REQUEST FOR PROPOSALS (RFP) Pueblo City-County Health Department Household Hazardous Waste (HHW) Collection Event 2016

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1 101 W. 9 TH STREET PUEBLO, COLORADO (719) BOARD OF HEALTH Eileen Dennis, RN, President Michael J. Nerenberg, MD, Vice President Ed Brown Terry A. Hart Donald Moore PUBLIC HEALTH DIRECTOR Sylvia R. Proud, MS, IPMA-CP REQUEST FOR PROPOSALS (RFP) Pueblo City-County Health Department Household Hazardous Waste (HHW) Collection Event 2016 Information for Proposers PCCHD is seeking proposals from qualified and experienced contractors to provide all personnel, equipment, and related services for a Household Hazardous Waste (HHW) Collection event on May 14, Event Description - Overview The HHW is an event where residents of Pueblo County may dispose of and recycle unused and unwanted hazardous waste in an environmentally safe manner. The successful contractor will provide the following services: assisting PCCHD staff in planning the project, staffing the collection site, taking responsibility for the proper handling, transportation, and disposal of household hazardous waste collected from residents and providing follow-up reports on volumes, final disposal and/or recycling locations, methods, and provide an invoice to PCCHD for the materials handled. PCCHD has scheduled the 2016 one-day collection event for the public based on available funding. The collection event will be held at the Colorado State Fairgrounds. The household hazardous waste will be transported to the collection site by individual residents in their vehicles. A specific drive-up station will be setup for household hazardous waste. In addition, separate stations will be set up for alkaline batteries, fluorescent light bulbs, lead acid batteries, latex and oil paint, used tires, old appliances, and electronic scrap such as computers and TVs. Residents will drop-off items at the different stations. Selected vendors will accept and handle these wastes. Materials that are rejected for collection will be left with the resident to take home. PCCHD strongly prefers that recycling be used as the disposal/treatment method for as much of the collected waste as possible. The second tier of treatment preferred is reuse. The third tier is incineration and last is proper land filling. See page 3 of this document for more details. Date, Location, and Event Hours The 2016 collection event will be held on Saturday, May 14, The collection site will be the Colorado State Fairgrounds, Carnival/Midway Lot (accessed by Gate 3), 1001 Beulah Avenue, Pueblo, Colorado. The event will be advertised as opening to the public 8:00 AM and closing at 1:00 PM. See the attached sitelayout in this packet. Waste Removed from Site All hazardous waste collected at the site must be removed from the property by the Contractor by 6:00 PM the day of the collection, Saturday, May 14, At no time shall the Contractor leave the collected hazardous waste unattended. See the attached data table of collected materials from the May 11, 2013 event in Pueblo. It shows that 927 vehicles were serviced in the five-hour timeframe. PCCHD HHW RFP 2016 Page 1

2 Proposal Requirements Terms of Agreement with Successful Proposer The terms and conditions of PCCHD s RFP will be incorporated by reference in its entirety into the Service Agreement. The Service Agreement will set forth the character and quality of the work to be done, services to be rendered, and the materials to be provided by the successful Proposer. Staffing Requirements The Contractor shall provide adequate staffing to ensure that the flow of traffic during the event is not backed- up for more than a 10-minute waiting period at their assigned station. Contractor Training Requirements The Contractor's Project Manager and all chemists working at the collection must provide proof of OSHA 40-hour training and have additional training in spill response, containment, and evacuation techniques as well as in hazardous materials handling. All other workers, including Contractor s agents and subcontractors, must have completed a minimum of 24 hours of training in hazardous materials handling. Copies of the training certificates for each employee, agent, or subcontractor must be provided to PCCHD ten days in advance of the event. Waste Materials to be Collected PCCHD requires that the successful Contractor must be qualified and able to segregate, bundle, manifest, transport and recycle, treat or dispose of all household hazardous materials collected. Contractor will accept all household hazardous waste with the exception of those items listed in waste materials to be rejected. Waste Materials to be Rejected The following items must be rejected: compressed gases, explosives, shock sensitive materials, ammunition, ordnance, radioactive materials, infectious or biohazard