Loading...
HomeMy WebLinkAboutContract 63666City Secretary Contract No. 63666 SORTWORTHO NON-EXCLUSIVE VENDOR SERVICES AGREEMENT This NON-EXCLUSIVE VENDOR SERVICES AGREEMENT ("Agreement") is made and entered into by and between the CITY OF FORT WORTH ("City"), a Texas home rule municipal corporation, acting by and INTERCON ENVIRONMENTAL, INC. ("Vendor"), a Texas corporation, acting by and through its duly authorized representative, each individually referred to as a "party" and collectively referred to as the "parties." AGREEMENT DOCUMENTS: The Agreement documents shall include the following: 1. This Non -Exclusive Vendor Services Agreement; 2. Exhibit A — Scope of Services; 3. Exhibit B — Contractor's Bid Response to City's RFQ No. 25-0080 4. Exhibit C — City's RFQ No. 25-0080; and 5. Exhibit D — Verification of Signature Authority Form. Exhibits A, B, C, and D, which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B, or C, and the terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement shall control. 1. Scope of Services. Services under this Agreement include labor, materials, equipment, and resources, including laboratory analytical services, necessary to support residential and commercial demolition activities, ("Services"), which are set forth in more detail in Exhibit "A," attached hereto and incorporated herein for all purposes. 2. Term. The initial term of this Agreement is for one year, beginning on the date signed by the Assistant City Manager ("Effective Date") unless terminated earlier in accordance with this Agreement ("Initial Term"). City will have the option, in its sole discretion, to renew this Agreement under the same terms and conditions, for up to four (4) one-year renewal options (each a "Renewal Term") 3. Compensation. 3.1 City will pay Vendor in accordance with the provisions of this Agreement, including Exhibit `B," which is attached hereto and incorporated herein for all purposes. Total compensation under the Initial Term of this Agreement will not exceed One Million Two -Hundred Thousand Dollars and Zero Cents ($1,200,000.00). City may award the Agreement to multiple vendors. Vendor agrees that the City is not required to provide Vendor with any guarantee of any compensation under this Agreement. OFFICIAL RECORD Non -Exclusive Vendor Services Agreement CITY SECRETARY Page 1 of 18 Intercon Environmental, Inc. FT. WORTH, TX 3.2 Vendor will not perform any additional services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City will not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. 3.3 City will pay Vendor in accordance with the Prompt Payment Act (Texas Government Code Chapter 2251) and provisions of this Agreement, including Exhibit "C," which is attached hereto and incorporated herein for all purposes. 3.4 Following acceptance of the Services by the City, Vendor must provide the City with a signed, readable invoice no later than 15 days after the end of the prior month summarizing (i) the Service(s) that have been completed during the prior month; (ii) purchase order number, and (iii) requesting payment. If the City requires additional reasonable information, it will request the same promptly, in writing, after receiving the above information, and the Vendor must provide such additional reasonable information in writing, to the extent the same is available. Vendor must submit invoices to Supplierinvoices@fortworthtexas.gov and ENV_Purchasing@fortworthtexas.gov. Invoices must include the applicable City Department business unit number and complete City of Fort Worth Number (ex. FW013-0000001234). 3.4.1 The Vendor shall submit corrected/revised invoices within seven (7) calendar days after receiving written notice from the City for a corrected/revised invoice. 3.4.2 Unpaid invoices and/or appeals for service performed throughout the fiscal year (October 1 - September 30) must be resolved within thirty (30) days of the City's new fiscal year. Vendor shall provide its invoices for the last month of the City's prior fiscal year (September 1-30) no later 10 days after the start of the City's new fiscal year (i.e. no later than October 10.) No previous year invoices will be paid after October 30th of the current year. 4. Termination. 4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for any reason by providing the other party with 30 days' written notice of termination. 4.2 Non -appropriation of Funds. In the event no funds or insufficient funds are appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor of such occurrence and this Agreement will terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. 4.3 Duties and Oblieations of the Parties. In the event that this Agreement is terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to the effective date of termination and Vendor will continue to provide City with services requested by City and in accordance with this Agreement up to the effective date of termination. Upon Non -Exclusive Vendor Services Agreement Page 2 of 18 Intercon Environmental, Inc. termination of this Agreement for any reason, Vendor will provide City with copies of all completed or partially completed documents prepared under this Agreement. In the event Vendor has received access to City Information or data as a requirement to perform services hereunder, Vendor will return all City provided data to City in a machine-readable format or other format deemed acceptable to City. 5. Disclosure of Conflicts and Confidential Information. 5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full disclosure in writing of any existing or potential conflicts of interest related to Vendor's services under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing. 5.2 Confidential Information. Vendor, for itself and its officers, agents and employees, agrees that it will treat all information provided to it by City ("City Information") as confidential and will not disclose any such information to a third party without the prior written approval of City. 5.3 Public Information Act. City is a government entity under the laws of the State of Texas and all documents held or maintained by City are subject to disclosure under the Texas Public Information Act. In the event there is a request for information marked Confidential or Proprietary, City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting to disclosure. A determination on whether such reasons are sufficient will not be decided by City, but by the Office of the Attorney General of the State of Texas or by a court of competent jurisdiction. 5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City Information in any way. Vendor must notify City immediately if the security or integrity of any City Information has been compromised or is believed to have been compromised, in which event, Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in identifying what information has been accessed by unauthorized means and will fully cooperate with City to protect such City Information from further unauthorized disclosure. 6. Right to Audit. Vendor agrees that City will, until the expiration of three (3) years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City will have access during normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City will give Vendor reasonable advance notice of intended audits. 7. Independent Contractor. It is expressly understood and agreed that Vendor will operate as an independent contractor as to all rights and privileges and work performed under this Agreement, and not as agent, representative or employee of City. Subject to and in accordance with the conditions and provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations and activities and be solely responsible for the acts and omissions of its officers, agents, servants, employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior Non -Exclusive Vendor Services Agreement Page 3 of 18 Intercon Environmental, Inc. will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents, employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be construed as the creation of a partnership or joint enterprise between City and Vendor. It is further understood that City will in no way be considered a Co -employer or a Joint employer of Vendor or any officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers, agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on behalf of itself, and any of its officers, agents, servants, employees, contractors, or contractors. Liabilitv and Indemnification. 8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS. 8.2 GENERAL INDEMNIFICATION - VENDOR HEREBY COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROMAND AGAINST ANYAND ALL CLAIMS OR LAWSUITS OFANYKIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR EITHER PROPERTYDAMAGE OR LOSS (INCLUDINGALLEGED DAMAGE OR LOSS TO VENDOR'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS. 8.3 INTELLECTUAL PROPERTY INDEMNIFICATION — Vendor agrees to defend, settle, or pay, at its own cost and expense, any claim or action against City for infringement of any patent, copyright, trade mark, trade secret, or similar property right arising from City's use of the software and/or documentation in accordance with this Agreement, it being understood that this agreement to defend, settle or pay will not apply if City modifies or misuses the software and/or documentation. So long as Vendor bears the cost and expense of payment for claims or actions against City pursuant to this section, Vendor will have the right to conduct the defense of any such claim or action and all negotiations for its settlement or compromise and to settle or compromise any such claim; however, City will have the right to fully participate in any and all such settlement, negotiations, or lawsuit as necessary to protect City's interest, and City agrees to cooperate with Vendor in doing so. In the event City, for whatever reason, assumes the responsibility for payment of costs and expenses for any claim or action brought against City for infringement arising under this Agreement, City will have the sole right to conduct the defense of any such claim or action and all negotiations for its settlement or compromise and to settle or compromise any such claim; however, Vendor will fully participate and cooperate with City in defense of such claim or action. City agrees to give Vendor timely written notice of any such claim or action, with copies of all papers City may receive relating thereto. Notwithstanding the foregoing, City's assumption of payment of costs or expenses will not Non -Exclusive Vendor Services Agreement Page 4 of 18 Intercon Environmental, Inc. eliminate Vendor's duty to indemnify City under this Agreement. If the software and/or documentation or any part thereof is held to infringe and the use thereof is enjoined or restrained or, if as a result of a settlement or compromise, such use is materially adversely restricted, Vendor will, at its own expense and as City's sole remedy, either: (a) procure for City the right to continue to use the software and/or documentation; or (b) modify the software and/or documentation to make it non -infringing, provided that such modification does not materially adversely affect City's authorized use of the software and/or documentation; or (c) replace the software and/or documentation with equally suitable, compatible, and functionally equivalent non -infringing software and/or documentation at no additional charge to City; or (d) if none of the foregoing alternatives is reasonably available to Vendor terminate this Agreement, and refund all amounts paid to Vendor by City, subsequent to which termination City may seek any and all remedies available to City under law. 8.4 ENVIRONMENTAL INDEMNIFICATION — THE VENDOR HEREBY RELEASES, INDEMNIFIES, DEFENDS, REIMBURSES, AND HOLDS HARMLESS THE CITY, ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS, AGAINST ANY AND ALL ENVIRONMENTAL DAMAGES, CLAIMS, AND THE VIOLATION OF ANY AND ALL ENVIRONMENTAL REQUIREMENTS RESULTING FROM THE REMOVAL, PACKAGING, TRANSPORTING, AND DISPOSING OF ENVIRONMENTALLY HAZARDOUS MATERIALS. 8.4.1 Environmental Damages shall mean all claims, judgments, damages, losses, penalties, fines, liabilities (including strict liability), encumbrances, liens, costs, and expenses of investigation and defense of any claim, whether or not such claim is ultimately defeated, and of any good faith settlement or judgments, of whatever kind or nature, contingent or otherwise, matured or unmatured, foreseeable or unforeseeable, including, without limitation, reasonable attorney's fees and disbursements and consultant's fees, any of which are incurred as a result of handling, collection, transportation, storage, disposal, treatment, recovery, and/or reuse of waste pursuant to this Agreement, or the existence of a violation of environmental requirements pertaining to, and including without limitation: 8.4.1.1 Damages for personal injury and death, or injury to property or natural resources; 8.4.1.2 Fees incurred for the services of attorneys, consultants, contractors, experts, laboratories and all other costs in connection with the excavation, removal, and backfill of possibly contaminated soils and related wastes or violation of environmental requirements including, but not limited to, the preparation of any feasibility studies or reports of the performance of any cleanup, remediation, removal, response, abatement, containment, closure, restoration, or monitoring work required by any federal, state, or local governmental agency or political subdivision, or otherwise expended in connection with the existence of such wastes or violations of environmental Non -Exclusive Vendor Services Agreement Page 5 of 18 Intercon Environmental, Inc. requirements, and including without limitation any attorney's fees, costs, and expenses incurred in enforcing this contract or collecting any sums due hereunder; and 8.4.1.3 Liability to any third person or governmental agency to indemnify such person or agency for costs expended in connection with the items referenced in sub -paragraph 2 of this part. 8.4.2 Environmental requirements shall mean all applicable present and future statutes, regulations, rules, ordinances, codes, licenses, permits, orders, approvals, plans, authorizations, concessions, franchises, and similar items, of all governmental agencies, departments, commissions, boards, bureaus, or instrumentalities of the United States, states, and political subdivisions thereof and all applicable judicial, administrative, and regulatory decrees, judgments, and orders relating to the protection of human health or the environment, including without limitation: 8.4.2.1 All requirements, including, but not limited to, those pertaining to reporting, licensing, permitting, investigation, and remediation of emissions, discharges, releases, or threatened releases of hazardous materials, pollutants, contaminants, or hazardous or toxic substances, materials, or wastes, whether solid, liquid, or gaseous in nature, into the air, surface water, groundwater, stormwater, or land, or relating to the manufacture, processing, distribution, use, treatment, storage, disposal, transport, or handling of pollutants, contaminants, or hazardous or toxic substances, materials, or wastes, whether solid, liquid, or gaseous in nature; and 8.4.2.2 All requirements pertaining to the protection of the health and safety of employees or the public. Assignment and Subcontracting. 9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations or rights under this Agreement without the prior written consent of City. If City grants consent to an assignment, the assignee will execute a written agreement with City and Vendor under which the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement. Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date of the assignment. 9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute a written agreement with Vendor referencing this Agreement under which subcontractor agrees to be bound by the duties and obligations of Vendor under this Agreement as such duties and obligations may apply. Vendor must provide City with a fully executed copy of any such subcontract. Non -Exclusive Vendor Services Agreement Page 6 of 18 Intercon Environmental, Inc. 10. Insurance. Vendor must provide City with certificate(s) of insurance documenting policies of the following types and minimum coverage limits that are to be in effect prior to commencement of any Services pursuant to this Agreement: 10.1 Coverage and Limits (a) Commercial General Liability: $1,000,000 - Each Occurrence $2,000,000 - Aggregate (b) Automobile Liability: $1,000,000 - Each occurrence on a combined single limit basis Coverage will be on any vehicle used by Vendor, or its employees, agents, or representatives in the course of providing Services under this Agreement. "Any vehicle" will be any vehicle owned, hired and non -owned. (c) Worker's Compensation: Statutory limits according to the Texas Workers' Compensation Act or any other state workers' compensation laws where the Services are being performed Employers' liability $100,000 - Bodily Injury by accident; each accident/occurrence $100,000 - Bodily Injury by disease; each employee $500,000 - Bodily Injury by disease; policy limit (d) Professional Liability (Errors & Omissions): $1,000,000 - Each Claim Limit $1,000,000 - Aggregate Limit Professional Liability coverage may be provided through an endorsement to the Commercial General Liability (CGL) policy, or a separate policy specific to Professional E&O. Either is acceptable if coverage meets all other requirements. Coverage must be claims -made, and maintained for the duration of the contractual agreement and for two (2) years following completion of services provided. An annual certificate of insurance must be submitted to City to evidence coverage. 10.2 General Requirements (a) The commercial general liability and automobile liability policies must name City as an additional insured thereon, as its interests may appear. The term City includes its employees, officers, officials, agents, and volunteers in respect to the contracted services. Non -Exclusive Vendor Services Agreement Page 7 of 18 Intercon Environmental, Inc. (b) The workers' compensation policy must include a Waiver of Subrogation (Right of Recovery) in favor of City. (c) A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage must be provided to City. Ten (10) days' notice will be acceptable in the event of non-payment of premium. Notice must be sent to the Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102, with copies to the Fort Worth City Attorney at the same address. (d) The insurers for all policies must be licensed and/or approved to do business in the State of Texas. All insurers must have a minimum rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required, written approval of Risk Management is required. (e) Any failure on the part of City to request required insurance documentation will not constitute a waiver of the insurance requirement. (f) Certificates of Insurance evidencing that Vendor has obtained all required insurance will be delivered to the City prior to Vendor proceeding with any work pursuant to this Agreement. 11. Compliance with Laws, Ordinances, Rules and Regulations. Vendor agrees that in the performance of its obligations hereunder, it will comply with all applicable federal, state and local laws, ordinances, rules and regulations and that any work it produces in connection with this Agreement will also comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist from and correct the violation. 12. Non -Discrimination Covenant. Vendor, for itself, its personal representatives, assigns, contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the performance of Vendor's duties and obligations hereunder, it will not discriminate in the treatment or employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS, SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS FROM SUCH CLAIM. 13. Notices. Notices required pursuant to the provisions of this Agreement will be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: Non -Exclusive Vendor Services Agreement Page 8 of 18 Intercon Environmental, Inc. To CITY: City of Fort Worth Attn: Assistant City Manager 100 Fort Worth Trail Fort Worth, TX 76102-6314 Facsimile: (817) 392-8654 With copy to Fort Worth City Attorney's Office at same address To VENDOR: Intercon Environmental, Inc. Attn: Karen Andrews, President 210 South Walnut Creek Dr Mansfield, TX 76063 14. Solicitation of Emulovees. Neither City nor Vendor will, during the term of this Agreement and additionally for a period of one year after its termination, solicit for employment or employ, whether as employee or independent contractor, any person who is or has been employed by the other during the term of this Agreement, without the prior written consent of the person's employer. Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds to a general solicitation of advertisement of employment by either party. 15. Governmental Powers. It is understood and agreed that by execution of this Agreement, City does not waive or surrender any of its governmental powers or immunities. 16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or Vendor's respective right to insist upon appropriate performance or to assert any such right on any future occasion. 17. Governing Law / Venue. This Agreement will be construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. 18. Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be affected or impaired. 19. Force Maieure. City and Vendor will exercise their best efforts to meet their respective duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission in performance due to force majeure or other causes beyond their reasonable control, including, but not limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics; government action or inaction; orders of government; material or labor restrictions by any governmental authority; transportation problems; restraints or prohibitions by any court, board, department, commission, or agency of the United States or of any States; civil disturbances; other national or regional emergencies; or any other similar cause not enumerated herein but which is beyond the reasonable control of the Party whose performance is affected (collectively, "Force Majeure Event"). The performance of any such obligation is suspended during the period of, and only to the extent of, such prevention or hindrance, provided the affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or hinders the Party's performance, as soon as reasonably possible after the occurrence of the Force Majeure Non -Exclusive Vendor Services Agreement Page 9 of 18 Intercon Environmental, Inc. Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice required by this section must be addressed and delivered in accordance with Section 13 of this Agreement. 20. Headings not Controlling. Headings and titles used in this Agreement are for reference purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope of any provision of this Agreement. 21. Review of Counsel. The parties acknowledge that each party and its counsel have reviewed and revised this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this Agreement or Exhibits A, B, and C. 22. Amendments / Modifications / Extensions. No amendment, modification, or extension of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is executed by an authorized representative of each party. 23. Counterparts. This Agreement may be executed in one or more counterparts and each counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute one and the same instrument. 24. Warranty of Services. Vendor warrants that its services will be of a high quality and conform to generally prevailing industry standards. City must give written notice of any breach of this warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor's option, Vendor will either (a) use commercially reasonable efforts to re -perform the services in a manner that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming services. 25. Immigration Nationalitv Act. Vendor must verify the identity and employment eligibility of its employees who perform work under this Agreement, including completing the Employment Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures and controls so that no services will be performed by any Vendor employee who is not legally eligible to perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY VENDOR, VENDOR'S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement for violations of this provision by Vendor. 26. Ownership of Work Product. City will be the sole and exclusive owner of all reports, work papers, procedures, guides, and documentation that are created, published, displayed, or produced in conjunction with the services provided under this Agreement (collectively, "Work Product"). Further, City will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from the date of conception, creation or fixation of the Work Product in a tangible medium of expression (whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work -made - for -hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work Product, or any part thereof, is not considered a "work -made -for -hire" within the meaning of the Copyright Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in Non -Exclusive Vendor Services Agreement Page 10 of 18 Intercon Environmental, Inc. and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret, and all other proprietary rights therein, that City may have or obtain, without further consideration, free from any claim, lien for balance due, or rights of retention thereto on the part of City. 27. Signature Authoritv. The person signing this Agreement hereby warrants that they have the legal authority to execute this Agreement on behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 28. Change in Comvanv Name or Ownership. Vendor must notify City's Purchasing Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating changes in a company name or ownership must be accompanied with supporting legal documentation such as an updated W-9, documents filed with the state indicating such change, copy of the board of director's resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the specified documentation so may adversely impact future invoice payments. 29. No Bovcott of Israel. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter 2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel" and "company" has the meanings ascribed to those terms in Section 2271 of the Texas Government Code. By signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the Agreement. 30. Prohibition on Discrimination Against Firearm and Ammunition Industries. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000.00, this section does not apply. Vendor acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time employees unless the contract contains a written verification from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. The terms "discriminate," "firearm entity" and "firearm trade association" have the meaning ascribed to those terms by Chapter 2274.001 of the Texas Government Code. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City thatVendor: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate against a firearm entity or firearm trade association during the term of this Agreement. 31. Prohibition on Bovcotting Energv Companies. If Vendor has fewer than 10 employees or this Agreement is for less than $100,000.00, this section does not apply. Vendor acknowledges that in accordance with Chapter 2276 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is to be paid Non -Exclusive Vendor Services Agreement Page 11 of 18 Intercon Environmental, Inc. wholly or partly from public funds of the City with a company with 10 or more full-time employees unless the contract contains a written verification from the company that it: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the contract. The terms "boycott energy company" and "company" have the meaning ascribed to those terms by Chapter 2276.001 of the Texas Government Code. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor: (1) does not boycott energy companies, and (2) will not boycott energy companies during the term of this Agreement. 32. Electronic Signatures. This Agreement may be executed by electronic signature, which will be considered as an original signature for all purposes and have the same force and effect as an original signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions (e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign. 33. Entirety of Agreement. This Agreement, including all attachments and exhibits, contains the entire understanding and agreement between City and Vendor, their assigns and successors in interest, as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict with any provision of this Agreement. (signature page follows) Non -Exclusive Vendor Services Agreement Page 12 of 18 Intercon Environmental, Inc. IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples. CITY OF FORT WORTH: kv, "4_0- By: Valerie Washington (Jul 16, 2025 14:55 CDT) Name: Valerie Washington Title: Assistant City Manager Date: 07/16/2025 2025 APPROVAL RECOMMENDED: By: Name: Wyndie Turpen Title: Assistant Director, Environmental Services 4 �nnpy �o (�\��AS�A. dd4p nEXA?a4 By: J1 Name: Jannette S. Goodall Title: City Secretary VENDOR: Intercon Environmental, Inc tCave-� �re-r� By: Name: Karen Andrews Title: President Date: July 15 2025 CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: 4 Name: Roger Grantham Title: Environmental Supervisor APPROVED AS TO FORM AND LEGALITY: M.1Ce vier AivW-s, // By: M. Kevin Anders, II (Jul 16, 2025 08:28 CDT) Name: M. Kevin Anders, II Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 25-0528 Form 1295:2025-1289837 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Non -Exclusive Vendor Services Agreement Page 13 of 18 Intercon Environmental, Inc. City Secretary Contract No. EXHIBIT A SCOPE OF SERVICES I. Definitions A. The following terms shall retain their definitions under 40 C.F.R. § 61.141, or successor regulation(s): 1) Asbestos; 2) Facility (or Facilities); and 3) RACM (Regulated Asbestos -Containing Materials). B. NESHAP — National Emissions Standards for Hazardous Air Pollutants. C. Non -Structures: Non -structures shall include, but are not limited to fencing, parking lots, bridges, and water wells. D. Task Order — A demolition order issued by the City of Fort Worth Code Compliance Building Standards Division to demolish specified Facilities on a property pursuant to a determination by the City of Fort Worth Building Standards Commission that a property is in violation of the Fort Worth City Code. E. TCEQ — Texas Commission on Environmental Quality F. USEPA — The United States Environmental Protection Agency II. Proiect Tvues — Residential and commercial demolition services may be performed for the following types of facilities or structures: A. Facilities exempt from the Asbestos NESHAP B. Facilities regulated under the Asbestos NESHAP containing RACM below amounts prescribed in 40 C.F.R. § 61.145. C. Facilities regulated under the Asbestos NESHAP requiring removal of RACM before the demolition of the Facility can occur. D. Facilities regulated under the Asbestos NESHAP declared structurally unsound or in danger of imminent collapse E. Facilities owned by the City that may be demolished for future site redevelopment and use. III. Citv's Duties A. Citv's General Duties 1. City shall award work by issuing a Purchase Order to the winning bidder for demolition, emergency demolition, and asbestos abatement projects. The City shall award work based on the following criteria: 1) price; 2) approach; and 3) timeline in which the Vendor can meet the proposed project schedule. i. For emergency demolition orders issued by the City's building official, the City shall issue a Request for Cost to the Vendor containing the expected timeframe for the Vendor's response. Vendor's response time to such Request for Cost will depend on the urgency and nature of the emergency demolition order. 2. City shall pay Vendor for work the Vendor performs under each Purchase Order on a fixed -price basis. Each Purchase Order shall specify that the Purchase Order shall be paid on a fixed -price basis. The City shall pay the Vendor in the amount equal to the Vendor's bid for the Purchase Order. 3. The City's Request for Cost may, at a minimum, include the following items: 1) an abatement plan of action; 2) demolition plan of action; 3) site Non -Exclusive Vendor Services Agreement Page 14 of 18 Intercon Environmental, Inc. supervisor and worker documentation; 3) licensing documentation; 4) schedule of work; and 5) the total price for completing the project. 4. The City may issue a Change Orders only upon the City's receipt of complete documentation from the Vendor justifying the reason for the Change Order. The City's designated project manager and Vendor shall mutually agree to the Change Order before the issuance of the Change Order. IV. Vendor's Duties A. Vendor's General Duties 1. Vendor agrees to comply with federal and state law and regulations in addition to local ordinances, policies, rules, or procedures regarding demolition and/or asbestos abatement. For reference, applicable federal asbestos abatement regulations are located in Title 40, Chapter I, Subchapter C, Part 61, Subpart M of the Code of Federal Regulations. 2. Vendor agrees and acknowledges that City of Fort Worth Ordinance 17228 (commonly known as the "Tree Preservation Ordinance") may apply to the work it performs pursuant to a Purchase Order, including any applicable penalties described therein. If the City determines, in its sole judgment, that Vendor failed to comply with the Tree Preservation Ordinance, the City reserves the right to refuse to award future Purchase Orders to Vendor and/or terminate the Agreement. B. Vendor's Response to Reauest for Costs 1. Vendor shall respond to a Request for Cost within fourteen calendar days of issuance to be eligible to receive a Purchase Order. 2. Vendor shall verify all quantities of asbestos materials that are in the building to be demolished based on the suspect material survey. 3. Vendor shall exclusively rely upon its own estimates, investigation, research, tests, and other necessary data to supply the full and complete information upon which the Vendor's bid is based. 4. By submitting a bid for a Purchase Order, Vendor agrees and acknowledges that structures slated for demolition may still be occupied. Vendor assumes all risks associated with the current condition for the property or properties at the subject of the Task Order and agrees to take all necessary precautions to ensure the safety of occupants and surrounding properties during the demolition process. C. Vendor's General Job Site Duties: Before starting any work at any job site, Vendor shall: 1. Ensure the designated City project manager is present at the Job Site. 2. Be responsible for inspecting all areas in which work will be performed to ensure the safety of the crew. 3. Prepare a listing of any damages to structures, surfaces, and equipment at and around surrounding properties which could be misconstrued as damage resulting from work being performed. Non -Exclusive Vendor Services Agreement Page 15 of 18 Intercon Environmental, Inc. i. Vendor may take photographs and/or video recordings of the existing conditions for purposes of documenting the conditions or commercially reasonable future needs. However, Vendor shall only take photographs and/or video recordings from a public right- of-way. 4. Designate at least one (1) person with their firm as the point of contact that City may contact for each Task Order. Vendor shall provide the City with the email address and telephone number for any designated point of contact. 5. Provide and cover the cost of all materials, equipment, labor, transportation, tools, fuel, utilities, and any necessary temporary facilities for completing the work as outlined in each Task Order. 6. Coordinate with the City's Code Compliance — Building Standards Division or the Environmental Services Department regarding the start date of the demolition or asbestos abatement to allow for adequate time in accordance with any applicable state law or regulations to notify the Texas Department of State Health Services (DSHS). The City shall prepare and submit the DSHS notification. 7. Ensure that all of its employees use all applicable personal protective equipment (PPE) at all times while on -site. The City reserves the right to escort any personnel found not using the appropriate PPE from the premises until they obtain and use appropriate PPE. 8. Sweep dirt and debris from the haul routes used to ensure any sediment tracked from the site is collected and does not migrate onto City streets. D. Vendor's Duties Reeardin2 Utilities 1. Vendor shall verify whether utility service to the job site is still active with the City, Atmos, Oncor, and any other utility which provides utility service to the job site (e.g. natural gas, water, sewer). 2. Vendor shall contact the appropriate utility service to determine whether underground utility lines or routes run under the job site. To address any utility concerns or questions, Vendor agrees to consult with City staff. 3. Vendor shall cut and cap all job site utilities at the point of connection to the job site. 4. Vendor shall be responsible for obtaining all water from the City of Fort Worth Water Department, including, but not limited to, any necessary temporary water meters, if usage of water from nearby fire hydrants is anticipated. E. Vendor's Duties Re2ardin2 Demolition 1. By submitting a bid for a Purchase Order, Vendor agrees and acknowledges that it is the operator of a demolition activity, under the definition of "Owner or operator of a demolition or renovation activity" in 40 C.F.R. § 61.141. 2. Upon receipt of a demolition Task Order, Vendor shall obtain all necessary permits, including, but not limited to, the City's wrecking/razing permit, from the City's Development Services Department to demolish any structures. Vendor may apply for permits electronically through Accela or Non -Exclusive Vendor Services Agreement Page 16 of 18 Intercon Environmental, Inc. in person at Fort Worth City Hall, located at 100 Fort Worth Trail, Fort Worth, TX 76102. 3. Vendor shall maintain the work area in a manner that will control all demolition debris from becoming windblown and/or migrating from the work area during and after working hours. 4. Vendor shall clean and remove all remaining furniture, household furnishings, building materials, tires, debris, trash, rubbish and any other solid waste from the premises. Vendor shall recycle or dispose these materials at a facility or landfill approved to accept such waste. 5. Vendor shall maintain proper safety fencing, as needed, and also provide for adequate signage, barricades, traffic cones, and "flagmen" during the course of the project when heavy traffic will be leaving or entering the site. i. Temporary safety fencing shall be a heavy-duty, diamond- link mesh, orange, high density polyethylene safety or security fencing that will withstand substantial weather -related stresses. 6. Vendor shall use site material, if available, or clean fill from an approved source to fill any holes in the terrain resulting from any of the above work, and grade the entire lot, ensuring that low areas are filled to prevent the pooling of water. F. Vendor's Duties Re2ardin2 Asbestos Abatement 1. Before any site disturbance, Vendor shall implement stormwater Best Management Practices (BMP's), if applicable. These may include, but are not limited to, the following: the use of silt fencing, rock check dams, mulching, erosion control blankets, curb and inlet protection devices, sediment traps, sediment basins, and/or stabilized construction entrances and exits. 2. Vendor shall use applied water to the structure prior to and during the demolition process, including loading of debris so as to prevent fugitive dust emissions from leaving the project site in accordance with the provisions of NESHAP. 3. Vendor shall abate all RACM from all regulated structures. 4. Vendor shall dispose all debris generated from the removal of RACM as asbestos -containing waste and transport it to facilities registered with the USEPA and TCEQ for disposal. 5. Each abatement worker, as required, shall have and maintain the appropriate current TDSHS abatement worker license and a current abatement worker certificate from a certified TDSHS abatement training provider. 6. Vendor's on -site personnel shall have current medical surveillance and respirator fit test, as outlined by OSHA and as required by TDSHS for maintenance of individual licensure. Non -Exclusive Vendor Services Agreement Page 17 of 18 Intercon Environmental, Inc. EXHIBIT B Contractor Bid Response RFQ 25-0080 rrppp �. to rco n 210 South Walnut Creek Drive • Mansfield, Texas 76063 • Phone: (817) 477-9995 • (817) 477-9996 ENVIRONMENTAL, INC. Asbestos Abatement Lead Remediafion Mold Remediation Interior Demolition Structural Demolition Site Clearing Companv Overview Intercon Environmental, Inc. dba Smart Solutions Transport (SST) 210 S. Walnut Creek Drive Mansfield, Texas 76063 Phone (817) 477-9995 / Fax (817) 477-9996 Office Hours — Monday through Friday 8:00 am to 5:00 pm 24 Hour / 7-day Service Availability Karen Andrews, President Jerrold Andrews, Vice President Incorporated January 5, 2004 karen@intercon-environmental.com https://www.intercon-environmental.com Dun & Bradstreet # 14-304-8119 Unique Entity Identifier # EIVNFGBDBTG5 Executive Summary We look forward to continuing to work with the City of Fort Worth. Intercon has had the opportunity to provide our services to the City of Fort Worth since 2004, and we have a complete understanding of the Scope of Services. At Intercon, we take pride in our work, striving for seamless project execution from start to finish. Our dedicated full-time staff and crews ensure efficient, high -quality service, making your job easier. We have the capability to manage multiple asbestos abatement, mold remediation, and demolition projects simultaneously, regardless of size or complexity. Our team is led by experienced Project Managers and Supervisors and are supported by a highly skilled workforce, a well -maintained fleet, and state-of-the-art equipment, ensuring efficiency and excellence on every project. Subcontractors & Insurance Standards At Intercon Environmental, Inc., we maintain a highly skilled in-house team capable of handling most aspects of asbestos abatement, mold remediation, demolition, and asbestos -waste hauling and disposal. However, when necessary, we partner with trusted subcontractors to enhance efficiency, meet specialized project requirements, or scale operations for larger jobs. 0"44fi" AR. tercon ENVIRONMENTAL, INC. All subcontractors engaged by Intercon are required to meet our strict quality and safety standards. We conduct thorough evaluations to ensure they align with our commitment to reliability, efficiency, and professionalism. Each subcontractor must: • Adhere to Intercon's high-performance expectations for safety, compliance, and workmanship. • Hold valid and up-to-date insurance policies with coverage limits that meet or exceed our own. • Comply with all federal, state, and local regulations, including those set by the Texas Department of State Health Services (TDSHS), Texas Department of Licensing and Regulation (TDLR), and the Environmental Protection Agency (EPA). • Undergo regular audits and performance reviews to ensure continued adherence to Intercon's standards. By carefully selecting and overseeing subcontractors, Intercon ensures that every project is completed on time, within budget, and to the highest industry standards. Our rigorous subcontractor requirements provide clients with peace of mind, knowing that all work is performed by qualified, insured, and experienced professionals who share our dedication to quality and safety. Cooperative Agreements To provide value for our clients by saving time and costs, Intercon offers purchasing options through two cooperative programs: • TIPS (The Interlocal Purchasing System) • Choice Partners, a division of Harris County Department of Education (HCDE) Certifications & Recognitions Intercon Environmental, Inc. holds several key certifications: • Historically Underutilized Business (HUB) — State of Texas • Women Business Enterprise (WBE) — NCTRCA • Small Business Enterprise (SBE) & Women -Owned Business Enterprise (WBE) — SCTRCA We have also received multiple workplace safety awards from Texas Mutual Insurance Company in recognition of our commitment to safety. Professional and Efficient At Intercon, we bring experience, expertise, and excellence to every project. Let us handle your environmental and demolition needs with the professionalism and efficiency you expect. Proiect Experience Intercon has successfully completed projects for a wide range of clients across various government entities, educational institutions, and municipalities, often falling under the Davis -Bacon Act and we are in compliance with reporting requirements such as Certified Payrolls. Our expertise in asbestos abatement, mold remediation, demolition, and waste hauling has been utilized at the following locations: N0de 'tercon ENVIRONMENTAL, INC. Federal Government Abilene National Guard Federal Aviation Administration (FAA) Texas Military Department State Government • Texas Department of Transportation (TxDOT) • Texas Department of Public Safety (DPS) County Government • Cass County • Dallas County • Hamilton County • Tarrant County • Gregg County City Government Intercon has provided services for multiple cities, including: Arlington, Carrollton, Fort Worth, Duncanville, Garland, Grand Prairie, Dallas (including Love Field Aviation), Euless, Haltom City, Heath, Irving, Joshua, Mansfield, Nacogdoches, Plano, Richardson, River Oaks, and Rockwall. Colleges and Universities Our experience extends to higher education institutions, including: Austin College, Dallas Baptist University, Dallas County Community College District, Dallas Theological Seminary, Grayson County Community College, Junior Achievement of Dallas, Southwestern Adventist University, Tarrant County Community College District, Texas A&M Commerce, Texas Christian University, Texas State Technical College, Texas Woman's University, University of North Texas, and University of Texas Southwestern Medical Center. Independent School Districts (ISDs) Intercon has worked with numerous Independent School Districts, including: Arlington, Amarillo, Aubrey, Birdville, Bishop Lynch High School, Carrollton -Farmers Branch, Cleburne, Crowley, Dallas, Eagle Mountain —Saginaw, Everman, Fort Worth, Frisco, Graford, Granbury, Grand Prairie, Grapevine-Colleyville, Groesbeck, Hudson, Hurst -Euless -Bedford, Irving, Jesuit High School, Joshua, Kilgore, Longview, Mansfield, Neches, Peaster, Prairieland, Red Oak, Richardson, Spearman, Tidehaven, Trenton, Valley Mills, Waco, Weatherford, and White Settlement. Intercon's extensive experience across federal, state, county, and municipal projects, as well as within higher education and K-12 institutions, underscores our commitment to excellence, compliance, and reliability in every project we undertake. N0de 'tercon ENVIRONMENTAL, INC. Project Experience and References City of Fort Worth (2004 — Present) Client / Owner: City of Fort Worth Contact: Mr. Roger Grantham 1 (817) 392-8592 1 roger.arantham(a,fortworthtexas.aov Contact: Mr. Jason Pittman 1 (817) 994-4385 1 Jason.pittman(a,fortworthtexas.�zov Scope of Work: • Asbestos abatement, mold remediation, lead -based paint removal, and demolition of various city - owned facilities. University of North Texas (2004 — Present) Client / Owner: University of North Texas Contact: Mr. Randy Salsman 1 (940) 369-7381 1 randv.salsman(&,,unt.edu Scope of Work: • Removal of asbestos -containing materials, mold remediation, and interior demolition at UNT facilities in Denton, Dallas, and Fort Worth. Texas A&M Commerce — Former TAMU President's House Client / Owner: Texas A&M Commerce Contact: Mr. John Harris 1 (903) 468-3129 1 iohn.harris(a)tamuc.edu Scope of Work: • Removal of approximately 24,300 SF of asbestos -containing textured sheetrock walls with joint compound throughout the residence. City of Garland (2005 — Present) Client / Owner: City of Garland Contacts: • Mr. David Konter 1 (972) 205-38141 dkonter(aizarlandtx.2ov • Mr. Mrutyunjay "MJ" Bhavanam, AECOM 1 (405) 802-1957 1 mbhavanam.aecom(a,2arlandtx.2ov • Mr. Marty Gunderson, AECOM 1 (214) 908-2083 1 m2underson.aecomaaarlandtx.2ov Scope of Work: • Removal of asbestos -containing materials and demolition of residential, commercial structures, and power plants for the City of Garland. Mold remediation, asbestos removal, and demolition of various county -owned structures. Nodr "tercon ENVIRONMENTAL, INC. City of Arlington (2012 — Present) Client / Owner: City of Arlington Contact: Mr. Doug Stewart 1 (817) 459-5980 1 Doue.Stewart(a,arlin2tontx.2ov Scope of Work: Removal of asbestos -containing materials and demolition of residential and commercial structures owned by the city. Notable Project: Rush Creek Project (06/2011 — 10/2011) Demolition of 50 residences and The Willows Condominiums. Texas Department of Transportation (TXDOT) (2007 — Present) Client / Owner: Texas Department of Transportation Contact: Mr. Robert "Andy" Phinney, ROW Agent 1 (214) 320-6201 1 robert.phinnev(&txdot.2ov Scope of Work: • Removal of asbestos -containing materials and demolition of residential and commercial structures to allow for Right -of -Way highway expansions. Fort Worth Independent School District (2004 — Present) Client / Owner: Fort Worth Independent School District Contact: Mr. Stewart Brown 1 (817) 929-6999 1 stewart.brown(a,fwisd.ore Scope of Work: Asbestos abatement, mold remediation, and selective interior demolition at various FWISD schools. • Removal and disposal of asbestos -containing materials, including sheetrock, fireproofing, floor tile & mastic, thermal pipe insulation, and thermal pipe fittings. N0de 'tercon ENVIRONMENTAL, INC. Resumes Karen Andrews President I Contract Manager TDLR Mold Remediation Contractor I TDSHS Lead Abatement Supervisor Karen Andrews brings over three decades of experience in the environmental industry, specializing in asbestos abatement, lead abatement, and mold remediation. She earned her Bachelor of Science in Biology with a minor in Chemistry from East Central University in Ada, Oklahoma. Karen began her career in 1992 conducting asbestos laboratory bulk analysis before transitioning into the field as the first woman consultant air monitoring technician in the DFW Metroplex. In 1995, she moved to the contractor side of the asbestos industry, where she developed a deep understanding of state, local, and federal regulations, as well as the administrative and operational requirements of the field. In 2004, Karen and Jerrold founded Intercon Environmental, Inc., where she oversees the company's financial, contractual, operational, and regulatory responsibilities. She is licensed by the Texas Department of State Health Services (TDSHS) as a Lead Abatement Supervisor and by the Texas Department of Licensing & Regulation (TDLR) as a Mold Remediation Contractor. With her extensive expertise, Karen continues to lead Intercon Environmental, Inc. with a commitment to compliance, safety, and excellence in the asbestos, lead, and mold industries. Jerrold Andrews Vice President I City of Fort Worth's POC for Request for Costs Asbestos & Demolition Contractor I Safety Manager With a business management background dating back to 1984 and experience in the environmental industry since 1991, Jerrold Andrews brings extensive expertise in Commercial and Residential Demolition, Construction, General Contracting, and Project Management. His knowledge spans asbestos abatement, lead -based paint removal, mold remediation, hazardous chemical handling, and PCB disposal. Jerrold is deeply involved in Intercon's daily operations, maintaining direct communication with clients and suppliers while overseeing the company's financial and operational activities. He ensures 100% compliance with contractual obligations, manages billing and contract accounting, and develops competitive pricing proposals tailored to diverse project needs. Additionally, he negotiates national vendor, supplier, and subcontractor contracts, reinforcing Intercon's reputation for excellence. Well respected in the industry, Jerrold is known for his sound judgment, strong leadership, and ability to effectively manage project organization. N0de 'tercon ENVIRONMENTAL, INC. Keith Flowers Demolition / Asbestos Project Manager TDSHS Licensed NESHAP Asbestos Abatement Supervisor With a career spanning back to 1978 in construction sales and management, Keith Flowers has built a strong foundation in the industry. Certified by the U.S. Army Corps of Engineers in Construction Quality Management in 2002, he transitioned into the environmental sector as a Project Manager and Estimator, earning his TDSHS Asbestos Abatement Supervisor license. Keith is a proactive, results -driven professional known for his ability to manage projects from bidding to completion while upholding top -tier industry standards. He excels in leading cross - functional teams, coordinating with clients and subcontractors, and ensuring projects meet deadlines efficiently. His expertise extends to navigating local permitting and approval processes, working closely with building officials to secure necessary permits and final project acceptance. John Howard, Jr. Large Scale Demolition Project Manager Demolition Project Manager Supervisor TDSHS Licensed NESHAP Asbestos Abatement Supervisor John has been in the asbestos abatement and demolition industry for over twenty years and has been managing projects for 15 years. John is NESHAP trained for Demolition and TDSHS licensed for Asbestos Abatement as a Supervisor. John's proficiencies are in large scale structural demolition, bi-sectional structural demolition, multi -Structural demolition, interior demolition, interior and exterior abatement. John is committed to maintaining a "Think Safety" Standard and upholds the ridged standards outlined in Intercon's SOQ. He Maintains open communication with both crews and management. John oversees projects with attention to detail and scope. His knowledge of asbestos abatement and demolition regulations ensures full compliance with all governmental requirements, making him a trusted leader in the field. Hugo Valderrama Demolition / Asbestos Project Site Superintendent TDSHS Licensed NESHAP Asbestos Abatement Supervisor) Hugo has been in the asbestos abatement and demolition industry for over twenty years and has been managing projects for three years. Hugo is NESHAP trained for Demolition and TDSHS licensed for Asbestos Abatement as a Supervisor. He demonstrates exceptional skill and discipline in project site management. Hugo is proficiencies are interior and exterior abatement, interior demolition, complete demolition of small structures and paving. Hugo is committed to maintaining a "Think Safety" Standard and upholds the ridged standards outlined in Intercon's SOQ. He Maintains open communication with both crews and 0"44fi" 6R�.tercon ENVIRONMENTAL, INC. management. Hugo oversees projects with attention to detail and scope. His knowledge of asbestos abatement and demolition regulations ensures full compliance with all governmental requirements, making him a trusted leader in the field. Alejandro Acuna Demolition / Asbestos Project Site Superintendent TDSHS Licensed NESHAP Asbestos Abatement Supervisor Alejandro has been in the asbestos abatement and demolition industry for over twenty years and has been managing projects for three years. Alejandro is NESHAP trained for Demolition and TDSHS licensed for Asbestos Abatement as a Supervisor. He demonstrates exceptional skill and discipline in project site management. Alejandro's proficiencies are interior and exterior abatement, interior demolition, complete demolition of small structures and paving. Alejandro is committed to maintaining a "Think Safety" Standard and upholds the ridged standards outlined in Intercon's SOQ. He Maintains open communication with both crews and management. Alejandro oversees projects with attention to detail and scope. His knowledge of asbestos abatement and demolition regulations ensures full compliance with all governmental requirements, making him a trusted leader in the field. Jose Quinonez Demolition / Asbestos Project Site Superintendent TDSHS Licensed NESHAP Asbestos Abatement Supervisor Jose has been in the asbestos abatement and demolition industry for over twenty years and has been managing projects for three years. Jose is a NESHAP trained for Demolition and TDSHS licensed for Asbestos Abatement as a Supervisor. He demonstrates exceptional skill and discipline in project site management. Jose's proficiencies are interior and exterior abatement, interior demolition, complete demolition of small to mid -size structures and paving. Jose is committed to maintaining a "Think Safety" Standard and upholds the ridged standards outlined in Intercon's SOQ. He Maintains open communication with both crews and management. Jose oversees projects with attention to detail and scope. His knowledge of asbestos abatement and demolition regulations ensures full compliance with all governmental requirements, making him a trusted leader in the field. Victor Sandoval Demolition / Asbestos Project Site Superintendent TDSHS Licensed NESHAP Asbestos Abatement Supervisor Victor has been in the asbestos abatement and demolition industry for over twenty years and has been managing projects for three years. Victor is NESHAP trained for Demolition and TDSHS licensed for Asbestos Abatement as a Supervisor. He demonstrates exceptional skill and Lr4�4te rco n ENVIRONMENTAL, INC. discipline in project site management. Victor's proficiencies are interior and exterior abatement, interior demolition, complete demolition of small structures and paving. Victor is committed to maintaining a "Think Safety" Standard and upholds the ridged standards outlined in Intercon's SOQ. He Maintains open communication with both crews and management. Victor oversees projects with attention to detail and scope. His knowledge of asbestos abatement and demolition regulations ensures full compliance with all governmental requirements, making him a trusted leader in the field. 