CITY OF MOBILE. Purchasing Department and Package Delivery: Government Plaza 4'h Floor, Room S Government St Mobile, Alabama 36644

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1 Mailing Address: P. 0. Box 1948 Mobile, Alabama (251) CITY OF MOBILE Purchasing Department and Package Delivery: Government Plaza 4'h Floor, Room S Government St Mobile, Alabama BID SHEET This is Not an Order READ TERMS AND CONDITIONS ON REVERSE SIDE OF THIS PAGE BEFORE BIDDING "yped by: DATE 11 / 18/2016 nm Buyer: 007 Please quote the lowest price at which you will furnish the articles listed below BID NO DEPARTMENT Various Commodities to be delivered F.O.B. Mobile to: To Be Specified on P.O. b"d b d d d b h p h. 11. I t th IU:-'u A. JVJ. 1 nursctay, Uecember M, :ZUI6 Th1s 1 must e rece1ve an stampe y t e urc asmg o 1ce not a er an: Bid on this form ONLY. Make no changes on this form. Attach UNIT PRICE EXTENSION QUANTITY ARTICLES any additional information required to this form. UNIT Dollars Cents Dollars Cents FUNGICIDES, HERBICIDES, & INSECTICIDES The City of Mobile is accepting Bids on the fo llowi ng items listed on the following pages. Only national brand items will be accepted. No generics or private label brands will be accepted. Quote units as specified (i.e. case, gallon, and pail). The City of Mobile wi ll not convert units of measure. All substitutions must be indicated. State manufacturer name and model number next to product description on RFQ. Quote delivered pricing FOB Mobile. Include all charges in your pricing. The City of Mobile wi ll not add freight charges, fuel surcharges, hazmat charges, etc., after the fact. Pricing shall be firm for the period from date of award to October 31, Agency prices shall not be altered or changed once submitted on this bid and during the contract period stated. If requested vendor shall prov ide Literature and Specifications on substitutions. If awarded a product, vendor to provide MSDS with each order. Prices must be stated on RFQ. TOTAL RETURN ONE SIGNED COPY OF THIS BID IN ENCLOSED ENVELOPE State delivery time within days of receipt of P.O. Firm Name Typed Signature We will allow a discount % 20 days from date of receipt of goods and correct invoice of completed order. By

2 1. All quotations must be signed with the firm name and by an authorized officer or employee. 2. Verify your bid before submission as it cannot be withdrawn or corrected after being opened. In case of error in extension of prices, the unit price will govern 3. If you do not bid, return th1s sheet and state reason. Otherwise, your name may be removed from our mailing list. 4. The right is reserved to reject any, or all quotations, or any portions thereof, and to waive technicalities if deemed to be in the interest of the City of Mobile. 5. This bid shall not be reassignable except by written approval of the Purchasing Agent of the City of Mobile. 6. State brand and model number of each item. All items bid must be new and latest model unless otherwise specified. 7. If bid results are desired, enclose a self-addressed and stamped envelope with your bid. (All or None bids only) 8. Do not include Federal Excise Tax as exemption certificate w111 be issued in lieu of same. The City is exempt from the Alabama and City sales taxes. 9. PRICES ARE TO BE FIRM AND FO B DESTINATION UNLESS OTHERWISE REQUESTED. 10. BID WILL BE AWARDED ON ALL OR NONE BASIS UNLESS OTHERWISE STATED. 11. Bids received after specified time will be returned un-opened. 12. Failure to observe stated instructions and conditions will constitute grounds for rejection of your bid. 13. Furnish literature, specifications, drawings, photographs, etc., as applicable with the items bid. 14. Vendor May be requ1red to obtain City of Mob1le Business L1cense as applicable to City of Mobile Municipal Code Section For Business License inquiry contact the Revenue Department at (251) or cityofmobile.orgltaxes.php. 15. If a bid bond is requ1red in the published specifications, see below: Each Bid Shall be Accompanied By A Cashier's Check, Certified Check, Bank Draft Or Bid Bond For the Sum Of Five (5) Percent Of The Amount Bid Made Payable To The City Of Mobile And Certified By A Reputable Banking Institution. All Checks Shall Be Returned Promptly, Except The Check Of The Successful Bidder, Which Shall Be Returned After Fulfilling The Bid 16. Contracts in excess of $50,000 require that the successful bidder make every possible effort to have at least fifteen (15) percent of the total value of the contract performed by socially and economically disadvantaged individuals. 17. All bids/bid envelopes must have the bid number noted on the front. Bids that arrive unmarked and are opened in error shall be returned to vendor as an unacceptable bid 18. If successful vendor's principal place of business IS out-of-state, vendor may be required to have a Certificate of Authority to do business in the State of Alabama from the Alabama Secretary of State prior to 1ssuance of a Purchase Order. Vendors are solely responsible for consulting w1th the Secretary of State to determine whether a Certificate is required. See Please note that the time between application for and issuance of a Certificate of Authority may be several weeks 19. Vendors do not need a City of Mobile Business License or Certificate of Authority from the Alabama Secretary of State to submit a b1d, but w111 need to obta1n the Business License and Certificate of Authority, if applicable, prior to issuance of a Purchase Order.