materials, electronic wastes, latex and oil paint, water-based stains. If vendor accepts any items listed above, the vendor will be responsible for disposal costs of the items at the Vendor s expense. Vendor should not accept any miscellaneous household trash. In the event that waste is presented by the resident and deemed non-hazardous, the waste shall be disposed of in a solid waste container provided by PCCHD. This non-hazardous waste shall not be included as part of the collection volumes accepted by the contractor, nor included in labor costs. Note that PCCHD reserves the right to refuse any type of waste it chooses from the collection. The Contractor will be notified in advance of all waste or waste streams to be excluded from collection. In addition, PCCHD reserves the right to segregate waste before collection. The separation of waste or the use of another contractor will in no way impact the collection of the hazardous materials. Unknown Chemicals The Contractor will be expected to assist in the classification of any unknown materials during collection to determine whether the materials can be handled. The Contractor is not obligated to accept materials which cannot be identified; should the Contractor accept such materials, the Contractor will be required to handle the materials in accordance with all federal, state and local laws and regulations. Solid Waste Disposal (Non-hazardous Waste) PCCHD will provide suitable containers for the disposal of non-hazardous solid waste received at the collection and will be responsible for the disposal of the solid waste. Containers which have been emptied during bulking operations and meet the criteria of empty below shall be disposed of in the solid waste or recycling containers. Empty containers for this HHW event will be defined as containing less than three tablespoons of material unless that material is acutely toxic or PCCHD agrees that the container shall be accepted for disposal. PCCHD HHW RFP 2016 Page 2

3 Collection, Packaging and Disposal Methods 1. The Contractor will immediately neutralize and/or clean up any spilled or leaking chemicals at the collection site. Upon completion of the collection event, the Contractor shall remove from the premises all collected materials and all items belonging to the Contractor. The area shall be broom-cleaned as a final clean-up of the area and inspected and approved by PCCHD representative. 2. Special considerations will be given to the Contractor who can provide for the preferred methods of treatment which are: Reuse If this method is not possible, explain why not in the detail. Recycling If this method is not possible, explain why not in the detail. RCRA incinerator or chemical treatment Land-filling (the least desirable) The Contractor shall disclose the final disposal site(s) for all materials collected, including the names and locations of any cement kilns or industrial boilers. PCCHD prohibits the use of non-rcra landfills for final disposal. Follow-Up Reports The successful Contractor will be required to submit the following reports to PCCHD: 1) A follow-up written report detailing the size, packing sheet, and manifest category of each waste container. This information shall be provided in an easily readable and understandable format. The report will be due within 30 days after the collection (no later than June 13, 2016). 2) A report summarizing the processing/disposal method used for each type of material (i.e., recycling, fuel blending, incineration, land-filling, neutralization) including the volume handled, and the name and location of the recycling site /ultimate disposal. This report shall be filed within 30 days after the collection (no later than June 13, 2016). Federal, State, and Local Laws The successful Contractor must comply with all applicable Federal, State, and local laws and regulations. The successful Contractor must also obtain all required permits for the handling, transportation, treatment, and disposal of hazardous waste. Indication that the Contractor or its subcontractors, including transporters, transfer and/or storage facilities, and/or recycling facilities, are substantially out of compliance or have a history of failing to comply with federal and state laws will be a basis for rejection of the proposal. Execution of the Service Agreement Within 10 working days after receipt of the award from PCCHD, the successful Contractor shall execute, acknowledge, and deliver (in duplicate) to PCCHD a service agreement pre-approved by PCCHD. The terms and conditions of this RFP will be incorporated by reference into the agreement. The successful Contractor must provide, with the service agreement, written evidence that PCCHD has been named as additionally insured parties for the required insurance coverage. This evidence may be in the form of a letter from the insurance company or a certificate