2025 Key Personnel Staff Matrix Position / Employee Responsibilities Certification(s) / Total Length of Employ- Title License(s) Experience ment Bachelor of Science in Biology with a minor in Executive Leadership Chemistry; TDSHS President Ms. Karen Andrews Contract Manager Licensed Lead 33 years 21 years Abatement Supervisor/ TDLR Licensed Mold Contractor City of Fort Worth's POC Executive Oversight for Request for Costs Vice President Mr. Jerrold Andrews Business Operations Asbestos & Demolition 34 years 21 years Contractor I Safety Manager Demolition / TDSHS Licensed Asbestos Mr. Keith Flowers Project Management Asbestos Abatement 20 years 17 years Project Estimation Supervisor Manager Demolition Project Demolition Manager NESHAP Trained, Project Mr. John Howard, Jr. TDSHS Licensed 17 years 17 years Superintendent Demolition Supervisor Asbestos Abatement Asbestos Supervisor Supervisor TDSHS Licensed Project Mr. Jose Quinonez Asbestos Project Asbestos Abatement 15 years 2 years Superintendent Supervision Supervisor Project TDSHS Licensed Superintendent Mr. Hugo Valderrama Asbestos Project Asbestos Abatement 22 years 19 years Supervision Supervisor / TDLR Mold Worker Project TDSHS Licensed Superintendent Mr. Alejandro Acuiia Asbestos Project Asbestos Abatement 20 years 10 year Supervision Worker / TDLR Mold Worker NESHAP Trained, Project Victor Sandoval Demolition Supervisor TDSHS Licensed 20 years 5 years Superintendent Asbestos Supervisor Asbestos Abatement Supervisor N0de "tercon ENVIRONMENTAL, INC. 2025 Organizational Chart City of Fort Worth 1 President Ms. Karen Andrews Executive Leadership Contract Manager 1 Vice President Mr. Jerrold Andrews Executive Oversight, Business Operations City of Fort Worths POC for Request for Costs 1 Operations & Project Management Senior Project Manager / Estimator (Asbestos & Demolition) Mr. Keith Flowers Project Management, Estimation Demolition Project Superintendent Mr. John Howard Jr. Demolition Supervision, Asbestos Abatement Asbestos Project Manager / Supervisor Mr. Hugo Valderrama Asbestos Project Supervision 0 Asbestos Supervisor Mr. Alejandro Acuna Asbestos Project Supervision 0 Asbestos Supervisor Mr. Jose Quinonez Asbestos Project Supervision N0de "tercon ENVIRONMENTAL, INC. Approach to Perform Services Demolition and Disposal Services Demolition Services Overview Intercon Environmental, Inc. has the capability to execute multiple demolition projects that do or do not require asbestos abatement. With over 21 years of experience, we have successfully managed between three and four demolition projects simultaneously, sometimes handling up to six or seven at a time. Our track record includes projects for TXDOT Right -of -Way (Dallas and Fort Worth Districts), the City of Arlington, the City of Mansfield, Union Pacific Railroad, and the University of North Texas, among others. Our experienced team and extensive inventory of demolition equipment —including excavators, mini excavators, track loaders, and skid steers —allow us to perform projects without reliance on external resources. Additionally, our fleet of semi -trucks and trailers ensures efficient debris and equipment transportation. If additional resources are required, we maintain strong partnerships with equipment suppliers such as Caterpillar, John Deere, and Bobcat, as well as rental companies like Sunbelt Rentals, United Rentals, Rental One, and H&E Equipment. Licensing, Permits, and Compliance Intercon will secure and retain all necessary licenses and permits for the duration of the project. If needed, we will subcontract with vendors holding the required credentials. Each project will have a designated English-speaking site supervisor authorized to make on -site decisions. Intercon will: • Provide adequate staff or subcontractors to handle multiple locations simultaneously, if required. • Submit renewed licenses and permits to the designated City of Fort Worth representative within five business days of renewal. • Attend pre -work site visits with City of Fort Worth representatives if requested. • Begin work within 10 calendar days of purchase order award or as agreed upon. Regulatory Compliance and Notifications Upon receiving a Task Order, Intercon will: • Submit a completed and signed TDSHS Asbestos/Demolition Notification Form APB #5 to TDSHS before commencing work. • Adhere to the ten -workday waiting period required by TDSHS. • Provide proof of insurance, performance and payment bonds, and any required permits or notifications to the designated City of Fort Worth representative. N0jr "tercon ENVIRONMENTAL, INC. Demolition and Disposal Requirements Intercon will demolish and remove improvements and debris in accordance with federal, state, and local regulations. This includes, but is not limited to: • Buildings, structures, foundations, driveways, parking lots, fences, swimming pools, concrete/asphalt slabs, and tires. • Proper recovery and disposal of refrigerants from appliances in compliance with applicable laws. • Removal and pressure -filling of water wells per TDLR regulations. • Proper capping or plugging of wells, as directed by the City of Fort Worth, following 16 TAC 76.702 and 76.1004. • Handling and disposal of all generated waste material in accordance with regulations. • Coordination of septic tank waste removal by a licensed service provider. • Management of petroleum and sulfur wells, including proper disposal and plugging per Railroad Commission (RRC) requirements. Site Preparation and Cleanup During demolition, Intercon will: • Apply water to minimize dust. • Contain loose debris in properly sized containers. • Secure sites to prevent unauthorized access. • Backfill exposed areas with clean, compacted soil and install sod if applicable. • Leave the site free of debris and in an orderly condition, including clearing sidewalks. Waste Management and Recycling Intercon is committed to minimizing landfill waste by recycling materials whenever possible. All debris will be transported and disposed of at a Texas Commission on Environmental Quality (TCEQ)-approved facility. A detailed waste manifest will be provided upon task completion. N0de 'tercon ENVIRONMENTAL, INC. Traffic Control and Project Scheduling Intercon will: Implement Traffic Control Plans (TCPs) in accordance with the Texas Manual on Uniform Traffic Control Devices. • Provide a detailed project schedule and work plan, including task sequencing, staffing, timelines, dependencies, and milestones. Ensure all activities comply with federal, state, and local regulations, as well as City of Fort Worth policies. Reporting and Documentation Intercon will submit reports in a format approved by the City of Fort Worth, including: • Summary Reports detailing project status, debt collection types, payment methods, and relevant identifiers. • Daily Transmittal Reports per agreed -upon requirements. Intercon Environmental, Inc. is dedicated to completing demolition projects efficiently, safely, and in compliance with all regulatory requirements. Intercon Environmental, Inc. — Asbestos Abatement Services Licensing and Personnel Intercon Environmental, Inc. holds an Asbestos Abatement Contractor's License 800805 in compliance with TAC §295.45. To ensure accurate and efficient service delivery across multiple locations, we maintain a team of qualified personnel, including: • Asbestos Abatement Supervisors licensed under TAC §295.46(d)(1). • Asbestos Abatement Workers licensed under TAC §295.42(e). • Asbestos Transporters licensed under TAC §295.56. Site Supervision and Project Management Intercon's asbestos abatement site supervisor serves as the primary liaison between our team and the City of Fort Worth's Contract Manager. Responsibilities include: • On -site supervision for all projects, ensuring strict adherence to specifications. • Project coordination to maintain compliance with all regulatory requirements. 0 Daily oversight to guarantee safe and efficient abatement operations. N0de 'tercon ENVIRONMENTAL, INC. Communication management between Intercon, the City of Fort Worth, and any necessary subcontractors. The site supervisor is a permanent Intercon employee, fluent in English, and authorized to make real-time decisions to maintain project efficiency. All personnel involved in asbestos abatement will have the necessary experience to execute the project requirements effectively. Project Estimation and Scheduling Upon receiving a request from a City of Fort Worth representative, Intercon will: 1. Establish a primary point of contact with the City. 2. Send a qualified representative to assess the project scope, including required equipment and personnel. 3. Develop a detailed project estimate based on the Scope of Work. 4. Submit a 10-day notification to the Texas Department of State Health Services (TDSHS) for both asbestos abatement and demolition. 5. Complete all pre -project requirements, including: o Obtaining necessary insurance and bonds. o Ordering utility disconnections and demolition permits. o Conducting required site assessments (e.g., dig tests). 6. Begin work within 10 calendar days of receiving the purchase order or as otherwise agreed upon. Site Preparation and Work Execution • On the first day of the project, the worksite will be secured with fencing for safety and security. Intercon's site superintendent will confirm project scope and abatement methods with the City's consultant. • Personnel assigned to the project will have a minimum of two years of experience in asbestos abatement. • All abatement work will be conducted per City of Fort Worth's site -specific specifications and applicable regulations. • Work hours will be Monday through Friday, 7:00 AM — 4:00 PM unless otherwise directed. N0de 'tercon ENVIRONMENTAL, INC. Compliance and Waste Management All asbestos removal will follow industry best practices to minimize exposure risks. Specific measures include: • Continuous debris containment with immediate bagging of asbestos waste. • Double -bagging and proper disposal in designated containers at the end of each workday. • Daily inspections to ensure containment walls and ceilings remain intact before asbestos removal begins. • Transportation and disposal of asbestos waste by Intercon DSHS License 400336 at approved landfills, with complete documentation and manifests provided to the City of Fort Worth. Labor Standards and Payroll Compliance Intercon Environmental, Inc. adheres to all wage and labor regulations, including: • Davis -Bacon Act (40 U.S.C. 276a) for projects involving federal funds. • Payment of all laborers at least the predetermined minimum wage set by the Department of Labor (DOL). Provision of payroll documentation to the City, including: o Employee names and classifications. o Social security numbers and addresses. o Wage rates, hours worked, deductions, and total wages paid. Regulatory Adherence and Documentation Intercon will coordinate with the City's environmental representative before starting any abatement work and comply with all federal, state, and local regulations. Specific responsibilities include: Providing copies of renewed licenses and permits within five business days of renewal. • Preparing and submitting uniform waste manifests for all asbestos disposal shipments. • Ensuring full compliance with TAC §295 regulations throughout the project lifecycle. Staffing Capabilities Intercon Environmental, Inc. has the capacity to handle multiple asbestos abatement projects concurrently. Our team includes: • Six full-time licensed Asbestos Abatement Supervisors. 0 25-30 licensed Asbestos Abatement Workers on staff at any given time. N0de 'tercon ENVIRONMENTAL, INC. • A network of temporary licensed workers allowing us to scale to over 100 personnel when needed. • A Project Manager (PM) with at least three years of experience managing similar projects. Driver and Transportation Compliance All Intercon personnel traveling to and from City of Fort Worth work locations must: • Hold a valid Texas Driver's License. • Have no DUI or DWI incidents within the last three years. • Have no more than two moving violations within the last three years. Commitment to City of Fort Worth Standards Intercon Environmental, Inc. is fully committed to meeting all City of Fort Worth Terms and Conditions as outlined in the solicitation. We will: • Provide all labor, materials, and equipment necessary to fulfill project requirements. • Designate a primary point of contact to manage project communication. • Maintain all necessary licenses and permits for the duration of the project. • Coordinate with the City's environmental representative to ensure full regulatory compliance before, during, and after the asbestos abatement process. By adhering to these guidelines, Intercon ensures a safe, efficient, and compliant asbestos abatement process while maintaining clear and effective communication with the City of Fort Worth's representatives. Davis -Bacon Act Compliance Intercon Environmental, Inc. ensures compliance with all federal requirements under the Davis - Bacon Act and Related Acts (DBRA). We will pay prevailing wage rates and fringe benefits for corresponding labor classifications on similar projects in the area. Additionally, we will maintain all required payroll records and submit certified weekly payrolls as mandated. Projects where Intercon was responsible for submitting weekly certified payrolls: Certified Payroll Projects 1. Asbestos Abatement and Select Interior Demolition o Location: Texas A&M AgriLife Administration Building, 11708 US-70, Vernon, Texas o General Contractor: JT Vaughn Construction, LLC o Contact: Mr. Alex Wamwiri 1 (214) 542-9107 Nodr "tercon ENVIRONMENTAL, INC. 2. Asbestos Abatement o Location: Eastside Apartment, Corsicana Housing Authority, 901 E. 13th Avenue, Corsicana, Texas o Client: Corsicana Housing Authority o Contact: Ms. Kerri Majors 1 (903) 872-5643 3. Abatement & Demolition o Location: University of North Texas (UNT), Maple Hall, 1621 Maple St, Denton, TX 76201 o General Contractor: Vaughn Construction o Contact: Mr. Abhi Kulkarni 1 (214) 382-3700 (Additional project details available upon request.) The current safety procedures concerning all employees, crew makeup, and equipment proposed under this solicitation. See attached Safety Manuals. Any OSHA exceptions or citations issued to the Respondent in the preceding three (3) years. None Contractor's OSHA Incident Rate for the most recent two (2) years. 0 Current standing with the Texas Department of State Health Services (TDSHS). Good Standing Any TDSHS Incidents for the most recent five (5) years. 06/29/2022 Garland Transportation Maintenance & OPS Building 409 Forest Gate Drive, Garland, Texas case number 1410220195 failure to employ registered workers 25 TAC 295.58(a), (c) & 295.45 (b) Administrative Penalty $1,000.00 Sample of written work plan including abatement methods and equipment See attached Written compliance plan including health and safety plan and respiratory plan. See attached A�' �ercon ENVIRONMENTAL, INC. Waste Transporter and Disposal site information. Intercon Environmental, Inc. DSHS 400336 - Asbestos Waste Transporter Skyline Landfill Permit 42D — 1201 N. Central Avenue, Ferris, Texas 75125 ix. Identification of OSHA air monitor for OSHA monitoring personnel We provide our pumps and the consultant on site runs and reads the results of the samples. x. Copies of all outstanding and resolved Notice of Violations issued to the Contractor by the Texas Department of State Health Services (TDSHS) for the last five (5) years. See attached xi. Copies of any violations issued by the Texas Commission on Environmental Quality (TCEQ) within the last five (5) years for any illegal dumping of hazardous asbestos waste. None Year Manufacturer Make Model Serial/VIN Description 2014 John Deere 350GLC 1FF350GXEDE809726 Excavator 2023 John Deere 350P 1FF350PACPF000987 Excavator 2023 Bobcat Mini Excavator E35 B57916436 E35 112-Series Excavator NB160 B37N03521 Breaker for 112-Series Excavator 2022 John Deere 245G 1FF245GXLMF802239 Excavator 2020 Caterpillar HLK041657 259D3 CW903874 Skid Steer Loader 2020 Caterpillar HLK041872 259D3 CW904544 Skid Steer Loader 2023 Bobcat T4 T770 T4 AT6343462 Track Loader & NB160 Breaker B37N03521 2014 John Deere 755K 1T0755KXVDE251992 Crawler loader 2023 Mack Roll Off Granite 1M2GR3GC8PM031694 2016 Mack Semi GU713 1M1AX07Y3GM026655 Semi truck -HAUL TRUCK 2009 Talbert Heavy Haul 55SA 40FSK564091030467 Lowboy trailer (Haul Trailer) 2009 Talbert Heavy Axle 55SA 40FSK564091030468 Axle attachment 2018 4TMF 30 YD Round ED-32 1Z9HR322XJ1000183 Frameless dump trailer 2018 CTS 60 YD Trash EHRD40 5TU344027JS000022 Dump trailer 2014 Ford F250 Super Duty 1FT7W2BT1EEB76033 White crew cab 2014 Ford F250 Super Duty 1FT7W2BT3EEB85462 White crew cab 2016 Ford F350 1FT8W3BT2GEC40996 Red truck/ Goose Neck 2016 Ford F350 King Ranch 1FT8W3BTXGEB93085 Red truck 2016 Ford F350 1FT8W3BT7GEC40993 Red truck 2016 Ford F350 1FT8W3BT6GEC29743 Red truck 2016 Forest River Continental Cargo TXEHW8516TA2 5NHUEH626GY073148 16' enclosed trailer 2017 Forest River Continental Cargo TXEHW8516TA2 5NHUEH62XHY073817 16' enclosed trailer 2017 Forest River Continental Cargo LVHW81516TA2 5NHUVH625HY027988 16' enclosed trailer 2017 Forest River Continental Cargo LVHW81516TA2 5NHUVH623HY028086 16' enclosed trailer 2016 Haulmark 575GB1623GT318386 16' enclosed trailer 2017 Forest River Continental Cargo TXVHW8520TA3 5NHUVHV23HY027778 20' enclosed trailer 2016 Forest River Continental Cargo TXVHW8520TA3 5NHUVHV24GY026833 20' enclosed trailer 2016 Covered Wagon 20 53FBE2021GF023334 20' enclosed trailer 2016 Haulmark PPT85X20WT3 575GB2024GT310926 20' enclosed trailer 2016 Big Tex 14TL-20BK 16VCX2024G2082713 2020 Legacy 14K HD 16' 4S9S7CG2XMW443035 2021 Legacy 14K HD 18' 459S7CH2XMW443048 2021 Delco 12KHID 20' 5WWBC2022N6019966 Utilitytrailer Saw cut water pump trailer 2021 WYL 5VUTW1329MP00900 water pump trailer 2017 Big Tex 25 GIN 16VGX2028H6040623 Gooseneck trailer 2007 Magnum 73998/ vin; 5AJGS13197B000998 50KW trailer mounted generator 2012 Magnum MMG185 1201567/vin:5AJGS1619CB001381 148KW trailer mounted generator 2012 Magnum MMG185 1202916/vin; 5AJGS1619BB0086989 148KW trailer mounted generator 2012 Magnum MMG185 1202914/vin; 5AJGS1610CB003200 148KW trailer mounted generator 2004 Atlas XA5175 4500B0912YH621572 Air Compressor 2006 Magnum MLT3060MMH 60993 Portable light tower `� TEXAS Health and Human Texas Department of State Health Services Services Jahn Hellerstedt, M.D. Commissioner CERTIFIED MAIL - RETURN RECEIPT REQUESTED 7020 2450 0002 2159 7578 US MAIL REISSUED CERTIFIED MAIL - RETURN RECEIPT REQUESTED 7011 2970 0004 0209 6358 US MAIL January 12, 2022 Case No. 1410220195 Intercon Environmental, Inc. 210 South Walnut Creek Drive Mansfield, Texas 76063 RE: Notice of Alleged Violation Proposed Administrative Penalty Against: Intercon Environmental, Inc. Garland Transportation Maintenace & OPS Building 409 Forest Gate Drive Garland, Texas Dear Sir or Madam: The purpose of this letter is to amend all previous Notices of Alleged Violation issued for the above referenced asbestos compliance case. This Amended Notice of Alleged Violation supersedes and replaces all other Notices of Violation. On April 23, 2021, a representative from the Department of State Health Services, Consumer Protection Division (department) conducted an asbestos inspection at the Garland Transportation Maintenace & OPS Building located at 409 Forest Gate Drive, Garland, Texas. The purpose of the inspection was to determine the project's compliance with the Texas Asbestos Health Protection Act, Occupations Code, Chapter 1954 (Act), the Texas Asbestos Health Protection Rules (Rules), Title 25 TAC, Part 1, Chapter 295, Subchapter C of the Texas Administrative Code (TAC), and the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR, Part 61, Subpart M. P.O. Box 149347 -Austin, Texas 78714-9347 •Phone:888-963-7111 • TTY:800-735-2889 • www.dshs.texas.gov Intercon Environmental, Inc. Case No. 1410220195 Page 2 The Department is authorized to enforce the Texas Asbestos Health Protection Act, Occupations Code, Chapter 1954 (Act), the Texas Asbestos Health Protection Rules (Rules), Title 25 TAC, Part 1, Chapter 295, Subchapter C of the Texas Administrative Code (TAC) and the National Emission Standards for Hazardous Air Pollutants. Copies of all applicable state and federal rules are available for your review on the Asbestos Program's website. As a result of this inspection and subsequent review of Department files, this is to notify you that the following alleged violation(s) of TAC and/or NESHAP occurred during the project. ALLEGED VIOLATION - FAILURE TO EMPLOY REGISTERED WORKERS 25 TAC §295.58(a), (c) 25 TAC §295.45(b) Section 295.58(a) states: "Responsibility. It is the responsibility of owners of public buildings or their designated agents to engage persons licensed under the provisions of these sections to perform any asbestos -related activity. (c) Employees. Each employee or agent of any licensee who must intentionally disturb, handle, or otherwise work with asbestos -containing building material (ACBM), or who shall engage in an asbestos abatement project, asbestos O&M activities or other asbestos -related activity shall have an annual physical examination, respirator fit -test, be properly equipped and trained, and be licensed or registered in accordance with these sections." Section 295.45(b) states: "Asbestos abatement contractor licensees are specifically authorized to employ asbestos abatement supervisors and asbestos abatement workers who are currently licensed under these sections to carry out asbestos abatement or removal procedures. They may employ licensed operations and maintenance (O&M) supervisors for building O&M activities, or as workers. Licensees are cautioned to observe the prohibited acts in §295.37 of this title (relating to Licensing and Registration: Conflict of Interests." P.O. Box 149347 •Austin, Texas 78714-9347 •Phone:888-963-7111 • TTY:800-735-2889 • www.dshs.texas.gov Intercon Environmental, Inc. Case No. 1410220195 Page 3 At the time of the April 23, 2021 inspection, a review of required on -site records indicated that four employees did not match their license pictures and could not verify personal information. The department representative asked for a second form of identification and the workers could not provide any. Proposed Penalty: In accordance with 25 TAC §295.70, the proposed penalty is $1,000.00 (First Occurrence). The proposed penalty for the alleged violation(s) is $1,000.00. According to the Rules, the following three options are available: 1. Respondent admits the allegations in the Department's Notice Letter and accepts the action proposed. Respondent agrees to the Department's issuance of an Order finding that Respondent committed the violation(s) listed in the Notice Letter. Respondent waives the right to a hearing or an appeal regarding the Department's findings, the proposed action and the disposition of this case through the Department's issuance of an Order. The alleged violation(s) are acknowledged and the total proposed administrative penalty is paid (see the enclosed RESPONSE TO NOV form); 2. An informal conference is requested to contest the Department's proposed action; or 3. A formal hearing is requested to contest the Department's proposed action. Hearings are conducted in accordance with the provisions of the Administrative Procedures Act, Texas Government Code, Chapter 2001 and the Department's formal hearing procedures in Title 25, Texas Administrative Code, Sections 1.21 through 1.27. If no response to this Notice is received by the Department by the thirtieth (30th) day, the Commissioner of State Health Services or his designee will issue a Default Order assessing the penalty. P.O. Box 149347 •Austin, Texas 78714-9347 •Phone:888-963-7111 • TTY:800-735-2889 • www.dshs.texas.gov Intercon Environmental, Inc. Case No. 1410220195 Page 4 Should you have any questions or wish to schedule an informal conference, please contact me at (737) 218-7145 or by email shanna.heine(a)dshs.texas.aov Sincerely, � Y �p�•g, .-�1Pi�e, Shanna Heine, Compliance Specialist Compliance Section Consumer Protection Division P.O. Box 149347 •Austin, Texas 78714-9347 •Phone:888-963-7111 • TTY:800-735-2889 • www.dshs.texas.gov FORT WORTH. CITY OF FORT WORTH - ENVIRONMENTAL SERVICES DEPARTMENT CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE (CIQ) Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to contract for the sale or purchase of property, goods, or services with a local governmental entity (i.e. City of Fort Worth) must disclose in the Conflict of Interest Questionnaire Form "CIQ" the person's affiliation or business relationship that might cause a conflict of interest with the local governmental entity. Bylaw, the Questionnaire must be filed with the City of Fort Worth Secretary no later than seven days after the date the person begins contract discussions or negotiations with the City or submits an application or response to a request for proposals or bids, correspondence, or another writing related to a potential agreement with the City. Updated Questionnaires must be filed in conformance with Chapter 176. A copy of the Questionnaire Form CIQ is enclosed with the submittal documents. The form is also available at httvs://www.ethics.state.tx.us/forms/conflict/ If you have any questions about compliance, please consult your own legal counsel. Compliance is the individual responsibility of each person or agent of a person who is subject to the filing requirement. An offense under Chapter 176 is a Class C misdemeanor. NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with the City, state the Proposer name in # 1, and use N/A in each of the areas on the form. However, a signature is required in the #7 box in all cases. FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT ��..� CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23. 84th Leg., Regular session. OFFICE USE ONLY This geaastionnaire is being filed in accordance wim Chapter 176. Local Government Carte. by a vendor who t3at� Rzuati�d has a business redabonship as defined by Section 176.0010-a) with a local governmental entity and the vendor meets requirements under section 176.006fat- ey taw this questionnaire must be filed with, the records administrator of the local govenuttantai entity not later than the 7th business day after the date the vendor beaornes aware of facts that require the statement to be fazed- See Section 176.006(a-1), Local Government Cixie. A vendcx commits an offense i1 ttra vendor ftnmvingly violates Section 176.0%, Local Government Code. An offense under this section is a rnisde-meanor. J Name of vendor who has a business relationship with local governmental entity. Intercon Environmental, Inc. J Check this box ifyou are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authv.ity not rater than the 7th business day after the date on which you became mvare that the originally filed questionnaire was incomplete or inaccurate.) 31 Name of local government officer about whom the information is being disclosed. N/A Name of Officer Describe each employment or otfter business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(0)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary. A. is the local government officer or a family member of the officer receiving or Nkety to receive taxable income. other than investment income. from the vendor? o Yes [­-� No B_ Is the venter receiving or Ii" to receive taxable income, other than investment income. from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? Yes F—]No J Describe each employment or business relationship that the vendor named In Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or mete. N/A J ❑Check this box it the vendor has given the local government officer or a family member of the officer one or more fitts:�: \ i as described in Section 176.003(a)(2)(B), exck"Jing gifts described in Section 176.003(a-i). J 02/15/2025 sgna .= t vF.�busthegovern�nw enmy Form provided by "iexas Elhii f Cornziission wwvr.ethics.state.tx.us Revised 1E1=11`'-,, _ v FORT WORTH. CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at http:::www.statutes- leg is- state. tx.us Docs LG' htm'LG 176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code A 176.001(1-a): "Business relationship" means a connection between two or more parties based on commerciai activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or i C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code 4176.003(al(2)(A) and (B):. a) A local government officer shall file a conflicts disclosure statementwith respect to avendor 0: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income. that exceeds $2.500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor: (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 4176.006(a) and (a-1) i a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer. described by Section 176.003(a)(2)(A); (2) has given a local govemment officer of that local governmental entity. or a family member of the officer, one or more gi tswith the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity- (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity: or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a): (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.stato.tx.us Revised V•:232• F_ ORT WORTH CITY OF FORT WORTH ENVIRONMENTAL SERVICES DEPARTMENT 100 FORT WORTH TRAIL FORT WORTH, TEXAS 76102 REQUEST FOR QUALIFICATIONS CITY DEMOLITION SERVICES RFQ: 25 - 0080 Legal Name of Respondent: Intercon Environmental, Inc. DB/A Name of Respondent: dba Smart Solutions Transport City of Fort Worth Peoplesoft Bidder/Supplier ID or Federal ID Number (TIN): 52-52437774 Address: 210 S. Walnut Creek Drive Mansfield. TX 76063 Name of the Authorized Representative: Karen Andrews Title: President The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFQ and agrees to be bound by the terms therein. The undersigned agrees if the Statement of Qualifications is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFQ. Signature of the Authorized Representative: Email: karen@intercon-environmental.com Phone: 817-477-9995 Name of Contact Person 1: Jerrold Andrews Title of Contact Person 1: Vice President Email: ierrv(cDintercon-environmental. com Name of Contact Person 2: Keith Flowers Title of Contact Person 2: Project Manager Email: keith(@intercon-environmental.com Name of Contact Person 3: Title of Contact Person 3: Email: Please answer each question below: Phone: 817-477-9995 Phone: 817-477-9995 Phone: Will the agreement be available for Cooperative Agreement use? Yes X No Prompt Payment Discount Terms: 0 Percent 0 2 Days (i.e. 3% Net 15, etc.) FORT WORTH; CITY OF FORT WORTH - ENVIRONMENTAL SERVICES DEPARTMENT REFERENCE SHEET Respondent shall furnish the following information with their Statement of Qualifications, for at least three (3) recent clients/customers to whom subject services were provided that are similar to the requirements stipulated in this RFQ. 1. Company's Name: City of Garland Name of Contact: Mr. David Konter Title of Contact: Department Coordinator II Address: 2350 Crist Road, Suite 700, Garland, TX 75040 Phone No. 972-205-3814 Email: dkonter(cD_garlandtx.gov Type of Services Provided: Asbestos Abatement and Demolition 2. Company's Name: University of North Texas Name of Contact: Mr. Randy Salsman Title of Contact: Asst. Director of Facilities Address: 1155 Union Circle #311040. Denton. TX 76203 Phone No. (940) 369-7381 Email: randy.salsman@unt.edu Type of Services Provided: Asbestos Abatement and Demolition 3. Company's Name: Texas Department of Transportation Name of Contact: Mr. Robert "Andy" Phinney Title of Contact: ROW Agent Address:4777 East Highway 80, Mesquite, TX 75150 Phone No. (214) 320-6201 Email: robert.phinney@txdot.gov Type of Services Provided: Asbestos Abatement and Demolition EXHERIT A FORT WORTH CITY OF FORT WORTH -PURCHASING DIVISION BUSINESS EQUITY (MIWBE) RFP Ref. #: 25-0080 I Doc. Ref#: RFP-07 Page I of 3 BUSINESS EQUITY (MIWBE) The Business Equity Goal for this RFP is 15.96% Note: If there is no Goal assigned for this RFP, please ignore all Business Equity -related language and related documentation, including this document. If a Business Equity Goal has been established for the RFP: i. Proposers should complete and sign these cover pages (pages 1 & 2 of this document) to confirm their understanding of the Business Equity Goal and related process. ii. Proposers should submit the completed and signed cover pages (pages 1 & 2 of this document) in the Bonfire Portal before the Close Date and Time. iii. Proposers are strongly encouraged to submit all required Business Equity documents, including a Utilization Plan (or Good Faith Effort), at the time of their bid/proposal submission. However, per City ordinance, Proposers may submit the required documents after the Close Date and Time but no later than 2:00 PM on the 3rd business day (which wiI I usually be the following Tuesday) after the Close Date. Vendors will receive a message following the Close Date and Time at Messages > Vendor Discussions in the Bonfire Portal that will restate these deadlines. To submit the required documents after the Close Date and Time, Vendors must submit the required documents as an attachment to the message and send it back through the Bonfire Portal by the due date and time. iv. All items received through the message function will be appended to the Pronoser's response: however. only Business Eauitv documents will be reviewed. Any attempt to modifv any other nortion of the bid will not be accented or reviewed by the evaluation panel or Purchasinsz Division. V. Failure to submit a preliminary Utilization Plan (or Good Faith Effort) as required and by the due date and time may render a Proposer non -responsive. For any questions on how to submit the information, please contact Bonfire Support at https:llfortworthtexas.bonfirebub.com/portal/support. Do not wait until the deadline to reach out with questions to allow for time for them to respond and assist you. yi. Proposers must obtain a listing of certified Business Equity Firms from the City's Department of Access and Opportunity Services. The request for listings form can be found on the City's website at https://www.fortworthtexas.go'v/departments/diversity- inclusioulbusiness-equity, or email. DVIN BEOffice a*fortwvorthtexas.gov vii. For additional information regarding the Business Diversity Equity Goal, contact the Department of Diversity and Inclusion at (817) 392-2674 or send an email to DVIN BEUfficera7fortworthtexas.gov Legal Name of the Proposer: 'Intercon Environmental. Inc. Name of the Authorized Representative: Karen Andrews Title: President Page 1 of 3 FORT WORTH CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (MIWBE) RFP Ref #: 25-0080 I Doc. Ref#: RFP-07 Page 2 of 3 Signature of the Authorized Representative: Email: karen intercon-environmental.com Phone:817-477-9995 Note: Please see the Important Information on the following pages. Page 2 of 3 FORT WORTH . CITY OF FORT WORTH -PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 I Doc. Ref#: RFP-07 Page 3 of 3 Important Information: i. All Proposers shall note that the Business Equity Ordinance No. 25165-10-2021 (codified in Chapter 20, Article X of the Fort Worth Code of Ordinances, as amended), and any relevant policy or guidance documents, was adopted to ensure the full and equitable participation of certified Minority- and Women -owned business enterprises (M/WBEs), (collectively, "Business Equity Firms") in City contracts for the procurement of goods and services where a contract's total dollar value is greater than $100,000, as detailed below. ii. If a Proposer is certified as a Business Equity Firm, such Proposer can count its self - performance services towards meeting the Business Equity Goal(s) for the assigned NAICS commodity codes on their MBE or WBE certification. If such a Proposer will not self - perform all of the work, it will be required to provide subcontracting opportunities with certified Business Equity Firms to meet the stated Goal(s). iii. The selected Proposer acknowledges it will present Business Equity Firms currently certified by the North Central Texas Regional Certification Agency (NCTRCA) or Dallas/Fort Worth Minority Supplier Development Council (D/FW MSDC) and the Women's Business Council Southwest (WBCS) and accepted by the City in order for the participation to be counted towards the established Goal(s). iv. The firms must be located in the Marketplace (Dallas, Johnson, Tarrant, Denton, Parker, and Wise) , or meet the requirements of the City's Significant Business Presence which means a Person (1) which has its principal place of business located inside the Marketplace; or (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. V. Proposers shall submit with their Proposals a preliminary Business Equity Utilization Plan ("Plan") to address how it will comply with the Business Equity Goal(s). At a minimum, the preliminary Plan must certify that the Proposer will comply with the requirements and present evidence of the Proposer's past business diversity procurement practices. vi. Business Equity Firms must be certified at the time the Proposal is submitted, in order for the participation to be counted towards the established Goal. vii. Short-listed firms are required to submit the final Utilization Plan detailing efforts to comply with the Business Equity Goal(s). List of Business Equity Documents Attached: • Instructions to Bidders About the Business Equity Goal • Business Equity Utilization Form • Letter of Intent • Good Faith Effort Form Page 3 of 3 FORT WORTH. City of Fort Worth Business Equity Division INSTRUCTIONS TO BIDDERS ABOUT THE BUSINESS EQUITY GOAL Bid number: Business Equity Goal: % It is the policy of the City of Fort Worth to ensure the full and equitable utilization of Business Equity Firms when appropriate, in the procurement of all goods and services. When a Business Equity Goal is established for a bid, it means that the City of Fort Worth believes that there are Business Equity Firms available that can provide goods or services requested by the bid. The Business Equity Goal for Bid number is %. This means that the City believes that there are available Business Equity Firms that can provide goods or services required by this bid and therefore, % of the Bidder's awarded amount must be spent with a Business Equity Firm. All requirements and regulations stated in the City's current Business Eauitv Ordinance #25165-10-2021 apply to this bid. Definitions are at the end of this document. Because a Business Equity Goal has been established for this bid, in order for your bid to be considered, a Bidder must satisfy one (1) of the conditions below. A. Commit to Meet or Exceed the Business Equity Goal Hire Business Equity Firm(s) to provide goods or services and spend at least the goal amount with the Business Equity Firm(s). Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Eauitv Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following two (2) forms: a. Utilization Plan b. Letter(s) of Intent B. Prove a Good Faith Effort Show attempt to hire Business Equity Firms to meet or exceed the goal, but was unsuccessful. This can occur in two (2) ways: 1) Bidder proposes a smaller Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Eauitv Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following three (3) forms: a. Utilization Plan b. Letter(s) of Intent c. Good Faith Effort 2) Bidder proposes a 0% Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Eauitv Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: If unsuccessful, submit Good Faith Effort Form. Please see Ordinance WO-370 (Q) page for requirements of an acceptable Good Faith Effort. C. Prove that the Bidder Can Perform the Service and Provide all Materials on the Project as the Prime Contractor Bidder must show that the Bidder is providing all of the goods and services through their own company and that there are no goods or services provided by a third party or an affiliate. Bidder will not purchase any supplies or inventory from a third party. Step 1: Must submit Prime Contract Waiver Form D. Create a Joint Venture with a Business Equity Firm At least one or both of the firms must be a Business Equity Firm Step 1: Must submit Joint Venture Form DEADLINE TO SUBMIT REQUIRED DOCUMENTS AND FORMS Bidders must submit sealed bids to be opened at the date, time, and place stated in the solicitation for the public opening of bids. Faxed copies will not be accepted. FREQUENTLY ASKED QUESTIONS 1. If I am Business Equity Firm, can I count my performance of the bid? Answer. A Business Equity Prime Contractor can count its self -performance towards meeting the Business Equity Goal for the assigned North American Industry Classification System (NAICS) commodity codes on its Minority Business Enterprise (MBE) or Women Business Enterprise (WBE) certification. 2. What if I am a Business Equity Firm, but I am unable to self perform all work or provide all of the goods under the bid, can I count my performance under the Bid? Answer. If the Business Equity Prime cannot self -perform all of the work, it will be accountable for subcontracting with certified firms to meet the overall goal. Business Equity Firms that qualify under the "Sianificant Business Presence" definition may count in the Program upon approval of DVIN-BE. 3. This bid does not have a set amount that the City will purchase from the Awarded Bidder, how do I complete the form? Answers: a. For a low bid procurement, the lowest bidder shall submit a Utilization Plan no later than 2:00 PM on the third business day after bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. b. For a Best Value procurement, all bidders who wish to be considered for evaluation scoring shall submit a Utilization Plan by 2:00 PM on the third business day after the bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. c. Non-compliance. If the lowest bidder for a low bid procurement or any bidder for a Best Value procurement does not timely submit its Utilization Plan with the required documents, that bidder will be deemed Non -Responsive. For a low bid procurement, the City will notify the next lowest bidder who shall then submit a Utilization Plan with required documents no later than 2:00 PM on the third business day after the bidder receives notification. This process will be followed until a bidder submitting the required documents is selected. DEFINITIONS Business Equity Firm means an Independent Firm that is a Certified minority- and/or women -owned business enterprise (M/WBE) with a Significant Business Presence in the City's Marketplace. Business Equity Goal means a calculation prepared by the DVIN-BE that includes all the following factors: the detailed cost estimate of the work to be performed, or goods purchased; the 6-county Marketplace; the availability of Business Equity Firms and non -Business Equity Firms in the Marketplace determined ona Contract -by -Contract basis; and the subcontracting/supplier opportunities of each project. Certified means those firms identified by the North American Industry Classification System (NAICS) that have been determined to be a bona fide MBE or WBE by the North Central Texas Regional Certification Agency (NCTRCA), the Dallas/Fort Worth Minority Supplier Development Council (DFW /MSDC), Women's Business Council -SW (WBCS), Texas Department of Transportation (TxDOT) or another certifying agency that the DVIN-BE may deem appropriate and accepted by the City of Fort Worth. DVIN-BE means the City's Department of Diversity and Inclusion — Business Equity Division Good Faith Efforts means the actions undertaken by a Contractor and approved by DVIN-BE as described inthe Business Equity Ordinance �20-370 (g). Joint Venture means a business entity formed by two or more independent Persons for the purpose of pursuing a common objective, such as a prime contract. The resulting business entity has additional resources and capacity, enhancing its ability to compete for larger awards. A joint venture is generally characterized by shared ownership, shared returns and risks, and shared governance. In a joint venture, the prime managing partner holds 51 % or more interest in the business. Partner(s) hold less than 51 % interest but in most cases, not less than 20%. Marketplace means the geographic area as defined by the City's most current Disparity Study (i.e., Tarrant, Dallas, Denton, Johnson, Parker and Wise counties). Responsive means that a Person is compliant with the requirements of the Business Equity Ordinance. Significant Business Presence means a Person (1) which has its principal place of business located inside the Marketplace; (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. Utilization Plan means the list of Business Equity Firms that a Contractor commits will be utilized to meet the Business Equity Goal for a specific project, the scopes of the work and the dollar values or the percentages of the work to be performed. VIOLATIONS AND SANCTIONS 1. Failure to comply with the City's Business Equity Ordinance will result in the bid being considered "Non -Responsive." 2. Failure to submit the required Business Equity forms and documentation will result in the bid being considered non -responsive and a "written warnina" letter that may impact the Offeror's evaluation scoring on future City bid opportunities for up to 12 months, refer to Ordinance �20-373 on VIOLATIONS AND SANCTIONS for continued offenses or failures to comply. If you have any questions, contact Department of Diversity & Inclusion, Business Equity Division Email: DVIN—BE@fortworthtexas.gov I Phone: 817-392-2674 City of Fort Worth ATTACHMENT 1A FORT WORTH Business Equity Utilization Form Page 1 of Disadvantaged Business Enterprise Utilization Form (Applicable if Federally-Fundedl PRIME/OFFEROR/OWNER COMPANY NAME: Intercon Environmental, Inc. PROJECT NAME: Request for Qualifications (RFQ) PROJECT NUMBER: BID DATE: City's Business Equity Goal: Offeror's Business Equity (or DBE) 25-0080 03/06/2025 ❑ (Check if addressing DBE Goal) 15.96 % Commitment: 100 % Check all applicable boxes to describe ❑ Not Certified 1:1MBE WBE 1:1DBE HUB ❑ VOSB/ ❑Section 3 Prime/Offeror/Owner's Classification: SDVOs6 Certifying Agency: X�NCTRCA []D/FW MSDC []TX DOT F_]WBCS Other: Ethnicity: ❑African American ❑His Hispanic Caucasian 11 Asian ❑ Native American Gender: ❑Male p x Female Non -Binary Definitions: Business Equity Firm: Certified MBE Minority Business Enterprise or WBE Women Business Enterprise DBE: Disadvantaged Business Enterprise HUB: Historically Under Utilized Business VOSB: Veteran Owned Small Business Section 3: Certified Housing Urban Development Vendors ALL BUSINESS EQUITY FIRMS MUST BE CERTIFIED BEFORE CONTRACT AWARD Failure to complete this form, in its entirety, and received by the Purchasing Division no later than 2:00 p.m. on the third City business day after bid opening, exclusive of bid opening date, will result in the bid being considered non -responsive to bid specifications. Exception: CFA, ICA, and CDBG projects, documents will be submitted to the City Project Manaqer if publicly bid or to the Developer if privately bid. The undersigned Prime/Offeror agrees to enter into a formal agreement with the Business Equity firm(s) listed in this utilization schedule, conditioned upon execution of a contract with the City of Fort Worth (Exception: Developer projects). The intentional and/or knowing misrepresentation of facts is grounds for consideration of disqualification and will result in the bid being considered non -responsive to bid specifications. Business Equity firms listed toward meeting the project goal must be located in the City's marketplace at the time of bid or the business has a Significant Business Presence in the Marketplace. The marketplace is the Citv of Fort Worth including portions of Denton. Parker. Wise, and all of Tarrant. Dallas, and Johnson counties. Certified means those Business Equity Firms, located within the Marketplace, that have been determined to be a bona -fide minority or women business enterprise by the North Central Texas Regional Certification Agency (NCTRCA), Dallas/Fort Worth Minority Supplier Development Council (D/FW MSDC) and Women's Business Council -Southwest (WBCS). If hauling services are utilized, the Prime/Offeror will be given credit as long as the Business Equity firm listed owns and operates at least one fully licensed and operational truck to be used on the contract. The Business Equity firms may lease trucks from another Business Equity firm, including Business Equity owner -operated, and receive full Business Equity credit. The Business Equity firm may lease trucks from non -Business Equity firms, including owner -operated, but will only receive credit for the fees and commissions earned by the Business Equity as outlined in the lease agreement. Federally -funded Projects (ONLY), Counting DBE Participation: If materials or supplies are obtained from a DBE manufacturer, count 100 percent of the cost of the materials or supplies towards the goal. If the materials or supplies are purchased from a DBE regular dealer, count 60 percent of the cost of the materials and supplies toward the DBE goal. When materials or supplies are purchased from a DBE neither a manufacturer nor a regular dealer, count the entire amount of fees or commissions charged for assistance in the procurement of the materials and supplies or fees or transportation charges for the delivery of the materials or supplies delivered to the job site. In all cases, the Prime/Offeror is responsible to identify the amounts to be used toward the committed DBE goal. Note: For DBE Goals, 60% of the services count towards the goal. Effective 01/01/2021 Updated 02/07/2025 FORT WORTH ATTACHMENT 1A Business Equity Utilization Form Page 2of4 Please note that only certified Business Equity firms will be counted to meet the Business Equity goal. Prime/Offerors are required to identify ALL subcontractors/suppliers, regardless of status; i.e., Business Equity firms and non -Business Equity firms. Prime/Offerors must identify by tier level all subcontractors/suppliers. Tier: means the level of subcontracting below the Prime/Offeror i.e. a direct payment from the Prime/Offeror to a subcontractor is considered 1 st tier, a payment by a subcontractor to its supplier is considered 2nd tier. Business Equity firms are to be listed before non -Business Equity firms. The Prime/Offeror is responsible to provide proof of payment of all tiered sub-contractors/suppliers identified as a Business Equity firm and counting those dollars towards meeting the contract committed goal. Certified Business Equity Prime/Offeror Contractors counting their self -performance towards meeting the contract goal, must be certified within those NAICS commodity codes with a certifying agency acceptable by the City of Fort Worth. Certified Business Equity Prime/Offeror counting self -performing services towards the goal, the service(s) to be performed should be listed first on the Utilization form. Check this boxFX�if certified Prime Contractor services will be counting towards the Business Equity contracting goal. Please list services first below. Please list certified Business Equitv firm names as listed on their certification, includinq DBA names. NAMES AND ADDRESSES OF CONTRACTORS/SUPPLIERS TYPE OF SERVICES/SUPPLIES PROVIDED (NAICS Required) Specify Tier Certification Agency Name 1st Tier Gender and Ethnicity: Business Name: Intercon Environmental, Inc. lies: of Service/Supplies: Typey: Certified B ❑Male Fx—1 Female ❑Non -Binary Address: 210 S. Walnut Creek Drive Asbestos Abatement and Demolition Prime ❑D/FW MSDC ❑African American ❑Hispanic Mansfield, Texas 76063 �NCTRCA Phone: Email: 817-477-9995 NAICS Code: 562910, 238910 ❑TXDOT WBCS ❑ ❑Asian Caucasian karen@intercon-environmental.com Other: ❑X ❑ Native Contact Person: Karen Andrews $ AMOUNT: TBD State of Texas HUB American Business Name: Tarango Trucking Services, LLC Type of Service/Supplies: Certified By:Male ❑Female ❑Non -Binary PO Box 177786 Address: Irving, TX 75017-5263 Trucking 1 st ❑DFW MSDC ❑NCTRCA ❑African American ❑Hispanic (214) 973-0640 Phone: tarangotrucking@yahoo.com NAICS Code: 484220 ❑TXDOT ❑WBCS ❑Asian Email: Frank Arbaiza ❑Other: ❑Caucasian ❑Native Contact Person: $ AMOUNT: TBD American Business Name: Ricochet Fuel Distributors Inc Type of Service/Supplies: Certified By: ❑Male X❑ Female ❑Non -Binary Address: 1201 Royal Parkway Euless, TX 76040 Fuel 1 st ❑DFW MSDC X❑NCTRCA African American His anic ❑ p Phone: (817) 268-5910 Email: sales@ricochetfuel.com NAICS Code: 424720 ❑TXDOT ❑ WBCS ❑Asian Mark Strutz ❑Other: ❑Caucasian ❑Native Contact Person: $ AMOUNT: TBD American Effective 01/01/2021 Updated 02/07/2025 FORT WORTH Business Equity Utilization Form Please include multiple copies of this page if needed to list all contractors and suppliers. NAMES AND ADDRESSES OF CONTRACTORS/SUPPLIERS Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: TYPE OF SERVICES/SUPPLIES PROVIDED (NAICS Required) Type of Service/Supplies: NAICS Code: $ AMOUNT: Specify Tier Certification Agency Name 1st Tier ATTACHMENT1A Page 3 of 4 Gender and Ethnicity: Certified By: Male E Female ❑ Non -Binary ]D/FW MSDC ❑African American ❑Hispanic ]NCTRCA ]TXDOT ❑WBCS ❑Asian Other: Caucasian Native American Type of Service/Supplies: Certified By: ❑ Male ❑Female 1-1 Non -Binary ❑DFW MSDC African American ❑Hispanic ❑NCTRCA NAICS Code: ]TXDOTWBCS ❑Asian ❑Other: ❑ Caucasian ❑ Native $ AMOUNT: American Type of Service/Supplies: Certified By: ❑ Male ❑Female Non -Binary ]DFW MSDC ]NCTRCA []African American ❑Hispanic NAICS Code: ]TXDOT ❑WBCS ❑Asian ❑ Other: ❑ Caucasian ❑ Native $ AMOUNT: American Type of Service/Supplies: Certified By: ❑ Male ❑ Female ❑ Non -Binary ❑DFW MSDC ❑NCTRCA ❑African American ❑Hispanic NAICS Code: ]TXDOT ❑WBCS ❑Asian ]Other: ❑ Caucasian ❑ Native $ AMOUNT: American Effective 01/01/2021 Updated 02/07/2025 ATTACHMENT IA Page 4 of 4 FORT WORTH Business Equity Utilization Form Total ❑olIarAmcunt of Certified Prim elOfferor Services towards contract goal $ TBD Total Dollar Amount of Business Equity (or DBE if applicable) Subcontractors/Suppliers $ TBD Total Dollar Amount of Non -Business Equity Subcontractors/Suppliers $ $0.00 TOTAL DOLLAR AMOUNT OF PRIME/ALL SUBCONTRACTORSISUPPLIER5 $ TBO The Prime/Offeror will not make additions, deletions, or substitutions to this certified list without the prior approval of the Business Equity Division through the submittal of a Request for Approval of ChangelAddltion online. Any unjustified change or deletion shall be a material breach of contract and may result in debarment in accord with the procedures outlined in the ordinance. The PrimelOfferor shall submit a detailed explanation of how the requested changefaddition or deletion will affect the committed Business Equity goal If the detail explanation is not submitted, it will affect the final compliance determination. By affixing a signature to this form, the Prime/Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including non -Business Equity firms. The PrimelOfferor also agrees to allow an audit andfor examination of any books, records and files held by their company. The Prime/Offeror agrees to allow the transmission of interviews with owners, principals, officers, employees and applicable subcontractorslsuppliers participating on the contract that will substantiate the actual work performed by the Business Equity firms on this contract, by an authorized officer or employee of the City. A Prime/offerer who intentionally andfor knowingly misrepresents material facts shall be Debarred for a period of time of not less than three (3) years. 