3 BID CONTINUATION SHEET Page of UANTITY ARTICLES Bid on this form ONLY. Make no changes on this form. Add1t1onal in - UNIT PRICE EXTENSION formation to be submitted on separate sheet and attached hereto. UNIT Dollars Cents Dollars Cents Page 2 of2 See attached for special vendor compliance requirements (per State of Alabama law). All vendors wi ll be required to provide verification of enrollment in thee-verify program. Additional information may be found at If the successful vendor's principal place of business is out-of-state, vendor may be required to have a Certificate of Authority to do business in the State of Alabama from the Secretary of State prior to issuance of a Purchase Order. Vendors are solely responsible for consulting with the Secretary of State to determine whether a Certificate is required. See: Please note that the time between application for the issuance of a Ce1tificate of Authority may be several weeks. Upon notification, vendor will have I 0 business days to provide the Certificate of Authority and the E-Verify numbers to the Purchasing Department before award can be completed. (Vendors will possibly need to pay the expedite fee to meet this requirement because application is not sufficient We must have a copy of the certificate with your Company ID number). Vendors do not need a City of Mobile Business License or Certificate of Authority from the Alabama Secretary of State, nor thee-verify for certification to submit a bid, but wi ll need to obtain the Business License and Certificate of Authority verification and/or provide the E-Verify Certification, if applicable, prior to issuance of a Purchase Order. If you have not received a Purchase Order from the City of Mobile w ithin the past 6 months, please include your W9 and the completed Vendor form with your bid. These forms are included with your bid package. The contact information should be for your Sales Department. Please include: telephone number, fax number and a valid address. To Be Awarded on an Item Basis. TOTAL RETURN ONE SIGNED COPY OF THIS QUOTATION IN ENCLOSED ENVELOPE We will allow a discount % 20 days from date of receipt of goods and correct invoice of completed order. READ ABOVE INSTRUCTIONS BEFORE QUOTING Firm Name BY

4 RFQ FOR BID #4984 ITEM# UOM DESCRIPTION PRICE CASE HERBICIDE ROUND UP PRO 2 EACH- 2.5 GALLON CONTAINERS PER CASE. $ GALL FUNGICIDE BANOL. $ CASE HERBICIDE FINALE, 2 EACH- 2.5 GALLON GALL GROWTH REGULATOR, TURF, PRIMO MAXX, PACKAGED IN 1 GALLON CONTAINER. $ CASE HERBICIDE MANOR, 4 EACH- 2 OZ CASE GROWTH PRODUCT, NUTRIMAX, 2 EACH- 2.5 GALLON CASE GROWTH PRODUCT, ROOTMAX, 2 EACH- 2.5 GALLON CASE FUNGICIDE PRO STAR 70 WP, 4 EACH- 3 LB CONTAINERS PER CASE. $ PAIL WETIING AGENT/SURFACTANT, " PRIMER SELECT", PACKAGED AS A 5 GALLON PAIL. $ CASE INSECT BAIT, MAXFORCE GRANNULAR INSECT BAIT, 6-8 OZ CONTAINERS PER CASE. $