of insurance. The successful Contractor must provide, with the service agreement, copies of all EPA and State permits and licenses for all storage, treatment and disposal facilities. These service agreements will be used for materials generated on the site and will certify that there have been no changes in the status of violations since the proposal was submitted and that none of the facilities have had a permit or license suspension. Any changes in permit status must be documented and discussed with PCCHD staff prior to signing the contract. Subcontractors 1. For purposes of this RFP only, subcontractor shall be defined as any individual, partnership or corporation other than PCCHD holding a contract with the Contractor for working at the collection site or for transporting any waste generated during the collection to a storage, treatment or disposal site. Subcontractor shall also mean any individual, partnership or corporation holding a contract with such a subcontractor for the same services. PCCHD HHW RFP 2016 Page 3

4 2. The Contractor shall assume all liability for any and all subcontractors. 3. All subcontractors must be identified, their qualifications stated, and all information provided as if they were the Contractor. Proposers who offer to use subcontractors who are not considered to be qualified will be considered to have submitted an unqualified proposal. 4. If subcontractors will be used for any phase of the handling or transportation of the waste, the subcontractors must meet and comply with the standards outlined in this RFP. 5. If, after the contract is awarded, it becomes necessary to hire subcontractors, subcontractors may only be hired with the prior written approval of PCCHD. PCCHD shall have the right to determine both the use of subcontractors and the qualifications and competence of subcontractors before they are hired. All subcontractors will be held to the same standards as the Contractor. 6. If the use of subcontractors is anticipated at the time of submitting a proposal, the anticipated use of the subcontractors must be stated, and the subcontractors must be identified along with their qualifications. All qualification forms must be completed for each subcontractor. Contractor compliance history forms must also be completed for each subcontractor. Generator Status The Contractor will be deemed the generator for all waste that is collected by the Contractor at the event. Generator status will be assumed at the time the waste is removed from the participant s vehicle. Indemnification The Contractor shall indemnify, defend, and hold harmless PCCHD s Board of Health, their employees and agents, and PCCHD s approved volunteers from and against all losses and claims, demands, payments, suits, actions, or recoveries and judgments of every nature and description brought or recovered against them by reason of any act or omission of the said Contractor, Contractor's agents, employees, or subcontractors in the execution of its obligations hereunder. Assignment of Rights The Contractor shall not assign, transfer, convey, sublet, or otherwise dispose of the Service Agreement, or Contractor s rights, title or interest in or to the same of any part without consent in writing by PCCHD. If the Contractor does, without previous written consent, assign, transfer, convey, sublet or otherwise dispose of the Service Agreement, in whole or in part, or of Contractor s right, title or interest therein, the Contract may, at the option of PCCHD, be canceled and terminated. Disposal Audit Procedures The Proposer will describe in the proposal its procedures to select and audit hazardous waste disposal facilities. This information shall include audit dates and results for facilities which may be used for the collected waste. Insurance Requirements Proposers must submit as part of the proposal insurance certificates demonstrating that they possess the following minimum limits of insurance: General Liability Two million dollars per claimant/occurrence (includes personal, fire, medical expense, property damage) Automobile Liability Three hundred thousand dollars per occurrence (includes bodily injury, property damage) Environmental Impairment Liability One million dollars per occurrence Workers Compensation Coverage As provided by statute MCS-90 Endorsement for Hazardous Materials Transportation five million dollars coverage The Service Agreement will not be signed by PCCHD until the required insurance is obtained and an acceptable Certificate of Insurance is filed with PCCHD's Purchasing Agent. PCCHD must be named on the Certificate as additional insured with respect to the General Liability, Automobile Liability and Environmental Impairment PCCHD HHW RFP 2016 Page 4