110 W-Wyw�"-A�- IIIII Authorized Signature President Title Intercon Environmental, Inc. Company Name 210 S. Walnut Creek Drive Address Mansfield, Texas 76063 CitylStatelZip Code Karen Andrews Printed Signature Contact Name and Title (it different] 817-477-9995 Phone Dumber karen interccn-environmental.com Email Address 02/2712025 Date Department of Diversity and Inclusion- Business Equity Division Effective 01101f2021 Email: DVIN—BEOffice@fc)rtworthtexas.gov Updated 02JD7r2025 Ph: 817-392-2674 Women Business Enterprise (WBE) NCTIRICA Intercon Environmental, Inc. Intercon Environmental, Inc. has filed with the Agency an Affidavit as defined by NCTRCA Women Business Enterprise (WBE) Policies & Procedures and is hereby certified to provide service(s) in the following areas: NAICS 238910: SITE PREPARATION CONTRACTORS NAICS 562910: ASBESTOS REMOVAL CONTRACTORS NAICS 562910: REMEDIATION AND CLEANUP OF CONTAMINATED BUILDINGS, MINE SITES, SOIL, OR GROUND WATER This Certification commences July 13, 2023 and supersedes any registration or listing previously issued. This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is a change in ownership, control of the firm or operation, notification must be made immediately to the North Central Texas Regional Certification Agency for eligibility evaluation. Certification Expiration: July 31, 2025 Issued Date: July 13, 2023 CERTIFICATION NO. WFWB12049NO725 Certification Administrator FORT WORTH PROJECT # Blo # 25-0080 (11 Appl abio Please Check One) Amendment ❑ Change Order Business Equity Division LETTER OF INTENT A. Business Equit Sub-Contractor/Consultant Information: A ceffied Business Eauity firm is owned by a Minority or Woman Business Enlemrise f MMBE). [Pursuant to the City of Fort Worth's Business Equity Ordinance, certified Business Equity firms participating under the Ordinance must be certified prior to recommendation of award in order to be counted towards the Business Equity contrac[ goat Certifying agencies acceptable by the City North Central Texas Regional Certification Agency (NCTRCA), DallaslForl Worth Minority Supplier Development Council, Inc. (DFW MSDC), Womens Business Council - Southwest (WSCS), of the Texas Department of Transportation (TXDOT), Note: For Federally -Funded projects the firth must be certified as a Disadvantaged Business Enterprise (DBE) by Ine NCTRCA andfor TXDOT only.] All Fields are Required - Do not leave blank. 1. Name of Project. Request for QuaIifcations (RFQ) 25-4080 2. Name of OfferorlPnme Contractor Intercon Environmental. Inr.. 3. Name of Business Equity Firm: Tarango Truckinq Address PO Box 177786, Irving, TX 75G17-5263 Firm Contact Name/Phone frank Arbaiza 4. The undersigned is prepared to perform the following described work and)or supply the material listed in connection with the above project (where applicable specify "supply' or "install" or both). Trucking Hauling demolition debris NAICS Code: 484220 Frank Arbaiza tOwned Authorised A n1) Type or Prin t Name (signere of Ow net lAuthoraed Ag�f ��Mrbfed � Equo Firm) tarangotruckinq ,,yahoo.com (Email Address) B. Affidavit of Offeror/Prime I HEREBY DECLARE AND AFFIRM that Karen Andrews, President (OwnerrAuthorind Agent) in the amount of $ TSD Tarango Truckinci (Name of Certified Business Eq* Firm) 02/2812025 (Date) (972) 780-5263 (?hone Number) am the duly authorized representative of Intercon Environmental, Inc. and [hat I have personatty reviewed the materiai and facts (Name of OHerenrPrime) set forth in this Letter of intent. To the best of my knowledge, information and belief, the facts in this form are true. and no material facts have been omitted. Pursuant to the City of Fart Worth's Business Equity Ordinance, any personlentify that makes a false or fraudulent statement in connection vAth participation of a certified firm in any City of Fort Worth contract may be referred for debarment procedures under the City of Fort Worth's Business Equity Ordinance. I do solemnly swear or affirm that the signatures contained herein and the information provided by the OfferodPnme are true and correct, and that t am authorized on behalf of the Offeror/Prime to make the affidavit. Karen Andrews, President Intercon Environmental, Inc- (Ownvt Authorized Agent) Type or�Pn�nt Name (Name or 4fferorrPrime) B 02/28/2025 (Signarare of OwnerfAuthon ied Agent (Date) ka;en@intercon-environmental.com 817-477-9995 rF� ; Addre yI (Phone Number) 41,4 Ihi �r,+t, .uul lnJr+,r�,u I'I, , I • , r, 7.� I Q of ".,j 1ic� h1�d 6-1- ° 1 Small Business Enterprise (SBE) N RCA Tarango Trucking Services, LLC DBA Tarango Trucking Tarango Trucking Services, LLC DBA Tarango Trucking has filed with the Agency an Affidavit as defined by NCTRCA Small Business Enterprise (SBE) Policies & Procedures and is hereby certified to provide service(s) in the following areas: NAILS 484110: GENERAL FREIGHT TRUCKING, LOCAL NAICS 484121: GENERAL FREIGHT TRUCKING, LONG-DISTANCE, TRUCKLOAD NAICS 484122: GENERAL FREIGHT TRUCKING, LONG-DISTANCE, LESS THAN TRUCKLOAD NAICS 484220: DUMP TRUCKING (E.G., GRAVEL, SAND, TOP -SOIL) NAICS 562111: WASTE HAULING, LOCAL, NONHAZARDOUS SOLID NAICS 562212: SOLID WASTE LANDFILL NAICS 562212: SOLID WASTE LANDFILLS COMBINED WITH COLLECTION AND/OR LOCAL HAULING OF NONHAZARDOUS WASTE MATERIALS This Certification commences October 30, 2024 and supersedes any registration or listing previously issued. This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is a change in ownership, control of the firm or operation, notification must be made immediately to the North Central Texas Regional Certification Agency for eligibility evaluation. Certification Expiration: October 31, 2026 Issued Date; October 30, 2024 CERTIFICATION NO. HFSB85852NIO26 Certification Administrator FORT WORTH._ PROJECT# BID# 25-0080 (If Applicable Please Check fine) Amendment ❑ Change Order ❑ Business Equity Division LETTER OF INTENT A. Business Equity Sub-Contractor/Consultant Information: A certified Business Eouity firm is owned by a Minority or Woman Business Enterprise (MIWBE) (Pursuant to the City of Fort Worth's Business Equity Ordinance, certified Business Equity firms participating under the Ordinance must be certified prior to recommendation of award in order to be counted towards the Business Equity contract goat. Certifying agencies acceptable by the City: North Central Texas Regional Certification Agency (NCTRCA), DallasfFort Worth Minority Supplier Development Council, Inc. (DFW MSDC), Women's Business Council - Southwest (WBCS), or the Texas Department of Transportation (TXDOT). Note: For Federally -Funded projects the firm must be certified as a Disadvantaged Business Enterprise (DBE) by the NCTRCA andlor TXDOT only.) All Fields are Required - Do not leave blank. Name of Project: Request for Qualifications (RFQ) 25-0080 2. Name of Offeror/ PHme Contractor: Intercon Environmental, Inc. 3. Name of Business Equity Firm: Ricochet Fuel Distributors, Inc. Address: 1201 Royal Prkwv, Euless, TX 76040 Firm Contact NamelPhone:Mark Strutz w(817)268-9217; c(817)313-1523 The undersigned is prepared to perform the following described work andlor supply the material listed in connection with the above project (where applicable specify "supply" or "install" or both)_ Fuel NAICS Code: 424720 In the amount of $ TBD Bark Strutz Ricochet Fuel Distributors, Inc. (Owner) Authorized Agent) Type or Print Name (Name of Certified Bushess Equtiy Firm) Wa4,�4 75�02/28/2025 (Signature of Owner fAuthorize(agent of Certified Business Equity Firm) (Date) Mark Strutz <MStrutz(d)ricochetfuel.com> 817-268-9217 (Email Address) (Phone Number) B. Affidavit of Offeror/Pfte I HEREBY DECLARE AND AFFIRM that Karen Andrews. President am the duly authorized representative of (Owner/Authorized Agent) Intercon Environmental, Inc. and that I have personally reviewed the material and facts (Name of Offerorf P rime) set forth in this Letter of intent. To the best of my knowledge, information and belief, the facts in this form are true, and no material facts have been omitted. Pursuant to the City of Fort Worth's Business Equity Ordinance, any personlentity that makes a false or fraudulent statement in connection with participation of a certified firm in any City of Fort Worth contract may be referred for debarment procedures under the City of Fort Worth's Business Equity Ordinance. I do solemnly swear or affirm that the signatures contained herein and the information provided by the OfferodPrime are true and correct. and that I am authorized on behalf of the Offeror/Prime to make the affidavit. Karen Andrews, President (Dw er Autho�d Agent) Typeor Pri nt Na me (Signature of of Owner/Autbarized Agent) karen@intercon-environmental.com (Email Address) Intercon Environmental, Inc. (Name of Offered Phma) 02/28/2025 (Date) 817-477-9995 (Phone Number) rhnartwem ol'Diversav and Inclusion Effective 01101r021 1311smcss Fquity Division Rmserl. 6.8-21 lirna�l iJVi\ ]3lilsi]kr�i liutnurElrlc�ax ern I I h 9 17-39'_--2h71 Women Business Enterprise (WBE) KCTIRRicochet Fuel Distributors, Inc. Ricochet Fuel Distributors, Inc. has filed with the Agency an Affidavit as defined by NCTRCA Women Business Enterprise (WBE) Policies & Procedures and is hereby certified to provide service(s) in the following areas: NAICS 424710: PETROLEUM BULK STATIONS AND TERMINALS NAICS 424720: PETROLEUM AND PETROLEUM PRODUCTS MERCHANT WHOLESALERS (EXCEPT BULK STATIONS AND TERMINALS) This Certification commences May 23, 2023 and supersedes any registration or listing previously issued. This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is a change in ownership, control of the firm or operation, notification must be made immediately to the North Central Texas Regional Certification Agency for eligibility evaluation. Certification Expiration: May 31, 2025 Issued Date: May 23, 2023 CERTIFICATION NO. WFWB43728N0525 s ., Certification Administrator FORT WORTH City of Fort Worth Business Equity (MIWBE) Specifications Prime Contractor Waiver Form � OFFEROR COMPANY NAME: Intercon Environmental, Inc. PROJECT NAME: Request for Qualifications (RFQ) City's MBE Project Goal: I Offeror's MBE Project Commitment: 15.96 % 100 % ATTACHMENT 'I B Page 1 of 1 Check applicable block to describe Prim Fx�MIVYBE F-1 NON-MWBE BID DATE 03/06/2025 PROJECT NUMBER 25-0080 If both answers to this form are YES, do not complete ATTACHMENT 1C (Good Faith Effort Form). All questions on this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is NO, then you must complete ATTACHMENT 1C. This form is only applicable if bth answers are yes, Failure to complete this form in its entirety and be received by Bonfire to the Proiect Manager no later than 2:00 p.m., on the third City business day after bid opening, exclusive of: the bid opening date, will result in the bid being considered non -responsive to bid specifications. Will you perform this entire contract without subcontractors? 1-1 YES If yes, please provide a detailed explanation that proves based on the size and scope of this NO project, this is your normal business practice and provide an operational profile of your business. El Will you perform this entire contract without suppliers? YES If yes, please provide a detailed explanation that proves based on the size and scope of this project, this is your normal business practice and provide an inventory profile of your business. X NO The Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including certified MNBE(s) on this contract, the payment thereof and any proposed changes to the original MNVBE(s) arrangements submitted with this bid. The Offeror also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed by the M/WBEs on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of contract and may result in a determination of an irresponsible Offeror and �barred from participatinq in City work for a period of time not less than one (1 ) year. tC Karen Andrews Authorized Signature Printed Signature President Title Intercon Environmental, Inc. Company Name 210 S. Walnut Creek Drive Address Mansfield, Texas 76063 City/State/Zip Contact Name (if different) 817-477-9995 817-477-9996 Phone Number Fax Number karen(d),intercon-environmental.com Email Address 02/27/2025 Date e j Business Equity Division Rev. 02107/2025 Email: RVIN BE Officegfortworthtexas.gov Phone: (817) 392-2674 The Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including certified MNBE(s) on this contract, the payment thereof and any proposed changes to the original MNVBE(s) arrangements submitted with this bid. The Offeror also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed by the M/WBEs on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of contract and may result in a determination of an irresponsible Offeror and �barred from participatinq in City work for a period of time not less than one (1 ) year. tC Karen Andrews Authorized Signature Printed Signature President Title Intercon Environmental, Inc. Company Name 210 S. Walnut Creek Drive Address Mansfield, Texas 76063 City/State/Zip Contact Name (if different) 817-477-9995 817-477-9996 Phone Number Fax Number karen(d),intercon-environmental.com Email Address 02/27/2025 Date e j Business Equity Division Rev. 02107/2025 Email: RVIN BE Officegfortworthtexas.gov Phone: (817) 392-2674 FORT WORTH© CITY OF FORT WORTH— ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 I Page 1 of 5 Legal Name of Respondent:lntercon Environmental, Inc. 1. PROPRIETARY INFORMATION i. All material submitted to the City becomes public property and is subject to the Texas Public Information Act upon receipt. ii. If a Firm does not desire information that it believes to be proprietary in the bid to be disclosed, the bidder must list each page number in the chart below and must clearly mark and identify each page by including the word "PROPRIETARY" in all caps and highlighted yellow on the bottom center of each page at the time of submittal. The City will, to the extent allowed by law, endeavor to protect such information from disclosure. The final decision as to the information that must be disclosed lies with the Texas Attorney General. Note: Pricing may not be marked proprietary and will be made publicly available in the form of a bid tab following evaluation of all bids. By submitting a response, Bidders agree that pricing is not proprietary and may be released. iii. Failure to identify proprietary information, as required in section 15.6 of the City's document "RFQ-01 Instruction to Proposers," will result in all unmarked sections being deemed non-proprietary and available upon public request. Pages with information Please indicate if only specific sections on the believed to be Proprietary page are believed to be Proprietary N/A Page 1 of 5 FORT WORTH© CITY OF FORT WORTH— ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 I Page 2 of 5 2. RESPONDENT'S QUALIFICATION QUESTIONNAIRE The information provided on this questionnaire and in the Response, will be used to determine the responsiveness of the statement of qualifications. Please answer each question thoroughly. Answers may be provided on a separate sheet as long as each response is labeled according to the question. 2.1 Please confirm that your company provide demolition services. Yes 2.2 How long has your company been in business under its present name? 21 years a. List any former names your company has operated under and the timeframe(s) of each name. N/A 2.3 Does your company operate a full time, permanent business address within the Dallas -Fort Worth metroplex? yes 2.4 Does your company have a dedicated team for emergency requests? yes a. Please include contact information for emergency request team below Jerrold Andrews 817-477-9995 office 817-800-6097 mobile 2.5 Has your company ever defaulted on a contract? No a. If so, why were you unable to fulfill the obligation? N/A 2.6 Do you or your personnel hold an active Wrecking Contract registration with the City of Fort Worth Development Services Department? yes a. Please provide the name and registration number of each individual below. Keith Flowers RB010671 b. If no, please sign below to acknowledge that registration is required prior to obtaining any wrecking/razing permit with the City of Fort Worth. N/A Page 2 of 5 FORT WORTH CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 Doc. Ref#: RFQ-08 I Page 3 of 5 2.7 Does your company utilize subcontractors? Yes a. If so, please provide the information requested in the below table. 3. SUBCONTRACTOR INFORMATION SHEET Subcontractor's Name I Subcontractor's Address 1. Tarango Trucking Services, LLC Frank Arbaiza (214) 973-0640 (972) 780-5258 2. Ricochet Fuel Distributors, Inc. Mark Strutz (817) 268-5910 phone (817) 282-7497 fax 3. 4. 5. 6. 7. 5610 Duncanville Road Dallas, Texas 75236 1201 Royal Parkway Euless, Texas 76040 Proposed Tasks on a Project Demolition debris hauling Fuel Page 3 of 5 FORT WORTH CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 I Page 4 of 5 4. CONTRACTOR REQUIREMENTS The Respondent shall include a comprehensive statement of qualifications. The information provided in this statement of qualifications will be used to determine the responsiveness of the contractor. Within the Statement of qualifications, the Respondent is expected to address the following key aspects: a. Company Overview i. Provide an overview of the company, highlighting the organizations has been in business for a minimum of five (5) years. Include any former names the organization has operated under and timeframe, if applicable. ii. Specify the business hours for communication and service availability. iii. Executive Summary detailing the contractor's interest and understanding of the Scope of Services. b. Personnel & Staff Overview i. Submit an organization chart depicting contact arrangement from the City to the Contractor. Identify keypersons by name and title and describe the primary work assigned. Please include a designated person, or team, as the point of contact for the City's Request for Costs. ii. Submit a brief resume (one page maximum per individual) for the overall Contract Manager, NESHAP Trained Individual, and Primary Asbestos and/or Demolition Contractor. c. Experience in Demolition Services and Asbestos Abatement Services i. Describe the Respondent's experience in performing these services within the market. This should include past and current work performed in or around the Dallas -Fort Worth area. d. Approach to Perform Services i. Include a statement detailing the contractor's understanding of, and planned approach to the services contemplated in the Scope of Services. ii. Provide a description of how materials will be processed for transportation and disposal. iii. Equipment: provide a list of the equipment, including vehicles and available resources to perform these services. iv. Crews: outline the number of crews and the corresponding number of crew members for each crew. v. Certifications: include copies of appropriate company licenses, certifications, and registrations such as, but not limited to, the following: • TDSHS Licensed Asbestos Consultant • TDSHS Licensed Asbestos Management Planner • TDSHS Licensed Asbestos Inspector • TDSHS Licensed Asbestos Project Designer • TDSHS Licensed Asbestos Air Monitoring Technical • TDSHS Licensed Asbestos Consultant Agency Page 4 of 5 FORT WORTH CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 I Page 5 of 5 vi. Any other information that will assist the City in selecting the most qualified contractor. e. Davis -Bacon Act i. Work orders that are funded fully or in part by federal funds may require compliance with the Davis -Bacon Act. Provide a minimum of three (3) projects where your firm was responsible for providing weekly payrolls. Briefly explain how you expect to meet this federal requirement. f. Health and Safety Plan Contractor must provide the following items in the SOQ: i. The current safety procedures concerning all employees, crew makeup, and equipment proposed under this solicitation. ii. Any OSHA exceptions or citations issued to the Respondent in the preceding three (3) years. iii. Contractor's OSHA Incident Rate for the most recent two (2) years. iv. Current standing with the Texas Department of State Health Services (TDSHS). v. Any TDSHS Incidents for the most recent five (5) years. vi. Sample of written work plan including abatement methods and equipment vii. Written compliance plan including health and safety plan and respiratory plan. viii. Waste Transporter and Disposal site information. ix. Identification of OSHA air monitor for OSHA monitoring personnel x. Copies of all outstanding and resolved Notice of Violations issued to the Contractor by the Texas Department of State Health Services (TDSHS) for the last five (5) years. xi. Copies of any violations issued by the Texas Commission on Environmental Quality (TCEQ) within the last five (5) years for any illegal dumping of hazardous asbestos waste. Page 5 of 5 Texas Department of State Health Services INTERCON ENVIRONMENTAL INC DBA SMART SOLUTIONS TRANSPORT (SST) SMART SOLUTIONS TRANSPORT (SST) is certified to perform as an Asbestos Abatement Contractor in the State of Texas and is hereby governed by the rights, privileges and responslbi&ties set forth in Texas Occupations Code, Chapter 1954 and Title 1 ? Texas Administiative Code, Chapter 295 relating to Texas Asbestos Health Protection, as long as this license is not suspended or revoked. APT E �F / r ' S License Number. 800805 Expiration Date: 0210512027 Control Number. 97390 J • er Shuford AID MPH, Commissioner ofHealth VOID IF ALTERED NON -TRANSFERABLE jWd After Expiration Date) SEE BACK * Please contact this office immediately if any information on this license is incorrect. * The license renewal aDDlication with all reauired documents and fee are due every two vears BEFORE the anniversary date. Please note that it is the responsibility of the license holder to send a comDleted renewal aDDlication with all reauired documents and renewal fee before the exDiration date, whether a renewal notice is received or not. Failure to submit the comDleted renewal application with all reauired documents and fee before the exDiration date will result in a late fee and must be submitted before the license will be issued. * No license or registration may be sold, assigned, or transferred. Any certificates which have been altered may be revoked. Lic # 800805 INTERCON ENVIRONMENTAL INC DBA SMART SOLUTIONS TRANSPORT (SST) SMART SOLUTIONS TRANSPORT (SST) 210 S WALNUT CREEK DR MANSFIELD TX 76063 * If you have any questions or desire additional information concerning the application process or this license, please contact the Environmental and Sanitation Business Filing and Verification Unit at (512) 834-6600. In order to serve you better, DSHS would like you to complete the short online survey https://www.surveymonkey.com/r/RLUsurvey. The information you provide will assist DSHS in its efforts to continually improve and become more responsive to the needs of its customers. Thank you in advance. Texas Department of State Health Services INTERCON ENVIRONMENTAL INC DBA SMART SOLUTIONS TRANSPORT (SST) SMART SOLUTIONS TRANSPORT (SST) is certified to perform as an Asbestos Transporter in the State of Texas and is hereby governed by the rights, privileges and responsibilities set forth in Texas Occupations Code, Chapter 1954 and Title 1 ? Texas Administrative Code, Chapter 295 relating to Texas 1 asbestos Health Protection, as long as this Ecense is not suspended or revoked. License Number.400336 Expiration Date: 0210512027 iljqp x. ZQ�, J er Shuford AM, MPH, Conttol Number.• 97262 Commissioner ofHealth (Void After Expiration Date) VOID IF ALTERED NON -TRANSFERABLE SEE BACK * Please contact this office immediately if any information on this license is incorrect. * The license renewal annlication with all reauired documents and fee are due every two vears BEFORE the anniversary date. Please note that it is the responsibility of the license holder to send a completed renewal annlication with all reauired documents and renewal fee before the expiration date. whether a renewal notice is received or not. Failure to submit the completed renewal annlication with all required documents and fee before the expiration date will result in a late fee and must be submitted before the license will be issued. * No license or registration may be sold, assigned, or transferred. Any certificates which have been altered may be revoked. Lic # 400336 INTERCON ENVIRONMENTAL INC DBA SMART SOLUTIONS TRANSPORT (SST) SMART SOLUTIONS TRANSPORT (SST) 210 S WALNUT CREEK DR MANSFIELD TX 76063 * If you have any questions or desire additional information concerning the application process or this license, please contact the Environmental and Sanitation Business Filing and Verification Unit at (512) 834-6600. In order to serve you better, DSHS would like you to complete the short online survey https://www.surveymonkey.com/r/RLUsurvey. The information you provide will assist DSHS in its efforts to continually improve and become more responsive to the needs of its customers. Thank you in advance. TEXAS DEPARTMENT OF LICENSING AND REGULATION P.O. Box 12157 Austin, Texas 78711-2157 1-800-803-9202 (512) 463-6599 www.tdlr.texas.aov If you cut around the border of the license it will fit in a standard 5" x T' frame. 10295137-RC00136 0 0 0 0 V INTERCON ENVIRONMENTAL, INC. S 210 S WALNUT CREEK DR MANSFIELD TX 76063-2013 Rick ,Figueroa Chair Thomas F. Butter vice Chair Gera(dR. Callas, M.D., F.A.S.A Nora Castaneda Sujeeth Draksharam Lori High, R.W.., N.P., Retired Gary F. Wesson, D.D.S., M.S. NoldR.emediation Company INTERCON ENVIRONMENTAL, INC 210 S WALNUT CREEK DR MANSFIELD License Number: RC00136 The entity named above is licensed by the Texas Department of Licensing and Regulation. License Expires: January 25, 2026 �` Brian E. Francis L � Interim Executive Director Texas Department of State Health Services BE IT KNOWN THA T INTERCON ENVIRONMENTAL INC is certified to perform as a Lead Firm _.- ._.. .. ,.v iitxYr�s�i r.$;.hy F-Y6=�a•y ks..9 ��. in the State of texas and is here bygoveraed bf- the rightts,,. p.r.tleges andresponsr$iudes set forth in Texas Occupations Code, Chapter 1955 and Title 25, Texas Administrative Code, Chapter 295 P E relating to Texas Environmental Leal Reduc along,`s-tljs license is not suspended or revoked. iL Cez6fication Number. 2110368 0 lion Date: 0910212025 �,,� er shin 1►� � � � ,� Control Number. 7497°CsaerfterFsptradon Date) ✓ - VOID IF ALTi RE' NON4ikMf ERABLE SEE BACK �1Ci�P� ���t�P� !,Enu*�II1t11iP1T��i1 ��II��C�tIIlC Agrurp C, 4is is to axtif11 t4ttt NeD S r, Intercon Environmental, Inca � Z has fulfilled the requirements of the Toxic Substances Control Act (TSCA) Section 402, and has received certification to conduct lead -based paint activities pursuant to 40 CFR Part 745.226 pan All EPA Administered Lead -based Paint Activities Program States, Tribes and Territories This certification is valid from the date of issuance and expires May 19, 2026 LBP-61742-2 ���fcD STgP Certification # c�J Fd' Michelle Price, Chief November 28, 2022 w Lead, Heavy Metals, and Inorganics Branch Issued On ■ Q ��"4t PROT_--G�O J�%s so S r4' UNITED STATES ENVIRONMENTAL PROTECTION AGENCY o q WASHINGTON, D.C. 20460 a = 0 'it PRtJI���` November 29, 2022 Karen Andrews Intercon Environmental, Inc. OFFICE OF CHEMICAL SAFETY 210 South Walnut Creek Drive AND POLLUTION PREVENTION Mansfield, TX 76063 Dear Karen Andrews: Thank you for applying to the U.S. Environmental Protection Agency (EPA) for certification to conduct Lead - based Paint Activities in target housing and child -occupied facilities. I am pleased to inform you that, pursuant to 40 CFR Part 745, Subpart L, your lead -based paint activities firm is certified. Your certificate is enclosed. This certification expires on May 19, 2026 and is valid in All EPA Administered States, Tribes, and Territories. However, if a State in which you are certified obtains program authorization during the term of this certification, the scope of your certification will be diminished to exclude the affected area. Your EPA firm certification is subject to the following restrictions: 1) Individual states and Indian tribes, whether authorized or not, are not required to accept EPA certification and may accept or reject it under its own authority. Please be aware that your EPA certification does not relieve you of any obligations you may have to any State or Indian tribe regarding lead -based paint activities 2) EPA certification is specific and limited as described above. If you wish to obtain certification in other lead - based paint disciplines, you must apply separately. 3) In advertising the EPA certification, firms must indicate clearly that the firm is certified only for purposes of Section 402 of TSCA. Failure to accurately state EPA certification conditions could result in EPA suspending or withdrawing certification. 4) EPA may conduct audits and/or inspections to ensure continued compliance with regulatory standards, and may revoke or suspend its certification if subsequent alterations or deviations result with the firm no longer meeting the standards found at 40 CFR Part 745, Subpart L. If you have questions about the lead -based paint activities rule or need assistance, please contact the Regional Lead Coordinator, Mikeal Adams, of the EPA Region 6 staff at 214-665-6711. If you have any questions about your firm certification, please contact the National Lead Information Center at 1-800-424- LEAD and refer to Application ID number A829569. Congratulations, and thank you for your interest in being a certified abatement firm. Sincerely, mj"�_ ��J Michelle Price, Chief Lead, Heavy Metals, and Inorganics Branch Enclosures Internet Address {URQ • htlp Hwww e p a go RecyciedlRecyclabie • Printed with Vegetable Oil Based Inks on 1001 Postconsumer, Process Chlvnne Free Recycled Paper Women Business Enterprise (WBE) NCTIRICA Intercon Environmental, Inc. Intercon Environmental, Inc. has filed with the Agency an Affidavit as defined by NCTRCA Women Business Enterprise (WBE) Policies & Procedures and is hereby certified to provide service(s) in the following areas: NAICS 238910: SITE PREPARATION CONTRACTORS NAICS 562910: ASBESTOS REMOVAL CONTRACTORS NAICS 562910: REMEDIATION AND CLEANUP OF CONTAMINATED BUILDINGS, MINE SITES, SOIL, OR GROUND WATER This Certification commences July 13, 2023 and supersedes any registration or listing previously issued. This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is a change in ownership, control of the firm or operation, notification must be made immediately to the North Central Texas Regional Certification Agency for eligibility evaluation. Certification Expiration: July 31, 2025 Issued Date: July 13, 2023 CERTIFICATION NO. WFWB12049NO725 Certification Administrator rGM t 4 ntercon 210 South Walnut Creek Drive • Mansfield, Texas 76063 • Phone: (817) 477-9995 • (817) 477-9996 ENVIRONMENTAL, INC. Asbestos Abatement Lead Remediation Mold Remediation Interior Demolition Structural Demolition Site Clearing SAFETY MANUALS 1. HEALTH & SAFETY/DRUG POLICY 2. BLOODBORNE PATHOGENS PROGRAM 3. CONFINED SPACE PROGRAM 4. CONTINGENCY PLAN 5. FIRE PREVENTION PROGRAM 6. HAZARDOUS COMMUNICATIONS PROGRAM 7. LOCK OUT/TAG OUT PROCEDURES 8. RESPIRATORY PROTECTION PLAN 9. STANDARD OPERATING PROCEDURES 10. SHORT SERVICE EMPLOYEE (SSE) PROGRAM 11. DEMOLITON STANDARD OPERATING PROCEDURES HEALTH & SAFETY PLAN / DRUG POLICY Intercon Environmental, Inc. Health & Safety Plan Page 3 of 26 Table of Contents Health & Safety Plan Intercon ENVIRONMENTAL, iNC. 1. Introduction.....................................................................................................................5 2. Health and Safety Responsibility.....................................................................................5 3. Medical Monitoring Program...........................................................................................5 4. Health and Safety Training..............................................................................................6 5. Exposure/Injury Reports..................................................................................................6 5.1 Accident/Injury Reporting.........................................................................................6 5.2 First Aid Response.....................................................................................................7 5.3 Procedure if an Accident Occurs................................................................................7 5.3.1 First Aid...............................................................................................................7 5.3.2 Serious Injury......................................................................................................7 6. Chemical Substances of Concern.....................................................................................8 7. Physical Hazards of Concern...........................................................................................8 7.1. Trip, Slip, Fall Hazards..............................................................................................8 7.2. Noise.........................................................................................................................8 7.3. Confined Space..........................................................................................................9 7.4. Hand and Power Tools...............................................................................................9 7.5. Fixed Ladders............................................................................................................9 7.6. Portable Ladders........................................................................................................9 7.7. Manual Lifting...........................................................................................................9 7.8. Illumination.............................................................................................................10 7.9. Hot Processes - Steam..............................................................................................10 7.10. Inclement Weather...................................................................................................10 7.11. Electrical Safety.......................................................................................................11 7.12. Heat Stress...............................................................................................................11 7.12.1. Symptoms..........................................................................................................11 7.12.2. Treatment...........................................................................................................11 7.13. Heat exhaustion.......................................................................................................11 7.13.1. Symptoms..........................................................................................................11 7.13.2. Treatment...........................................................................................................11 7.14. Heat Cramps............................................................................................................11 7.14.1. Symptoms..........................................................................................................12 7.14.2. Treatment...........................................................................................................12 7.15. Heat Rash................................................................................................................12 7.15.1. Symptoms..........................................................................................................12 7.15.2. Treatment...........................................................................................................12 7.16. Heat stroke...............................................................................................................12 Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 4 of 26 Intercon ENVIRONMENTAL, iNC. 7.16.1. Symptoms..........................................................................................................12 7.16.2. Treatment...........................................................................................................13 7.17. Measure Heart Rate.................................................................................................13 7.18. Measure Body Temperature.....................................................................................13 7.19. Physiological Monitoring Schedule..........................................................................13 7.20. Working at Elevation...............................................................................................14 7.21. Utilities....................................................................................................................14 7.22. Heavy Equipment....................................................................................................14 8. Biological Hazards of Concern......................................................................................14 8.1. Bloodborne Pathogens.............................................................................................15 8.2. Animal Bites and Stings...........................................................................................15 8.3. Contact with Plants..................................................................................................15 8.4. Animal and Bird Refuse...........................................................................................15 9. Basic Safety Work Rules...............................................................................................16 10. Emergency Response Plan.............................................................................................18 10.1. Evacuation Routes and Procedures...........................................................................18 10.2. Emergency Security and Control..............................................................................18 10.3. Emergency Decontamination Procedures.................................................................19 10.4. Fire or Explosion.....................................................................................................19 10.5. Spills and Leaks.......................................................................................................19 10.6. Medical Emergencies...............................................................................................19 11. Plan Approvals..............................................................................................................20 12. Stop Work Authority.....................................................................................................20 13. Policy for Drugs, Alcohol and Other Prohibited Articles................................................21 13.1.1 Purpose....................................................................................................................22 13.1.2 Scope.......................................................................................................................22 13.1.3 Requirements...........................................................................................................22 13.2 Prohibited Articles...................................................................................................22 13.3 Policy Enforcement..................................................................................................23 13.4 Voluntary Admission of Drugs of Alcohol Dependency...........................................23 13.5 Detection of Illegal Drug Use by Testing.................................................................23 13.6 Possession of Illegal Drugs or Alcohol on or in Company Property ..........................23 13.7 Present at Work or on/in Company Property with Measurable Levels of Alcohol ..... 23 13.8 Procedures for Examination.....................................................................................23 13.9 Employees Convicted of Drug Offenses...................................................................25 13.10 Cooperation with the Company................................................................................26 13.11 Drugs Tested For & Levels of Detection: ................................................................. 26 Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 5 of 26 1. Introduction JVA#.. htercon ENWRONMENTAL, INC. The purpose of this Health and Safety Plan (Plan) is to define requirements and designate protocols to be followed by employees during any and all project activities. This Plan is designed to provide guidance to protect the health and safety of individuals working on - site and assist in compliance with all relevant health and safety regulations during the completion of any site activity. Specifically, the Plan has been prepared in strict accordance with OSHA 29 CFR 1910-Subpart 7. The Plan addresses standard operating and emergency procedures for anticipated site hazards related to asbestos abatement and other environmental activities A copy of this plan will be reviewed by all employees with the corporate health and safety officer. At which time any questions will be addressed. Upon completion of the plan review all employees will sign an authorization sheet acknowledging their understanding of the contents of this Plan. The original Plan will be maintained at Intercon Environmental, Inc.'s principal office and copies of the plan on every project site. Modifications to this Plan may be required to adjust for changing laws and project conditions. The Corporate Health & Safety Officer will make all changes. Permanent revisions will be attached as addenda to the Plan. 2. Health and Safety Responsibility Each Project Manager will be responsible for assuring that all site activities are performed in accordance with the protocols defined in this document. The Project Manager will have a direct line of communication with the Corporate Health and Safety Officer. All work performed by personnel shall be conducted in conformance with the Plan and appropriate regulations. Intercon will take appropriate steps to protect employees from unsafe acts or actions over which Intercon has no control and will be obliged, professionally, to bring any such actions, as well as any actions on any work location where there are work assignments, which constitute obvious or imminent hazard violation of regulations to the attention of the appropriate client contact. Employees are encouraged to report unsafe work place situations to the Corporate Health and Safety Officer without fear of recrimination. 3. Medical Monitoring Program In compliance with OSHA regulations, all employees who participate in asbestos related activities will be enrolled in a medical monitoring program. Medical surveillance shall be provided to employees prior to employment, annually thereafter (minimum) and as a follow-up to injuries or over -exposures. All employees shall be required to maintain current medical fitness status with an annual physical examination. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 6 of 26 4. Health and Safety Training JVA#.. htercon ENWRONMENTAL, INC. All supervisory personnel are required to have the 40-hour health and safety training requirements, as specified in OSHA regulations (29 CFR 1910.120(e)/8 CCR 5192). Employees and subcontractors successfully completing this course are certified to perform field activities in hazardous locations in EPA designated levels of protection B, C and D. Copies of training certificates shall be maintained on -site. This training must be renewed annually with an 8-hour refresher course. Each employee must also undergo an annual respirator fit test and be medically certified to perform fieldwork on an annual basis (all employees working with asbestos must be trained in accordance with 29 CFR 1926.1101). Intercon will conduct health and safety meetings at the beginning of every project and periodically as needed maintaining a minimum of one per week. During these health and safety training seminars, any questions regarding the Plan will be answered. The purpose of these orientations is to ensure compliance with the Plan as well as fulfilling applicable right -to -know regulations. The issues to be addressed at this orientation will include: 1. Chemical hazards on -site; 2. Physical hazards on -site; 3. Biological hazards on -site; 4. Potential for exposure to hazardous materials on -site; 5. Monitoring procedures and protocols; 6. Levels of personal protection to be utilized and personal protective equipment required to mitigate potential exposure; 7. Decontamination procedures; 8. Emergency and evacuation procedures; and 9. Site documentation procedures. 10. Any incident investigations 11. Modifications if any to the Health and Safety plan 5. Exposure/Injury Reports In the case of an injury or exposure, effective corrective actions must be taken, an incident investigation must be completed, and an incident report filed. 5.1 Accident/Injury Reporting If an injury or exposure occurs, the specific incident will be immediately reported to the Environmental Health and Safety Officer verbally as soon as possible. Intercon shall notify a representative of the client in the event of an accident or injury while on the site. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 7 of 26 JVA#.. htercon ENWRONMENTAL, INC. Intercon will ensure that a written exposure or injury report is completed and reviewed with the employee(s), Contractors involved and supervisors. After review of an exposure or injury report is complete, Intercon will investigate and ensure that corrective measures were appropriate and are complete. 5.2 First Aid Response First aid should be administered only by trained, certified personnel. 2. Do not move an injured or seriously ill person unless necessary to prevent further injury. 3. If off -site medical treatment is obtained (without reporting to the appropriate supervisor) for a work -related injury or illness, notify the appropriate supervisor at the start of the next scheduled work date. 4. Prior to returning to work after a disabling injury or illness, present a completed medical release from the attending physician to the appropriate supervisor. 5.3 Procedure if an Accident Occurs In the event of an accident, the following steps should be taken in the sequence listed: 5.3.1 First Aid Contact qualified first aid personnel. 5.3.2 Serious Injury 1. Call an ambulance, hospital, at 911, or physician. 2. Have qualified first aid personnel administer first aid as soon as possible. 3. Assist first aid and ambulance personnel as directed. 4. Notify the supervisor or designated alternate. 5. Assist in completion of appropriate accident information report and witness statements. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 8 of 26 6. Chemical Substances of Concern JVA#.. htercon ENVIRONMENTAL, INC. The Health and Safety Officer will maintain all Material Safety Data Sheets (MSDS) for all chemicals used and stored on -site. These will include all those substances necessary for equipment decontamination and samples analysis preparation. Copies of these MSDS are maintained in our office and at the project site. See Intercon's Standard Operating Procedure manual for full instruction on MSDS. 7. Physical Hazards of Concern The nature and extent of the field activities creates a number of potential physical hazards on -site. Although engineering and administrative controls will be implemented to mitigate some hazards, the primary prevention will be based on a communication program. The program will start with the initial site briefing, which will be presented to all field personnel and reinforced at the weekly project safety meetings. The field activities to be conducted during asbestos related activities will potentially require site personnel to be in close proximity to various physical hazards. The specific hazards encountered will be dependent upon the task and the operation conducted. Below is a partial list of physical hazards that may be encountered during the oversight activities at the site. Drilling Use of Compressed Air Tools Noise Power Tools/Hand Tools/Air Tools Hoists Utilities Portable Ladders, Scaffolds Excavations, Trenches Heavy Equipment Illumination Confined Space Hot Work Drum Handling Heat/Cold Stress Hot Processes Steam Pressure Washers Weather Materials Handling Ropes, Slings, Chains and Hooks Power Transmission, Mechanical Manual Lifting Hazardous Material Use/Storage Electrical Safety 7.1. Trip, Slip, Fall Hazards Personnel shall be reminded to maintain a workplace free of scattered tools and supplies. "Housekeeping" procedures will be discussed at the daily safety briefings. The importance of maintaining safe footing will be reinforced in daily safety briefings. 7.2. Noise Noise levels in excess of the 85 decibels, or dBA, the action level specified in 29 CFR 1910.95 and 8 CCR 5095, are not anticipated during completion of the work at the site. However, should you be exposed to elevated noise levels be encountered (adjacent to operational compressors, etc.), personnel shall utilize earplugs or hearing protection to attenuate noise levels. Noise dosimeters may be employed periodically to quantify personnel noise exposures. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 9 of 26 7.3. Confined Space JVA#.. htercon ENWRONMENTAL, INC. Personnel will only enter a confined space if procedures defined in Intercon's Confined Space Manual are followed. A confined space may be defined as any area having a limited means of egress where ventilation is not adequate to remove a toxic or flammable atmosphere or oxygen deficiency that may exist. Examples of confined spaces may include storage tanks, process vessels, bins, boilers, ventilation or exhaust ducts, sewers, underground utility vaults, tunnels, pipelines and open -top spaces more than four feet in depth such as pits, tubs, vaults and vessels. 7.4. Hand and Power Tools Personnel shall be reminded at daily safety meetings of the importance of using the correct tool to accomplish the various work tasks. Utilizing the wrong tool for the job can often lead to injuries. Throwing of tools or materials from one location to another will be prohibited. All power tools shall be inspected prior to use. Any defective tools shall be tagged out by the on -site project manager and prohibited from being used. 7.5. Fixed Ladders Fixed ladders must be inspected prior to use. Moorings, hardware and rungs should be visually inspected to ensure that they are structurally sound. Efforts should be made to ensure that no more than one person at a time be present on a fixed ladder. Materials, tools and/or supplies should be passed up to elevated work areas or placed in a bucket or other vessel attached to a rope and hauled up rather than being hand -carried. 7.6. Portable Ladders Portable ladders should be inspected prior to use. Attention should be paid to the rungs and side rails of the ladder to ensure that they are not degraded or bent in any manner. Damaged ladders should be tagged out if they are repairable. If they are not, they shall be destroyed. All ladders should be equipped with safety feet that are placed on a firm, flat surface. Straight extension ladders should extend at least three feet above the landing area. A spotter should be used at all times during ladder work. This individual should steady the base of the ladder and be prepared to pass supplies or tools to the individual working on the ladder. 