5 ITEM# UOM DESCRIPTION PRICE CASE CALCIUM FERTILIZER PRODUCT, CALMAX GROWTH PRODUCT, 2 EACH- 2.5 GALLON BAG INSECTICIDE TOPCHOICE, 50 LB BAG. $ CASE FUNGICIDE SUBDUE MAX, 2-1 GALL/CASE. $ CASE FOAMER PRO FOAM, 4 EACH -1 GALLON CASE CLEANER SPRAY TANK, " INCIDE OUT", PACKAGED- 12 EACH -1 QUART CASE HERBICIDE TRIMEC CLASSIC, 2 EACH- 2.5 GALLON CASE HERBICIDE MONUMENT, 5 EACH- 5 GRAM CASE SURFACTANT SOIL, SYMPHONY, 2 EACH- 2.5 GALLON CONTAINERS PER CASE. $ CASE SURFACTANT SOIL, REVOLUTION, 2 EACH- 2.5 GALLO N CASE LEGACY GROWTH REGULATOR, 2 EACH 2.5 GALLON CONTAINERS PER CASE. $

6 ITEM# UOM DESCRIPTION PRICE CASE FUNGICIDE CHIPCO 26GT, 2 EACH 2.5 GALLON CASE INSECTICIDE MERIT, 4 EACH 1.6 OZ CASE INSECTICIDE SEVIN SL, 2 EACH 2.5 GALLON CASE HERBICIDE DRIVE, 4 EACH Yz GALLON BOTILES PER CASE. $ CONT ADJUVANT PAR GREEN PIGMENT, 1 GALLON CONTAINER. $ CASE FERTILIZER PRODUCT, MINORS, 2 EACH 2.5 GALLON CASE FERILIZER PRODUCT, POTASSIUM SILICATE, 2 EACH 2.5 GALLON CASE FUNGICIDE SIGNATURE, 4 EACH 5.5 LB. BAGS PER CASE. $ CONT INSECTICIDE TALSTAR, 1 GAL. CONTAINER. $ CASE FUNGICIDE DACONIL ACTION, 2 EACH- 2.5 GALLON CONTAINERS PER CASE. $ CASE FUNGICIDE FORE 80 WP, 8 EACH- 4 X 1.5 OZ. CONTAINERS WSP PER CASE. $ CASE FUNGICIDE RENOWN, 2 EACH- 2.5 GALLON CONTAINERS PER CASE. $

7 ITEM# UOM DESCRIPTION PRICE CONT FUNGICIDE SEGWAY, 39.2 OZ. CONTAINER. $ CONT FUNGICIDE TERRAZOLE L, 1 QUART CONTAINER. $ CASE FERTILIZER PRODUCT, TITLE PHYTE, 2 EACH-2.5 GALLON BAG INSECTICIDE ACEPHATE 97, 10 LBS PER BAG. $ CASE INSECTICIDE AVID 0.15 EC, 4 GALL. PER CASE. $ CASE FUNGICIDE CLEARY 3336 PLUS, 2 EACH 2.5 GALLON BOTI HERBICIDE, DISMISS, 6 OZ BODLE. $ CASE FERTILIZER EARTHMAX, 2 EACH 2.5 GALLON CONTAINERS PER CASE. $ CASE SURFACTANT NON-IONIC SOIL SURFACTANT, 2 EACH 2.5 GALLON CASE FUNGICIDE SECURE, 2 EACH 2.5 GALLON CASE ANTIFOAM 24 QUARTS/CASE. $ CONT HERBICIDE BARRICADE, 10 GALL. CONTAINER. $ CASE FUNGICIDE BRISKWAY (SYNGENTA), 2 EACH 1 GALLON CONTAINERS/CASE. $ CONT INSECTICIDE CRITERION 2F, 1 GALL. CONTAINER.$

8 ITEM# UOM DESCRIPTION PRICE CASE INSECTICIDE CRITERION 75 WSP, 16 EACH, 1.6 OZ PACKETS PER CASE. $ CONT FUNGICIDE TORQUE, 1 GALLON CONTAINER. $ CASE FUNGICIDE LEXICON, 4 EACH, 21 OZ CONT INSECTICIDE PROVAUNT, 10 OZ. CONTAINER. $ CONT INSECTICIDE TRIPLE CROWN, 1 GALLON CONTAINER. $ CASE FUNGICIDE XZEMPLAR, 2 EACH 114 OZ DRUM GROWTH PRODUCT, FERROMEC AC LIQUID IRON, (15-0-0), 30 GALL. DRUM. $ CONT HERBICIDE REVOLVER, 87 OZ. CONTAINER. $ CONT FUNGICIDE HERITAGE ACTION {llb). $ CASE FUNGICIDE FAME SC (FLUOXASTROBIN) 4 EACH 16 OZ CASE FUNGICIDE FAME+ T (FLUOXASTROBIN + TEBUCONAZOLE), 2 EACH 1 GALLON CONTAINERS PER CASE. $