5 Liability. The certificate must be provided to PCCHD within the timeframe for delivering the Service Agreement noted previously. Insurance Coverage for Disposal Facilities All disposal facilities must have the minimum federally required insurance coverage in effect. Demonstration of the insurance coverage must be submitted to PCCHD at least 10 days prior to the event. Report of Insurance Claims The Contractor will report to PCCHD, immediately, any accident or occurrence resulting in injury to any person including any subcontractors' employees, or any property damage arising out of, or during, the course of performance of this Contract including site setup, collection, packing, site closure, transportation, storage, processing, and disposal. The Contractor and any subcontractors must provide PCCHD with a copy of any and all reports made by the Contractor's insurers, or other appropriate parties of any such accidents and occurrences. Event Responsibilities Delegation of Duties - The following responsibilities will be applicable, as indicated, for the Contractor and PCCHD: Contractor's Responsibilities: 1. Assist and agree to meet with PCCHD in the planning and final organization of the event three weeks prior to the event. This includes answering questions and being available to visit the site before the collection. 2. Cooperate with PCCHD and city/county public safety officers to develop a site contingency plan by May 2, The plan shall include procedures to minimize the risk of spill or fire during on-site activities as well as procedures for notification of emergency response personnel and evacuation. PCCHD must have an opportunity to review and comment on these plans before the collection. PCCHD will be responsible for contacting the local government and emergency response personnel. The Contractor will be responsible for developing the contingency plan. 3. Provide all manpower, equipment and supplies (including, at a minimum, barrels, absorbent, fencing, labels, tables, tents, polyethylene tarps, tape, and drop boxes) necessary for collection, handling, packaging, transportation, and disposal of the collected waste including safety equipment (including, at a minimum, neoprene inner gloves, cloth outer work gloves, chemical resistant boots, OSHA approved protective suits and safety glasses, hard hats, portable showers, first aid kits, portable eye washes, fire extinguishers, traffic cones, respirators, spill absorption materials, and emergency spill equipment). 4. Line all waste containers with plastic to prevent contamination or leaking during transport. 5. Erect tents and/or other needed facilities without making any holes into the pavement or damage permanent structures of the Colorado State Fairgrounds. 6. Storm drains, which could potentially become contaminated due to an accidental release of household hazardous waste, shall be sealed by the Contractor prior to the start of the collection. Such seals shall be removed after the site is free of hazardous waste and before the Contractor leaves the site. 7. Assemble and disassemble those portions of the collection site devoted to collection, handling, and transportation of the collected waste. 8. Supervise the sorting and unloading of acceptable materials from participants vehicles; segregate hazardous, non-hazardous, and rejected materials; package and transport all hazardous waste in accordance with state and federal requirements; prepare container sheets, manifests, notifications, certification, and other shipping documents. 9. Provide properly trained and qualified staff to review, identify, segregate, package, manifest, and transport incoming waste. 10. Assist members of the public with information on their waste including the reasons for any waste rejection. In all cases where waste is rejected, the Contractor will provide satisfactory instruction and information to the participant on methods of environmentally safe disposal. No participant is to be dismissed without receiving this information. PCCHD HHW RFP 2016 Page 5

6 11. Provide for the safe treatment, incineration, recycling, and disposal of collected waste in compliance with all applicable Colorado and Federal regulations. Hazardous waste will be treated, incinerated, and disposed of at fully permitted EPA or State approved hazardous waste treatment, storage and disposal facilities, recycling facilities, or facilities that have been given interim approval status by the EPA. No waste shall be disposed of by underground liquid injection. PCB (Polychlorinated biphenyl) waste is to be incinerated. Non- hazardous waste will be placed in the lined solid waste containers and removed from the site by PCCHD. 12. Ensure that the collection site is ready for operation by 7:30 AM on May 14, Any delay resulting from the failure of the Contractor to have its staff, equipment and materials ready for operation may be considered a breach of Contract and subject to financial penalty. 