7.7. Manual Lifting Improper lifting can result in cuts, pinches, crushing and serious muscle strains and tears. Daily safety meetings shall communicate the importance of proper lifting techniques to site personnel. Prior to lifting bulky or heavy objects, the object should be inspected for sharp edges, splinters and any signs of chemical or biological hazards (i.e. staining or insects/arthropods). The area should also be inspected prior to the lifting and moving of the object. The area should be checked to ensure that wet or slippery conditions are not present and that the route to be traveled is free of trip hazards. Where at all possible, assistance should be obtained in performing a lift. It will be stressed in the daily safety meeting that moving an object is not worth incurring an injury. If an object is not readily moved, mechanical means should be sought out and employed. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 10 of 26 7.8. Illumination JVA#.. htercon ENWRONMENTAL, INC. It is anticipated that electrical power and lighting systems shall be fully operational at the project site. Inadequate lighting can result in trips, falls and other inadvertent injuries incurred during work activities. If poor or inadequate lighting conditions are discovered, work shall be stopped in that specific area and the conditions shall be reported immediately. 7.9. Hot Processes -Steam Steam may be present in varying locations throughout the site. Steam represents a severe thermal burn hazard. It may condense and leave wet work surfaces and will displace oxygen in enclosed areas. The heat and high moisture content associated with steam may affect instrument and PPE function. Personnel shall be reminded to be cognizant of areas or structures that may contain steam (i.e. boiler rooms, steam lines). Caution should be taken when working around such structures. 7.10. Inclement Weather Potential hazards associated with inclement weather as they relate to this project may include heat, rain, wind and electrical storms. Should any of these conditions present a threat of injury of site personnel, work activities potentially exposed to these hazards shall be terminated. Heat may increase the likelihood of personnel experiencing heat stress and other heat related disorders. Extreme heat may also lead to increased rates of volatilization and increase the pressure on sealed containers, potentially increasing the risk of toxic exposure or flammable/explosive atmospheres. Rain may increase slipping and tripping hazards and the braking distances of vehicles. Rain may also fill in depressions and obscure trip and fall hazards. Rain may also increase the potential of electrical shock when working in proximity to electrical equipment. Lightning represents a real hazard of electrical shock when working in flat, open spaces, elevated work places, or near tall structures such as stacks. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 11 of 26 JVA#.. htercon ENWRONMENTAL, INC. 7.11. Electrical Safety Personnel shall remain cognizant of electrical lines and equipment within the work area. Personnel and shall be prohibited from contacting electrical power circuits unless they are protected from electrical shock by de -energizing the circuit and grounding it or by guarding it effectively by insulation or other means. 7.12. Heat Stress Heat stress is an acute and dangerous reaction to heat caused by a failure of heat regulating mechanisms of the body, the individual's temperature control system that causes sweating stops working correctly. Body temperature rises so high that brain damage and death will result if the person is not cooled quickly. 7.12.1. Symptoms Red, hot, dry skin, although person may have been sweating earlier; nausea; dizziness; confusion; extremely high body temperature; rapid respiratory and pulse rates; unconsciousness or coma. 7.12.2. Treatment Cool the victim quickly. If the body temperature is not brought down fast, permanent brain damage or death will result. Soak the victim in cool, but not cold water; sponge the body with cool water or pour water on the body to reduce the temperature to a safe level (102°F). Observe the victim and obtain medical help. Do not give coffee, tea, or alcoholic beverages. 7.13. Heat exhaustion Heat exhaustion is a state of very definite weakness or exhaustion caused by the loss of fluids from the body. The condition is much less dangerous than heat stroke, but it nonetheless must be treated. 7.13.1. Symptoms Symptoms are pale, clammy, moist skin, profuse perspiration and extreme weakness. Body temperature is normal, pulse is weak and rapid and breathing is shallow. The person may have a headache, may vomit and may be dizzy. 7.13.2. Treatment Remove the person to a cool, air conditioned place, loosen clothing, place in a head -low position and ensure the individual remains immobile. Consult physician, especially in severe cases. The normal thirst mechanism is not sensitive enough to ensure body fluid replacement. Have patient drink 1 to 2 cups of water in -immediately and every 20 minutes thereafter until symptoms subside. Total water consumption should be about 1 to 2 gallons per day. 7.14. Heat Cramps Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 12 of 26 JVA#.. htercon ENWRONMENTAL, INC. Heat cramps are caused by perspiration that is not balanced by adequate fluid intake. Heat cramps are often the first sign of a condition that can lead to heat stroke. 7.14.1. Symptoms Symptoms of heat cramps are acute painful spasms of voluntary muscles, e.g., abdomen and extremities. 7.14.2. Treatment Remove victim to a cool area and loosen clothing. Have patient drink 1 to 2 cups of water immediately and every 20 minutes thereafter until symptoms subside. Total water consumption should be 1 to 2 gallons per day. 7.15. Heat Rash Heat Rash is caused by continuous exposure to heat and humid air and aggravated chafing clothes. The condition decreases ability to tolerate heat. 7.15.1. Symptoms A mild red rash occurs, especially in areas of the body that come into contact with protective gear. 7.15.2. Treatment Decrease amount of time in protective gear and provide powder to help absorb moisture and decrease chafing. 7.16. Heat stroke Heat stroke is an acute and dangerous reaction to heat stress caused by a failure of heat regulating mechanisms of the body; the individual's temperature control system that causes sweating stops working correctly. Body temperature rises so high that brain damage and death will result if the person is not cooled quickly. 7.16.1. Symptoms Red, hot, dry skin, although the person may have been sweating earlier; nausea; dizziness; confusion; extremely high body temperature; rapid respiratory and pulse rate; unconsciousness or coma. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 13 of 26 7.16.2. Treatment JVA#.. htercon ENWRONMENTAL, INC. Cool the victim quickly. If the body temperature is not brought down quickly, permanent brain damage or death will result. Soak the victim in cool, but not cold, water; sponge the body with cool water or pour water on the body to reduce the temperature to a safe level (102°F). Observe the victim and obtain medical help. Do not give coffee, tea, or alcoholic beverages. For strenuous field activities that are part of on -going site work activities in hot weather, the following procedures shall be used when appropriate to monitor the body's physiological response to heat and to manage the work cycle, even if workers are not wearing impervious clothing. Awareness and limited monitoring procedures are to be instituted when the temperature exceeds 70°F. 7.17. Measure Heart Rate Heart rate should be measured by the radial or carotid pulse for 30 seconds as early as possible in the resting period. The heart rate at the beginning of the rest period should not exceed 110 beats per minute. If the heart rate is higher, the next work period should be shortened by 33 %, while the length of the rest period stays the same. If the pulse rate still exceeds 110 beats per minute at the beginning of the next rest period, the following work cycle should be further shortened by 33%. The procedure is continued until the rate is maintained below 110 beats per minute. 7.18. Measure Body Temperature With ambient temperatures over 90°, body temperatures should be measured with a clinical thermometer as early as possible in the resting period. Oral temperature should be taken at the beginning of the rest period before the employee drinks anything. Oral temperature (TO) at the beginning of the rest period should be shortened by 33 %, while the length of the rest period stays the same. If the TO exceeds 99.6°F at the beginning of the next rest period, the following work cycle should be further shortened by 33%. The procedure is continued until the body temperature is maintained below 99.6°F. 7.19. Physiological Monitoring Schedule The following suggested frequency of physiological monitoring schedule for fit and acclimated workers shall be used as a guideline. Temperature 90OF or above 87.5°F 82.5 °-87.5 °F 77.5 °-82.5 °F 72.5 °-77.5 °F Level D After each 45 minutes of work After each 60 minutes of work After each 90 minutes of work Level C After each 15 minutes of work After each 30 minutes of work After each 60 minutes of work After each 120 minutes of work After each 90 minutes of work After each 150 minutes of work After each 120 minutes of work Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 14 of 26 JVA#.. htercon ENWRONMENTAL, INC. Measure the air temperature with a standard thermometer. The thermometer bulb used will be shielded from radiant heat. Estimate fraction of sunshine by judging what percent the sun is out. 100% sunshine = no cloud cover = 1.0 sunshine = 50% cloud cover = 0.5 sunshine = full cloud cover = 0.0 adjusted temp. = actual temp. + 13 X (%sunshine factor) Frequency of physiological monitoring governs the length of work period. The length of the rest period is governed by physiological parameters (heart rate and oral temperature). For example, if an individual's heart rate exceeds 110 beats per minute at the beginning of the rest period, that individual will remain on rest -time until his/her heart rate drops well below 110 beats per minute and their next work period (=duration of time before suggested physiological monitoring) is decreased by 33 %. 7.20. Working at Elevation Climbing stairs, working at elevation (more than four (4) feet above grade), on platforms, roofs or scaffolding; working on ladders, or performing activities where falls could result in injury or contact with chemicals requires provisions for preventing falling. Ideally fall prevention can be addressed through appropriate engineering controls including safety railings etc. Fall protection PPE including harnesses and lanyards, may be required during the course of this project. The requirement for such PPE will be evaluated on a case -by -case basis. 7.21. Utilities Injury and death as a result of shock, electrocution, thermal burns and other utility related hazards can be avoided by remaining alert to the presence of utilities in the work area. Such utilities may include; electrical lines, gas lines, pipelines, steam lines, water lines, sewer lines and pressurized air lines. All utilities should be considered active unless a reliable source has documented them to be otherwise. Personnel will be instructed to avoid stepping or holding onto any such utility line. 7.22. Heavy Equipment It is anticipated that a variety of heavy equipment will be present on the site during the completion of this project. All personnel shall be required to wear high -visibility safety vests at all times during site work. Site personnel and subcontractors shall be instructed to maintain eye contact with equipment operators when entering their work area(s). In addition, no personnel will be allowed to walk beneath elevated booms or buckets. 8. Biological Hazards of Concern This section identifies biological hazards that may be transmitted via human blood or blood products or through other modes of transmission including poisonous plants, insect and/or animal bites or stings. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 15 of 26 8.1. Bloodborne Pathogens . W.A. htercon ENWRONMENTAL, INC. Bloodborne pathogens are pathogenic microorganisms that may be present in human blood and can cause disease in humans. These pathogens include, but are not limited to hepatitis B virus (HBV) and human immunodeficiency virus (HIV). OSHA requires compliance with 29 CFR 1910.1030/8 CCR 5193, Occupational Exposure to Bloodborne Pathogens Standard, where as a condition of employment, there is known or potential exposure to bloodborne pathogens. A source of occupational exposure may occur when an employee gives first aid and CPR to an individual who has infectious blood. The occupational exposure occurs when potentially infectious materials come in contact with the employee's eyes, mucous membranes, non -intact skin through cuts and abrasions while administering first aid and CPR. Additional sources of exposure are contact with infectious waste found at hazardous waste sites, glassware, needles other sharp objects which have been involved in injuries to personnel resulting in contamination with blood or related bodily fluids and laboratory personnel who may analyze samples containing infectious waste. Outlined below is a more detailed description of potential biological hazards that may be present on -site. 8.2. Animal Bites and Stings Animal bites or stings are usually nuisances (localized swelling, itching and minor pain) that can be handled by first -aid treatments. The bites of certain snakes, lizards, spiders and scorpions contain sufficient poison to warrant medical attention. There are diseases that can be transmitted by insect and animal bites. Examples are Rocky Mountain spotted fever, Lyme disease (tick), rabies (mainly dogs, skunks and foxes), malaria and equine encephalitis (mosquitoes). The greatest hazard and most common cause of fatalities from animal bites --particularly bees, wasps and spiders is a sensitivity reaction. Anaphylactic shock due to stings can lead to severe reactions in the circulatory, respiratory and central nervous systems, which can also result in death. 8.3. Contact with Plants Personnel are prohibited from eating any plant material that may grow on the site. Certain plants, including poison oak, produce adverse effects from direct dermal contact. The usual effect is dermatitis inflammation of the skin. The protective clothing and decontamination procedures used for chemicals also reduce the exposure risk from plant toxins. Cleaning the skin thoroughly with soap and water after contact will reduce risk. 8.4. Animal and Bird Refuse Buildings that have been inactive or have normally inaccessible areas such as high ceilings, crawlspaces, etc., may become refuges or nesting places for animals or roosting places, particularly for birds. Refuse in the form of nesting materials and droppings often accumulate around those nests or roosting places. This refuse often contains mold, fungus or bacteria, which represent respiratory system hazards, including lung diseases and allergies. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 16 of 26 JVA#.. htercon ENWRONMENTAL, INC. It is expected that site personnel will have a minimum potential for exposure to these biological agents. Those individuals who are involved in obtaining additional environmental samples may incur a greater risk of exposure to these materials during sampling. However, risks associated with exposure to these hazards can be greatly reduced through proper training, recognition and application of control mechanisms. 9. Basic Safety Work Rules Intercon is committed to the safety and health of all its employees. In our effort to make our project hazard free and provide the safest working conditions possible, we expect all site personnel to learn and practice the following basic safe work rules. In addition to the rules listed below, there are additional site -specific work rules that must be observed on this project. 1. Prior to beginning field activities, all site personnel will receive a Health and Safety briefing and sign a master sheet indicating they have read and understood this plan. 2. Prior to beginning field activities, the Project Manager will review site -specific Health and Safety items with all workers to be involved. 3. There will be no eating, drinking or tobacco use during the performance of drilling activities on the site. 4. As minimum, emergency eyewash will be located at Intercon's trailer located on - site. 5. Fire extinguishers will be maintained on -site and in each project vehicle for use on equipment or small fires. 6. An adequately stocked first aid kit will be on scene and maintained by each supervisor in each work area at all times during operations. 7. A daily safety meeting will be conducted for all site personnel. Records of these meetings will be kept at the project field office by Intercon. 8. All personnel will wash hands thoroughly after completing any activity prior to taking breaks and at the conclusion of each work shift. The project trailers shall have a restroom equipped with a washbasin. 9. Approved and unaltered hard hats and sturdy work boots are required at all times in the work areas. 10. Sleeveless shirts and short pants will not be permitted. Health & Safety Plan Intercon Environmental, Inc. V Whtercon . Health & Safety Plan Page 17of26 ENWRONMENTAL, INC 11. Approved (Z.87.1) safety glasses/goggles/eye protection shall be worn as required. 12. Hearing protection shall be worn in all high noise areas or while performing high noise tasks. 13. Approved respiratory protection shall be worn as required. 14. Proper gloves are required when handling material that cuts, bums, or contaminates the skin. 15. Safety belts or harnesses and lanyards shall be worn by employees working on unguarded or unprotected work platforms six feet or more above the ground 16. Do not climb on or work from any handrail, mid -rail or brace. Use the ladder to get on a scaffold. 17. Secure or cleat scaffold boards to prevent movement. 18. Inspect all ladders for damage or defects before use. Stepladders will only be used in the fully opened position. 19. Extension ladders are not to be separated. They must have ladder feet set on a secure surface and tied off at the top. 20. Good housekeeping shall be practiced at all times. 21. Projecting nails shall be bent over or removed from lumber. 22. Clean up spills immediately and remove oily, flammable, or combustible waste/rags. 23. Compressed air shall not be used for blowing dust or dirt from clothing. 24. Access to safety and fire fighting equipment shall be kept clear at all times. Learn how to use an extinguisher before you need it. 25. Gasoline equipment shall not be refueled when running. 26. Secure all cylinders in the upright position with caps on when not in use. 27. Never enter a confined space/excavation until you check with your supervisor. Supplied air may be required. Health & Safety Plan Intercon Environmental, Inc. V Whtercon A Health & Safety Plan Page 18 of 26 ENWRONMENTAL, INC 28. Never enter an un-shored excavation over four feet deep unless the slopes are laid back or secured. 29. Excavations will be provided with an accessible ladder. 30. Horseplay, fighting gambling and stealing will not be tolerated. 31. All electrical cords shall be of the three -wire type. 32. Tagout and lockout rules are to be strictly enforced. 33. Wire rope chokers, slings, chainfall and come -a -longs are to be inspected by workers before use. 34. No employee, other than the operator, shall ride on trucks, loaders, shovels or moving equipment unless authorized. 35. Immediately report all near injuries, accidents and injuries to your supervisor. 36. Report unsafe conditions or practices to your supervisor. 10. Emergency Response Plan The emergency response plan is an integral part of the Plan and will be reinforced to site personnel during the daily safety meetings. Ideally, appropriate planning and control will preclude the need for a response action. However, it is imperative that all personnel are prepared to respond to an emergency to prevent further harm or injury. 10.1. Evacuation Routes and Procedures In the event of a site emergency requiring evacuation, the following alarm procedures will be implemented: 1. In the event of an emergency situation, site personnel shall immediately notify the supervisor of the location and nature of the emergency. The supervisor on the site shall then contact the appropriate authorities. 2. Normal traffic flow patterns will be in effect unless a local detour is required. 3. Security will also contact the local police to assist with the traffic control of intersections outside of the site. 10.2. Emergency Security and Control Following the broadcast of an emergency alarm signal via radio, access to the site and immediate vicinity of the incident will be restricted. Depending upon the severity and location of the incident, physical barriers or banner guard will be used to delineate restricted areas. Health & Safety Plan Intercon Environmental, Inc. V Whtercon . Health & Safety Plan Page 19 of 26 ENWRONMENTAL, INC. 10.3. Emergency Decontamination Procedures Normal decontamination procedures will be modified to suit the specifics of an incident. The orderly sequence of clothing removal may be adapted to facilitate quick exit of personnel from hazardous conditions. In the event of a medical emergency, a decision will be made concerning the priority of decontaminating the patient relative to the potential for life threatening injuries. If a patient is contaminated, outer clothing can be cut off and removed and/or the individual can be wrapped in plastic or a blanket. 10.4. Fire or Explosion In the event of an explosion, personnel will notify the base Fire Department immediately. This will occur concurrently with evacuation of appropriate personnel and accounting for personnel. Upon arrival of the fire department, Intercon will advise the fire commander of the location, nature and identification of the hazardous materials onsite. Providing it can be done safely, site personnel may: Use fire extinguishers available on -site to control or extinguish a small, localized fire. 2. Remove or isolate flammable or other hazardous materials that may contribute to the fire. 3. Begin containment and recovery of the spilled materials. 10.5. Spills and Leaks In the event of a spill from a fuel storage tank, personnel will: 1. Inform their supervisor immediately. 2. Locate the source of the spillage and stop the flow if it can be done safely. 3. Take corrective actions to prevent similar occurrence. The location of emergency spill response equipment will be indicated on -site drawings and discussed with site personnel during site indoctrination training and periodically in safety meetings. 10.6. Medical Emergencies In the event of a medical emergency, the following procedures shall be implemented: 1. Call 911 (for outside emergency services) 2. Request assistance from emergency medical service and/or additional assistance. 3. Identify location, request medical assistance, provide name and telephone number. 4. The supervisor will contact the Environmental Health & Safety Officer. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 20 of 26 JVA#.. htercon ENWRONMENTAL, INC. Any person who becomes ill or injured in the work area must be decontaminated to the maximum extent possible. If the injury or illness is minor, full decontamination should be completed and first aid administered prior to transport. If the patient's condition is serious, at least partial decontamination should be completed (i.e., complete disrobing of the victim and redressing in clean coveralls or wrapping in a blanket). First aid should be administered while awaiting an ambulance or paramedics. All injuries and illnesses must be reported immediately to the Corporate Health & Safety Officer. The first aid kit location will be specially marked and provided with adequate water and other supplies necessary to clean and decontaminate bums, wounds, or lesions. 11. Plan Approvals This Plan and all modifications thereto, must be approved by the Corporate Health & Safety Officer or by individuals specifically designated by the Corporate Health & Safety Officer to approve. 12. Stop Work Authority All employees have the right and duty to stop work when conditions are unsafe, and to assist in correcting these conditions as outlined in S3NA-002-PR Stop Work Authority for Unsafe Work. Whenever the SSHO determines that workplace conditions present an uncontrolled risk of injury or illness to employees, immediate resolution with the appropriate supervisor shall be sought. Should the supervisor be unable or unwilling to correct the unsafe conditions, the SSHO is authorized and required to stop work, which shall be immediately binding on all affected AECOM employees and subcontractors. Upon issuing the stop work order, the SSHO shall implement corrective actions so that operations may be safely resumed. Resumption of safe operations is the primary objective; however, operations shall not resume until the Safety Professional has concurred that workplace conditions meet acceptable safety standards. Health & Safety Plan Intercon Environmental, Inc. V Whtercon . Health & Safety Plan Page 21 of 26 ENWRONMENTAL, INC. 13. Policy for Drugs, Alcohol and Other Prohibited Articles Intercon Environmental, Inc. enforces a policy to ensure a work environment that is free from the influence and hazards created by illegal drugs and alcohol and those that abuse these substances. This policy applies to all employees and associates of Intercon Environmental, Inc. Intercon Environmental, Inc. strictly prohibits the use, sale, distribution, possession, and transport of illegal drugs or alcohol on the premises of any facility under company control. Furthermore, no employee will be allowed or permitted to perform work if they display any signs of use or influence of illegal drugs or alcohol. Employees that display signs of use or influence will be subject to immediate removal from the work place. The return of any employee to work is contingent upon the employee rectifying the hazardous condition to the satisfaction of the company. This process is stipulated as demonstration of successful completion of an approved rehabilitation program. When applicable an approved rehabilitation program will be offered to employees, at their own expense, who volunteer for treatment prior to testing positive on a drug test. Intercon Environmental, Inc. reserves the right to require drug tests contingent upon an offer of employment, of all parties involved in a work -related accident resulting in injury or property damage, and at random as determined by management. Employees that test positive for drug use will be denied initial employment, subject to immediate termination, or at least required to successfully complete an approved rehabilitation program prior to returning to work or being considered for initial employment. An employee that refuses to submit to a drug test will be terminated immediately. Health & Safety Plan Intercon Environmental, Inc. V Whtercon A Health & Safety Plan Page 22 of 26 ENWRONMENTAL, INC. 13.1 Safety Policy for Drugs, Alcohol & Other Prohibited Articles 13.1.1 Purpose To help ensure a safe, healthy, and productive work environment for the employees of Intercon Environmental, Inc. and others on Company property; to protect Company property; and to assure efficient operation, the Company has adopted a safety policy concerning drugs, alcohol, and other prohibited articles. 13.1.2 Scope This policy applies to all employees of Intercon Environmental, Inc. 13.1.3 Requirements It is the policy of the Company to maintain property and to provide a working environment that is safe for its employees and for others having business with the Company, that policy being one that is conducive to the highest work standards and maintains individual dignity of the employees of the Company. The term "Company premises" or `Company property" for purposes of this policy, include all property owned, leased used or under the control of the Company, including, but not limited to, the jobsite of a customer, structures, buildings, offices, vehicles, facilities and installations. 13.2 Prohibited Articles The Company prohibits the use, possession, selling, distributing or transporting on its premises, facilities or work places any of the following: Unauthorized alcoholic beverages, illegal or illicit drugs, including marijuana, mood or mind -altering substances, `look -alike' substances, designer and synthetic drugs, and certain inhalants of abuse Equipment and paraphernalia related to illegal drug or substance use. Employees and others covered by this policy may maintain on Company premises prescription drugs and "over the counter" medications provided: The prescription drugs are prescribed by an authorized medical practitioner for current use (within the past twelve months) of the person in possession. The drugs, both prescription and over-the-counter, are limited to one day's supply, or must be kept in the original container. When appropriate, the Company may determine, by consulting a medical doctor, if the drug produces hazardous effects that may impair an employee's ability to work safely. The Company may check with prescribing physicians to see if other medications are available which would not impair the employee's ability to work safely. Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 23 of 26 JVA#.. htercon ENWRONMENTAL, INC. 13.3 Policy Enforcement Because of the importance of this policy, the Company will from time to time take steps to ensure that it is being followed: All applicants being considered for employment will be given a drug -screening test prior to employment. Results of the drug screening will be forwarded to the Personnel Manager via sealed envelope with "confidential" written across the front of the envelope. If an employee is suspected of using or being under the influence of unauthorized drugs or alcohol during Company hours, the direct supervisor of the employee may request an immediate drug test by urine and blood for that employee. The request will be forwarded for approval to the President or designated officer of the Company. Employees who are involved in an on-the-job accident that requires medical treatment or that involves damage to property will also be required to submit to a drug test or when required a blood alcohol test. 13.4 Voluntary Admission of Drugs of Alcohol Dependency 1 st Offense: A mandatory leave of absence will be taken by the affected employee so that participation in an acceptable program at the expense of the employee may be accomplished. Random testing will be performed at the sole discretion of the Company. Failure to participate/complete an accepted program will result in termination of employment. As a matter of policy, it is the responsibility of the affected employee to seek out educational and/or addiction treatment programs. 2nd Offense: Termination 13.5 Detection of Illegal Drug Use by Testing 1 st Offense: Participation in a Company approved program. Random testing will be performed at the sole discretion of the employer. Failure to participate/complete an approved will result in termination of employment. 2nd Offense: Termination 13.6 Possession of Illegal Drugs or Alcohol on or in Company Property 1 st Offense: Termination 13.7 Present at Work or on/in Company Property with Measurable Levels of Alcohol 1 st Offense: Termination 13.8 Procedures for Examination Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 24 of 26 JVA#.. htercon ENWRONMENTAL, INC. Pre -employment or reasonable suspicion drug screening will be done by a clinic with testing accomplished by a laboratory certified by the National Institute of Drug Abuse (NIDA). Post -accident screening; personal injury or vehicle/equipment damage/accident. A supervisor employee of the Company is to accompany injured worker(s) or those involved in an accident or incident to a clinic or medical facility. The supervisor will request that a drug test be given at the time of examination. If suspected, a blood alcohol test will be given. The employee will be required to sign a consent form for the drug -screening test. If the clinic, hospital or doctor's office does not provide a drug test, the supervisor will call the Company's personnel office for directions to a clinic where a drug -screening test can be given. During a test, the Company's supervisor is to advise the doctor or nurse to supervise the injured worker giving the sample. The clinic's personnel will then complete and sign, and then has the employee to be tested sign the `chain of custody" form. After a test has been completed, the doctor will notify the Company's Personnel Manager only. In the event of severe injury and the employee's inability to sign an authorization for test or severity of injury deters immediate testing, the signing of this policy by the employee will serve as authorization to access any medical records associated with the injury by the Company. (Refusal) If the involved worker refuses to give a specimen of body fluid, the supervisor is to call his/her superintendent or project manager who again advises the employee over the telephone that refusal to submit to a drug screening test is a violation of the Company's safety policy, or contractual obligation, and refusal will result in termination. If an injured worker continues to refuse to submit to a drug screening, the supervisor will advise the doctor or clinic of refusal by the employee. If the employee will not sign a refusal statement, the supervisor will obtain the signature of a doctor, clinic attendant or nurse witnessing the refusal. After the workers injuries are treated, the supervisor should return to the project or work place, meet with the supervisor or department manager and prepare termination forms. Cause for termination should state: "Employee refused to comply with written Company safety policy." Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 25 of 26 JVA#.. htercon ENWRONMENTAL, INC. A copy of this termination form should be attached to the "Employer's First Report of Injury" form. (Complies) The clinic personnel should sign all chain of custody documents and ship the specimen to a designated N.I.D.A. approved laboratory. The laboratory will run a confirmation test on the sample if the first test indicated a chemical in the system. Copies of any positive results of drug screens will be sent to the Personnel Manager via a confidential letter addressed to the Personnel Manager with Confidential printed clearly on the envelope. The results of all drug screen and analysis will remain confidential and discussed only on a "need to know basis". Employees of Intercon who test positive on drug screens may request a second laboratory to test the original urine specimen. The worker should contact the Personnel Manager who will request the original laboratory ship (express) a portion of the original specimen to a National Institute of Drug Abuse (NIDA) certified laboratory of the employee's choice for additional tests. If the second laboratory report test reveals negative, then both tests will be considered negative by Intercon. The expense of the employee's requested test will be the responsibility of the employee. If the employee requested test results are negative, then the expense of that test will be the responsibility of Intercon. If the employee elects a second laboratory to test the original urine specimen, the employee must notify the Personnel Manager within 24 hours of the time the Personnel Manager advises the employee of the results of the original test. Any employee who is terminated under this policy will receive copies of all documents pertaining to the termination via certified mail from the Personnel Manager. These copies will be mailed to the address provided to the Personnel Manager by the terminated employee. Copies of all positive tests of drugs shall be maintained in a locked confidential file separate from the employee's personnel file. 13.9 Employees Convicted of Drug Offenses Health & Safety Plan Intercon Environmental, Inc. Health & Safety Plan Page 26 of 26 JVA#.. htercon ENWRONMENTAL, INC. In accordance with Federal Law, H.R. 5210 "The Drug Free Workplace Act of 1988", each employee must as a condition of continued employment of a federal contractor or grantee, notify the General Manager of any conviction on a criminal drug offense within five (5) days after said conviction. The Company will notify the Federal Contracting Agency of Criminal Drug Convictions within 30 days after it has received notice. Any employee so convicted must satisfactory complete a drug rehabilitation program and agree to periodic testing any time thereafter. Failure to report such a conviction and/or participate in a drug rehabilitation program will result in disciplinary action up to and including suspension or termination. 13.10 Cooperation with the Company All employees, as a condition of continued employment, have an obligation to cooperate with any Company investigation of drug or alcohol abuse in the work place. Failure to cooperate in any such investigation will result in disciplinary action up to and including suspension and/or termination. 13.11 Drugs Tested For & Levels of Detection: Drub or Metabolite in Urine Test Initial Test Confirmation Amphetamine (includes Methamphetamine) 1,000 ng/ml 500 ng/ml Barbiturate 300 ng/ml 300 ng/ml Benzodiazepine 300 ng/ml 300 ng/ml Cannabinoid (Marijuana, Hashish) 20 ng/ml 15 ng/ml Cocaine 300 ng/ml 150 ng/ml Methadone 300 ng/ml 300 ng/ml Opiate (Morphine, Codeine) 300 ng/ml 300 ng/ml Methaqualone 300 ng/ml 300 ng/ml Phencyclidine (PCP) 25 ng/ml 25 ng/ml Ethanol .04g/% volume .04g/%-w/vol. (Enzyme Assay) (GC/FID) Health & Safety Plan BLOODBORNE PATHOGENS PLAN Table of Contents Blood Bourne Pathogen Safety Plan Developed in accordance with the OSHA Bloodborne Pathogens Standard 29 CFR 1910.1030 1. Purpose................................................................................................................................3 2. Responsibility..................................................................................................................... 3 3. Engineering and Work Practice Controls........................................................................... 3 3. l . Washing after Exposure................................................................................................. 3 3.2. Washing after Removal of PPE...................................................................................... 3 3.3. Needles........................................................................................................................... 3 4. Housekeeping......................................................................................................................4 5. Other Regulated Waste....................................................................................................... 5 6. Laundry Procedures............................................................................................................ 5 7. Personal Protective Equipment........................................................................................... 5 8. Hepatitis B Vaccine............................................................................................................ 6 9. Post -Exposure Evaluation and Follow-Up......................................................................... 6 10. Training...............................................................................................................................8 Health & Safety Plan 1. Purpose The purpose of this exposure control plan is to eliminate or minimize employee occupational exposure to blood or other infectious body fluids. Other potentially infectious body are any body fluid visible contaminated with blood. 2. Responsibility Supervisors and foremen shall be responsible for ensuring their employees comply with the provisions of this plan. The Health and Safety Officer is responsible for providing all necessary supplies such as personal protective equipment, soap, bleach, Hepatitis B vaccinations, etc. Hepatitis B vaccinations shall be administered through a clinic. The Environmental Health and Safety Officer shall be responsible for training employees and for disposing of biohazardous waste contained in biohazard bags. 3. Engineering and Work Practice Controls Universal precautions will be observed by all Intercons' employees in order to prevent contact with blood or other potentially infectious materials. All blood or other potentially infectious materials will be considered infectious regardless of the perceived status of the source individual. Engineering and work practice controls will be utilized to eliminate or minimize exposure to Intercon Environmental, Inc. employees. 3.1. Washing after Exposure Employees must wash their hands or other skin with soap and water, or flush mucous membranes with water, as soon as possible following an exposure incident (such as a splash of blood to the eyes or an accidental needle stick). ** 3.2. Washing after Removal of PPE Employees must wash their hands immediately (or as soon as feasible) after removal of gloves or other personal protective equipment. **Employees shall familiarize themselves with the nearest hand washing facilities for the buildings in which they work. Because most buildings are public access, they will have available hand washing facilities in public restrooms and custodial/janitorial closets. (If hand washing facilities are not available, Intercon will provide either an antiseptic cleanser in conjunction with clean cloth/paper towels or antiseptic towelettes. If these alternatives are used, then the hands are to be washed with soap and water as soon as feasible.) 3.3. Needles Employees who encounter improperly disposed needles shall notify Intercon of the location of the needle(s). Additionally, the appropriate authorities at the location shall be notified (i.e. general contractor, consultant). Needles shall be disposed of in labeled sharps containers provided at the location. If sharps containers are not available at that Health & Safety Plan location, Intercon will pick up and dispose of the needles in an appropriate, labeled sharps container. 1. Needles should never be recapped. 2. Needles may be moved or picked up only by using a mechanical device or tool (forceps, pliers, broom and dust pan). 3. Breaking or shearing of needles is prohibited. 4. No eating, drinking, smoking, applying cosmetics or lip balm, or handling contact lenses is allowed in a work area where there is a reasonable likelihood of occupational exposure. 5. No food or drinks shall be kept in refrigerators, freezers, cabinets, shelves, or on counter tops or bench tops where blood or other potentially infectious materials are present. 6. Employees must perform all procedures involving blood or other potentially infectious materials in such a manner as to minimize splashing, spraying, splattering, and generation of droplets of these substances. 4. Housekeeping Decontamination will be accomplished by utilizing the following materials: 1. 10% (minimum) solution of chlorine bleach 2. Lysol or other EPA -registered disinfectants All contaminated work surfaces, tools, objects, etc. will be decontaminated immediately or as soon as feasible after any spill of blood or other potentially infectious materials. The bleach solution or disinfectant must be left in contact with contaminated work surfaces, tools, objects, or potentially infectious materials for at least 10 minutes before cleaning. Equipment that may become contaminated with blood or other potentially infectious materials will be examined and decontaminated before servicing or use. Broken glassware will not be picked up directly with the hands. Sweep or brush material into a dustpan. Known or suspected contaminated sharps shall be discarded immediately or as soon as feasible in containers that is closable, puncture -resistant, leak -proof on sides and bottom, and marked with an appropriate biohazard label. If sharps container is not pre -labeled, biohazard labels are available through Intercon. Health & Safety Plan When containers of contaminated sharps are being moved from the area of use or discovery, the containers shall be closed immediately before removal or replacement to prevent spillage or protrusion of contents during handling, storage, transport, or shipping. Reusable containers shall not be opened, emptied, or cleaned manually or in any other manner that would expose employees to the risk of percutaneous injury. 5. Other Regulated Waste Other regulated waste shall be placed in containers that are closable, constructed to contain all contents and prevent leakage of fluids during handling, storage, transportation or shipping. The waste must be labeled or color -coded and closed before removal to prevent spillage or protrusion of contents during handling, storage, or transport. Biohazard bags and labels are available through Intercon's office. Incineration of biohazardous waste shall be handled by a biological waste destructor. This shall be coordinated through Intercon's office if pre-existing disposal arrangements have not already been made through the owner or general contractor. 6. Laundry Procedures Laundry contaminated with blood or other potentially infectious material will be handled as little as possible. Such laundry will not be sorted or rinsed in the area of use. Intercon shall coordinate cleaning or disposal of contaminated laundry. 7. Personal Protective Equipment Where occupational exposure remains after institution of engineering and work controls, personal protective equipment shall also be utilized. Intercon will provide gloves, face shields, masks, eye protection, and aprons at no cost to employees. Intercon will replace or repair personal protective equipment as necessary at no cost to employees. All personal protective equipment will be chosen based on the anticipated exposure to blood or other potentially infectious materials. The protective equipment will be considered appropriate only if it does not permit blood or other potentially infectious materials to pass through or reach the employee's clothing, skin, eyes, mouth, or mucous membranes under normal conditions of use and for the duration of time for which the protective equipment will be used. Employees must: 1. Utilize protective equipment in occupational exposure situations. 2. Remove garments that become penetrated by blood or other potentially infectious material immediately or as soon as feasible. Health & Safety Plan 3. Replace all garments that are torn or punctured, or that lose their ability to function as a barrier to bloodborne pathogens. 4. Remove all personal protective equipment before leaving the work area. 5. Place all garments in the appropriate designated area or container for storage, cleaning, decontamination, or disposal. 8. Hepatitis B Vaccine The Hepatitis B vaccination shall be made available after the employee has received the training in occupational exposure and within 10 working days of initial assignment. It shall be made available to all employees who have potential occupational exposure unless the employee has previously received the complete Hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons. If the employee initially declines Hepatitis B vaccination, but at a later date decides to accept the vaccination, the vaccination shall then be made available. All employees who decline the Hepatitis B vaccination offered shall sign the OSHA - required waiver indicating their refusal. If a routine booster dose of Hepatitis B vaccine is recommended by U.S. Public Health Service at a future date, such booster doses shall be made available at no cost to the employee. 9. Post -Exposure Evaluation and Follow -Up All exposure incidents shall be reported, investigated, and documented. When the employee incurs an exposure incident, it shall be reported immediately to their supervisor. Following a report of an exposure incident, the exposed employee shall go to the clinic for a confidential medical evaluation and follow-up, including at least the following elements: 1. Documentation of the route(s) of exposure. 2. A description of the circumstances under which the exposure occurred. 3. The identification and documentation of the source individual. (The identification is not required if the employer can establish that identification is impossible or prohibited by state or local law.) Health & Safety Plan 4. The collection and testing of the source individual's blood for HBV and HIV serological status. 5. Post -exposure treatment for the employee, when medically indicated in accordance with the U.S. Public Health Service. 6. Counseling. 7. Evaluation of any reported illness. The Healthcare professional evaluating an employee will be provided with the following information: 1. A copy of this plan. 2. A copy of the OSHA Bloodborne Pathogen regulations (29 CFR 1910.1030) 3. Documentation of the route(s) of exposure. 4. A description of the circumstances under which the exposure occurred. 5. Results of the source individual's blood testing, if available. 6. All medical records applicable to treatment of the employee, including vaccination status. The employee will receive a copy of the evaluating healthcare professional's written opinion within 15 days of the completion of the evaluation. The healthcare professional's written opinion for Hepatitis B vaccination is limited to the following: 1. Whether the employee needs Hepatitis B vaccination; 2. Whether the employee has received such a vaccination. The healthcare professional's written opinion for post -exposure evaluation and follow-up is limited to the following information: 1. That the employee was informed of the results of the evaluation. 2. That the employee was informed about any medical conditions resulting from exposure to blood or other infectious materials that require further evaluation or treatment. All other findings or diagnoses will remain confidential and will not be in a written report. Health & Safety Plan All medical evaluations shall be made by or under the supervision of a licensed physician. All laboratory tests must be conducted by an accredited laboratory at no cost to the employee. All medical records will be kept in accordance with 29 CFR 1910.20. 10. Training All high -risk employees shall participate in a training program. Training will occur before assignment to a task where occupational exposure may take place and at least annually thereafter. Additional training will be provided when changes such as modification of tasks or procedures affect the employee's occupational exposure. Any employee who is exposed to infectious materials shall receive training, even if the employee was allowed to receive the HBV vaccine after exposure. The training program will include at least the following elements: 1. An accessible copy of the regulatory text of 29 CFR 1910.1030 and an explanation of its contents. 2. A general explanation of the epidemiology and symptoms of bloodborne diseases. 3. An explanation of the modes of transmission of bloodborne pathogens. 4. An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan. 5. An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood or other potentially infectious materials. 6. An explanation of the use and limitations of methods that will prevent or reduce exposure, including appropriate engineering controls, work practices, and personal protective equipment. 7. Information on the types, proper use, location, removal, handling, decontamination, and disposal of personal protective equipment. 8. An explanation of the basis for selection of personal protective equipment. Health & Safety Plan Hepatitis B Vaccine Declination I understand that due to my occupational exposure to blood or other infectious materials that I may be at risk of acquiring Hepatitis B virus infection. I have been given the opportunity to be vaccinated with the Hepatitis B vaccine at no charge to myself. However, I decline the Hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want the Hepatitis B vaccine, I can receive the vaccine series at no charge to me. (print name) (title) (signature) (date) Health & Safety Plan CONFINED SPACE PROGRAM Table of Contents Entering and Working in Confined Spaces Manual 1. Introduction.......................................................................................................................................... 4 2. Identifying Confined Spaces..................................................................................................................4 2.1. Confined Space Definition.................................................................................................................4 2.2 Non -Permit Confined Space...............................................................................................................5 2.3 Permit -Required Confined Space....................................................................................................... 5 3. Identifying Confined Space Hazards...................................................................................................... 6 3.1. Oxygen -Deficient Atmospheres......................................................................................................... 6 3.2. Flammable Atmospheres.................................................................................................................... 6 3.3. Toxic Atmospheres............................................................................................................................ 7 3.3.1. Product Stored in the Confined Space......................................................................................... 7 3.3.2. Work Being Conducted in the Confined Space............................................................................ 7 3.3.3. Areas Adjacent to the Confined Space.........................................................................................7 3.4. Mechanical and Physical Hazards......................................................................................................7 4. Confined Space Entry Program............................................................................................................. 8 4.1. Identifying All Confined Spaces........................................................................................................ 8 4.2. Preventing Unauthorized Entry.......................................................................................................... 8 4.3. The Permit System............................................................................................................................. 