9 ITEM# UOM DESCRIPTION PRICE CASE FUNGICIDE FAME+ C (FLUOXASTROBIN + CHLOROTHALONIL), 2 EACH 2.5 GALLON BAG INSECTICIDE NORTICA 1-WP, 50 LB. $ CASE FUNGICIDE SIGNATURE XTRA, 4 EACH 5.5 LB. BAGS PER CASE. $ PACK INSECTICIDE TALPARID MOLE BAIT, 20 BAITS PER PACK. $ CASE FUNGICIDE VELISTA, 6 EACH 22 OZ CASE NEMATICIDE INDEMNIFY. $ CASE EXTERIS STRESSGUARD. $

10 CITY OF MOBILE, AL VENDOR INFORMATION FORM Company Information: II. City Vendor Number: MOBILE ALABAMA j2. Name of Company: J3. Company D.B.A. Name, if any: 4. Mailing Address: 5. Remittance Address : ~~6_._T_e_Je_p_h_o_n_e: ~l J7. Fax Js. Main I Primary Contact:,9. Contact Name and Title: II 0. Contact Phone: Ill. Contact Fax: 112. Contact Alternate Contact (if applicable): 113. Alt. Contact Name and Title: 114. Alt. Contact Phone: Alt. Contact Fax: 116. Alt. Contact City of Mobile Business License Information: 17. City of Mobile Business License No. (if required): Please allach additional sheets if necessary.

11 Form W 9 (Rev. December 2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Give Form to the requester. Do not send to the IRS. N 2 Business name/disregarded entity name, if different from above Q) ~r r ~ 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: ~ 0 Individual/sole proprietor or 0 C Corporation 0 S Corporation 0 Partnership 0 TrusVestate Ql c single-member LLC ~.g 0 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership)., Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner. c t; ;E ~ 0 Other (see instructions).,.!5 5 Address (number, street, and apt. or suite no.) Q) ~~~--~--~~--~ ~ Q) 6 City, state, and ZIP code Q) en 7 List account number(s) here (optional) 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) Requester's name and address (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, th1s ts generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. J Social security number I ITJJ -OJ -1 I I I I or Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Signature of Here u.s. person.,. Date.,. General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (A TIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, bui are not limited to, the following: Form 1099-INT (interest earned or paid) Form 1099-DIV (dividends, including those from stocks or mutual funds) Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) Form 1099-S (proceeds from real estate transactions) Form 1099-K (merchant card and third party network transactions) Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) Form 1099-C (canceled debt) Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien). to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No X Form W-9 (Rev )

12 PURCHASING DEPARTMENT MOBILE ALABAMA Potential bidders are responsible to check this site for any ADDENDUMS that are issued. It is the responsibility of the BIDDER to check for, download, and include with their BID RESPONSE any and all ADDENDUMS that are issued for a specific BID published by the City of Mobile. Failure to download and include ADDENDUMS in your BID RESPONSE may cause your bid to be rejected. This is a sealed bid. Any responses faxed or ed will be rejected. This is a sealed bid. Any response must be submitted in a sealed envelope with the bid number and bid opening date on the outside of the envelope. Any response that arrives improperly marked or with no bid number and opening date on the outside of the delivery or express package and opened in error will be rejected and not considered. It is the responsibility of the bidder to insure that their bid response is delivered to and received in the Purchasing Department before the date and time of the bid opening. Be sure to read the Terms and Conditions. All bids are F.O.B. Destination unless otherwise stated. Be sure to sign your bid! Package/Bid Delivery Address: Purchasing Department 205 Government St. Room S408 Mobile, AL (Request First Delivery) City of Mobile P.O. BOX 1827 Mobile. AL