13. Ensure that all waste is removed and the collection site is in the same or better condition than it was before the event by 6:00 PM on May 14, The Contractor shall have personnel on site at all times until the collected waste has been removed from the site. This includes overnight personnel, if necessary. 14. The Contractor shall identify a single person as Event Liaison to work with PCCHD. The Contractor shall be responsible for managing any subcontractor work. 15. The Contractor shall, no later than 30 days after the event (June 13, 2016), provide PCCHD with the following: Copies of all final manifests, attached sheets to each manifest and packing slips from Contractor s disposal vendors; A written description of each type of waste including the U.S. Department of Transportation classification and a list of the quantity within each shipping package; A tally of the total amount of each type of waste collected in gallons (U.S. units). 16. A written description of the mode of transportation and disposal methods to be used for each type of waste. 17. Within 90 days after the event (August 12, 2016), the Contractor shall present a written description of the transportation mode and certification of destruction or treatment method for each type and amount of waste. This must be signed by an official of the contracting company. 18. All services shall be performed in a professional manner and in accordance with the highest industry standards. Unless the means or methods of performing a task are specified elsewhere in the Contract, the Contractor must employ methods generally accepted and used by the industry. Failure to meet the performance requirements will constitute a breach of contract and subject to financial penalty. 19. The Contractor must assume generator status and obtain a generator EPA I.D. number, which must be provided to PCCHD no later than 10 days before the event (May 4, 2016). Event Management by the Contractor 1. If storage will occur after collection, the Contractor shall store all materials collected at a fully permitted (federal, state, or local) Transfer, Storage, and Disposal Facility until final disposal. 2. Smoking, tobacco use and eating by Contractor employees and agents will be prohibited in the participant unloading area, waste segregation, packing, consolidation, and bulking areas. 3. All Contractor employees and agents working in the participant unloading area, waste segregation, packing, consolidation, and bulking areas must wear personal protective equipment consisting at a minimum of neoprene inner gloves, cloth outer work gloves, Tyvek suits, and OSHA approved safety glasses. Such equipment must be provided by the Contractor and comply with OSHA requirements. 4. The ground surface where all waste segregation, packing, consolidation, and bulking areas takes place shall be covered with poly sheeting. 5. All packing, labeling, manifest preparation, and waste transportation shall be in accordance with state and federal guidelines and laws. 6. Any waste being stored or accumulated at a transfer or storage facility before final disposal must be in sealed containers. Bulk material or any other material not in a form of secondary containment will be stored in a covered area with secondary containment equal to that provided for RCRA waste. PCCHD HHW RFP 2016 Page 6

7 7. To the maximum extent that is practical, the policy of the PCCHD is to encourage waste management in the following hierarchy: reduction, reuse, recycling, resource recovery, landfill. Household hazardous waste disposal should reflect this hierarchy. PCCHD's Responsibilities: 1. Provide suitable site location. 2. Traffic control by PCCHD staff, and municipal staff and volunteers. 3. Contact local governments and public safety officers concerning contingency planning. 4. Arrange for on-site emergency and hazardous-materials response team from Pueblo Fire Department. 5. Verify residency and household generator status of participants. 6. Collection of all fees and donations from event participants. 7. Provide identification signage at each collection station. 8. Provide roll-off containers for solid waste. 9. Work with Contractor to coordinate and plan the event. 10. Provide advance publicity describing hours, location, types of waste to be accepted and not accepted. 11. Provide all media contact. 12. Provide worker break tent where food and drink may be provided. PCCHD HHW RFP 2016 Page 7