8 4.4. Planning the Entry............................................................................................................................. 8 4.4.1. Gathering General Data..............................................................................................................8 4.4.2. Identifying the Hazards...............................................................................................................9 4.4.3. Ventilation of the Confined Space............................................................................................... 9 4.4.4. Isolating the Confined Space....................................................................................................... 9 4.4.5. Purging/Cleaning the Confined Space.........................................................................................9 4.4.6. Placement of Warning Signs..................................................................................................... 10 4.4.7. Identifying All Personnel.......................................................................................................... 10 4.4.8. Identifying Necessary Equipment..............................................................................................10 5. Conducting Pre -Entry Training........................................................................................................... 10 5.1. Identification Confined Space.......................................................................................................... 10 5.2. Identify Work Detail........................................................................................................................10 5.3. Inform Entrants of Hazards..............................................................................................................10 5.4. Identify Isolation Procedures............................................................................................................ 11 5.5. Identify Purging and/or Ventilation Procedures................................................................................ 11 5.6. Identify all Equipment Needed......................................................................................................... 11 5.7. Determine Necessary Personal Protective Equipment (PPE)............................................................. 11 5.8. Establish Communication................................................................................................................ 12 5.9. Protect from External Hazards......................................................................................................... 12 Confined Space Program 5.10. Pre -Plan Rescue Procedures.............................................................................................................12 5.11. Place the confined space back into service........................................................................................12 6. Preparing the Confined Space for Entry..............................................................................................12 6.1. Warning Signs or Barriers...............................................................................................................12 6.2. Tool Preparation.............................................................................................................................. 12 6.3. Isolation of Hazards.........................................................................................................................12 6.4. Purge and Ventilate......................................................................................................................... 12 6.5. Testing the Oxygen Level................................................................................................................ 13 6.6. Test Flammable Gas Level............................................................................................................... 13 6.7. Toxicity Levels................................................................................................................................13 6.8. Simulated Rescue Drill.................................................................................................................... 13 6.9. Completion of Permit....................................................................................................................... 13 7. Utilizing Safety Equipment................................................................................................................. 13 7.1. Retrieval Line..................................................................................................................................13 8. Atmospheric Testing Procedures......................................................................................................... 14 8.1. Calibration of Equipment................................................................................................................. 14 8.2. Manufacturer Operating Instruction................................................................................................. 14 8.3. Testing Equipment.......................................................................................................................... 14 8.4. Ventilation Equipment..................................................................................................................... 14 8.5. Atmosphere Location....................................................................................................................... 14 8.6. Atmosphere Instruction................................................................................................................... 14 8.7. Re -Testing Atmosphere...................................................................................................................14 9. Confined Space Cleaning Procedures.................................................................................................. 14 9.1. Safety Equipment............................................................................................................................ 14 9.2. Self -Contained Breathing Apparatus (SCBA)..................................................................................14 9.3. Tool Requirements........................................................................................................................... 14 10. Rescue Procedures............................................................................................................................... 14 11. Personnel Responsibilities and Training.............................................................................................. 15 11.1. Responsibilities of the Corporate Health and Safety Officer: ............................................................ 15 11.2. Responsibilities and Training Requirements of Project Managers and Supervisors ........................... 15 11.3. Responsibilities and Training Requirements of Authorized Entrants ................................................ 16 11.4. Responsibilities and Training Requirements of Attendants............................................................... 17 LISTOF TERMS................................................................................................................................................. 19 REFERENCES....................................................................................................................................................21 APPENDIXA......................................................................................................................................................22 APPENDIXB...................................................................................................................................................... 23 Confined Space Program 1. Introduction Entering and working in confined spaces has been and will continue to be an integral part of daily activity by Intercon Environmental, Inc. employees. This document has been developed by our Corporate Health and Safety Officer to ensure the safety of personnel required to enter and conduct work in confined spaces. The program contained herein describes reasonable and necessary policies and procedures for any and all facilities, departments, and individuals who are associated with confined space entry operations. This program and all parts of 29 CFR 1910.146 shall apply to all confined space entry operations conducted at all Intercon Environmental, Inc.'s project locations. As it is the policy of Intercon Environmental, Inc. to provide its employees with the safest work environment possible, Intercon requires conformance with the safety standards set herein. A site -specific program may be used, providing it meets or exceeds the requirements set forth in this manual. In either case, it must be reviewed and approved by the Corporate Health and Safety Officer prior to its implementation. This manual has been divided into four sections. After reading Identifying Confined Spaces, of this manual, Supervisors should determine if any personnel under their supervision are required to enter or conduct work in confined spaces. Identifying Confined Space Hazards of the manual gives information on the types of hazards that may be present in a confined space. It should be reviewed whenever the hazards of a confined space are being evaluated. If it is determined that department personnel are required to perform duties in confined spaces, the program outlined in Confined Space Entry Program should be implemented. Conducting Pre -Entry Training gives the responsibilities and training requirements of each individual involved in a confined space entry. 2. Identifying Confined Spaces The first step toward conducting a safe confined -space entry is to identify the space as potentially dangerous. All Confined Spaces shall be considered "permit -required" until pre -entry procedures demonstrate otherwise. To clarify what constitutes a Confined Space, the following definition will be used. 2.1. Confined Space Definition A confined space is any space having the following characteristics: 1. Large enough or so configured that an employee can bodily enter and perform assigned work. 2. Has limited or restricted means for entry or exit. Confined -space openings are limited primarily by size and location. Openings may be small in size and may be difficult to move through easily. However, in some cases openings may be very large; for example, open -topped spaces such as pits or Confined Space Program excavations. Entrance and exit may be required from top, bottom, or side. Size or location may make rescue efforts difficult. 3. Is not designed for continuous employee occupancy. Most confined spaces are not designed for employees to enter and work on a routine basis. They may be designed to store a product, enclose materials and process, or transport products or substances. Therefore, occasional employee entry for inspection, maintenance, repair, cleanup, or similar tasks, is often difficult and dangerous. The danger associated with entry may come from chemical or physical hazards within the space. 2.2 Non -Permit Confined Space A non -permit confined space means a confined space that does not contain, nor has the potential to contain, any hazard capable of causing death or serious physical harm (with respect to atmospheric hazards). 2.3 Permit -Required Confined Space Permit -required confined space (permit space) means a confined space that has one or more of the following characteristics: 1. Contains or has a potential to contain a hazardous atmosphere, 2. Contains a material that has the potential for engulfing an entrant, 3. Has an internal configuration such that an entrant could be trapped or asphyxiated by inwardly -converging walls or by a floor that slopes downward and tapers to a smaller cross-section; or 4. Contains any other recognized serious safety or health hazard. Based on the definition, many types of spaces may be considered "confined," and therefore, hazardous. Some examples of confined spaces might be sewers, electrical vaults, steam tunnels, mechanical rooms, or other similar types of enclosures. It is the responsibility of the Corporate Health and Safety Officer and Project Manager to evaluate potentially hazardous spaces within facilities or areas under their control and ensure that the proper precautions are taken for safety. This responsibility may be delegated to the project supervisor only after a full briefing directly with the Corporate Health and Safety Officer, provided the project supervisor is qualified. It may be determined that a space presents no real danger for employees. However, until the space has been evaluated and tested, it shall be assumed to be confined and potentially dangerous. Once a space has been evaluated and it has been determined that confined space characteristics are present, the Corporate Health and Safety Officer personally shall determine if the confined space requires a permit and direct the application of the appropriate labeling. Confined Space Program 3. Identifying Confined Space Hazards Once a space has been identified as confined, the hazards that may be present within the confined space must be identified. Confined -space hazards can be grouped into the following categories: 1. Oxygen -deficient atmospheres 2. Flammable atmospheres 3. Toxic atmospheres 4. Mechanical and physical hazards Every confined space must be evaluated for these four types of hazards. The three types of atmospheric hazards are often the most difficult to identify since they are normally invisible. 3.1. Oxygen -Deficient Atmospheres The normal atmosphere is composed of approximately 21% oxygen and 79% nitrogen. An atmosphere containing less than 19.5% oxygen shall be considered oxygen -deficient. The oxygen level inside a confined space may be decreased as the result of either consumption or displacement. There are a number of processes which consume oxygen in a confined space. Oxygen is consumed during combustion of flammable materials, as in welding, cutting, or brazing. A more subtle consumption of oxygen occurs during bacterial action, as in the fermentation process. Oxygen can also be consumed during chemical reactions such as in the formation of rust on the exposed surfaces of a confined space. The number of people working in a confined space and the amount of physical activity can also influence oxygen consumption. Oxygen levels can also be reduced as the result of oxygen displacement by other gases. 3.2. Flammable Atmospheres Flammable atmospheres are generally the result of flammable gases, vapors, dust mixed in certain concentrations with air, or an oxygen -enriched atmosphere. Oxygen -enriched atmospheres are those atmospheres which contain an oxygen concentration greater than 22%. An oxygen -enriched atmosphere will cause flammable materials such as clothing and hair to burn violently when ignited. Combustible gases or vapors can accumulate within a confined space when there is inadequate ventilation. Gases that are heavier than air will accumulate in the lower levels of a confined space. Therefore, it is especially important that atmospheric tests be conducted near the bottom of all confined spaces. Confined Space Program The work being conducted in a confined space can generate a flammable atmosphere. Work such as spray painting, coating, or the use of flammable solvents for cleaning can result in the formation of an explosive atmosphere. Welding or cutting with oxyacetylene equipment can also be the cause of an explosion in a confined space and shall not be allowed without a hot work permit. Oxygen and acetylene hoses may have small leaks in them which could generate an explosive atmosphere and, therefore, should be removed when not in use. The atmosphere shall be tested continuously while any hot work is being conducted within the confined space. 3.3. Toxic Atmospheres Toxic atmospheres may be present within a confined space as the result of one or more of the following: 3.3.1. Product Stored in the Confined Space When a product is stored in a confined space, the product can be absorbed by the walls and give off toxic vapors when removed or when cleaning the residual material. The product can also produce toxic vapors which will remain in the atmosphere due to poor ventilation. 3.3.2. Work Being Conducted in the Confined Space Toxic atmospheres can be generated as the result of work being conducted inside the confined space. Examples of such work include: Welding or brazing with metals capable of producing toxic vapors, painting, scraping, sanding, etc. Many of the solvents used for cleaning and/or degreasing produce highly toxic vapors. 3.3.3. Areas Adjacent to the Confined Space Toxic fumes produced by processes near the confined space may enter and accumulate in the confined space. For example, if the confined space is lower than the adjacent area and the toxic fume is heavier than air, the toxic fume may "settle" into the confined space. 3.4. Mechanical and Physical Hazards Problems such as rotating or moving mechanical parts or energy sources can create hazards within a confined space. All rotating or moving equipment such as pumps, process lines, electrical sources, etc., within a confined space must be identified. Physical factors such as heat, cold, noise, vibration, and fatigue can contribute to accidents. These factors must be evaluated for all confined spaces. Excavations could present the possibility of engulfment. Employees shall be protected from cave-ins by sloping, benching, or shoring systems when the depth of the excavation is more than four feet, in accordance with 29 CFR 1926.652. Confined Space Program 4. Confined Space Entry Program 4.1. Identifying All Confined Spaces 1. All confined spaces located within a project site should be identified. Once the space has been identified as confined, Intercon shall determine if a permit is required. 2. All employees shall be made aware of these confined spaces through training or instruction provided by the Corporate Health and Safety Officer or their designated representatives. Assistance in this training shall be provided by Intercon. 4.2. Preventing Unauthorized Entry 1. All employees shall be instructed by Supervisors that entry into a confined space is prohibited without an authorized permit. 2. Supervisors shall instruct all employees to list their names on the authorized permit before they will be allowed to enter a confined space. 4.3. The Permit System 1. When a confined space must be entered, a permit shall be completed and authorized by the Corporate Health and Safety Officer prior to entry of the confined space. This permit shall serve as certification that the space is safe for entry. The permit shall contain the date, the location of the space, and the signature of the person providing the certification. 2. A permit shall not be authorized until all conditions of the permit have been met. The permit to be used by Intercon Environmental, Inc. personnel can be found in Appendix A. 4.4. Planning the Entry The first step towards conducting a safe confined -space entry is to plan the entry. This will allow for the identification of all hazards, and for the determination of all equipment necessary, to complete the project. 4.4.1. Gathering General Data 1. Identify the confined space. Give the name or location of the confined space. 2. Give the reason for entering the confined space. Be specific. Also, identify if hot work will be done. 3. Identify the contents of the confined space. This refers to any chemicals or other materials and energy that are usually present in the confined space. Confined Space Program 4.4.2. Identifying the Hazards NOTE:It is recommended that atmospheric tests be conducted by the entry supervisor prior to the opening of any covers. 1. The entry supervisor will determine the oxygen content and describe the testing procedures and equipment used. 2. The entry supervisor will determine flammable gas content and describe the testing procedures and type analyzer used. 3. If a toxic substance is determined to be in the confined space during testing by the entry supervisor, Intercon Environmental, Inc. shall be contacted to assist in obtaining a Material Safety Data Sheet or other chemical information to determine what type of personal protective equipment is required, the potential health effects, the Permissible Exposure Limits, and any other information needed to safely conduct the work. 4. Department heads or their designated representatives will determine mechanical and physical hazards. They should list all items and energy that will require lockout/tagout, blanking and bleeding, disconnecting, or securing. Physical hazards should also be listed. 4.4.3. Ventilation of the Confined Space 1. Indicate whether mechanical or natural ventilation will be used. Describe the procedures to be used. NOTE:If mechanical ventilation is to be used, the exhaust must be pointed away from personnel or ignition sources. Also, mechanical ventilators should be bonded to the confined space. 4.4.4. Isolating the Confined Space 1. Describe the procedures for disconnecting equipment or lockout and tagout. All mechanical, electrical, or heat -producing equipment should be disconnected or locked and tagged out. This would also include any pumps that pull fluid from, or pump fluid into, the confined space. 4.4.5. Purging/Cleaning the Confined Space 1. Indicate if the confined space will be purged. Purging with inert gas is not recommended. If the space must be purged, describe the procedures. 2. Indicate the type of cleaning methods to be used. If chemical cleaners are to be used, name the type and describe the procedures. The MSDS for the chemical should be consulted prior to use. NOTE: When introducing a chemical into a confined space, the compatibility of that chemical with the contents of the confined space must be checked. If in doubt, consult Intercon Environmental, Inc. NOTE: If steam is to be used, the hose should be bonded to the confined space. Confined Space Program 4.4.6. Placement of Warning Signs Indicate if warning signs or barriers will be needed to prevent unauthorized entry or to protect workers from external hazards. If the confined space will be left open and unattended for any length of time, warning signs and barriers will be required. 4.4.7. Identifying All Personnel 1. List all employees that will be required to prepare the confined space and complete the work inside the space. 4.4.8. Identifying Necessary Equipment 1. List all equipment that will be necessary to complete the project. 5. Conducting Pre -Entry Training Once the entry has been planned, Supervisors will coordinate with the Corporate Health and Safety Officer on the training of all employees who will be involved in the entry. The training should be conducted no earlier than one day before entry is to be made. The following outline should be used for the training: 5.1. Identification Confined Space Identify the confined space and the reason(s) for entry. 5.2. Identify Work Detail 1. Assign each employee the job(s) he/she is to perform in the entry project (entrant, standby person, etc.). 2. If an employee is required to use a piece of equipment, be sure that he/she is capable of using the equipment properly. 3. Inform all personnel that no one is to enter the confined space unless the standby person is present at the work site. 5.3. Inform Entrants of Hazards Inform entrants of all known or suspected hazards 1. Inform personnel of any access or exit problems. 2. Inform personnel of all equipment that must be locked out or tagged out. 3. Inform personnel of the contents of the confined space. 4. Inform personnel of all atmospheric levels that must be maintained before entering and while working in the confined space. If a toxic atmosphere or substance is present or could become present, the following additional training must be completed: Confined Space Program 5. If respiratory protection is not going to be used, inform personnel of the maximum Permissible Exposure Level (PEL) that can exist within the confined space, and the method used to monitor PEL. 6. Inform personnel of the potential health effects of exposure to the toxic atmosphere or substance. 7. Inform personnel of the signs and symptoms of exposure to the toxic fume. 8. Inform personnel of the personal protective equipment (PPE) that they will be required to wear. 9. If entrants are unaware of the proper use of the PPE, they must be trained in the proper use of this equipment. NOTE: Supervisors may request assistance from Intercon Environmental, Inc. in providing the above -mentioned training. 10. Persons should not be assigned to tasks requiring use of respirators unless it has been determined that they are physically able to perform the work and use the equipment. A local physician shall determine what health and physical conditions are pertinent. The respirator user's medical status should be reviewed annually. 5.4. Identify Isolation Procedures 1. Inform the personnel responsible for the lockout/tagout of all equipment that must be isolated. 2. Inform the personnel responsible for performing this function of the methods to be used. 5.5. Identify Purging and/or Ventilation Procedures 1. Inform all personnel responsible for performing this function of the methods to be used. 5.6. Identify all Equipment Needed 1. Inform personnel involved in the project of all equipment that will be necessary to complete the project. 2. Make sure that all employees are capable of using their assigned equipment properly. 5.7. Determine Necessary Personal Protective Equipment (PPE) 1. Inform personnel of all PPE that must be used to ensure their safety. 2. Make sure that all personnel required to use PPE are trained in the proper use of the equipment. Confined Space Program 5.8. Establish Communication 1. Inform all entrants that they are required to maintain communication with the standby person. 2. Inform standby person that he/she must maintain constant contact with all entrants. 3. Inform personnel of the type of communication they are to use. 5.9. Protect from External Hazards 1. Inform personnel where signs and barriers will be placed to prevent unauthorized entry and protect entrants from external hazards. 5.10. Pre -Plan Rescue Procedures 1. The designated standby person(s) should be informed of the rescue procedures to be followed. Rescue procedures to be used are listed in Item 10 of this section. 2. The standby person should be informed that he/she can have no other duty but to maintain contact with personnel inside the confined space. 3. Inform the standby person(s) that they must not enter the confined space under any circumstances. 5.11. Place the confined space back into service 1. Inform personnel of the steps to be taken to place the confined space back into service. 6. Preparing the Confined Space for Entry Once the entry has been planned and personnel have been trained, the next step is to prepare the confined space for entry. The following steps are to be followed when preparing the confined space for entry: 6.1. Warning Signs or Barriers If warning signs or barriers are to be used to prevent unauthorized entry or to protect entrants from external hazards, they should be placed on or around the confined space as planned and discussed in training. 6.2. Tool Preparation Place all tools, safety equipment, monitoring equipment, etc., near the confined space. 6.3. Isolation of Hazards Isolate all mechanical and/or electrical hazards as planned and discussed in training. 6.4. Purge and Ventilate Purge/ventilate the confined space as planned and discussed in training. Confined Space Program 6.5. Testing the Oxygen Level The entry supervisor will test the atmosphere as discussed in training. 1. If oxygen content is less than 19.5% or greater than 21.5%, perform additional ventilation. Then, shut off ventilation equipment and re -test the oxygen content. 2. If oxygen content is between 19.5% and 21.5%, continue entry preparation. 6.6. Test Flammable Gas Level The entry supervisor will test for flammable gas level as planned and discussed in training. 1. If the meter reading is less than 10% of the lower explosive limit (LEL), continue entry preparations. 2. If the meter reading is above 10% of the LEL, continue ventilation of the confined space. Then, shut off the ventilation and have the atmosphere re -tested. 3. If the meter reading is still above 10% of the LEL, the confined space must be cleaned before entry is permitted. If the confined space must be entered for cleaning purposes, the procedures outlined in Item 9 of this section must be followed. 6.7. Toxicity Levels The entry supervisor will determine the toxicity of the atmosphere as planned and discussed in training. If a toxic atmosphere is present, no person should be permitted to enter the confined space at a level exceeding the Permissible Exposure Limit without proper Personal Protective Equipment. Intercon Environmental, Inc. should be called to assist in identifying proper precautions and the protective measures to be taken. 6.8. Simulated Rescue Drill Assemble all personnel involved and conduct a simulated rescue drill. 6.9. Completion of Permit The entry supervisor will then add any needed information, then complete and sign the permit. 7. Utilizing Safety Equipment Where practical, all personnel entering a confined space should be equipped with the following: 7.1. Retrieval Line A retrieval line secured at one end to the entrant by a full -body harness with its other end secured to a tripod lifting hoist. Confined Space Program 8. Atmospheric Testing Procedures 8.1. Calibration of Equipment All testing equipment shall be calibrated by Intercon Environmental, Inc. as instructed by the manufacturer (Drager Multi-Pac-Monthly). 8.2. Manufacturer Operating Instruction All of the manufacturer's operating instructions must be followed. 8.3. Testing Equipment The test equipment should be tested in a known atmosphere to insure its accuracy. 8.4. Ventilation Equipment Ventilation equipment must be shut off before conducting any atmospheric tests. 8.5. Atmosphere Location The atmosphere must be tested at the bottom, top, and middle of all confined spaces. 8.6. Atmosphere Instruction The atmosphere must be continuously monitored while work is being conducted in the confined space. 8.7. Re -Testing Atmosphere If the confined space is left for any reason, the atmosphere must be re -tested before re- entering the space. 9. Confined Space Cleaning Procedures If cleaning must be conducted in a confined space to achieve acceptable atmospheric conditions, the following procedures must be followed: 9.1. Safety Equipment All entrants must be equipped with the safety equipment designated in Item 7. 9.2. Self -Contained Breathing Apparatus (SCBA) All entrants must be equipped with an SCBA. 9.3. Tool Requirements No spark -producing tools will be allowed for use. 10. Rescue Procedures In the event of an emergency, the standby person should: 1. Immediately summon the Fire Department by radio or telephone. (Dial 911) Confined Space Program 2. Attempt to remove the victim by use of the retrieval line from outside the confined space if this can be accomplished without creating further hazard for the entrant or the attendant. 3. If the standby person is able to remove the victim with the retrieval line, he/she should administer aid within the limits of his/her training until emergency medical services (EMS) arrive. 4. If the standby person is unable to remove the victim by using the retrieval line, he or she must wait for help to arrive. The standby person(s) is not to enter the confined space for any reason. 5. Give EMS personnel any information they request. 6. Notify the Corporate Health and Safety Officer as soon as it is safe to do so. 11. Personnel Responsibilities and Training Everyone involved in a confined -space entry project has certain responsibilities and requires training. It is very important that every individual is familiar with their responsibilities. This section outlines the responsibilities and training requirements of each individual involved in a project. 11.1. Responsibilities of the Corporate Health and Safety Officer: The Corporate Health and Safety Officer of Intercon Environmental, Inc. or his/her designated representative shall be responsible for the following: 1. Review and update of the Intercon Environmental, Inc. Confined Space Entry Program to conform to current CFR standards. 2. Insure compliance with standards set forth in the program by periodic inspection of entry sites and canceling permits where unsafe conditions are present. 3. Assisting Project Managers and Supervisors with: a. providing training as set forth in the program b. identification of confined spaces C. identifying spaces that require a permit for entry d. labeling Permit -Required Confined Spaces. 4. Perform at minimum a single annual review covering all entries performed during a 12-month period to ensure employees participating in entry operations are protected from permit space hazards. 11.2. Responsibilities and Training Requirements of Project Managers and Supervisors Project managers and Supervisors shall be responsible for the following: 1. Identifying confined spaces within facilities or areas under their control. Confined Space Program 2. Identifying hazards within a confined space under their control. 3. Documenting that all training requirements for a specific confined space entry have been met by signing the pre -entry authorization space on the entry permit. 4. Insuring that the required atmospheric tests are performed at the confined space and results recorded on the permit prior to entry authorization. 5. Obtaining and maintaining all equipment necessary to complete the confined -space entry project. 6. Authorize entry by signing the Entry Authorization space on the entry permit after all conditions for a safe entry has been met. 7. Terminating the entry and canceling the permit when: a. Entry operations covered by the entry permit have been completed. b. A condition that is not allowed under the entry permit arises in or near the permit space. 8. Determining, whenever responsibility for a permit space entry operation is transferred, and at intervals dictated by the hazards and operations performed within the space, that entry operations remain consistent with terms of the entry permit and that acceptable entry conditions are maintained. 11.3. Responsibilities and Training Requirements of Authorized Entrants The person(s) authorized to enter a confined space shall be responsible for and receive training in the following: 11.3.1 The knowledge of hazards that may be faced during entry, including the mode, signs or symptoms, and consequences of the exposure. 11.3.2. Proper use of equipment, which includes: 1. Atmospheric testing and monitoring equipment. 2. Ventilating equipment needed to obtain acceptable entry conditions. 3. Communication equipment necessary to maintain contact with the standby person. 4. Personal protective equipment as needed. 5. Lighting equipment as needed. 6. Barriers and shields as needed. 7. Equipment, such as ladders, needed for safe ingress and egress. Confined Space Program 8. Rescue and emergency equipment as needed. 9. Any other equipment necessary for safe entry into and rescue from permit spaces. 11.3.3. Communication with the attendant as necessary to enable the attendant to monitor entrant status and to enable the attendant to alert entrants of the need to evacuate the space if required. 11.3.4. Alert the attendant (standby person) whenever: 1. The entrant recognizes any warning sign or symptom of exposure to a dangerous situation, or 2. The entrant detects a prohibited condition. 11.3.5. Exiting the permit space as quickly as possible whenever: 1. An order to evacuate has been given by the attendant or the entry supervisor; 2. The entrant recognizes any warning sign or symptom of exposure to a dangerous situation; 3. The entrant detects a prohibited condition; or 4. An evacuation alarm is activated. 11.4. Responsibilities and Training Requirements of Attendants Persons authorized to perform duties as attendant shall be responsible for and receive training in the following: 11.4.1. Knowing the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of exposure. 11.4.2. Is aware of possible behavioral effects of hazard exposure in authorized entrants. 11.4.3. Continuously maintaining an accurate count of authorized entrants in the permit space and ensures that the means used to identify authorized entrants accurately identifies who is in the permit space. 11.4.4. Remains outside the permit space during entry operations until relieved by another attendant. 11.4.5. Attempting non -entry rescue if proper equipment is in place and the rescue attempt will not present further hazards to the entrant or attendant. Confined Space Program 11.4.6. Communicating with authorized entrants as necessary to monitor entrant status and to alert entrants of the need to evacuate the space when conditions warrant. 11.4.7. Monitoring activities inside and outside the space to determine if it is safe for entrants to remain in the space and ordering the authorized entrants to evacuate the permit space immediately under any of the following conditions: 1. If the attendant detects a prohibited condition. 2. If the attendant detects the behavioral effects of hazard exposure in an authorized entrant. 3. If the attendant detects a situation outside the space that could endanger the authorized entrants. 4. If the attendant cannot effectively and safely perform all the duties required by this program. 11.4.8. Summoning rescue and other emergency services as soon as the attendant determines that authorized entrants may need assistance to escape from permit space hazards. 11.4.9. Taking the following actions when unauthorized persons approach or enter a permit space while entry is underway: 1. Warn the unauthorized persons that they must stay away from the permit space. 2. Advise the unauthorized persons that they must exit immediately if they have entered the permit space. 3. Inform the authorized entrants and the entry supervisor if unauthorized persons have entered the permit space. 11.4.10. Performs no duties that might interfere with the attendant's primary duty to monitor and protect the authorized entrants. 11.4.11. All permanent modifications or addendums to this plan require the written approval of the president and the Corporate Health and Safety Officer. 11.4.12. Site specific changes to accommodate existing conditions require only the approval of the Corporate Health and Safety Officer. Confined Space Program LIST OF TERMS Authorized Entrant - A person who is approved or assigned by the department head in charge of the entry to perform a specific type of duty or duties or to be at a specific location at the job site. Bonding - The joining of two or more items with an electrical conductor so that all ends joined have the same electrical charge or potential. Confined Space - (see page 2). Supervisors — Supervisors are those people in charge of employees of Intercon Environmental, Inc. Entry - The action by which a person passes through an opening into a permit -required confined space. Entry includes ensuing work activities in that space and is considered to have occurred as soon as any part of the entrant's body breaks the plane of an opening into the space. Entry Permit - The written or printed document that is provided by the employer to allow and control entry into a permit space and that contains the information specified in this program. Entry Supervisor — Supervisor or foreman responsible for determining if acceptable entry conditions are present at a permit space where entry is planned, for authorizing entry and overseeing entry operations, and for terminating entry as required by this program. Note: An entry supervisor also may serve as an attendant or as an authorized entrant, as long as that person is trained and equipped as required by this program for each role he or she fills. Also, the duties of entry supervisor may be passed from one individual to another during the course of entry operation. Hazardous Atmosphere - An atmosphere that may expose employees to the risk of death, incapacitation, and impairment of ability to self -rescue (that is, escape unaided from a permit space), injury, or acute illness from one or more of the following causes: 1. Flammable gas, vapor, or mist in excess of 10% of its lower flammable limit (LFL). 2. Airborne combustible dust at a concentration that meets or exceeds its LFL. NOTE: This concentration may be approximated as a condition in which the dust obscures vision at a distance of 5 feet or less. 3. Atmospheric oxygen concentration below 19.5% or above 23.5%. 4. Atmospheric concentration of any substance for which a dose or a permissible exposure limit is published in Subpart G, Occupational health and Environmental Control, or in Subpart Z, Toxic and Hazardous Substances, of 29 CFR 1910 and that could result in employee exposure in excess of its dose or permissible exposure limit. (SEE NOTE BELOW) NOTE: An atmospheric concentration of any substance that is not capable of causing death, incapacitation, impairment of ability to self -rescue, injury, or acute illness due to its health effects is not covered by this provision. 5. Any other atmospheric condition that is immediately dangerous to life or health. NOTE: For air contaminants for which OSHA has not determined a dose or permissible exposure limit, other sources of information, such as Material Safety Data Sheets that comply with the Hazard Communication Standard, section 1910.1200, published information, and internal documents can provide guidance in establishing acceptable atmospheric conditions. Hot Work - Any work involving burning, welding or similar fire -producing operations. Also, any work that produces a source of ignition, such as grinding, drilling, or heating. Hot Work Permit - The employer's written authorization to perform operations (for example, riveting, welding, cutting, burning, and heating) capable of providing a source of ignition. Confined Space Program Immediately Dangerous to Life or Health - An atmosphere that poses an immediate threat of loss of life: May result in irreversible or immediate severe health effects; may result in eye damage/irritation; or other condition that could impair escape from a confined space. Lower Explosive Limit (LEL) - The minimum concentration of a combustible gas or vapor in air that will ignite if an ignition source is introduced. Non -Permit Required Confined Space - (see page 2) Oxygen -Deficient Atmosphere - An atmosphere that contains an oxygen concentration of less than 19.5% by volume. Oxygen -Enriched Atmosphere - An atmosphere that contains an oxygen concentration greater than 22% by volume. Personal Protective Equipment (PPE): Any devices or clothing worn by the worker to protect against hazards in the environment. Examples are respirators, gloves, and chemical splash goggles. Permissible Exposure Level (PEL): - Concentration of a substance to which an individual may be exposed repeatedly without adverse effect. Permit Required Confined Space - (see page 2) Purging - The removal of gases or vapors from a confined space by the process of displacement. Standby Person or Attendant - person designated by the department head in charge of entry to remain outside the confined space and to be in constant communication with the personnel working inside the confined space. Confined Space Program REFERENCES 1. Title 29 of the Code of Federal Regulations Part 1910.146 - Permit -Required Confined Spaces. U.S. Government Printing Office. 2. National Safety Council Data Sheet 1-704-85 - Confined Space Entry Control System for R&D Operations, National Safety News. 3. N.I.O.S.H. Training and Resource Manual - Safety and Health in Confined Workspaces for the Construction Industry. 4. N.I.O.S.H. 87-113 - A Guide to Safety in Confined Spaces. 5. City of Stillwater, Oklahoma - Confined Space Entry Manual 1990. 6. Title 29 of the Code of Federal Regulations Part 1926.652 - Requirements for Protective Systems. 7. Title 29 of the Code of Federal Regulations Part 1910.150 - The Control of Hazardous Energy. 8. Title 29 of the Code of Federal Regulations Part 1910.134 - Respiratory Protection. Confined Space Program APPENDIX A Confined S_Pace Entry Permit INTERCON ENVIRONMENTAL, INC. ENVIRONMENTAL HEALTH & SAFETY CONFINED SPACE ENTRY PERMIT Permit Number Date IN CASE OF EMERGENCY CALL 911 Location & Description of Confined Space: Scheduled Start a.m. Scheduled p.m. Finish Day / Date / Time Employee(s) in charge of entry: Entrants: Pre -Entry Authorization: {Check those items below which are applicable to your confined space permit} TYPES OF HAZARDS ❑ Oxygen -Deficient Atmosphere ❑ Oxygen -Enriched Atmosphere ❑ Engulfimnt ❑ Toxic Atmosphere ❑ Energized Electrical Equipment ❑ Entrapment Note: If welding/cutting operations are to be performed, attach form (3039) to entry form. SAFETY PRECAUTIONS ❑ Self -Contained Breathing Apparatus ❑ Clearances Secured ❑ Protective Gloves ❑ Fire -Retardant Clothing ❑ Barricade Job Area ❑ Lockout/Tagout ❑ Air -Line Respirator ❑ Lighting ❑ Respirators ❑ Ventilation ❑ Remarks TESTS TO BE TAKEN Oxygen: % Lower Explosive Limit: % Toxic Atmosphere: Instruments Used: Purpose of Entry: Day / Date / Time Attendants: ❑ Welding/Cutting ❑ Flammable Atmosphere ❑ Hazardous Chemical ❑ Fire Extinguishers ❑ Ground Fault Interrupter ❑ Lifelines ❑ Signs Posted ENVIRONMENTAL CONDITIONS DATE / TIME RE -TESTING a/p Oxygen: % a/p Lower Explosive Limit: % Toxic Atmosphere: Instruments Used: Employee Conducting Safety Checks SIGNATURE: Remark on the overall condition of the confined space. ENTRY AUTHORIZATION All actions and/or conditions for safe entry have been performed. Person in Charge of Entry PLEASE PRINT DATE/TIME ENTRY CANCELLATION Entry has been completed and all entrants have exited permit space. Person in Charge of Entry PLEASE PRINT a.m. D.M. a/p a/p Confined Space Program APPENDIX B Confined Space Entry Pre -Entry Planning Worksheet What is the type of the confined space? Where is the confined space located? Reason for entering the confined space: Contents of the confined space: List oxygen level Describe the procedures used to test oxygen and the testing equipment used: List flammable gas level Describe the procedures used to test flammable gas level and the testing equipment used: List toxic gas levels Describe the procedures used to test toxic gas levels and the testing equipment used: List all mechanical and physical hazards: Describe the procedures for isolating all mechanical and physical hazards: What type of ventilation will be used? [ ] Mechanical [ ] Natural Describe procedures: Will the confined space be purged? If yes, list the procedures: Will confined space be cleaned? If yes, list procedures: List all chemicals that will be used: Will warning signs or barriers be needed? If yes, describe what type and where they must be placed: List the names and job assignments for every individual who will be involved in the entry. Name Job Assignment Type of Equipment Quantity Confined Space Program INTERCON ENVIRONMENTAL, INC. ENVIRONMENTAL HEALTH & SAFETY CONFINED SPACE ENTRY PERMIT Permit Number Date Location & Descriotion of Confined SDace: Puroose of Entry: Scheduled a.m. Scheduled a.m Start P.M. Finish p.m. Day / Date / Time Day / Date / Time e Employee(s) in charge of entry: Entrants: Attendants: e Pre -Entry Authorization - (Check those items below which are applicable to your confined space permit.) TYPES OF HAZARDS ❑ Oxygen -Deficient Atmosphere ❑ Engulfment ❑ Energized Electrical Equipment ❑ Oxygen -Enriched Atmosphere ❑ Toxic Atmosphere ❑ Entrapment ❑ Welding/Cutting ❑ Flammable Atmosphere ❑ Hazardous Chemical Note: If welding/cutting operations are to be performed, attach form (3039) to entry form. SAFETY PRECAUTIONS ❑ Self -Contained ❑ Protective Gloves ❑ Barricade Job Area Breathing Apparatus ❑ Lifelines ❑ Signs Posted ❑ Air -Line Respirator ❑ Respirators ❑ Clearances Secured ❑ Fire -Retardant Clothing ❑ Lockout/Tagout ❑ Lighting ❑ Ventilation ❑ Fire Extinguishers ❑ Ground Fault Interrupter ❑ Remarks ENVIRONMENTAL CONDITIONS TESTS TO BE TAKEN DATE / TIME RE -TESTING DATE / TIME Oxygen: __---_% Oxygen: % a/p Lower Explosive Limit: __% Lower Explosive Limit: __% a/p Toxic Atmosphere: Toxic Atmosphere: Instruments Used: Instruments Used: 13 Employee Conducting Safety Checks t& SIGNATURE: Remark on the overall condition of the confined space. ENTRY AUTHORIZATION ENTRY CANCELLATION All actions and/or conditions for safe entry have been performed. Entry has been completed and all entrants have exited permit space. Person in Charge Person in Charge of Entry of Entry PLEASE PRINT PLEASE PRINT IN CASE OF EMERGENCY CALL 911 (CFR 1910.146 (f)(11)) CONFINE-SPACE.DOC CONTINGENCY PLAN Contingency Plan Page 2 of 4 Table of Contents 0 cI -Intercon ENVIRONMENTAL. INC. Fire.............................................................................................................................................. 3 Accident...................................................................................................................................... 3 PowerFailure.............................................................................................................................. 4 Pressure Differential System Failure......................................................................................... 4 Contingency Plan Contingency Plan Page 3 of 4 Contingency Plan 1. Fires: c iitercan ENVIRONMENTAL, INC. Every project is equipped with a Fire Prevention Plan and specific assignments for superintendents and all employees. Safety is very important and training to prevent fires accidents and injuries is ongoing, not only for superintendents, but for all employees and subcontractors of Intercon Environmental. Fire prevention is part of our safety meeting criteria. Meeting places are established in event of fires and everyone will be accounted for. In any event, no one shall enter the building for rescuing employees. This is left up to the professionals. Small fires will be attempted to be put out with the appropriate fire extinguishers. Any fires, no matter how small, will be documented and reported to Safety Director, Owner, and Owner's Representative. After reporting the fire to the Safety Director, an investigation will ensue to prevent any reoccurring incidents and additional training for all personnel. Please see the attached Fire Prevention Plan for specific details. 2. Accidents: Accidents play a big part in day-to-day operations with all companies. Safety meetings are designed to educate people in identifying potential dangers to employees, the public, and facilities. Intercon Environmental has been a leader in educating its employees in safety issues and implementing procedures to avoid accidents in the working environment. All accidents are reported to the superintendent and a report is filled out and submitted to the Safety Director for review. Investigations help in eliminating future accidents. In an event of an injury inside the containment, the superintendent shall evaluate the situation immediately and implement our Emergency Response Plan. Evacuation Routes and Procedures In the event of a site emergency requiring evacuation, the following alarm procedures will be implemented: 1. In the event of an emergency, site personnel shall immediately notify the supervisor of the location and nature of the emergency. The supervisor on the site shall then contact the appropriate authorities. 2. Normal traffic flow patterns will be in effect unless a local detour is required. 3. Security will also contact the local police to assist with the traffic control of intersections outside of the site. Contingency Plan Contingency Plan Page 4 of 4 c iitercan ENVIRONMENTAL, INC. Emergency Security and Control Following the broadcast of an emergency alarm signal via radio, access to the site and immediate vicinity of the incident will be restricted. Depending upon the severity and location of the incident, physical barriers or banner guard will be used to delineate restricted areas. Emergency Decontamination Procedures Normal decontamination procedures will be modified to suit the specifics of an incident. The orderly sequence of clothing removal may be adapted to facilitate quick exit of personnel from hazardous conditions. In the event of a medical emergency, a decision will be made concerning the priority of decontaminating the patient relative to the potential for life threatening injuries. If a patient is contaminated, outer clothing can be cut off and removed, and or the individual can be wrapped in plastic or a blanket. In life threatening, emergency personnel will be called using the 911 system. The injured will be moved without decontaminating and with minimal movement to the body of the injured. 3. Power Failure: In the event of power failure, all work shall cease and all flaps from entries into containments will be immediately sealed. Every attempt will be made to identify the source of failure and the power will be attempted to bring back on line. In the event of power failure in the entire area, all personnel will exit the work area via the decontamination unit. All criticals and entries shall be sealed until power can be brought back up. All power failure will be reported to the owner's representative immediately and will be documented in daily logs. If possible generators will be brought in order to proceed with work. 4. Pressure Differential System Failure: Additional negative air machines are installed with every containment. If pressure drops below 0.02, all work stops. The consultant and owner shall be notified and all information shall be noted in our Daily Logs. No work shall begin until the approval of the owner's representative. The integrity of the containment shall be checked and additional negative air machines shall be put into operation. Everything that may have caused this failure will be looked at and every attempt will be made to bring pressure back up to 0.02. Contingency Plan FIRE PREVENTION PLAN Table of Contents 1910.39 Fire Prevention Plan 1. Objective.............................................................................................................. 2. Background.......................................................................................................... 2.1. Identify Potential Fire Hazards...................................................................... 2.2. Potential Ignition Sources.............................................................................. 2.3. Fire Protection Equipment............................................................................. 2.4. Maintenance Assignment............................................................................... 2.5. Accumulation Assignment............................................................................. 2.6. Good Housekeeping Procedures.................................................................... 2.7. Employee Training......................................................................................... 