspecies israelensis, strain AM The product being bid must be in a granular form. POTENCY Product being bid should contain a minimum of 200 International Toxic Units per milligram of product. receiving notice by telephone or writing.

7 Item #3 Larvicide: Methoprene Pellets Zoecon s Altosid Pellets Product being bid must be composed of 4.25% methoprene. The product being bid must be in a pelletized form. POTENCY Product being bid should contain 4.25% active ingredient. receiving notice by telephone or writing.

8 Item #4 Larvicide: Methoprene Liquid Product being bid must be composed of 5% methoprene. The product being bid must be in a liquid form. POTENCY Zoecon s Altosid Liquid Larvicide Product being bid should contain 0.43 lb/gal active ingredient. receiving notice by telephone or writing.

9 Item #5 Larvicide: Methoprene Extended Residual Briquets/Ingots Zoecon s Altosid XR Extended Residual Ingots Product being bid must be composed of 2.1% methoprene. The product being bid must be in a briquet or ingot form. POTENCY Product being bid should contain 2.1% active ingredient and be able to release effective levels of methoprene for periods of up to 150 days. receiving notice by telephone or writing.

10 Item #6 ULV Adulticide: Permethrin + PBO, Liquid Permanone Product being bid must be composed of 31% Permethrin and 66% Piperonyl Butoxide. The product being bid must be in a liquid concentrate formulation with 2.86 lbs. of permethrin per gallon and 6.09 lbs. piperonyl butoxide per gallon. receiving notice by telephone or writing. The insecticide must be shipped in containers no smaller than a 30-gallon drum.

11 Item #7 ULV Adulticide: Resmethrin + PBO, Liquid Bayer Scourge 18% + 54% MF Formula II Product being bid must be composed of 18% Resmethrin and 54% Piperonyl butoxide per gallon. The product being bid must be in a liquid concentrate formulation with 1.51 lbs. of resmethrin per gallon and 4.51 lbs. piperonyl butoxide per gallon. receiving notice by telephone or writing. The insecticide must be shipped in containers no smaller than a 30-gallon drum.

12 Item #8 ULV Adulticide: Sumithrin + Prallethrin + PBO, Liquid Clarke Duet Product being bid must be composed of 5% Sumithrin, 1% Prallethrin and 5% Piperonyl butoxide The product being bid must be in a liquid concentrate formulation with 0.37 lbs. of sumithrin per gallon, lbs. of prallethrin, and 0.37 lbs. piperonyl butoxide per gallon. receiving notice by telephone or writing. The insecticide must be shipped in containers no smaller than a 30-gallon drum.

13 Item #9 ULV Adulticide: Chloropyrifos, Liquid Clarke MosquitoMist Two ULV Product being bid must be composed of a minimum of 24.6% chloropyriphos. The product being bid must be in a liquid concentrate formulation with 1.98 lbs. of chloropyriphos per gallon. receiving notice by telephone or writing. The insecticide must be shipped in containers no smaller than a 30-gallon drum.

14 Item #10 ULV Adulticide Naled, Liquid Product being bid must be composed of 87% Naled AMVAC Dibrom receiving notice by telephone or writing. The insecticide must be shipped in containers no smaller than a 30-gallon drum.