8 Pueblo City-County Health Department RFP HHW Submission Requirements Proposal Format In order to be considered a responsive proposal, the Proposer must provide PCCHD one (1) original and two (2) copies of the proposal if sent via the US Post Office or other means of mail. The Household Hazardous Waste Collection proposals should be placed in an envelope marked "Proposal HHW " in the lower left corner, sealed and mailed or hand delivered to Pueblo City-County Health Department, Purchasing Office, 101 W. 9 th Street, Pueblo, CO The proposals will be accepted until Monday, March 21, 2016, at 3:00 p.m. All proposals must contain the following information in the order indicated below: Title Page: Name, address and telephone number of Contractor, date of proposal, name and title of contact person(s). Type of license and date issued. Please provide a brief history of the company including number of years in business, staff size and experience. Provide statements that respond to any negative reports regarding the company since 2013, including bankruptcy, loss of contract for failure to complete contracted work, etc. References: Provide two references of organizations/events you ve worked with that are similar in size and scope to the PCCHD event. These organizations/events should be in the Rocky Mountain Region, United States during Include contact(s) name, address, and phone number for each of the references. List of Fees: Submit a line-item expense budget with your proposal describing your Company s fees for each of the following: cost for site set-up, including but not limited to, equipment, supplies and personnel (standard rates and overtime rates); hourly and overtime rates for all personnel categories and provide the number of each type of personnel (i.e. chemist, technician, driver); list supplies/materials to be used; line item costs for bonds (if applicable); disposal costs per each type of waste expected (include anticipated quantity, method and cost of disposal). Limitations on Waste to Be Accepted: Specify and all limitations, restrictions or exclusions regarding your Company s acceptance of materials and explain why. Auditing Procedures: List the Company s auditing procedures and standards for disposal facilities. Describe the procedure, frequency of audit, and date of the most recent audit for each disposal location to be used under this contract. Provide any significant findings from the audit results for each disposal location. Transporter and Facility Identification: Provide a list of all transporters, recycling facilities, and treatment, storage, and disposal facilities that may be used in the performance of this project. The list must include the name, address, service provided and EPA Identification or permit number for each transporter or facility. Licenses and Permits: Contractors are required to possess all necessary State and Federal license or permits required for the collection, transportation and disposal of hazardous waste. Provide evidence of such permits and subcontractors as defined in this RFP. Complete list of any subcontractor(s) or partners: Include the following information for each of those companies: describe specific experience and number of years they have been providing services. Describe how each sub-contractor(s) will be used in this project. Include a contact name and phone number for each project cited. Site Setup: Proposers shall submit a generic organizational diagram of their preferred collection station. The diagram must include traffic flow, positioning of sorting tables and tent(s); fire, spills and other safety equipment; and the minimum area required to perform the project. A brief description of site activities PCCHD HHW RFP 2016 Page 8

9 including sorting, receipt, segregating, packaging, testing, loading, etc, must be attached to the diagram. Proposers must be able to incorporate their station diagram into the overall PCCHD event map, included in this RFP. On-site Equipment List: Provide a list of Contractor safety equipment, that will be at the collection station including all fire prevention, safety, personal protective equipment, and other supplies or equipment the Contractor deems suitable or necessary for this project. Spill and Fire Prevention Plan: Provide a plan describing procedures to minimize the risk of spill or fire during on-site activities at the collection. Spill/Accident Contingency Plan: Provide a sample contingency plan including a description of the Proposer s emergency response to a spill, fire or release of toxic or hazardous substances and a description of notification procedures for on-site emergencies and evacuation of participants and site workers, if necessary. Waste Packaging: Submit a description of packaging methods used for HHW collected, including safety procedures, if any materials are consolidated or bulked on site. List any waste which cannot be accepted at a HHW collection, and provide possible alternatives for managing this waste. Include a detailed description of reuse, recycling and other methods of disposal for the rejected HHW. Describe how unknown waste, inclement weather and vehicle accidents will be handled. Equipment: List all equipment and supplies the Proposer requires or expects PCCHD or other public and private agencies to bring to or provide at the site. Support: Describe how you