3. Assignment of Responsibility.............................................................................. 3.1. Management................................................................................................... 3.2. Plan Administrator......................................................................................... 3.2.1. Training.................................................................................................... 3.2.2. Equipment................................................................................................ 3.2.3. Hazards.................................................................................................... 3.2.4. Fire Risk Surveys..................................................................................... 3.3. Supervisors..................................................................................................... 3.4. Employees...................................................................................................... 3.4.1. Training.................................................................................................... 3.4.2. Safety....................................................................................................... 3.4.3. Report Fire Hazards................................................................................. 3.4.4. Emergency Procedures............................................................................. 4. Plan Implementation............................................................................................ 4.1. Good Housekeeping....................................................................................... 4.1.1. Storage..................................................................................................... 4.1.2. Obstructions............................................................................................. 4.1.3. Disposal.................................................................................................... 4.1.4. Ventilation................................................................................................ 4.1.5. Cleaning Products.................................................................................... 4.1.6. Chemical Reactive Materials................................................................... 4.1.7. Hot Work................................................................................................. 4.1.8. Maintenance on Equipment..................................................................... 4.1.9. Heating Units........................................................................................... 4.1.10. Gas Leaks................................................................................................. 4.1.11. Liquid Leaks............................................................................................ 4.1.12. Clean........................................................................................................ 4.1.13. Extension Cords....................................................................................... 4.1.14. Permits..................................................................................................... 4.1.15. Turning off Equipment............................................................................ 4.2. Maintenance................................................................................................... 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 8 8 Fire Prevention Plan 2 4.2.1. Equipment Monitors................................................................................... 8 4.2.2. Extinguishing Systems................................................................................ 8 4.2.3. Detection Systems....................................................................................... 8 4.2.4. Fire Alarm Systems..................................................................................... 8 4.2.5. Emergency Backup Systems....................................................................... 8 5. Types of Hazards.................................................................................................... 9 5.1. Electrical Fire Hazards...................................................................................... 9 5.1.1. Wire Repair................................................................................................. 9 5.1.2. Fuses........................................................................................................... 9 5.1.3. Wiring Improvements................................................................................. 9 5.1.4. Extension Cords.......................................................................................... 9 5.1.5. Wiring Inspection........................................................................................ 9 5.1.6. Electrical Equipment Inspection................................................................. 9 5.1.7. Adequate Space........................................................................................... 9 5.2. Portable Heaters................................................................................................ 9 5.3. Office Fire Hazards........................................................................................... 9 5.3.1. Overloading Circuits................................................................................. 10 5.3.2. Turn off Equipment................................................................................... 10 5.3.3. Storage Areas............................................................................................ 10 5.3.4. Extension Cords........................................................................................ 10 5.3.5. Trash......................................................................................................... 10 5.4. Cutting, Welding, and Open Flame Work ...................................................... 10 5.4.1. Hot Work Permits..................................................................................... 10 5.4.2. Designated Cutting and Welding Areas .................................................... 10 5.4.3. Ventilation.................................................................................................10 5.4.4. UL Listed or FM Approved...................................................................... 10 5.4.5. Backflow Valves and Pressure -Relief Devices ......................................... 10 5.4.6. Personnel Protection Equipment............................................................... 10 5.4.7. Sprinkler Prohibited Areas........................................................................ 10 5.4.8. Confined Spaces........................................................................................ 11 5.4.9. Prohibited Areas........................................................................................ 11 5.4.10. Percent in Confined Spaces...................................................................... 11 5.4.11. Purged Tanks............................................................................................ 11 5.4.12. Fire Watch................................................................................................. 11 5.5. Flammable and Combustible Materials.......................................................... 11 5.6. Class A combustibles...................................................................................... 11 5.6.1. Disposal of Waste..................................................................................... 11 5.6.2. Metal Wastebaskets.................................................................................. 11 5.6.3. Fuel Paths.................................................................................................. 11 5.6.4. Ignition Sources........................................................................................ 12 5.6.5. Paper Stock............................................................................................... 12 5.6.6. Rags........................................................................................................... 12 5.6.7. Combustibles.............................................................................................12 5.6.8. Inspections................................................................................................ 12 5.7. Class B Combustibles..................................................................................... 12 5.7.1. Pumps........................................................................................................12 Fire Prevention Plan 3 5.7.2. Flammable Liquids................................................................................... 12 5.7.3. Approved Locations.................................................................................. 12 5.7.4. Cleaning Agents........................................................................................ 12 5.7.5. Exits.......................................................................................................... 13 5.7.6. Electrical or Equipment............................................................................ 13 5.7.7. Heat or Flame............................................................................................ 13 5.7.8. Location of Fire Extinguishers.................................................................. 13 5.8. Smoking.......................................................................................................... 13 6. Training.................................................................................................................13 6.1. Review............................................................................................................ 13 6.2. Accessibility....................................................................................................13 6.3. Housekeeping..................................................................................................13 6.4. Response and Notification.............................................................................. 13 6.5. Fire Extinguisher Instruction.......................................................................... 14 6.6. Recognition.....................................................................................................14 7. Program Review.................................................................................................... 14 AppendixA....................................................................................................................... 15 AppendixB....................................................................................................................... 16 AppendixC....................................................................................................................... 17 AppendixD....................................................................................................................... 19 Fire Prevention Plan 4 Intercon Environmental, Inc. Fire Prevention Plan 1. Objective The purpose of this Fire Prevention Plan is to eliminate the causes of fire, prevent loss of life and property by fire, and to comply with the Occupational Safety and Health Administration's (OSHA) standard on fire prevention, 29 CFR 1910.39. It provides employees with information and guidelines that will assist them in recognizing, reporting, and controlling fire hazards. It is not intended to supersede the requirements of the standard. 2. Background Intercon Environmental, Inc. is committed to minimizing the threat of fire to employees, visitors, and property. Intercon Environmental, Inc. complies with all applicable laws, regulations, codes, and good practices pertaining to fire prevention. Intercon Environmental, Inc.'s separate Emergency Action Plan spells out the procedures for responding to fires. This Fire Prevention Plan serves to reduce the risk of fires at the project location in the following ways: 2.1. Identify Potential Fire Hazards. Identifies materials that are potential fire hazards and their proper handling and storage procedures. 2.2. Potential Ignition Sources Distinguishes potential ignition sources and the proper control procedures of those materials. 2.3. Fire Protection Equipment Describes fire protection equipment and/or systems used to control fire hazards. 2.4. Maintenance Assignment Identifies persons responsible for maintaining the equipment and systems installed to prevent or control ignition of fires. 2.5. Accumulation Assignment Identifies persons responsible for the control and accumulation of flammable or combustible material. 2.6. Good Housekeeping Procedures Describes good housekeeping procedures necessary to insure the control of accumulated flammable and combustible waste material and residues to avoid a fire emergency. 2.7. Employee Training Provides training to employees with regard to fire hazards to which they may be exposed. Fire Prevention Plan 5 3. Assignment of Responsibility Fire safety is everyone's responsibility. All employees should know how to prevent and respond to fires, and are responsible for adhering to company policy regarding fire emergencies. 3.1. Management Management determines the Intercon Environmental, Inc. fire prevention and protection policies. Management will provide adequate controls to provide a safe workplace, and will provide adequate resources and training to its employees to encourage fire prevention and the safest possible response in the event of a fire emergency. 3.2. Plan Administrator Responsible Person(s) shall manage the Fire Prevention Plan for Intercon Environmental, Inc., and shall maintain all records pertaining to the plan. The Plan Administrator shall also: 3.2.1. Training Develop and administer the Intercon Environmental, Inc. fire prevention - training program. 3.2.2. Equipment Ensure that fire control equipment and systems are properly maintained. 3.2.3. Hazards Control fuel source hazards. 3.2.4. Fire Risk Surveys Conduct fire risk surveys (see Appendix A) and make recommendations. 3.3. Supervisors Supervisors are responsible for ensuring that employees receive appropriate fire safety training, and for notifying Responsible Person when changes in operation increase the risk of fire. Supervisors are also responsible for enforcing Intercon Environmental, Inc. fire prevention and protection policies. 3.4. Employees All employees shall: 3.4.1. Training Complete all required training before working without supervision. 3.4.2. Safety Conduct operations safely to limit the risk of fire. Fire Prevention Plan 6 3.4.3. Report Fire Hazards Report potential fire hazards to their supervisors. 3.4.4. Emergency Procedures Follow fire emergency procedures. 4. Plan Implementation 4.1. Good Housekeeping To limit the risk of fires, employees shall take the following precautions: 4.1.1. Storage Minimize the storage of combustible materials. 4.1.2. Obstructions Make sure that doors, hallways, stairs, and other exit routes are kept free of obstructions. 4.1.3. Disposal Dispose of combustible waste in covered, airtight, metal containers. 4.1.4. Ventilation Use and store flammable materials in well -ventilated areas away from ignition sources. 4.1.5. Cleaning Products Use only nonflammable cleaning products. 4.1.6. Chemical Reactive Materials Keep incompatible (i.e., chemically reactive) substances away from each other. 4.1.7. Hot Work Perform "hot work" (i.e., welding or working with an open flame or other ignition sources) in controlled and well -ventilated areas. 4.1.8. Maintenance on Equipment Keep equipment in good working order (i.e., inspect electrical wiring and appliances regularly and keep motors and machine tools free of dust and grease.) 4.1.9. Heating Units Ensure that heating units are safeguarded. Fire Prevention Plan 7 4.1.10. Gas Leaks Report all gas leaks immediately. Responsible Person shall ensure that all gas leaks are repaired immediately upon notification. 4.1.11. Liquid Leaks Repair and clean up flammable liquid leaks immediately. 4.1.12. Clean Keep work areas free of dust, lint, sawdust, scraps, and similar material. 4.1.13. Extension Cords Do not rely on extension cords if wiring improvements are needed, and take care not to overload circuits with multiple pieces of equipment. 4.1.14. Permits Ensure that required hot work permits are obtained. 4.1.15. Turning off Equipment Turn off electrical equipment when not in use. 4.2. Maintenance Responsible Person(s) will ensure that equipment is maintained according to manufacturers' specifications. Intercon Environmental, Inc. will also comply with requirements of the National Fire Protection Association (NFPA) codes for specific equipment. Only properly trained individuals shall perform maintenance work. The following equipment is subject to the maintenance, inspection, and testing procedures: 4.2.1. Equipment Monitors Equipment installed to detect fuel leaks, control heating, and control pressurized systems; 4.2.2. Extinguishing Systems Portable fire extinguishers, automatic sprinkler systems, and fixed extinguishing systems; 4.2.3. Detection Systems Detection systems for smoke, heat, or flame; 4.2.4. Fire Alarm Systems Fire alarm systems; and 4.2.5. Emergency Backup Systems Emergency backup systems and the equipment they support. Fire Prevention Plan 8 5. Types of Hazards The following sections address the major workplace fire hazards at Intercon Environmental, Inc.'s facilities and the procedures for controlling the hazards. 5.1. Electrical Fire Hazards Electrical system failures and the misuse of electrical equipment are leading causes of workplace fires. Fires can result from loose -fitting ground connections, wiring with frayed insulation, or overloaded fuses, circuits, motors, or outlets. To prevent electrical fires, employees shall: 5.1.1. Wire Repair Make sure that worn wires are replaced. 5.1.2. Fuses Use only appropriately rated fuses. 5.1.3. Wiring Improvements Never use extension cords as substitutes for wiring improvements. 5.1.4. Extension Cords Use only approved extension cords (i.e., those with the Underwriters Laboratory (UL) or Factory Mutual (FM) label.) 5.1.5. Wiring Inspection Check wiring in hazardous locations where the risk of fire is especially high. 5.1.6. Electrical Equipment Inspection Check electrical equipment to ensure that it is either properly grounded or double insulated. 5.1.7. Adequate Space Ensure adequate spacing while performing maintenance. 5.2. Portable Heaters All portable heaters shall be approved by the Responsible Person. Portable electric heaters shall have tip -over protection that automatically shuts off the unit when it is tipped over. There shall be adequate clearance between the heater and combustible furnishings or other materials at all times. 5.3. Office Fire Hazards Fire risks are not limited to Intercon Environmental, Inc.'s project sites. Fires in offices have become more likely because of the increased use of electrical equipment, such as computers and fax machines. To prevent office fires, employees shall: Fire Prevention Plan 9 5.3.1. Overloading Circuits Avoid overloading circuits with office equipment. 5.3.2. Turn off Equipment Turn off nonessential electrical equipment at the end of each workday. 5.3.3. Storage Areas Keep storage areas clear of rubbish. 5.3.4. Extension Cords Ensure that extension cords are not placed under carpets. 5.3.5. Trash Ensure that trash and paper set aside for recycling is not allowed to accumulate. 5.4. Cutting, Welding, and Open Flame Work Responsible Person(s) will ensure the following: 5.4.1. Hot Work Permits All necessary hot work permits have been obtained prior to work beginning. 5.4.2. Designated Cutting and Welding Areas Cutting and welding are done by authorized personnel in designated cutting and welding areas whenever possible. 5.4.3. Ventilation Adequate ventilation is provided. 5.4.4. UL Listed or FM Approved Torches, regulators, pressure -reducing valves, and manifolds are UL listed or FM approved. 5.4.5. Backflow Valves and Pressure -Relief Devices Oxygen -fuel gas systems are equipped with listed and/or approved backflow valves and pressure -relief devices. 5.4.6. Personnel Protection Equipment Cutters, welders, and helpers are wearing eye protection and protective clothing as appropriate. 5.4.7. Sprinkler Prohibited Areas Cutting or welding is prohibited in sprinkler areas while sprinkler protection is out of service. Fire Prevention Plan 10 5.4.8. Confined Spaces Cutting or welding is prohibited in areas where explosive atmospheres of gases, vapors, or dusts could develop from residues or accumulations in confined spaces. 5.4.9. Prohibited Areas Cutting or welding is prohibited on metal walls, ceilings, or roofs built of combustible sandwich -type panel construction or having combustible covering. 5.4.10. Percent in Confined Spaces Confined spaces such as tanks are tested to ensure that the atmosphere is not over ten percent of the lower flammable limit before cutting or welding in or on the tank. 5.4.11. Purged Tanks Small tanks, piping, or containers that cannot be entered are cleaned, purged, and tested before cutting or welding on them begins. 5.4.12. Fire Watch Fire watch has been established. 5.5. Flammable and Combustible Materials Responsible Person shall regularly evaluate the presence of combustible materials at Intercon Environmental, Inc. (see Appendix D). Certain types of substances can ignite at relatively low temperatures or pose a risk of catastrophic explosion if ignited. Such substances obviously require special care and handling. 5.6. Class A combustibles These include common combustible materials (wood, paper, cloth, rubber, and plastics) that can act as fuel and are found in non -specialized areas such as offices. To handle Class A combustibles safely: 5.6.1. Disposal of Waste Dispose of waste daily. 5.6.2. Metal Wastebaskets Keep trash in metal -lined receptacles with tight -fitting covers (metal wastebaskets that are emptied every day do not need to be covered). 5.6.3. Fuel Paths Keep work areas clean and free of fuel paths that could allow a fire to spread. Fire Prevention Plan 11 5.6.4. Ignition Sources Keep combustibles away from accidental ignition sources, such as hot plates, soldering irons, or other heat- or spark -producing devices. 5.6.5. Paper Stock Store paper stock in metal cabinets. 5.6.6. Rags Store rags in metal bins with self -closing lids. 5.6.7. Combustibles Do not order excessive amounts of combustibles. 5.6.8. Inspections Make frequent inspections to anticipate fires before they start. Water, multi -purpose dry chemical (ABC), and halon 1211 are approved fire extinguishing agents for Class A combustibles. 5.7. Class B Combustibles These include flammable and combustible liquids (oils, greases, tars, oil -based paints and lacquers), flammable gases, and flammable aerosols. To handle Class B combustibles safely: 5.7.1. Pumps Use only approved pumps, taking suction from the top, to dispense liquids from tanks, drums, barrels, or similar containers (or use approved self - closing valves or faucets). 5.7.2. Flammable Liquids Do not dispense Class B flammable liquids into containers unless the nozzle and container are electrically interconnected by contact or by a bonding wire. Either the tank or container must be grounded. 5.7.3. Approved Locations Store, handle, and use Class B combustibles only in approved locations where vapors are prevented from reaching ignition sources such as heating or electric equipment, open flames, or mechanical or electric sparks. 5.7.4. Cleaning Agents Do not use a flammable liquid as a cleaning agent inside a building (the only exception is in a closed machine approved for cleaning with flammable liquids). Fire Prevention Plan 12 5.7.5. Exits Do not use, handle or store Class B combustibles near exits, stairs, or any other areas normally used as exits. 5.7.6. Electrical or Equipment Do not weld, cut, grind or use unsafe electrical appliances or equipment near Class B combustibles. 5.7.7. Heat or Flame Do not generate heat, allow an open flame or smoke near Class B combustibles. 5.7.8. Location of Fire Extinguishers Know the location of and how to use the nearest portable fire extinguisher rated for Class B fire. Water should not be used to extinguish Class B fires caused by flammable liquids. Water can cause the burning liquid to spread, making the fire worse. To extinguish a fire caused by flammable liquids, exclude the air around the burning liquid. The following fire -extinguishing agents are approved for Class B combustibles: carbon dioxide, multi -purpose dry chemical (ABC), halon 1301, and halon 1211. (NOTE: Halon has been determined to be an ozone -depleting substance and is no longer being manufactured. Existing systems using halon can be kept in place.) 5.8. Smoking Smoking is prohibited in all Intercon Environmental, Inc. buildings. Certain outdoor areas may also be designated as no smoking areas. The areas in which smoking is prohibited outdoors are identified by NO SMOKING signs. 6. Training Responsible Person shall present basic fire prevention training to all employees upon employment, and shall maintain documentation of the training, which includes: 6.1. Review Review of 29 CFR 1910.38, including how it can be accessed; 6.2. Accessibility This Fire Prevention Plan, including how it can be accessed; 6.3. Housekeeping Good housekeeping practices; 6.4. Response and Notification Proper response and notification in the event of a fire; Fire Prevention Plan 13 6.5. Fire Extinguisher Instruction Instruction on the use of portable fire extinguishers (as determined by company policy in the Emergency Action Plan); and 6.6. Recognition Recognition of potential fire hazards: Supervisors shall train employees about the fire hazards associated with the specific materials and processes to which they are exposed, and will maintain documentation of the training. Employees will receive this training: 1. At their initial assignment; 2. Annually; and 3. When changes in work processes necessitate additional training. 7. Program Review Responsible Person shall review this Fire Prevention Plan at least annually for necessary changes. Fire Prevention Plan 14 Appendix A Fire Risk Survey Intercon Environmental, Inc. Type of Fire Location Emergency Actions Required PPE Hazard Completed by: Date: Fire Prevention Plan 15 Appendix B Intercon Environmental, Inc. General Fire Prevention Checklist Use this checklist to ensure fire prevention measures conform to the general fire prevention requirements found in OSHA standards. ❑ Yes ❑ No Is the local fire department acquainted with your facility, its location, and specific hazards? ❑ Yes ❑ No If you have a fire alarm system, is it tested at least annually? ❑ Yes ❑ No If you have interior stand pipes and valves, are they inspected regularly? ❑ Yes ❑ No If you have outside private fire hydrants, are they on a routine preventive maintenance schedule and flushed at least once a year? ❑ Yes ❑ No Are fire doors and shutters in good operating condition? ❑ Yes ❑ No Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights? ❑ Yes ❑ No Are automatic sprinkler system water control valves, air pressure, and water pressure checked weekly or periodically? ❑ Yes ❑ No Has responsibility for the maintenance of automatic sprinkler systems been assigned to an employee or contractor? ❑ Yes ❑ No Are sprinkler heads protected by metal guards? ❑ Yes ❑ No Is proper clearance maintained below sprinkler heads? ❑ Yes ❑ No Are portable fire extinguishers provided in adequate number and type?* ❑ Yes ❑ No Are fire extinguishers mounted in readily accessible locations?* ❑ Yes ❑ No Are fire extinguishers recharged regularly with the recharge date noted on an inspection tag?* ❑ Yes ❑ No Are employees periodically instructed in the use of extinguishers and fire protection procedures?* *(NOTE: Use of fire extinguishers is based on company policy regarding employee fire fighting in your Emergency Action Plan and local fire code.) Completed by: Date: Fire Prevention Plan 16 Appendix C Intercon Environmental, Inc. Exits Checklist Use this checklist to evaluate Intercon Environmental, Inc.'s compliance with OSHA's standard on emergency exit routes. ❑ Yes ❑ No Is each exit marked with an exit sign and illuminated by a reliable light source? ❑ Yes ❑ No Are the directions to exits, when not immediately apparent, marked with visible signs? ❑ Yes ❑ No Are doors, passageways, or stairways that are neither exits nor access to exits, and which could be mistaken for exits, marked "NOT AN EXIT" or other appropriate marking? ❑ Yes ❑ No Are exit signs provided with the word "EXIT" in letters at least five inches high and with lettering at least one inch wide? ❑ Yes ❑ No Are exit doors side -hinged? ❑ Yes ❑ No Are all exits kept free of obstructions? ❑ Yes ❑ No Are there at least two exit routes provided from elevated platforms, pits, or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances? ❑ Yes ❑ No Is the number of exits from each floor of a building and from the building itself appropriate for the building occupancy? (NOTE: Do not count revolving, sliding, or overhead doors when evaluating whether there are sufficient exits.) ❑ Yes ❑ No Are exit stairways that are required to be separated from other parts of a building enclosed by at least one -hour fire-resistant walls (or at least two- hour fire-resistant walls in buildings over four stories high)? ❑ Yes ❑ No Are the slopes of ramps used as part of emergency building exits limited to one foot vertical and 12 feet horizontal? ❑ Yes ❑ No Are glass doors or storm doors fully tempered, and do they meet the safety requirements for human impact? ❑ Yes ❑ No Can exit doors be opened from the direction of exit travel without the use of a key or any special knowledge or effort? Fire Prevention Plan 17 ❑ Yes ❑ No Are doors on cold storage rooms provided with an inside release mechanism that will release the latch and open the door even if it's padlocked or otherwise locked on the outside? ❑ Yes ❑ No Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping into the path of traffic? ❑ Yes ❑ No Are doors that swing in both directions and are located between rooms where there is frequent traffic equipped with glass viewing panels? Completed by: Date: Fire Prevention Plan is Appendix D Intercon Environmental, Inc. Flammable and Combustible Material Checklist Use this checklist to evaluate Intercon Environmental, Inc.'s compliance with OSHA's standards on flammable and combustible materials: ❑Yes ❑No Are combustible scrap, debris, and waste materials such as oily rags stored in covered metal receptacles and removed from the worksite promptly? ❑Yes ❑No Are approved containers and tanks used for the storage and handling of flammable and combustible liquids? ❑Yes ❑No Are all connections on drums and combustible liquid piping vapor and liquid tight? ❑Yes ❑No Are all flammable liquids kept in closed containers when not in use? ❑Yes ❑No Are metal drums of flammable liquids electrically grounded during dispensing? ❑Yes ❑No Do storage rooms for flammable and combustible liquids have appropriate ventilation systems? ❑Yes ❑No Are NO SMOKING signs posted on liquefied petroleum gas tanks? ❑Yes ❑No Are all solvent wastes and flammable liquids kept in fire-resistant covered containers until they are removed from the worksite? ❑Yes ❑No Is vacuuming used whenever possible rather than blowing or sweeping combustible dust? ❑Yes ❑No Are fuel gas cylinders and oxygen cylinders separated by distances or fire-resistant barriers while in storage? ❑Yes ❑No Are fire extinguishers appropriate for the materials in the areas where they are mounted?* ❑Yes ❑No Are appropriate fire extinguishers mounted within 75 feet of outside areas containing flammable liquids and within 10 feet of any inside storage area for such materials?* ❑Yes ❑No Are extinguishers free from obstruction or blockage?* Fire Prevention Plan 19 ❑Yes ❑No Where sprinkler systems are permanently installed, are the nozzle heads directed or arranged so that water will not be sprayed into operating electrical switchboards and equipment? ❑Yes ❑No Are NO SMOKING signs posted in areas where flammable or combustible materials are used or stored? ❑Yes ❑No Are safety cans utilized for dispensing flammable or combustible liquids at the point of use? ❑Yes ❑No Are all spills of flammable or combustible liquids cleaned up promptly? ❑Yes ❑No Are storage tanks adequately vented to prevent the development of an excessive vacuum or pressure that could result from filling, emptying, or temperature changes? *(NOTE: Use of fire extinguishers is based on company policy regarding employee fire fighting in your Emergency Action Plan and local fire code.) Completed by: Date: Fire Prevention Plan 20 HAZARDOUS COMMUNICATIONS PROGRAM Hazardous Communications Program The Hazardous Communications Standard. Established by the Occupational Safety and Health Administration (OSHA), requires that the hazards of all chemicals, produced or imported be evaluated, and information concerning their hazards, if any, be transmitted to employees who may be exposed to those chemicals under normal operation conditions or in foreseeable emergencies. This Hazardous Communications Program Policy Statement has been prepared to assist the employees of Intercon Environmental, Inc. in complying with the Hazardous Communications Standard. The Hazardous Communications Program will provide you, the employee, with the means to understand the nature of any chemical hazard to which you may be exposed during the course of your employment so that you will be better protect yourself. The purpose of the Program is to improve employee protection from chemical hazards and thereby reduce illness and injury caused by exposure to chemicals. The Program includes identifying and listing all hazardous chemicals present in the workplace and the labeling of all containers of hazardous chemicals. It also includes obtaining and maintaining Safety Data Sheets and providing information about hazardous chemicals, as well as training employees regarding hazards of chemicals present in the workplace and the use of appropriate protective measures. Intercon Environmental, Inc. has developed this Program to ensure that our employees stay safe and healthy. The Hazardous Communications Program provides information about the hazardous materials present in our workplace. This information includes: Container labeling, as well as Safety Data Sheets and Employee training. This program shall be available for inspection to all employees. This statement of Intercon Environmental, Inc.'s Hazardous Communications Program shall be maintained at our office located at Intercon Environmental, Inc., 210 South Walnut Creek Drive, Mansfield, Texas 76063. Copies of this Program may also be viewed in Master Books located on every project site. Respectfully, Karen Andrews President Hazardous Communications Program 2 Table of Contents Hazardous Communications Program 1. Responsibilities of the Hazardous Communication Program ............................................4 1.1. Knowledge of Chemicals...........................................................................................4 1.2. Hazard Determination................................................................................................4 2. Identifying Responsible Staff...........................................................................................4 2.1. Assignment of Responsibility....................................................................................4 2.1.1. Hazard Communication Coordinator....................................................................4 2.1.2. Management........................................................................................................4 2.1.3. Supervisors.......................................................................................................... 5 2.1.4. Employees...........................................................................................................5 2.1.5. Receiving and Warehousing.................................................................................5 3. Labels..............................................................................................................................5 3.1. Regulation of Labels..................................................................................................5 3.2. Transference of Chemicals.........................................................................................6 3.3. Description of Labels.................................................................................................6 3.3.1. Identification........................................................................................................ 6 3.3.2. Hazard Warnings.................................................................................................6 3.3.3. Responsible Party.................................................................................................6 4. Safety Data Sheets (SDS)................................................................................................6 4.1. SDS Documentation..................................................................................................6 4.2. Inadequate SDS.........................................................................................................6 4.3. Readily Accessible.....................................................................................................7 4.3.1. Locations of SDS.................................................................................................7 5. Hazardous Chemical Training..........................................................................................7 5.1. Training.....................................................................................................................7 5.2. Methods of Training..................................................................................................7 5.2.1 Supervisor and Worker Asbestos Training...........................................................7 5.2.2. On -Site Safety Meetings......................................................................................7 5.2.3. Individually.......................................................................................................... 8 5.2.4. Maintenance of Training Records.........................................................................8 6. Identifying Hazardous Chemicals....................................................................................8 AttachmentA..............................................................................................................................9 AttachmentB............................................................................................................................10 Hazardous Communications Program 3 1. Responsibilities of the Hazardous Communication Program 1.1. Knowledge of Chemicals This Hazardous Communication Program will provide knowledge to help employees ensure safer workplaces. It will supply information about the chemicals being used, the steps to reduce exposure, substitute less hazardous materials, and establish proper work practices. These efforts will help prevent the occurrence of work -related illnesses and injuries caused by chemicals. 1.2. Hazard Determination OSHA has designed this required program so that employers who simply use chemicals, rather than produce or import them, are not required to evaluate the hazards of those chemicals. Hazard determination is the responsibility of the producers and importers of the materials. Producers and importers of chemicals are then required to provide the hazard information to employers that purchase their products. 2. Identifying Responsible Staff 2.1. Assignment of Responsibility 2.1.1. Hazard Communication Coordinator The Hazard Communication Coordinator is responsible for the initial activity of preparing the Hazardous Communication Program and initiating the program. The Coordinator is also in charge of frequent review of this plan. 1. Keep an up-to-date file of all Safety Data Sheets. 2. Maintain a list of all hazardous chemicals. 3. Periodically review work areas for compliance with company policy. 4. Coordinate emergency procedures. 5. Discuss with management and supervisors of any new operating changes affecting the hazardous materials being used. 2.1.2. Management 1. Management personnel are to enforce the Hazard Communication Program. 2. To audit the Hazard Communication Program's progress and review operations with supervisors to determine what jobs require hazard communication training. 3. Follow-up with supervisors to ensure they are carrying out prescribed company policy. 4. Direct the Hazard Communication Coordinator of any operating changes affecting the hazardous materials being used. 5. Explain symptoms & first aid procedures associated with over -exposure to hazardous materials. Hazardous Communications Program 4 2.1.3. Supervisors 1. Responsible for documentation and training sessions on -site in safe handling of hazardous materials. 2. Accountable for employee awareness and responsiveness. 3. Identify all jobs requiring the use of hazardous chemicals and list those chemicals. 4. Keep an up-to-date file of all Safety Data Sheets on -site. 5. Explain Safety Data Sheets. 6. Ensure required labeling practices are being followed. 7. Enforce applicable safety and health rules. 8. Emergency Procedures 9. Storage Practices 10. Confined space area hazards. 2.1.4. Employees 1. Emergency procedures protocol. 2. Location of emergency equipment. 3. Do not remove approved labels from chemical containers. 4. Report any symptoms of over -exposure that may be related to hazardous chemicals. 5. Report missing labels on chemical containers. 6. Report Malfunctioning safety equipment. 7. Do not use unapproved containers for hazardous chemicals. 8. Use prescribed personal protective equipment when handling hazardous materials. 2.1.5. Receiving and Warehousing 1. Certify that the Safety Data Sheets are received with initial shipment of hazardous material. 2. Verify that the labels are affixed to containers. If the label is not attached to the container, notify the purchasing office immediately and refuse shipment. 3. Store all hazardous materials in the designated locations. 4. Use prescribed personal protective equipment when handling hazardous materials. 5. Report damaged containers, spills or any exposure to the supervisor immediately. 6. Ensure that all Safety Data Sheets are received with shipment of chemicals. 3. Labels Labels are designed to provide information to employees concerning the identity and hazards of various chemicals. 3.1. Regulation of Labels In -plant containers of hazardous chemicals must be labeled, tagged, or marked with the identity of the material and appropriate hazard warnings. Chemical manufacturers, importers, and distributors are required to ensure that every Hazardous Communications Program 5 container of hazardous chemicals they ship is appropriately labeled with such information and with the name and address of the producer or other responsible party. Employers purchasing chemicals can rely on the labels provided by their suppliers. 3.2. Transference of Chemicals If the material is subsequently transferred by the employer from a labeled container to another container, the employer will have to label that container. 3.3. Description of Labels 3.3.1. Identification Identification of the material in the container. 3.3.2. Hazard Warnings Appropriate hazard warnings, such as health, fire, and reactivity. 3.3.3. Responsible Party Name and address of chemical manufacturer, importer, or the responsible party. 3.4. Three Sources of Information 1. Common or trade name, or a chemical name. 2. Hazard warning: brief statement of hazardous effects of a chemical. 3. Precautionary measures. 4. Safety Data Sheets (SDS) The role of SDS under the rule is to provide detailed information on each hazardous chemical, including its hazardous effects, its physical and chemical characteristics, and recommendations for appropriate protective measures. 4.1. SDS Documentation The most important aspect of the written program in terms of SDS is to ensure that someone is responsible for obtaining and maintaining the SDS for every hazardous chemical in the workplace. 4.1.1. Hazard Communication Coordinator (see 2.1.1.) 4.1.2 Management (see 2.1.2.) 4.1.3 Supervisors (see 2.1.3.) 4.2. Inadequate SDS If you receive one that is obviously inadequate, with, for example, blank spaces that are not completed, you should request an appropriately completed one. If your request for a data sheet or for a corrected data sheet does not produce the Hazardous Communications Program 6 information needed, you should contact your local OSHA Area Office for assistance in obtaining the SDS. 4.3. Readily Accessible SDS must be readily accessible to employees when they are in their work areas during their work shifts. You can computerize the information and provide access through terminals. As long as employees can get the information when they need it, any approach may be used. 4.3.1. Locations of SDS 1. Centralized location in our office. 2. Master Books on project site; assessable to all shifts. 3. Networked computers in office. 5. Hazardous Chemical Training 5.1. Training Each employee who may be "exposed" to hazardous chemicals when working must be provided information and trained prior to initial assignment to work with a hazardous chemical, and whenever the hazard changes. This training is to reduce the incidence of chemical source illnesses and injuries. This will be accomplished by modifying behavior through the provision of hazard information and information about protective measures. It is our procedure to train new employees at the time of their initial assignment to work with a hazardous chemical, and to train employees when a new hazard is introduced into the workplace. The most important aspects of training are to ensure that the employees are aware that they are exposed to hazardous chemicals, that they know how to read and use labels and material safety data sheets, and that, as a consequence of learning this information they will follow the appropriate protective measures. 5.2. Methods of Training 5.2.1 Supervisor and Worker Asbestos Training Required by Texas Department of Health, the class also teaches the practices and procedures for Hazard Recognition and Control for asbestos abatement supervisors and workers. 5.2.2. On -Site Safety Meetings Safety meeting conducted on the project site by the supervisor or the Hazard Communication Coordinator. During these meetings the supervisors will also inform the employees of the location and availability of the written program and SDS. Operating procedures may be used to cover groups of hazards where it may be more appropriate to address the hazards of a process. Hazardous Communications Program 7 5.2.3. Individually If there are only a few chemicals in the workplace, then you may want to discuss each one individually. 5.2.4. Maintenance of Training Records OSHA guidelines do not require employers to maintain records of employee training, but all the asbestos training certificates will be held on file for the 30-year period required by the State. 6. Identifying Hazardous Chemicals As part of our Hazardous Communication Program, we require a list of hazardous chemicals in the workplace. This list will serve as inventory of all SDS required. Please see Attachment A. Hazardous Communications Program Attachment A Are employees informed of the hazards associated with chemicals contained in unlabeled pipes in their work areas? Obtain a copy of the rule. Read and understood the requirements. Assigned responsibility for tasks. Prepared an inventory of chemicals. Ensured containers are labeled. Obtained SDS for each chemical. Prepared written program. Made SDS available to workers. Conducted training of workers. Established procedures to maintain current program. Established procedures to evaluate effectiveness. Hazardous Communications Program Attachment B GLOSSARY OF COMMON SDS TERMS Auto Ignition Temp Minimum temperature required to initiate or cause self -sustained combustion independently of the heating or heated element. Acute Effect An adverse effect with severe symptoms developing rapidly and coming quickly to a crisis. ACGIH American Conference of Governmental Industrial Hygienists Asphyxiant A vapor or gas which can cause unconsciousness or death by suffocation (lack of oxygen). Boiling Point The temperature at which a liquid changes to vapor state, at a given pressure; usually expressed in degrees Fahrenheit at seal level pressure (760 mm Hg, or one atmosphere). Propane -44 degrees F Anhydrous ammonia -28 degrees F Gasoline -100 degrees F "C" or Ceiling The maximum allowable human exposure limit for any airborne substance; not to be exceeded even momentarily. Carcinogen A substance or agent capable of causing producing cancer in mammals. C.A.S. Chemical Abstracts Service - A Columbus, Ohio organization which indexes information published in "Chemical Abstracts" by the American Chemical Society and provides index guides by which information about particular substances may be located in the "Abstracts" when needed. "C.A.S. Numbers" identify specific chemicals. cc -cubic centimeter A volume measurement in the metric system, equal in capacity to one milliliter (ml.). One quarter is about 946 cubic centimeters. Chemical Family A group of single elements or compounds with common general name. Example: gasoline, kerosene, diesel fuel, etc. are of the "hydrocarbon" family. CHEMTREC Chemical Transportation Emergency Center; a national center in Washington, D.C. to relay pertinent emergency information concerning specific chemicals on request. CHEMTREC has a 24- hour toll free telephone number (800-424-9300). Chronic Effect An adverse effect on a human or animal body with symptoms that develop slowly over a long period of time or which recur frequently. Hazardous Communications Program 10 COC Cleveland Open Cup; a flash point test method. Combustible A description of flammability of a liquid based on flash point; generally those with a flash point of 100 degrees Fahrenheit or higher. Concentration The relative amount of a substance when combined or mixed with other substances. Examples: 2 ppm hydrogen sulfide in air, or a 50 percent caustic solution. Corrosive As defined by DOT, a corrosive material is a liquid or solid that causes visible destruction or irreversible alterations in human skin tissue at the site of contact. Decomposition Breakdown of a material or substance (by heat, chemical reaction, electrolysis, decay or other processes) into parts or elements or simpler compounds. Dermal Toxicity Adverse effects resulting from skin exposure to a substance. Epidemiology The science that deals with the study of disease in a general population. Determination of the incidence (rate of occurrence) and distribution of a particular disease (as by age, sex or occupation) may provide information about the cause of the disease. Evaporation Rate The rate at which a particular material will vaporize (evaporate) when compared to the rate of vaporization of a known material. The evaporation rate can be useful in evaluating the health and fire hazards of a material. The known material is usually normal butyl acetate (NBUAC or n-BuAC), with a vaporization rate designated as 1.0. Vaporization rates of other solvents or materials are classified as: FAST evaporating if greater than 3.0 MEDIUM evaporating if .8 to 3.0 • SLOW evaporating if less than .8 Flash point The temperature at which a liquid will give off enough flammable vapor to ignite. There are several flash point test methods, and flash points may vary for the same material depending on the method used, so the test method indicated when the flash point is given (200 degree TCC, etc.) Flammable A "flammable liquid" is defined by NFPA and DOT as liquid with a flash point below 100 degrees Fahrenheit (37.8 degrees Celsius). Hazardous Communications Program I I Formula The conventional scientific designation for a material (water is H2O, sulfuric acid is H2SO4, sulfur dioxide is 5O2, etc.) General Exhaust A system for exhausting air conditioning contaminants for a general work area. g Gram; a metric unit of weight. g/kg Grams per kilogram. Hazardous Material In a broad sense, a hazardous material is any substance or mixture of substances having properties capable of producing adverse effects on health or safety of a human being. Incompatible Materials which could cause dangerous reactions from direct contact with one another are described as incompatible. Ingestion The taking in of a substance through the mouth. Inhalation The breathing in of a substance in the form of a gas, vapor, fume, mist, or dust. Inhibitor A chemical which is added to another substance to prevent an unwanted chemical change from occurring. Irritant A substance which, by contact, in sufficient concentration for a sufficient period of time, will cause an inflammatory response or reaction of the eye, skin or respiratory system. The contact may be a single exposure or multiple exposures. kg Kilogram (about 2.2 U.S. pounds) L Liter, a metric unit of capacity. A U.S. quarter is about 9/10 of a liter. LCso Lethal concentrationso; the concentration of a material in air which on the basis of laboratory tests is expected to kill 50% of a group of test animals when administered as a single exposure (usually 1 or 4 hours). LDso Lethal dosageso; a single dosage of a material which on the basis of laboratory tests is expected to kill 50% of a group of test animals. The LDso dose is usually expressed as milligrams or grams of material per kilogram of animal body weight (mg/kg or g/kg) LEL or LFL Lower explosive limit or lower flammable limit of a vapor of gas; the lowest concentration (lowest percentage of the substance in the air) that will produce a flash of fire when an ignition source (heat, arc or flame) is present. in Cubic meter Hazardous Communications Program 12 Melting Point The temperature at which a solid substance changes into a liquid state. mgW Milligrams per cubic meter MI. Milliliter; 1000 milliliters in one liter. MmHg Millimeters (min) of mercury (Hg); a unit of measurement for low pressure or partial vacuums. Mmpcf Million particles per cubic foot; a unit for measuring particles of a substance suspended in air. Mutagen A substance or agent capable of altering the genetic material in a living cell. NRC National Response Center; a notification center with a toll free telephone number (1-800-424-8002) which must be called when significant oil or chemical spills or other environmentally -related accidents occur. NFPA National Fire Protection Association Classification of Hazardous Materials (NFPA): Fire Hazard (Red) 0 Will not burn 1 Will ignite if preheated 2 Will ignite if moderately heated 3 Will ignite at most ambient conditions 4 Burns readily at ambient conditions Health Hazard (Blue) 0 Ordinary combustible hazards of fire 1 Slightly hazardous 2 Hazardous 3 Extreme Danger 4 Deadly Reactivitv Yellow 0 Stable and not reactive with water 1 Unstable if heated 2 Violent chemical change 3 Shock and heat may detonate 4 May detonate Hazardous Communications Program 13 Specific Hazard OXY Oxidizer ACID Acid ALK Alkali COR Corrosive NIOSH National Institute for Occupational Safety and Health. A federal agency which - among other activities - tests and certifies respiratory protective devices and air sampling detector tubes recommends occupational exposure limits for various substances. Nox Oxides of nitrogen; undesirable air pollution Olfactory Relating to the sense of smell Oral Used in or taken into the body through the mouth Oral toxicity Adverse effects resulting from taking substances into the body via the mouth. OSHA Occupational Safety and Health Administration Oxidizer DOT defines an oxidizer or oxidizing material as a substance that yields oxygen readily to stimulate the combustion (oxidation) of organic matter. Chlorate (CIO3), permanganate (MnO4), and nitrate (NO3) compounds are examples of oxidizers; note that all contain oxygen (0). Oxidizing Agent A chemical or substance which brings about an oxidation reaction. The agent may (1) provide the oxygen to the substance being oxidized (thus the agent has to be oxygen or contain oxygen), or (2) it may receive electrons being transferred from the substance being oxidized (chlorine is a good oxidizing agent for electron -transfer purposes, even though it contains no oxygen. PEL Permissible exposure limit; an exposure limit established by OSHA regulatory authority. May be a time weighted average (TWA) limit or a maximum concentration exposure limit. Also see skin. % volatile Percent volatile by volume; the percentage of a liquid or solid (by volume) that will evaporate at an ambient temperature of 70 degrees Fahrenheit (unless some other temperature is stated). PMCC Pensky-Martens Closed Cup; a flash point tested method Poison, Class A A DOT term for extremely dangerous poisons that is poisonous gases or liquids of such nature that a very small amount of the gas or vapor of the liquid, mixed with air is dangerous to life. Some examples: phosgene, cyanogens, hydrocyanic acid, nitrogen peroxide. Hazardous Communications Program 14 Poison, Class B A DOT term for liquid, solid past or semisolid substance - other than Class A poisons or irritating materials - which are known (or presumed on the basis of animal tests ) to be so toxic to man as to afford a hazard to health during transportation. Polymerization Chemical reactions in which one or more small molecules combine to form larger molecules. A hazardous polymerization is such a reaction which takes place at a rate which releases large amounts of energy. If hazardous polymerization can occur with a given material, the SDS usually will list conditions which could start the reaction and since the material usually contains a polymerization inhibitor the expected period before the inhibitor is used up. ppm Parts per million; a unit for measuring the concentration of gas or vapor in air - parts (by volume) of the gas or vapor in a million parts of air. Also used to indicate the concentration of a particular substance in a liquid or solid. ppb Parts per billion. psi Pounds per square inch. Reaction A chemical transformation or change; the interaction of two or more substances to form new substances. Reactivity The tendency of a substance to undergo chemical reaction with the release of energy. Undesirable effects - such as pressure buildup, temperature increase, formation of noxious, toxic or corrosive by- products - may occur because of the reactivity of a substance to heating, burning, direct contact with other materials or other conditions in use or in storage. Reducing agent In a reduction reaction (which always occurs simultaneously with an oxidation reaction) the reducing agent is the chemical or substance which (1) combines with oxygen or (2) loses electrons to the reaction. See 'oxidation." Respiratory system The breathing system; includes the lungs and the air passages (trachea or "windpipe", larynx, mouth, and nose) to the air outside the body, plus the associated nervous and circulatory supply. Sensitizer A substance which on the first exposure causes little or no reaction in humans or test animals, but which on repeated exposure may cause a marked response not necessarily limited to the contact site. Specific gravity The weight of a material compared to the weight or an equal volume of water; an expression of the density (or heaviness) of the material. Hazardous Communications Program 15 Insoluble materials with specific gravity of less than 1.0 will float in (or on) water. Insoluble materials with specific gravity greater than 1.0 will sink (or go to the bottom) in water. Most (but not all) flammable liquids have specific gravity less than 1.0 and, if not soluble, will float on water - an important consideration for fire suppression. Stability An expression of the ability of a material to remain unchanged. For SDS purposes, a material is stable if it remains the same form under expected and reasonable conditions of storage or use. Conditions which may cause instability (dangerous change) are stated - examples, temperatures about 150 degrees Fahrenheit, shock from dropping. STEL Short term exposure limit, ACGIH terminology. TCC Tag (Tagliabue) Closed Cup; a flash point test method. Terratogen A substance or agent to which exposure of a pregnant female can result in malformation in the fetus. TLV Threshold Limit Value; a term used by ACGIH to express the airborne concentration of a material to which nearly all persons can be exposed day after day, without adverse effects. TLV-TWA The allowable Time Weighted Average concentration for a normal 8-hour workday or 40-hour week. TLV-STEL The Short Term Exposure Limit, or maximum concentration for a continuous 15-minute exposure period (maximum of four such periods per days, with at least 60 minutes between exposure periods, and providing that the daily TLV-TWA is not exceeded). TLV-C The Ceiling exposure limit - the concentration that should not be exceeded even instantaneously. TOC Tag Open Cup; a flash point test method Toxicity The sum of adverse effects resulting from exposure to a material, generally by the mouth, skin or respiratory tract. TWA Time Weighted Average exposure; the airborne concentration of a material to which a person is exposed, averaged over the total exposure time - generally the total workday (8 to 12 hours). Also "TLV." UEL or UFL Upper explosive limit or upper flammable limit of a vapor or gas; the highest concentration (highest percentage of the substance in Hazardous Communications Program 16 air) that will produce a flash of fire when an ignition source (heat, arc or flame) is present. At higher concentrations, the mixture is too "rich" to burn. Unstable Tending toward decomposition or other unwanted chemical change during normal handling or storage. Vapor density The weight of a vapor or gas compared to the weight of an equal volume of air; an expression of the density of the vapor or gas. Materials lighter than air have vapor densities less than 1.0 (examples: acetylene, methane, hydrogen). Materials heavier than air (examples: propane, hydrogen sulfide, ethane, butane, chlorine, sulfur dioxide) have vapor densities greater than 1.0) Vapor pressure The pressure exerted by a saturated vapor above its own liquid in a closed container, in millimeters of mercury (mmHG) at 68 degrees Fahrenheit (20 degrees Celsius), unless stated otherwise. Three facts are important to remember: 1. Vapor pressure of a substance at 100 degrees Fahrenheit will always be higher than the vapor pressure of the substance at 68 degrees Fahrenheit (20 degrees Celsius). 2. Vapor pressures reported on SDS in mmHg are usually very low pressures; 760 mmHg is equivalent to 14.7 pounds per square inch. 3. The lower the boiling point of a substance, the higher its vapor pressure. Hazardous Communications Program 17 LOCK OUT / TAG OUT PROCEDURES 1 2 3 4 5 6 7. 8. 9. 10 Table of Contents Lock Out — Tag Out Procedures Scopeand Purpose......................................................................................................... Listof Terms................................................................................................................. 2.1. Affected Employee.................................................................................................. 2.2. Authorized Employee.............................................................................................. 2.3. Lockout................................................................................................................... 2.4. Normal Production Operations................................................................................. 2.5. Primary Authorized Employee................................................................................. 2.6. Servicing and/or Maintenance.................................................................................. 2.7. Tagout..................................................................................................................... Authorizations............................................................................................................... Rules............................................................................................................................. Training........................................................................................................................ . Techniques.................................................................................................................... 6.1. Preparation for Shutdown........................................................................................ 6.2. Machine or Equipment Shutdown............................................................................ 6.2.1. Machine or Equipment Isolation......................................................................... 6.2.2. Lockout or Tagout Device Application............................................................... 6.2.3. Placement of Tag............................................................................................... 6.2.4. Alternate Placement........................................................................................... 6.2.5. Stored Energy.................................................................................................... 6.2.6. Verification of Isolation..................................................................................... 6.2.7. Release from Lockout or Tagout........................................................................ 6.2.8. The Machine or Equipment................................................................................ 6.2.9. Employees......................................................................................................... 6.2.10. Lockout or Tagout Device Removal................................................................... 6.2.11. Exception........................................................................................................... Testing or Positioning of Machines, Equipment or Components Thereof ....................... OutsidePersonnel.......................................................................................................... Group Lockout or Tagout.............................................................................................. Shift or Personnel Changes............................................................................................ 3 3 3 3 3 3 4 4 4 4 4 5 6 7 7 7 7 7 7 7 7 8 8 8 8 8 8 9 9 9 Lock Out / Tag Out Procedures 2 Intercon Environmental, Inc. Lock Out / Tag Out Procedures 1. Scope and Purpose This program specifically outlines the purpose, authorization, rules, and techniques to be utilized by Intercon Environmental, Inc. employees on a daily basis to guard against the unexpected energizing, start-up, or release of stored energy which could cause injury. It shall be the duty of each employee to become familiar with the contents of this program and ensure compliance with its procedures. Heads of departments shall ensure that employees under their supervision receive training in the contents of this program and ensure records of this training are maintained. The purpose of this program is to establish procedures for affixing appropriate lockout or tagout devices to energy -isolating devices, and to otherwise disable machines or equipment to prevent unexpected energy, start-up or release of stored energy in order to prevent injury to employees. 2. List of Terms 2.1. Affected Employee An employee whose job requires them to operate or use a machine or piece of equipment on which servicing is being performed under lockout or tagout, or whose job requires them to work in an area in which such servicing or maintenance is being performed. 2.2. Authorized Employee A person who locks or implements a tagout system procedure on machines or equipment to perform the servicing or maintenance on that machine or equipment. An authorized employee and an affected employee may be the same person when the affected employee's duties also include performing maintenance or service on a machine or piece of equipment which must be locked, or a tagout system implemented. Energy Source: Any source of electrical, mechanical, hydraulic, pneumatic, chemical, thermal, or other energy. 2.3. Lockout The placement of a lockout device on an energy -isolating device, in accordance with an established procedure, ensuring that the energy- isolating device and the equipment being controlled cannot be operated until the lockout device is removed. Lockout Device: A device that utilizes a positive means, such as a lock, to hold an energy -isolating device in the safe position and prevent the energizing of a machine or piece of equipment. 2.4. Normal Production Operations The utilization of a machine or piece of equipment to perform its intended production function. Lock Out / Tag Out Procedures 2.5. Primary Authorized Employee The authorized employee who has been vested with responsibility for a set number or group of employees performing service or maintenance on machines or equipment subject to lockout or tagout procedures. 2.6. Servicing and/or Maintenance Workplace activities such as constructing, installing, setting up, adjusting, inspecting, modifying, and maintaining and/or servicing machines or equipment. These activities include lubrication, cleaning or un-jamming of machines or equipment, and making adjustments or tool changes where the employee may be exposed to the unexpected energy or start-up of the equipment or release of hazardous energy. 2.7. Tagout The placement of a tagout device on an energy- isolating device, in accordance with an established procedure, to indicate that the energy -isolating device and the equipment being controlled may not be operated until the tagout device is removed. 3. Authorizations A designated Intercon Environmental, Inc. representative may authorize the use of this program by any and all facilities, departments and individuals associated with the control of hazardous energy on any Intercon Environmental, Inc. entity. Heads of departments will implement the program and ensure that the personnel under their supervision are trained in accordance with the procedures established herein. This responsibility may be delegated to another person or persons within the department providing it is done so in writing and the designated person is qualified and competent. This person will authorize employees to implement the locking and tagging system procedure. An employee who has been authorized by his or her department head or that department head's designated individual shall lock or implement a tagout system procedure on machines or equipment to perform servicing or maintenance; or on a machine which the unexpected energy or start-up of the machine or equipment, or release of stored energy could cause injury. 4. Rules Each department utilizing the Intercon Environmental, Inc. program for the control of hazardous energy shall establish and document site -specific procedures for energy isolation. Specialized lockout devices shall be obtained and kept within the department for its use. If an energy -isolating device is capable of being locked out, the authorized employee shall utilize lockout, unless the department head or their designated representative can demonstrate that utilization of a tagout system will provide full employee protection. When a tagout device is used on an energy -isolating device which is capable of being Lock Out / Tag Out Procedures 4 locked out, the tagout device shall be attached at the same location that the lockout device would have been attached. Lockout devices used for the implementation of this program shall be accompanied by a standard tag as suggested by the illustration at left. These devices shall be used for no other purpose than lockout, and shall be substantial enough to prevent removal without the use of excessive force or unusual techniques. Tagout devices, including their means of attachment, shall be substantial enough to prevent inadvertent or accidental removal. Tagout device attachment means shall be of a non -reusable type, attachable by hand, self-locking, and non -releasable with a minimum unlocking strength of no less than 50 pounds and having the general design and basic characteristics of being at least equivalent to a one-piece, all -environment -tolerant nylon cable tie. The Environmental Health & Safety Officer or his/her designated representative shall conduct periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of 29CFR1910.150 are being followed. 5. Training The heads of departments or their designated representatives are required to provide training to ensure that the purpose and function of the energy control program are understood by employees. Through training, employees will be required to possess the knowledge and skills required for safe application, usage, and removal of energy controls. Training shall include the following: 1. Each authorized employee shall receive training in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods and means necessary for energy isolation and control. 2. Each affected employee shall be instructed in the purpose and use of the energy control procedure. Lock Out / Tag Out Procedures 5 3. All other employees whose work operations are or may be in an area where energy control procedures may be utilized, shall be instructed about the procedure, and about the prohibition relating to attempts to restart or re -energize machines or equipment which are locked -out or tagged -out. When tagout systems are used, employees shall also be trained in the following limitations of tags: 1. Tags are essentially warning devices affixed to energy -isolating devices, and do not provide the physical restraint on those devices that is provided by lockout. 2. When a tag is attached to an energy -isolating means, it is not to be removed without authorization of the authorized person responsible for it, and it is never to be bypassed, ignored or otherwise defeated. 3. Tags must be legible and understandable by all authorized employees, affected employees, and all other employees whose work operations are or may be in the area, in order to be effective. 4. Tags and their means of attachment must be made of materials which will withstand the environmental conditions encountered in the workplace. 5. Tags may evoke a false sense of security, and their meaning needs to be understood as part of the overall energy control program. 6. Tags must be securely attached to energy- isolating devices so that they cannot be inadvertently or accidentally detached during use. 7. Retraining shall be provided for all authorized and affected employees whenever there is a change in their job assignments, a change in machines, equipment or process that presents a new hazard, or when there is a change in energy control procedures. Retraining shall establish employee proficiency and introduce new or revised control methods and procedures as necessary. The heads of departments or their designated representatives shall certify that employee training has been accomplished and is being kept up-to-date. The certification shall contain each employee's name and dates of training. 6. Techniques Implementation of the lockout or tagout system shall be performed only by authorized employees. Affected employees shall be notified by heads of departments, or their designated representatives, of the application and removal of lockout or tagout devices. Notification shall be given before the controls are applied, and after they are removed from the machine or equipment. The established procedure for the application of energy control shall cover the following elements and actions and shall be done in the following sequence: Lock Out / Tag Out Procedures 6 6.1. Preparation for Shutdown Before an authorized or affected employee turns off a machine or piece of equipment, they shall have knowledge of the type and magnitude of the energy, the hazards of the energy to be controlled, and the method or means to control the energy. 6.2. Machine or Equipment Shutdown An orderly shutdown must be utilized to avoid any additional or increased hazard(s) to employees as a result of equipment de -energy. 6.2.1. Machine or Equipment Isolation All energy- isolating devices that are needed to control the energy to the machine or equipment shall be physically located and operated in such a manner as to isolate the machine or equipment from the energy source(s). 6.2.2. Lockout or Tagout Device Application Lockout or tagout devices shall be affixed to each energy -isolating device by authorized employees. Lockout devices, where used, shall be affixed in a manner that will hold the energy in a "safe" or "off' position. Tagout devices, where used, shall be affixed in such a manner as will clearly indicate that the operation or movement of energy- isolating devices from the "safe" or "off' position is prohibited. 6.2.3. Placement of Tag Where tagout devices are used with energy- isolating devices designed with the capability of being locked, the tag shall be fastened at the same point at which the lock would have been attached. 6.2.4. Alternate Placement Where a tag cannot be affixed directly to the energy -isolating device, the tag shall be located as close as safely possible to the device, in a position that will be immediately obvious to anyone attempting to operate the device. 6.2.5. Stored Energy Following the application of lockout or tagout devices to energy -isolating devices, all potentially hazardous stored energy shall be rendered safe. f there is a possibility of re -accumulation of stored energy to a hazardous level, verification of isolation shall be continued until the servicing or maintenance is completed, or until the possibility of such accumulation no longer exists. 6.2.6. Verification of Isolation Prior to starting work on machines or equipment that have been locked out or tagged out, the authorized employee shall verify that isolation and de -energy of the machine or equipment has been accomplished. Lock Out / Tag Out Procedures 6.2.7. Release from Lockout or Tagout Before lockout or tagout devices are removed and energy is restored to the machine or equipment, procedures shall be followed and actions taken by the authorized employee(s) to ensure the following: 6.2.8. The Machine or Equipment The work area shall be inspected to ensure that nonessential items have been removed and that machine or equipment components are operationally intact. 6.2.9. Employees The work area shall be checked to ensure that all employees have been safely positioned or removed. Before lockout or tagout devices are removed and before machines or equipment are energized, affected employees shall be notified. 6.2.10. Lockout or Tagout Device Removal Each lockout or tagout device shall be removed from each energy -isolating device by the employee who applied the device. 6.2.11. Exception When the authorized employee who applied the lockout or tagout device (installer) is not available to remove it, that device may be removed under the direction of the installer's immediate supervisor. Specific training and procedures for such removal shall be provided by each department involved in lockout or tagout operations. The procedures and training shall be documented. The documentation shall demonstrate that safety equivalent to the original process of having only the installer remove the device is maintained. The specific procedure shall include at least the following elements: 1. Verification by the immediate supervisor that the employee who applied the device is not at the facility, 2. Making all reasonable efforts to contact the authorized employee to inform them that his/her lockout or tagout device has been removed, and 3. Ensuring that the authorized employee has this knowledge before they resume work at the facility. 7. Testing or Positioning of Machines, Equipment or Components Thereof In situations where lockout or tagout devices must be temporarily removed from the energy- isolating device and the machine or equipment energized to test or position the equipment or component thereof, the following sequence of actions shall be followed: 1. Clear the machine or equipment of tools and materials. 2. Remove employees from the machine or equipment area. 3. Remove the lockout or tagout devices. 4. Energize and proceed with testing or positioning. Lock Out / Tag Out Procedures 8 5. De -energize all systems and reapply energy control measures to continue the servicing and/or maintenance. 8. Outside Personnel Whenever outside servicing personnel are to be engaged in activities covered by the scope and application of this program, the designated Intercon Environmental, Inc. representative and the outside employer shall inform each other of their respective lockout or tagout procedures. The designated Intercon Environmental, Inc. representative shall ensure that his/her personnel understand and comply with restrictions and prohibitions of the outside employer's energy control procedures. If the outside employer has no documented lockout or tagout procedures, they shall ensure that their personnel understand and comply with the procedures established in this program. 9. Group Lockout or Tagout When servicing and/or maintenance are performed by a crew or department, they shall utilize a procedure which affords the employees a level of protection equivalent to that provided by the implementation of a personal lockout or tagout device. This shall be accomplished by: 1. The application of a multi -lock accepting device by the primary authorized employee to the energy- isolating device. 2. The primary authorized employee attaching his/her lock to the multi- accepting device. 3. Each authorized employee shall affix a personal lockout or tagout device to the multi -lock accepting device when they begin work, and shall remove those devices when they stop working on the machine or equipment being serviced or maintained. 4. The primary authorized employee removing his/her lock and the multi -lock accepting device when all service or maintenance has been completed. 10. Shift or Personnel Changes To insure the orderly transfer of lockout or tagout devices between off -going and on- coming employees and minimize exposure to hazards from unexpected energy, start-up of the machine or equipment, or release of stored energy, these procedures shall be followed: 1. The on -coming personnel shall notify the off -going personnel that they are ready to begin work on the machine or equipment. 2. All lockout and/or tagout devices attached to the machine or equipment by the off -going personnel shall be removed and immediately replaced with like devices by the on -coming authorized personnel. 3. The primary authorized employee shall insure that all pertinent co-ordination between off -going and on -coming personnel has been completed before the on- coming authorized personnel begin work on the machine or equipment and that all necessary energy has been rendered safe. Lock Out / Tag Out Procedures 9 RESPIRATORY PROTECTION PLAN Table of Contents Respiratory Protection Plan 1. Introduction.....................................................................................................................6 1.1. Medical Tests............................................................................................................6 1.2. Air Monitoring...........................................................................................................6 1.3. Respiratory Protection Equipment..............................................................................6 1.4. Health Hazard Orientation.........................................................................................6 1.5. Personnel Training.....................................................................................................6 1.6. Medical Surveillance.................................................................................................6 1.7. Supervision and Enforcement....................................................................................7 1.8. Maintenance..............................................................................................................7 1.9. Inspection and Evaluation.......................................................................................... 7 2. Implementing the Respirator Program..............................................................................7 2.1. Monitoring.................................................................................................................7 2.2. Selection of Respirators.............................................................................................7 2.3. Health Hazard Training..............................................................................................8 2.4. Qualitative Test Fitting..............................................................................................8 2.5. Maintenance and Care................................................................................................8 2.5.1 Inspection............................................................................................................8 2.6. Reduction or Elimination of Exposure.......................................................................9 2.7. Periodic Surveys and Inspections...............................................................................9 2.8. Periodic Inspections...................................................................................................9 2.9. Evaluation of Respiratory Protection Program...........................................................9 3. Supervisory Personnel.....................................................................................................9 3.1. Respirator Training....................................................................................................9 3.2. Inspection..................................................................................................................9 3.3. Respirator Supply......................................................................................................9 3.4. Adequate Stock..........................................................................................................9 3.5. Enforcement..............................................................................................................9 3.6. Confirmation of Training.........................................................................................10 3.7. Replacement Filter Cartridges..................................................................................10 3.8. Advise Changes in Work Procedures.......................................................................10 3.9. Maintenance, Repair and Replacement.....................................................................10 4. Employees.....................................................................................................................10 4.1. Field Test Respirator Fit..........................................................................................10 4.2. Respirator Storage...................................................................................................10 4.3. Cleansing of Respirators..........................................................................................10 4.4. Respirator Storage...................................................................................................10 4.5. Inspection of Respirator...........................................................................................10 5. General Information......................................................................................................11 5.1. NIOSH/MSHA Approved Respirator Styles.............................................................11 5.1.1. Quarter Mask.....................................................................................................11 5.1.2. Half Mask..........................................................................................................11 5.1.3. Full Face............................................................................................................12 5.1.4. Combination Helmet, Visor, and Respirator.......................................................12 Respiratory Protection Program 2 5.2. Respirator Types......................................................................................................12 5.2.1. Negative Pressure...............................................................................................12 5.2.2. Powered Air Purifying Respirators (PAPR's).....................................................12 5.2.3. Self -Contained Breathing Apparatus(SCBA).....................................................13 5.2.4. Pressure -Demand Flow......................................................................................13 5.2.5. Air Purifying Respirators...................................................................................14 5.2.6 Supplied -Air Respirators (Type C).....................................................................14 6. Respirator Fit Testing Methods......................................................................................15 6.1. Fitting Methods for Air Purifying Respirators..........................................................15 6.2. Respirator Fit Testing..............................................................................................15 6.2.1. Negative Pressure Check....................................................................................16 6.2.2. Positive Pressure Check.....................................................................................16 6.3. Irritant Smoke Test - Qualitative Fit Testing............................................................16 6.4. Irritant Fume Protocol - Quantitative Fit Test...........................................................17 6.4.1. Respirator Selection...........................................................................................17 6.5. Fit Test....................................................................................................................18 6.6. Record Keeping.......................................................................................................20 6.7. Quantitative Fit Testing - Scientific.........................................................................20 6.8. Sealing of Respirator...............................................................................................21 6.9. Eyeglasses...............................................................................................................21 6.10. Cold Temperatures...................................................................................................21 6.11. Voice Communication.............................................................................................22 7. General Respirator Protection Maintenance and Care Instruction...................................22 7.1. Inspection................................................................................................................22 7.1.2. Inspecting Inhalation / Exhalation Valves of Half -Mask Respirator ....................22 7.2. Inspection Schedule.................................................................................................23 7.3. Recording Data........................................................................................................23 7.4. Respirator Inspection Checklist................................................................................23 7.5. Cleaning and Disinfecting........................................................................................23 7.6. Re -Assembly and Inspection....................................................................................24 7.7 Respirator Storage...................................................................................................24 7.5.1. Cleansing...........................................................................................................25 7.5.2. Cleaning Procedure............................................................................................25 7.5.3 Cleansing Solutions............................................................................................25 7.5.4 Alternate Cleansing Solutions............................................................................26 7.6 Chemical Cartridges / Mechanical Filter Non -Disposable -Type Respirators.............26 7.6.1. Purpose of Respirators.......................................................................................26 7.6.2. Limitations in using Respirators.........................................................................26 7.6.3. Instructions........................................................................................................26 7.6.4. Inspection..........................................................................................................26 7.6.5 Fitting of Respirator to the Face.........................................................................26 7.6.6. Testing Respirator Leakage and Good Face Seal................................................27 7.6.7. Availability........................................................................................................27 7.6.8. Check Operations...............................................................................................27 7.6.9. When to Change Filters......................................................................................27 7.6.10. Removing the Respirator....................................................................................27 Respiratory Protection Program 3 7.6.11. Sanitation...........................................................................................................28 7.6.12. Preventive Maintenance.....................................................................................28 7.7. Employee Responsibility.........................................................................................28 7.7.1. Respirator Conservation.....................................................................................28 7.7.2 Field Testing......................................................................................................28 8. Full Face and Gas Mask Instructions for Use and Care..................................................29 8.1. Before Use...............................................................................................................29 8.1.1. Canister Type.....................................................................................................29 8.2.1. Cartridge Type...................................................................................................29 8.2. During Use..............................................................................................................29 8.3. After Use.................................................................................................................29 8.3.1. Operating Principle............................................................................................29 8.3.2. Fitting the Mask.................................................................................................30 8.4. Testing for Tightness...............................................................................................30 8.5. Maintenance............................................................................................................30 8.6. Replacing Canisters.................................................................................................30 8.7. Cleaning and Sanitizing...........................................................................................31 9. MSA Pressure -Demand Airline Respirator, Full -Face Mask..........................................31 9.1. Instructions for Use and Maintenance......................................................................31 9.1.1. Operation Principle............................................................................................31 9.1.2. Permissible Usage..............................................................................................31 9.2. Air Supply Regulator...............................................................................................31 9.2.1 Compressed Air Quality.....................................................................................32 9.2.2 Attachment........................................................................................................32 9.2.3 Inspection of Cylinder Valves............................................................................32 9.2.4. Inspection of Regulator......................................................................................32 9.2.5. Valve Check......................................................................................................32 9.2.6. Connections.......................................................................................................32 9.2.7. Cylinder Valve...................................................................................................32 9.2.8. Leaks.................................................................................................................32 9.2.9. Air Supply Hose Regulator................................................................................32 9.3. Fitting the Face piece...............................................................................................33 9.4. Test Face piece for Tightness...................................................................................33 9.5. Donning the Pressure -Demand Regulator.................................................................33 9.6. Function..................................................................................................................33 9.7. Personal Sanitation..................................................................................................33 9.8. Maintenance and Sanitizing.....................................................................................34 10. High Efficiency Particulate Air (HEPA) Filters.............................................................34 11. Organic Vapor/Acid Gas Cartridges...............................................................................34 12. Decontamination Procedures for Respirators.................................................................34 12.1 Half -Face or Full -Face Dual -Cartridge Respirators..................................................34 12.2 Powered Air -Purifying Respirators (PAPR's)...........................................................35 12.3 Type C - Supplied -Air Respirators...........................................................................35 13. Emergency Procedures..................................................................................................36 14. Rescue, Repair and Shut Down......................................................................................36 15. Lifeline..........................................................................................................................36 Respiratory Protection Program 4 16. Entry............................................................................................................................. 37 17. Leaving a Hazardous Area.............................................................................................37 18. Special Situations..........................................................................................................38 19. Disciplinary Actions......................................................................................................38 AppendixB...............................................................................................................................40 Respiratory Protection Program 5 Respiratory Protection Program (This respiratory protection plan complies with 29 CFR 1910.134.) 1. Introduction The purpose of the Respirator Protection Program is to protect Intercon Environmental, Inc. employees from hazardous materials and chemicals. It further is designed to communicate to these employees, the specific procedures established to protect them. In order to determine user requirements, an assessment by supervisory personnel must be accomplished. The assessment will be made utilizing all pertinent Material Safety Data Sheets (SDS) relevant to materials or chemicals found within the work environment. This assessment will provide a basis for determination of respirator requirement and type. Supervisory personnel and the Safety Coordinator, on the basis of the hazards to which employees may be potentially exposed, will select all respirators. 1.1. Medical Tests Workers will take pre -entry medical tests to determine worker health status and ability to wear respiratory protection. 1.2. Air Monitoring Area and personal monitoring will provide quantitative determination of airborne fibers. 1.3. Respiratory Protection Equipment Selection, issuance, and fitting of respiratory protection equipment approved for use in a contaminated environment. 1.4. Health Hazard Orientation Health hazard orientation for personnel, including hazards not related to asbestos. 1.5. Personnel Training Personnel training will provide the use and care of respiratory protective equipment. 1.6. Medical Surveillance Only those individuals who are medically capable of wearing respiratory protective equipment shall be issued a respirator. Before being issued a respirator, an employee will receive pertinent tests for medical and physical conditions. Medical tests to be conducted by a physician often include: pulmonary function tests, a chest x-ray (if a physician deems it necessary), electrocardiogram and any other tests deemed appropriate by the examining physician. A medical history in the form of a questionnaire is collected as well for each individual. Other factors to be considered by a physician may include: emphysema, asthma, chronic bronchitis, heart disease, anemia, hemophilia, poor eyesight, poor hearing, hernia, lack of use of fingers or hands, epileptic seizures and other factors which might inhibit the ability of an employee to wear respiratory equipment. Four (4) basic criteria exist for selecting a respirator. Respirator must be NIOSH/MSHA approved. 2. Containment (Type). 3. Nature of the hazard dictates type of respirator required. 4. OSHA specifics for particular types of respirators. 1.7. Supervision and Enforcement Established policies on care, use, and storage of respiratory protective equipment will be supervised and enforced. 1.8. Maintenance Employees will clean, inspect, and maintain respirators daily. 1.9. Inspection and Evaluation The respiratory protection program will be subject to periodic random inspection and evaluation. 2. Implementing the Respirator Program In order that Intercon Environmental, Inc. may comply with the OSHA standard and to provide employees with adequate respiratory protection, a program must be established. The program must define and monitor use of respiratory protection equipment. The "minimum" acceptable program is detailed in OSHA 1910.134(b) (1-11); it is summarized as follows: 2.1. Monitoring Monitor the work place environment on a routine basis to determine work area conditions, basis of hazards and degree of employee exposure (through air monitoring). Appropriate surveillance of work area conditions and degrees or employee exposure or stress shall be maintained. 2.2. Selection of Respirators Respiratory Protection Program 7 Respirator selection is based upon the physical, chemical, and physiological properties of the air contaminant and upon the concentration likely to be encountered. The quality of fit and the nature of the work being done also affect the choice of respirators. The capability of the respirators chosen is determined from appropriate governmental approvals, manufacturers' tests, and plant experience with the respirators. Respirators used shall be selected from those approved by the National Institute for Occupational Safety and Health or NIOSH and Mine Safety and Health Administration or MSHA for use in atmospheres containing airborne contaminants. The respirator furnished shall provide adequate respiratory protection against the particular hazard for which it was designed in accordance with standards established by competent authorities. NIOSH-approved respirators will always contain the following: an assigned identification number associated with each unit; a label identifying the type of hazard the respirator is designed to protect against; additional information on the label which indicates limitations and identifies the component parts approved for use with the basic unit. Where practicable, respirators shall be assigned to individual workers for their exclusive use. 2.3. Health Hazard Training Provide health hazard training for employees working in area and/or job functions where exposures are potentially at, or above the action levels. User shall be instructed and trained in the proper use of respirators and their limitations. Persons are not to be assigned to tasks requiring use of respirators unless it has been determined that they are physically able to perform the work and use the equipment. A physician shall determine what health and physical conditions are pertinent. The respirator user's medical status must be reviewed annually. 2.4. Qualitative Test Fitting Qualitative test fitting of respirators for all employees whose work potentially exposes them to levels at or above the action levels, to be done initially and once every six months. 2.5. Maintenance and Care A respirator must be maintained in order to assure that it functions properly. Wearing a poorly maintained or malfunctioning respirator is, in one sense, more dangerous than not wearing a respirator at all for then you think you are protected when, in reality, you are not. OSHA has defined specific regulations regarding respirator maintenance and care in 1910.134. 2.5.1 Inspection Continual inspection of the respirator is essential. This will identify damage or malfunction before the respirator is used. Be sure to inspect it before putting it on Respiratory Protection Program 8 and again when cleaning it. During inspection of the respirator, check the following: 1. Tightness of connections 2. Face piece 3. Valves 4. Connecting tubes 5. Cartridges (Proper type for contaminate and condition) 2.6. Reduction or Elimination of Exposure Research feasible engineering and/or administrative controls to reduce or eliminate exposure to employees in areas where the use of a respirator is required. 2.7. Periodic Surveys and Inspections Perform periodic surveys and inspections to assure effectiveness of engineering controls in use. 2.8. Periodic Inspections Perform periodic random inspections to assure proper use, care, and storage of respirators. 2.9. Evaluation of Respiratory Protection Program Evaluate overall respiratory protection program periodically to ensure maximum efficiency and effectiveness of the program. 3. Supervisory Personnel 3.1. Respirator Training Provide health hazard orientation and respirator training and fitting to all new employees prior to job entry, and at least twice yearly to all employees required to wear respirators. 3.2. Inspection Inspect respiratory protection equipment once per month, recording inspection dates and condition of equipment and maintain the equipment in a state of readiness. Records of inspection are to be kept for a year immediately preceding current inspection. 3.3. Respirator Supply Maintain an adequate supply of respirators for issuance. 3.4. Adequate Stock Maintain an adequate stock of respiratory protection equipment, replacement parts and accessories, at all times. 3.5. Enforcement Respiratory Protection Program 9 Ensure that each respective employee wears his or her respirator when the environment dictates, and has his or her respirator available at all times during the work shift. Ensure that appropriate cartridges are utilized. 3.6. Confirmation of Training Ensure that each respective employee receives appropriate respirator, health hazard training, work procedure training, respirator fitting, and medical surveillance before being allowed to enter a potentially contaminated environment. Assure that employees have been trained in the proper use and care of all respirator types used by Intercon Environmental, Inc. 3.7. Replacement Filter Cartridges Maintain an adequate supply of replacement filter cartridges for employee use. 3.8. Advise Changes in Work Procedures Advise the employees of any operational; changes in work procedures or processes in order that air monitoring can be effected to assure that proper respiratory protection is being provided. 3.9. Maintenance, Repair and Replacement Ensure maintenance, repair and replacement of respirator or parts as required. 4. Employees 4.1. Field Test Respirator Fit Field test respirator fit prior to each use. After decontamination, obtain replacement filter cartridges. 4.2. Respirator Storage Have respirator available at all times during the work shift. When not in place on the face, protect mask by placing it in its sealed storage bag. 4.3. Cleansing of Respirators Respirators shall be regularly cleaned and disinfected. Those issued for the exclusive use of one worker should be cleaned after each day's use, or more often if necessary. Those used by more than one worker shall be thoroughly cleaned and disinfected after each use. Clean respirators in the shower during the shift when needed and at the end of the work shift. 4.4. Respirator Storage At the end of your work shift, store respirator in closed container in your locker. Respirators shall be stored in a convenient, clean, and sanitary location. 