will coordinate services with the PCCHD and/or what level of support you would require of the PCCHD in the performance of the services outlined in this RFP. Your responses will provide information, which will enable the Pueblo City-County Health Department to evaluate the qualifications of your firm and staff, with regard to the requirements of this Request for Proposal. Cost Proposal and Acknowledgment: Attachment A of this document must be completed, signed and returned with proposal. By submitting a proposal, you represent that you have (1) thoroughly examined and become familiar with the Scope of Services outlined in this RFP, and (2) are capable of performing quality work to achieve the PCCHD s objectives. RFP Schedule and Selection RFP electronically mailed to prospective contractors. Wednesday, March 2, 2016 Proposal questions accepted until....thursday, March 17, 2016 Proposal Due Date.. Monday, March 21, 2016, 3 PM Proposals opened and recorded.. Monday, March 21, 2016, 4 PM Evaluation of Proposals Tuesday/Wednesday, March 22-23, 2016 Interview/Negotiations, if necessary.. Monday, March 28, 2016 in afternoon Award of Contract...no later than April 1, 2016 at 3:00 PM Note: The above dates are approximate, not binding and subject to change. Evaluation and Award Process A Proposal Evaluation Committee (PEC) comprised of personnel in the Environmental Health Division at PCCHD will read and score all proposals. Proposals will be evaluate for completeness and the proposer s ability to meet all specifications as outlined in this RFP. The PEC may then short list the specific proposers whose proposals best meet all the criteria required for interviews. Negotiations and award process will follow this evaluation process. PCCHD HHW RFP 2016 Page 9

10 Selection Criteria 1. Ability of the contractor(s) to meet or exceed the requirements defined in the RFP. 2. Qualifications, certifications, experience and training. 3. References. 4. Collection, treatment, disposal methodology. 5. Violations in last three years. 6. Total project cost, including list of fees. 7. Immediate start-up ability. 8. Appropriate licenses and permits. 9. Completeness of response to RFP. Basis of Award The Contract will be awarded to the best qualified Proposer that offers the best price and yet is the most responsible and responsive to the needs of PCCHD. The contract shall be for the 2016 Collection event. PCCHD retains the right to reject any and all proposals and to waive any formality or technicality. Terms of Contract Issuance of this RFP and receipt of proposals does not commit PCCHD to award a contract. The PCCHD reserves the right to postpone opening, to accept or reject any or all proposals received in response to this RFP, or to negotiate with other than the highest ranked Proposers should negotiations with the highest ranked Proposers be terminated, or to cancel all or part of this RFP. The term of the contract for the successful Contractor(s) will be from date of award through December 31, Any contract(s) awarded between PCCHD and the successful firm will consist of a Service Agreement signed by both parties, this RFP and any addendums, the submitted proposal, negotiations, and original certificates of insurance. Any questions regarding this RFP should be directed to Shannon Roybal, Purchasing Agent, Purchasing Office, by to shannon.roybal@co.pueblo.co.us. PCCHD HHW RFP 2016 Page 10

11 Pueblo City-County Health Department Attachment A RFP HHW Cost Proposal Company Name: This proposal must be completed for purposes of determining the proposed collection cost for On this form submit the final price per waste based on previous event information. Provide a line item expense/budget that includes the list of fees, not to exceed $40,000 total. Proposers can propose alternative billing methods. When proposing alternatives, the proposal will fully respond to this RFP by completing this Form and shall then detail the alternative and why the alternative benefits PCCHD. If an alternative billing method is proposed and approved by PCCHD, a substitute for this Form will be agreed upon within two days of the bid opening. Total Cost Proposal for Household Hazardous Waste Event: Submitted by Signature: Name and title (please print): Date: Company Name: Acknowledgement I, (the undersigned), agree that the information contained in the RFP Proposal is complete, accurate, and correct to the best of my knowledge. I also certify that the storage, treatment and disposal facilities provided, which will be utilized for materials generated through this collection program are permitted/licensed by the U.S. Environmental Protection Agency and the appropriate State agency to accept the materials listed on the form and there are no current violations or suspensions. Submitted by Signature: Name and title (please print): Date: PCCHD HHW RFP 2016 Page 11