4.5. Inspection of Respirator Respiratory Protection Program 10 Inspect their respirator during and after the work shift, obtain needed replacement parts for their respirator from the supervisor. Respirators used routinely shall be inspected during cleaning. Worn or deteriorated parts shall be replaced. Respirators for emergency use, such as self-contained devices, shall be thoroughly inspected at least once a month and after each use. 5. General Information Respirators offer varying degrees of protection against airborne contaminates. The key to understanding the differences between types of respirators (air -purifying, powered -air purifying, air -supplied) is the amount of protection afforded the wearer. To compare these, one must understand the concept of a protection factor (PF). A protection factor is a number obtained when the concentration of a contaminant outside the mask is divided by the concentration found inside the mask. This simple formula is illustrated below. Protection Factor = Concentration outside of mask / Concentration inside mask The protection factor depends greatly on the fit of the mask to the wearer's face. Accordingly, the protection offered by any one respirator will be different for each individual person. Further, the protection constantly changes depending upon the worker's activities and even shaving habits. When a worker laughs or coughs inside a respirator, the protection factor will decrease since the mask will not "fit" as well during laughing or coughing. Similarly, an employee who does not shave one morning will not receive as much protection that day since the mask will not fit as well to the face. The importance of properly fitting the mask should be obvious. It is a supervisors responsibility however to insure proper use of respirators by employees. It is virtually impossible to measure the concentration inside the mask (where the employee is breathing) for each employee. Accordingly, protection factors, based on extensive research, have been developed for different categories of respirators. See Appendix B, with example for protection against asbestos. 5.1. NIOSH/MSHA Approved Respirator Styles 5.1.1. Quarter Mask A quarter mask is a negative pressure type respirator, which fits over the bridge of the nose and around the mouth, secured by head and neck straps. One size fits all. Intercon Environmental, Inc. does not use this type of respirator. 5.1.2. Half Mask A half mask is a negative pressure type respirator, which fits over the bridge of the nose, around the mouth and under the chin, secured by neck and head straps. Respiratory Protection Program 11 Face sizes are small, medium, and large. This type mask is in use at Intercon Environmental, Inc. 5.1.3. Full Face A full face negative pressure type respirator when used with filter cartridges; positive pressure type when used with blower or air supply; which covers the major part of the face with full vision eye shield, fitting from just under the hairline of the forehead to well under the chin, secured by head harness with two straps at neck, two straps in temple area and top of head strap. Face sizes are small, medium, and large available, depending on manufacturer. This mask is in use at Intercon Environmental, Inc. 5.1.4. Combination Helmet, Visor, and Respirator A combination helmet, visor and respirator is a positive pressure type respirator combined with head and eye protection consisting of a hard hat and safety shield visor with face piece seals fitting both sides of face, filtering media inside top of helmet or attached to hose fitting at the back of helmet, battery -powered, furnishing filtered outside air to the wearer. Intercon Environmental, Inc. does not use this type of respirator. 5.2. Respirator Types Selection is based on hazards to which wearer is exposed. 5.2.1. Negative Pressure A negative pressure respirator is in which breathing or demand of the wearer draws air in through filtering device. It cannot be used in atmospheres immediately hazardous to life or where oxygen content of air is less than 19.5%. 5.2.2. Powered Air Purifying Respirators (PAPR's) A special subcategory of air -purifying respirator is the Powered Air Purifying (PAPR) type. It uses the same types of cartridges and filters as regular air purifying respirators to clean the air. PAPR's, however, are positive -pressure devices which employ a portable, rechargeable battery pack and blower to force contaminated air through a filter or cartridge, where it is cleaned and supplied to the wearer's breathing zone. PAPR's are available in both tight -fitting and loose - fitting styles. Because the air is being drawn from the immediate work area, they too offer no protection against oxygen deficiency. Powered air -purifying respirator also protect against asbestos fibers. The great advantage of the powered air -purifying respirator is that it is designed to supply air at a positive pressure so that any leakage is outward from the face piece. It may be used with a helmet, hood or face piece. The belt -worn unit's motor and fan draws ambient air Respiratory Protection Program 12 through the filter media and supplies filtered air to the breathing tube and headpiece. This type of respirator includes models such as the 3M-air hat, the half -mask belt - worn HEPA filter -type, and full -face belt -worn HEPA filter -type. The minimum flow rate required for classification as a PAPR is six cubic feet per minute (CFM) from the motor unit to the face piece. It is important to note that a powered breathing assist respirator is not the same as a powered air -purifying respirator. The powered breathing assist respirator operates under a negative pressure mode utilizing HEPA filters. While air is continually delivered through a half -face mask, it is only for the wearer's comfort and is not sufficient for breathing purposes, as it is delivered at a low volume (approximately 1.5 CFM). Furthermore, the protection factor of the powered breathing assist respirator is ten times the Permissible Exposure Level or PEL, as opposed to the hundred times the PEL of the PAPR 5.2.3. Self -Contained Breathing Apparatus (SCBA) Because the SCBA wearers carry their own supply of breathable air, they are independent of the surrounding atmosphere. The advantage of such apparatus is that it allows comparatively free movement over an unlimited area. The bulk and weight (up to 35 lbs.) of most SCBA's make them unsuitable for strenuous work or use in a constricted space. The limited service life (normal maximum under working conditions does not exceed 30 minutes) makes them unsuitable for routine use for long continuous periods. The short service life of open -circuit type devices may limit them to use where the wearer can go conveniently and quickly from a hazardous atmosphere to a safe atmosphere to change the tank of supply air. Open -circuit SCBA is normally less expensive to purchase and use than closed- circuit SCBA. Additionally, the open -circuit SCBA requires less maintenance and fewer inspections. The demand -type open -circuit SCBA and most closed-circuit SCBA have negative air pressure inside the respiratory inlet covering during inhalation so contaminated air can leak in if they fit poorly. The pressure -demand type open -circuit SCBA and those closed-circuit SCBA that are positive pressure devices provide very good protection because the air inside the respiratory inlet covering is normally at positive pressure which helps to keep the contaminated atmosphere from leaking in. Fire fighters, emergency maintenance personnel or HAZMAT personnel most commonly use SCBA Units. 5.2.4. Pressure -Demand Flow Respiratory Protection Program 13 Compressed air is supplied when the small positive pressure maintained in the mask decreased to a certain level as a result of inhalation. Air is fed into the face piece and a positive pressure is maintained at all times. Leakage shall be outward. SCBA respirators in the pressure -demand mode can be used in an oxygen deficient atmosphere and in atmospheres immediately hazardous to life. SCBA can be used in emergency situations. 5.2.5. Air Purifying Respirators These respirators remove the hazardous contaminant from the breathing air before it is inhaled. They consist of a soft, rubber face piece and a replaceable filter or cartridge. Two major subcategories of air -purifying respirators are the mechanical filter type and the chemical cartridge type. The mechanical filter variety is designed to protect against particulate contaminants such as asbestos. The chemical cartridge type protects against gaseous contaminants such as solvent vapors. Each respirator assembly is approved for a particular contaminant; care must be taken in choosing the appropriate unit. High efficiency particulate air (HEPA) filters designed for asbestos are typically purple or magenta in color. These filters will remove 99.97 percent of particles 0.3 micrometers or greater in diameter. Air -purifying respirators are further categorized based on their degree of face coverage. The half -mask respirator covers half the face, from the bridge of the nose to under the chin. A full -face respirator covers the face from the forehead to under the chin. The more extensive coverage provides a better fit and a higher degree of protection. Air -purifying respirators depend upon breathing action to draw atmospheric air through the respirator filter or cartridge where it is decontaminated. Hence, they are referred to as "negative pressure" respirators. However, a mechanical HEPA filter respirator may not be used in environments immediately dangerous to life or health or in atmospheres containing less than 19.5 percent oxygen since it does not supply air but rather only filters it. 5.2.6 Supplied -Air Respirators (Type C) These respirators supply uncontaminated, breathing air from a source independent of the surrounding atmosphere. Air is delivered to the face piece through an airline (a hose). You will often hear these respirators referred to as "airline respirators". Airline respirators come in several distinct versions; demand, pressure demand and continuous -flow. Their regulator and valve design make them distinguished. EPA and NIOSH recommend the pressure -demand type if supplied -air respirators are selected. Supplied -air respirators also have limitations: * The trailing air line restricts the user's mobility. Respiratory Protection Program 14 * Backup units or supplemental air -purifying respirators should be available if the air supply is interrupted. For additional information on supplied -air respirators, see: EPA and NIOSH, A Guide to Respiratory Protection for the Asbestos Abatement Industry, EPA-560- OPTS-86-001, and September, 1986. The maximum hose length for NIOSH/MSHA-approved supplied -air respirators is 300 feet from the manifold; however, not all systems are approved to that length. The maximum inlet pressure is 125 pounds per square inch (PSI). The NIOSH approval includes the air line. A respirator from one manufacturer may not be used with a hose from another, or with an unapproved hose. In addition, the air supply system for a Type C pressure -demand respirator must meet the following requirements: minimum air flow of four CFM and maximum air flow of fifteen CFM; for loose -fitting hood or helmet, continuous flow 6-15 CFM; for tight -fitting face piece, continuous flow 4-15 CFM; for pressure demand, minimum of 2.1" of static pressure inside face piece. Because a compressor is utilized with supplied air respirators, certain air quality specifications must be adhered to. The compressed air supplied to the face piece must meet the requirements of the Compressed Air Association Specification G7.1 American National Standards Institute (A.N.S.I. Z86.1973) for Type 1, Class D, gaseous air. This requires that carbon monoxide levels not exceed twenty ppm (a CO monitor with an alarm system is recommended), carbon dioxide not exceed 1,000 ppm and condensed hydrocarbons not exceed five mg/m3. OXYGEN SHALL NEVER BE USED IN AIR LINE SYSTEMS. If an oil - lubricated compressor is used, it must have either a high temperature shut-off or a CO alarm. 6. Respirator Fit Testing Methods 6.1. Fitting Methods for Air Purifying Respirators Despite all the care that goes into respirator design and manufacturing to give maximum protection, efficiency will be lost if there is an improper match between the face piece and the wearer. The problem is twofold. Presuming that more than one brand of a particular type of face piece is available the first problem is to determine which fits best. The second problem is to ensure that the user knows when the respirator fits properly. Both problems can be solved by the use of a fitting test, which is also an OSHA requirement. (Many manufacturers produce a given model respirator in various sizes permitting proper fit of most employees with one brand of respirator). 6.2. Respirator Fit Testing One of the most important elements of an effective respirator program is fit testing. The OSHA Respirator Standard (29 CFR 1910.134) require that the fit of respirators be determined when the respirator is issued and every six months thereafter for all negative Respiratory Protection Program 15 pressure respirators. Respirators must also be negative pressure respirators. Respirators must also be fit tested before the beginning of a job at all new work locations. Once the respirator has been selected and no visual leaks are evident a negative pressure check and positive pressure check are performed by the wearer. These simple procedures are described below: 6.2.1. Negative Pressure Check For the test, the wearer closes off the inlet of the filters or cartridges by covering them with the palms of the hands or be squeezing the breathing tube so that air can not pass through, inhales so that the face piece collapses slightly and holds his/her breath for about 10 seconds. If the face piece remains slightly collapsed and no inward leakage of air id detected, the respirator passes the test. This test can only be used on respirators with tight fitting face pieces. Its potential drawback is that hand pressure can modify the face piece seal and cause false results. 6.2.2. Positive Pressure Check This test is similar in principle to the negative pressure test. It is conducted by closing off the exhalation valve of the respirator and gently exhaling into the face piece. The respirator fit is considered passing if positive pressure can be built up inside the face piece without evidence of outward air leakage around the face piece. If the respirator selected fails to pass these simple tests, the fit testing should not proceed further. Instead, another size or another brand should be donned and these tests repeated. Alternatively, it may only be necessary to adjust the straps on the respirator and repeat the tests. Once the wearer has successfully passed the negative and positive pressure fit -checks, the actual fit test may be conducted. The OSHA standards permit qualitative fit testing for half -mask air - purifying respirators. Qualitative fit testing is required for full -face air -purifying respirators. The actual qualitative fit test method chosen is at the discretion of the employer as long as it is one of the three specified in 29 CFR 1926.58. The procedures used must follow those in this appendix whether irritant smoke, isoamyl acetate or saccharin is chosen as the test agent. The irritant smoke test is summarized below. 6.3. Irritant Smoke Test - Qualitative Fit Testing If the previous tests have been passed, the irritant smoke test is administered. It can be used for both air -purifying and supplied air respirators. However, an air -purifying respirator must utilize appropriate cartridge filters. The test substance is an irritant smoke (stannic chloride of titanium tetrachloride). Sealed glass and plastic tubes with substances to generate this smoke are available from safety supply companies. When the tube ends are broken and air passed through them with a squeeze bulb, a dense irritating smoke is emitted. Respiratory Protection Program 16 For the test, the respirator wearer enters a test enclosure, a clear suspended plastic bag is sufficient, and the irritant smoke is sprayed or squeezed in to a small hole punched in the bag near the respirator wearer's head. If the wearer detects the irritant smoke inside the respirator, it indicates a defective fit; the respirator fails this test. The advantage to this test is that the wearer usually reacts involuntarily to leakage by coughing or sneezing. The likelihood of pretending to pass this test is low. This is the primary test that will be used by Intercon Environmental, Inc. Note: This test must be performed with caution because the irritant smoke is highly irritating to the eyes, skin and mucous membranes. When testing a half -face mask respirator, the eyes must be kept tightly closed. Isoamyl Acetate Test (Banana Oil Test) will normally NOT be used by Intercon Environmental, Inc. to fit test due to subjective factors. Saccharin (Taste Threshold Screening) will not normally be used by Intercon Environmental, Inc. to fit test due to subjective factors. 6.4. Irritant Fume Protocol - Quantitative Fit Test 6.4.1. Respirator Selection 1. The test subject shall be allowed to pick the most comfortable respirator from a selection including respirators of various sizes from different manufacturers. 2. The selection process shall be conducted in a room separate from the fit test chamber to prevent odor fatigue. Prior to the selection process, the test subject shall be shown how to put on a respirator, how it should be positioned on the face, how to set strap tension and how to determine a "comfortable" respirator. A mirror shall be available to assist the subject in evaluating the fit and positioning of the respirator. This instruction may not constitute the subject's formal training on respirator use, as it is only a review. 3. The test subject should understand that the employee is being asked to select the respirator which provides the most comfortable fit. Each respirator represents a different size and shape and it fit properly and used properly, will provide adequate protection. 4. Test subject holds each face piece up to the face and eliminates those which obviously do not give a comfortable fit. Normally, selection will begin with a half -mask and if a good fit cannot be found, the subject will be asked to test the full face piece respirators. (A small percentage of users will not be able to wear any half -mask). 5. The more comfortable face pieces are noted; the most comfortable mask is donned and worn at least five minutes to assess comfort. The test subject shall perform all donning and adjustments of the face piece Respiratory Protection Program 17 without assistance from the test conductor or other person. Assistance in assessing comfort can be given by discussing the points in 6.4.1.6. below. If the test subject is not familiar with using a particular respirator, the test subject shall be directed to don the mask several times and to adjust the straps each time to become adept at setting proper tension on the straps. 6. Assessment of comfort shall include reviewing the following points with the test subject and allowing the test subject adequate time to determine the comfort of the respirator: * Positioning of mask on nose * Room for eye protection * Room for talk * Positioning mask on face and cheeks 7. The following criteria shall be used to help determine the adequacy of the respirator fit: * Chin properly placed * Strap tension * Fit across nose bridge * Distance from nose to chin * Tendency to slip * Self-observation in mirror 8. The test subject shall conduct the conventional negative and positive - pressure fit checks. Before conducting the negative or positive -pressure test the subject shall be told to "seat" the mask by rapidly moving the head from side -to -side and up and down, while taking a few deep breaths. The test subject is now ready for fit testing. 9. After passing the fit test, the test subject shall be questioned again regarding the comfort of the respirator. If it has become uncomfortable, another model of respirator shall be tried. 10. The employee shall be given the opportunity to select a different face piece and be re -tested if the chosen face piece becomes increasingly uncomfortable at any time. 6.5. Fit Test 1. The test subject shall be allowed to smell a weak concentration of the irritant smoke to familiarize the subject with the characteristic odor. 2. The test subject shall properly don the respirator, selected as above, and wear it for at least 10 minutes before starting the fit test. Each respirator shall be equipped with a combination of high -efficiency particulate air cartridges. 3. The test conductor shall review this protocol with the test subject before testing. 4. The test subject shall perform the conventional positive pressure and negative pressure fit checks. Failure of either check shall be cause to select an alternate respirator. 5. Break both ends of a ventilation smoke tube containing stannic oxychloride, such as the MSA part #5645, or equivalent. Attach a short length of tubing to one end of the smoke tube. Attach the other end of the smoke tube to a low-pressure air Respiratory Protection Program 18 pump set to deliver 200 millimeters per minute. Use a piece of duct tape around the jagged edge of glass to prevent injury to the person being tested. 6. Advise the test subject that the smoke can be irritating to the eyes and instruct the subject to keep the eyes closed while the test is performed. 7. The test conductor shall direct the stream of irritant smoke from the tube towards the face seal area of the test subject. The person conducting the test shall begin with tube at least 12 inches from the face piece and gradually move to within one inch, moving around the whole perimeter of the masks. 8. The test subject shall be instructed to do the following exercises while the respirator is being challenged by the smoke. Each exercise shall be performed for one minute. 1. Breathe normally. 2. Breathe deeply. Be certain breaths are deep and regular. 3. Turn head all the way from one side to the other. Be certain movement is complete. Inhale on each side. Do not bump the respirator against the shoulders. 4. Nod head up-and-down. Be certain motions are complete and made every second. Inhale when head is in the full up position (looking toward ceiling). Do not bump the respirator against the chest. 5. Talking. Talk aloud and slowly for several minutes. The following paragraph is called the Rainbow Passage. Reading it will result in a wide range of facial movements, and thus be useful to satisfy this requirement. Alternative passages, which serve the same purpose, may also be used. Slowly stating the alphabet, or repeating the Pledge of Allegiance to the Flag is very adequate. Rainbow Passage When the sunlight strikes raindrops in the air, they act like a prism and form a rainbow. The rainbow is a division of white light into many beautiful colors. These take the shape of a long round arch, with its path high above, and its two ends apparently beyond the horizon. There is according to legend, a boiling pot of gold at one end. People look, but no one ever finds it. When a man looks for something beyond his reach, his friends say he is looking for the pot of gold at the end of his rainbow. NOTE: NOT APPLICABLE TO 1/2 FACE RESPIRATORS AS THE EYES MUST BE CLOSED DUE TO SMOKE IRRITATION. 9. The test subject shall indicate to the test conductor if the irritant smoke is detected. If smoke is detected, the test conductor shall stop the test. In this case, the tested respirator is rejected and another respirator shall be selected. 10. Each test subject passing the smoke test (i.e., without detecting the smoke) shall be given a sensitivity check of smoke from the same tube to determine if the test subject reacts to the smoke. Failure to evoke a response shall void the fit test. Respiratory Protection Program 19 11. Steps 4, 9, and 10 of this fit test protocol shall be performed in a location with exhaust ventilation sufficient to prevent general contamination of the testing area by the test agents. 12. At least two face pieces should be selected by the test protocol. 13. Respirators successfully tested by the protocol may be used in contaminated atmospheres up to ten times the PEL of asbestos. 14. The test will not be conducted if there is any hair growth between the skin and the face piece sealing surface. 15. If hair growth or apparel interferes with a satisfactory fit, they shall be altered or removed to eliminate interference and allow satisfactory fit. If satisfactory fit is still not attained, the test subject must use a positive -pressure respirator such as powered air -purifying respirators, supplied air respirator, or self-contained breathing apparatus. 16. If test subject exhibits difficulty in breathing during the tests, she or he shall be referred to a physician trained in respirator diseases or pulmonary medicine to determine whether the subject can wear a respirator while performing her or his duties. 17. Qualitative fit testing shall be repeated at least every six (6) months. 18. In addition, because the sealing of the respirator may be affected, qualitative fit testing shall be repeated immediately when the test subject has a: 1. Weight change of 20 pounds or more, 2. Significant facial scarring in the area of the face piece seal, 3. Significant dental changes; i.e.; multiple extractions without prosthesis, or acquiring dentures, 4. Reconstructive or cosmetic surgery, or 5. Any other condition that may interfere with face piece sealing. 6.6. Record Keeping A summary of all test results shall be maintained in each office for a minimum of three years. The summary shall include: 1. Name of test subject. 2. Date of testing. 3. Name of test conductor. 4. Respirators selected (indicate manufacturer, model, size, and approval number). 5. Testing Agent 6.7. Quantitative Fit Testing - Scientific Unless laboratory type facilities are available, Intercon Environmental, Inc. will not use quantitative fit test procedures. Quantitative fit testing requires a detectable test substance that can be generated into the air, specialized equipment to measure the airborne concentration of the substance, and a trained tester. A sodium chloride solution or mineral oil is usually used to perform these tests. The person to be tested puts on the respirator and enters a chamber that contains the Respiratory Protection Program 20 test substance in the air. The airborne concentration of the substance is measured outside the respirator and inside the respirator while the tester mimics several typical work related activities. The specific degree of protection -- protection factor -- can be determined for the wearer and respirator. Quantitative fit testing is usually performed in a laboratory. However, portable fit testing units are available and some companies offer on - site testing. OSHA regulations require that workers be allowed to test the face piece -to -face seal of the respirator and wear it in a test atmosphere. NOTE: during any fitting test, the respirator head straps must be as comfortable as possible. Tightening the straps will sometimes reduce the face piece leakage, but the wearer may be unable to tolerate the respirator for any length of time (see below). Appendix C is included for reference. 6.8. Sealing of Respirator A respirator will not be worn when conditions prevent proper seal of the face piece to the face. Facial hair may not be worn in the form of beards, mustaches, sideburns, and stubble if they impede the capacity of the respirator. A poor seal will permit contaminated air to enter the face piece. Even one days' growth of beard will permit contaminant penetration. 6.9. Eyeglasses If corrective glasses are worn, these may present a special problem with respect to respiratory protection. Spectacle temple bars or straps that pass between the sealing surface of a full face piece respirator and the face prevent a good seal and thus, must not be worn with this type of respirator, if a good seal is prevented. Spectacles with short temple bars that do not interfere with respirator sealing and are taped to the face may be used temporarily. Special corrective lenses that can be permanently mounted inside a full face piece respirator are available from most manufacturers. A qualified person to ensure good vision and comfort should mount such corrective lenses in the face piece. Creighton University will provide the employees concerned with the fitting required to mount the glasses inside of the full -face mask. Spectacles or goggles may also interfere with the half -mask sealing. (In this case discussed with your supervisor the assignment to you of a full face piece respirator.) Contact lenses must not be worn while wearing a respirator in a contaminated atmosphere. Contaminants may get into the eyes and cause severe irritation and/or discomfort with quarter- or half -masks. In addition, full -face pieces can pull at the side of the eye and pop out lenses. 6.10. Cold Temperatures Respiratory Protection Program 21 Under cold temperature conditions, a number of problems can develop such as fogging of full -face piece respirators, valve sticking, and rubber stiffness that prevent a good facial seal. Fogging of full -face piece respirators can be eliminated easily by installing a nose cup into the face piece. This device, available from most manufacturers, deflects the exhalation breath away from the cold face piece lens. 6.11. Voice Communication Some half -face respirators are designed with a speaking diaphragm for in the area communication. When needed, designed two-way communication systems may be used on the project. 7. General Respirator Protection Maintenance and Care Instruction A program for maintenance and care of respirators shall be adjusted to the type of plant, working conditions, and hazards involved, and shall include the following basic services: 7.1. Inspection 7.1.1. Air -Purifying Respirators Inspection Examine the face piece for: 1. Excessive dirt. 2. Cracks, tears, holes, deteriorations, physical distortion of shape from improper storage. 3. Inflexibility of rubber face piece (stretch and knead to restore flexibility). 4. Cracked or badly scratched lenses in full face pieces. 5. Incorrectly mounted full -face piece lenses or broken or missing mounting clips. 6. Cracked or broken air -purifying element holder(s), badly worn threads, or missing gasket(s), if required. Examine the head straps or head harness for: 1. Breaks. 2. Loss of elasticity. 3. Broken of malfunctioning buckles and attachments. 7.1.2. Inspecting Inhalation / Exhalation Valves of Half -Mask Respirator Examine the exhalation valve for the following after removing its cover. 1. Foreign material, such as detergent residue, dust particles, or human hair under the valve seat. Respiratory Protection Program 22 2. Cracks, tears, or distortion in the valve material. 3. Improper insertion of the valve body in the face piece. 4. Cracks, breaks, or chips in the valve body, particularly in the sealing surface. 5. Missing or defective valve cover. 6. Improper installation of the valve in the valve body. Examine the air -purifying element for: 1. Incorrect cartridge for the hazard. 2. Incorrect installation, loose connections, missing or worn gasket, or cross threading in the holder. 3. Expired shelf life date on the cartridge. 4. Cracks or dents in the outside case of the filter or cartridge, indicated by the absence of sealing material, tape, foil, etc., over the inlet. If the device has a corrugated breathing tube, examine it for: 1. Broken of missing end connectors. 2. Missing or loose hose clamps. 3. Deterioration, determined by stretching the tube and looking for cracks. 7.2. Inspection Schedule The wearer shall inspect all respirators routinely before and after each use. A respirator that is not routinely used, but is kept ready for operational use shall be inspected by the wearer before each use and at least monthly by supervisors to assure that it is in satisfactory working condition. 7.3. Recording Data The safety representative shall inspect self-contained breathing apparatus monthly. Air and oxygen cylinders shall be fully charged according to the manufacturer's instructions. It shall be determined that the regulator and warning devices function properly. A record shall be kept of inspection dates and findings for respirators maintained for emergency use by the safety representative. Records are to be kept for one year prior to current inspection. 7.4. Respirator Inspection Checklist Respirator inspection shall include a check of the tightness of connections and the condition of the face piece, headbands, valves, connecting tube and canisters. Rubber or elastomer parts shall be inspected for pliability and signs of deterioration. Stretching and manipulating rubber or elastomer parts with a massaging action shall keep them pliable and flexible and prevent them from taking a set during storage. 7.5. Cleaning and Disinfecting Cleaning and disinfecting is applicable to HEPA and all Organic Vapor Canister utilizing Respirators. In addition to decontamination, respirators should be cleaned after each use. Respiratory Protection Program 23 The generally accepted procedure is to first remove the filter cartridge after each use, then wash with detergent and warm water (see above). Using a brush, thoroughly rinse in clean water and dry in a clean place. Take care to not damage the respirator during this procedure. After washing, the respirator may also be disinfected by immersing for two minutes in a hypochloric solution of two tablespoons of household bleach, such as Clorox, to one gallon of water. Rinse thoroughly in water between 120 degrees Fahrenheit but no hotter than 140 degrees Fahrenheit to prevent damage to the face piece. Water hotter than 140 degrees may also cause scalding or severe burns. Rinsing will help prevent contact dermatitis. Allow the respirator to dry in room air on a clean surface or hang it from a horizontal wire as you would hang clothes to dry but take care not to damage or distort the face piece. Because respirator cleaning usually involves some disassembly, it presents a good opportunity to examine each respirator thoroughly. The procedures outlines above for a field inspection should be used after cleaning and before the reassembling and inspecting of each individual part. 7.6. Re -Assembly and Inspection When dry, reassemble the clean respirator face piece in an area separate from the disassembly area to avoid contamination. Make sure no detergent or soap residue is left because of inadequate rinsing. Residue appears most often under the seat of the exhalation valve. This can cause valve leakage or sticking. Now thoroughly inspect the respirator. If defects are found, correct them to restore respirator. If defects are found, correct them to restore respirator integrity or turn in for a replacement respirator. Install new cartridges and test the reassembled respirator for leaks. Other than adjustment to assure proper fit, employees should perform no corrective maintenance. 7.7 Respirator Storage When storing a respirator, make sure it is protected against: 1. Dust 2. Sunlight 3. Heat 4. Extreme cold 5. Excessive moisture 6. Damaging chemicals 7. Mechanical damage Respiratory Protection Program 24 Preparing the apparatus for storage is very important, since the unit must be ready for the next use. If it is not, the efficiency of putting the apparatus on in a quick manner has been nullified. When putting the apparatus back in a compartment or case, you must (where applicable for the type of respirator): 1. Have head straps in proper position. (All types) 2. Have shoulder straps in proper position when applicable. (SCBA) 3. Have waist buckle in proper position when applicable. (SCBA) 4. Bleed off pressure in the system when applicable. (Supplied Air & SCBA) 5. Open all strap buckles to the extreme loose position when applicable. (SCBA) 6. Recharge the air cylinder if necessary and when applicable. (SCBA) Damage and contamination of respirators may take place if they are stored on a workbench, in tool cabinets or toolboxes, or among heavy tools, grease, and dirt. Place the freshly cleaned respirator in a clean plastic bag that seals, for later use. Store it in a clean, dry location away from direct sunlight with the face piece and exhalation valve in an undistorted position. This will prevent the rubber or the plastic from taking a permanent distorted "set". Store it away from any contaminated materials. 7.5.1. Cleansing Routinely used respirators shall be collected, cleaned and disinfected as frequently as specified by supervisory personnel to ensure that proper protection is provided for the wearer. Each worker should be briefed on the cleaning procedure and be assured that he shall always receive a clean and disinfected respirator. 7.5.2. Cleaning Procedure 1. Remove respirator in the shower after the outside of the respirator has been cleaned. 2. Remove any filters, cartridges, or canisters. 3. Wash face piece and breathing tube in a cleaner disinfectant that is solution of detergent. (See following paragraphs). 4. Rinse completely in clean, warm water and dry. 5. Inspect valves, head straps, and other parts, if defective, turn in respirator for repair. 6. Insert filters, cartridges, or canister; make sure seal is tight. Place in plastic bag or container for storage. 7.5.3 Cleansing Solutions Cleaner -disinfectant solutions are available that effectively clean the respirator and contain a bactericidal agent. The bactericidal agent is generally a quaternary Respiratory Protection Program 25 ammonium compound. The respirator may be immersed in the solutions, rinsed in clean, warm water and air-dried. 7.5.4 Alternate Cleansing Solutions Alternatively, respirators may be washed in a liquid detergent solution then immersed in: A hypochlorite solution (50 ppm of chlorine) for 2 minutes; an aqueous iodine solution (50 ppm of iodine) for 2 minutes; or a quaternary ammonium compound in water with a total hardness of less than 500-ppm. 7.6 Chemical Cartridges / Mechanical Filter Non -Disposable -Type Respirators 7.6.1. Purpose of Respirators The purpose of respirators is to provide respiratory protection against airborne contaminants, which cannot be avoided in the work area. 7.6.2. Limitations in using Respirators 1. Respirators are not to be used in an oxygen -deficient atmosphere (less than 19.5% oxygen by volume). Respirators do not supply oxygen. 2. Do not use a respirator where concentrations of atmospheric contaminants are immediately dangerous of life. 3. Use a respirator only against those air contaminant hazards and concentrations, which are specifically listed on the chemical filter cartridges. 4. If there is any doubt about your respirator and its use, ask your immediate supervisor for assistance. 7.6.3. Instructions Read all instructions that accompany your respirator before using it. 7.6.4. Inspection Inspect your respirator before using. 1. Ensure that the correct chemical filter cartridges are properly inserted in their respective receptacles. 2. Ensure that a seal has been made between the chemical filter cartridges and their receptacles. 3. In obtaining a seal, exercise caution so that the chemical cartridge and filter receptacle are not damaged. 4. Ensure that the valves of your respirator are correctly functioning. 5. Ensure the face piece has no cuts or tears. 7.6.5 Fitting of Respirator to the Face Respiratory Protection Program 26 1. Fit the narrow portion of the respirator on the lower part to the bridge of your nose. 2. Swing the bottom portion of the respirator into contact with the chin. 3. Place head straps around the head. 1. Top or longest straps go around the head above the ears. 2. Bottom or shorter straps go around the head below the ears. 3. Adjust the head straps by moving the slides either way until the face piece rests comfortably against the face and your breathing is not impaired by incorrect fit. 7.6.6. Testing Respirator Leakage and Good Face Seal 1. Using the positive pressure method, remove the exhalation valve cover and cover to hold the exhalation valve against its seat. 2. Create a slight positive pressure inside the face piece by exhaling. 3. If leakage occurs, readjust face piece and strap tension, check seal of chemical filter cartridges, and test again for leakage. 4. If a proper fit cannot be made after repeated attempts, ask your immediate supervisor for another respirator of the same brand which shall provide adequate protection and repeat fitting procedures. 5. After achieving the proper fit, replace the exhalation valve cover. 6. No facial hair shall be allowed to interfere with a good face seal. 7. Using the negative pressure method, cover the inlet opening for the respirator's cartridge(s) and/or filter(s) with palm of hand(s). 8. Create a slight negative pressure by inhaling. 9. If leakage occurs, re -adjust face piece and strap tension, check seal of cartridge(s) and/or filter, and test again for leakage. 10. If proper fit cannot be made after repeated attempts, ask your supervisor for another respirator which shall provide adequate protection and repeat fitting procedures. 7.6.7. Availability Keep your respirator readily available and whenever necessary, wear it for protection for hazards it was designed for. 7.6.8. Check Operations Before each use of your respirator, check it to ensure it is operating correctly. 7.6.9. When to Change Filters When odors of vapors, gases or dust become noticeable through your respirator or breathing becomes difficult due to a clogged filter, remove yourself to fresh air. 7.6.10. Removing the Respirator 1. Loosen the head straps. 2. Swing the bottom portion of the respirator away from the chin. Respiratory Protection Program 27 3. Remove the narrow portion of the respirator from the bridge of the nose. 7.6.11. Sanitation For reasons of sanitation, the rubber and metal parts of your respirator should be cleaned after each day's use. Washing with warm, soapy water is sufficient. 1. Prior to washing, remove filters and/or chemical cartridges and head straps. 2. Immerse respirator in warm, soapy water and scrub gently. 3. Rinse thoroughly with water and dry. 4. When dry, reassemble components and store. 7.6.12. Preventive Maintenance The company shall perform all necessary and preventive maintenance, clean and sanitize your respirator on a regular basis. 7.7. Employee Responsibility 7.7.1. Respirator Conservation When not being worn, the half -mask respirator should hang around the neck by top strap with inside of face piece against chest to prevent contamination by dust or dirt. Carrying the respirator in any other manner or placement of the respirator on surface open to contamination is prohibited. Full -face respirators should be carried to the work place in a plastic bag and after use, wash, and replace in a clean bag for storage. At the end of the shift, all respirators should be washed off placed in a clean plastic bag, and stored in locker. 7.7.2 Field Testing All employees required to wear respirators have received instruction in method of field-testing. The field test should be performed prior to each day's use. Respiratory Protection Program 28 8. Full Face and Gas Mask Instructions for Use and Care 8.1. Before Use 8.1.1. Canister Type 1. Remove top seal and attach canister to mask. Write in beginning date of use. Check the expiration date on canister. (Keep top and bottom seals on spare canister) 2. Make certain conditions of exposure are suitable for use of air - purifying type canister. Do not use in areas that are not ventilated. If oxygen concentration sufficient to support life is questionable, use self-contained breathing apparatus only. 3. Remove bottom seal from canister. Don and adjust harness and face piece in fresh air only. Check mask operation before entering exposure area. 8.2.1. Cartridge Type 1. Ensure that the current chemical filter cartridges are properly inserted in their respective receptacles. 2. Ensure that a seal has been made between the chemical filter cartridges and their receptacles. 3. In obtaining a seal, exercise caution so that the chemical cartridge and filter receptacle are not damaged. 4. Ensure that all your valves are functioning. 5. Ensure that face piece has no cuts or tears. CAUTION: Wear impermeable protective clothing for exposure to gases and vapors, which can poison by skin absorption. 8.2. During Use Return to fresh air immediately if (1) leakage is detected by smell; taste; eye, nose or throat irritation; or (2) if high breathing resistance is encountered; or (3) if inhaled air becomes extremely hot or (4) if any feeling or nausea, dizziness or ill feeling develops. 8.3. After Use Check condition of mask and canister or cartridge. Clean and replace any necessary parts. Replace bottom seal if canister is reusable. Pack mask in case or plastic bag and store in a clean, dry location. 8.3.1. Operating Principle This mask, when properly used, removes harmful gases or vapors (listed on the canister label) and particles from the inhaled air. Inhaled air is drawn through the canister or cartridge, which contains chemicals that remove or neutralize the contaminants. For a chest -pack canister, the air is then drawn through the corrugated tube in to the face piece where it passes over the lens or lenses (keeping it free from fog) before it is taken into the lungs. Exhaled air leaves the Respiratory Protection Program 29 face piece through an exhalation valve and consequently is not re -breathed. A check valve prevents exhaled air from passing out through canister or cartridge. 8.3.2. Fitting the Mask 1. Don and adjust mask in fresh air only. (When using check -pack type gas mask, suspend the mask on the chest by means of the neck strap. Next, tighten the body strap so that the canister is drawn snugly against the chest before proceeding to Step two.) 2. Pull out the headband strap, especially the "FRONT" or forehead strap, so that their ends are at the buckles, then grip well into lower part of face piece and pull headband back over head. To obtain a firm and comfortable fit against the face at all pints, adjust headband as follows: 1. See that the straps lie flat against head. Tighten lower or "NECK" straps. 2. Tighten the "SIDE" straps (DO NOT touch forehead or "FRONT" straps). Place both hands on headband pad and push it towards neck. 3. Repeat operation 1 and 2. 4. Tighten forehead or "FRONT" strap a few notches. 3. Individuals wearing corrective lenses are provided with special frames and lenses for fitting inside mask. 8.4. Testing for Tightness Test the mask face piece for tightness by squeezing or pinching off the corrugated breathing tube, or by holding the hand tightly over the bottom opening of the canister, or hands over both cartridges. Face piece should then collapse upon inhalation. The face piece shall remain collapsed while the breath is held providing the assembly is gas tight. If any leakage is detected around the facial seal, readjust head harness straps. If other than the facial seal leakage is detected, investigate the condition and correct. The face piece must be subjected to a tightness test before each use. With the use of a smoke tester, the respirator has been donned properly if a slight positive pressure can be built up inside the face -piece without the detection of any outward leakage of air between the sealing surface of the face -piece and the wearer's face. 8.5. Maintenance This mask must be kept in good condition to function properly. When any part shows evidence of failure, it should be replaced immediately with the proper part. 8.6. Replacing Canisters DO NOT USE OUTDATED CANISTERS The length of time the chemicals in the canister shall give protection depends both on the concentration of the gas or vapor, and the rate of breathing. When the mask is properly adjusted, leakage is indicated by odor, taste, or eye, nose or throat irritation, which is Respiratory Protection Program 30 evidence that the canister is exhausted. The wearer should return immediately to fresh air and attach a suitable new canister. CAUTION: The bottom seal on the canister should be replaced after each use. 8.7. Cleaning and Sanitizing The face piece and breathing tube assembly (if so equipped) should be cleaned and sanitized after every use with soap and water. Remove the canister or cartridges. Immerse soiled equipment in the solution and scrub gently. Take care to clean the exhalation valve in the face piece and all other parts that exhaled air contacts. Rinse in plain warm water (about 120' Fahrenheit) and then air dry. None of the metal, plastic, rubber, leather, cloth, or glass parts shall be adversely affected by the cleaning solution. DO NOT enter any atmosphere with this mask unless you know that: 1. Canister or cartridges are the proper type for the contaminant or contaminants present. 2. Concentration of the contaminants does not exceed the concentration for which the canister or cartridges are approved (see labels). 3. Amount of oxygen is sufficient to support life (that is, at least 19.5% oxygen by volume at sea level). If oxygen concentration sufficient to support life is questionable, use self-contained breathing apparatus only. 4. Mask does not leak (see test for tightness). 5. Canister or cartridge does not need replacing. Discard exhausted canisters or cartridges and outdated canisters. This mask shall not protect against carbon monoxide or natural gas. 9. MSA Pressure -Demand Airline Respirator, Full -Face Mask 9.1. Instructions for Use and Maintenance 9.1.1. Operation Principle Breathing air is supplied to the full -face mask through a small diameter lose from a stationary source of compressed air. A regulator at the air source limits the air pressure to a maximum of 125 psi in the air hose. An air regulator which is worn by the employee on his belt and connects to the breathing tube of the mask further reduces the air pressure for delivery to the mask and regulates the flow of air to the mask by passing air to the mask only on demand. A special exhalation valve in the mask always maintains a slight positive air pressure inside the mask even when the wearer is inhaling. The positive air pressure inside the mask prevents any inward leakage of air contaminants into the mask. 9.1.2. Permissible Usage Do not use when concentrations or contaminants are unknown or immediately dangerous to life or health or from which the wearer cannot escape without respiratory equipment. (Airline respirators provide no protection if air supply fails.) 9.2. Air Supply Regulator Respiratory Protection Program 31 9.2.1 Compressed Air Quality Attach regulator only to air cylinders marked "breathing air" or "air for human respiration" and having a compressed gas association (CGA) connection number 1340 (Valve Outlet No. 1341). Compressed air quality must meet requirements of compressed gas association specifications G-7 for type 1, class D air. 9.2.2 Attachment The regulator must only be attached to air cylinders, which have been secured to prevent falling. 9.2.3 Inspection of Cylinder Valves Inspect cylinder valves for damaged threads, dirt, oil, or grease. Remove dust and dirt with a clean cloth. DO NOT attach regulator if oil, grease, or damage is present. 9.2.4. Inspection of Regulator Inspect regulator for damaged threads, dirt, dust, oil, or grease. Remove dust or dirt with a clean cloth. DO NOT use regulator if oil, grease, or damage is present. 9.2.5. Valve Check Open the air cylinder a crack for an instant only to blow out any forcing matter that may by in the valve. 9.2.6. Connections Attach a suitable connection to outlet port or regulator. Suitable connections are quick -release coupler with valves, a manifold with quick -release couplers with valves, or an airline hose connected to a pressure -demand respirator. DO NOT open air cylinder valve without a suitable connection attached to regulator. 9.2.7. Cylinder Valve Stand to the side of the cylinder, which is opposite the regulator and open cylinder valve slowly until cylinder pressure is indicated on the high-pressure gauge. The low-pressure gauge should show approximately 80 psi. 9.2.8. Leaks Check for leaks by closing cylinder valve. If the high pressure gauge drops while the low-pressure gauge remains constant, there is a leak in either the cylinder valve, inlet fitting, high-pressure gauge, low-pressure gauge, outlet connection, or downstream of the outlet connection. If high-pressure gauge drops and at the same time the low-pressure gauge rises, there is a leak in the regulator seat. Replace defective regulator with one that works properly. 9.2.9. Air Supply Hose Regulator Respiratory Protection Program 32 Connect air supply hose regulator outlet or manifold and open air regulator valve. 9.3. Fitting the Face piece 1. The breathing tube must be connected securely to the face piece. 2. The breathing tube must NOT be connected to the pressure demand regulator at this time. 3. Pull out all headband straps, especially the front or forehead strap, so that the strap ends are at the buckles. 4. Grip the face piece between the thumb and fingers and insert chin well into the lower part of the mask, pulling the head harness back over the head. To obtain a firm and comfortable fit against the face at all points, adjust the headband straps as follows: 1. See that the straps lie flat against the head. 2. Tighten lower or "neck" straps. 3. Tighten middle or "side" straps. 4. Place both hands on headband pad and push it towards the neck. 5. Repeat steps 2, 3 and 4. 6. Tighten the forehead or "front" strap, if necessary. 9.4. Test Face piece for Tightness 1. Test the face piece for tightness by squeezing or pinching the breathing tube lightly. 2. Inhale gently so that the face piece collapses slightly and hold breath for ten seconds. 3. If the face piece is sealed against your face, the face piece shall remain collapsed. 4. If leakage is detected, readjust the harness straps until a seal is obtained. 5. The face piece must be subjected to a test before each use. 9.5. Donning the Pressure -Demand Regulator 1. With the face piece on, attach the regulator over the belt on the left side using the belt clip on the regulator. 2. Connect air supply hose to pressure -demand regulator, air shall immediately start to flow from the outlet. 3. Attach breathing tube coupling nut to outlet of regulator and breathe normally. 9.6. Function Prior to entering the contaminated atmosphere, re -check your respirator, airflow, breathing tube connections, hose connections, air cylinder pressure regulator, and pressure -demand regulator to ensure they are functioning properly. 9.7. Personal Sanitation For reasons of sanitation, the full -face mask and breathing tube should be cleaned after each use. Washing with warm soapy water is sufficient, instructions as follows: Respiratory Protection Program 33 1. Immerse the full -face mask and breathing tube in warm soapy water and scrub gently. 2. Rinse thoroughly with water and air dry. 3. When it is dry, store in a clean dry place. Plastic storage bags are available. 9.8. Maintenance and Sanitizing The company shall perform all necessary and preventative maintenance, clean and sanitize the airline respirator on a regular basis. Air regulators must be returned to the manufacturer for repairs. 10. High Efficiency Particulate Air (HEPA) Filters For exposure to airborne particulates, high efficiency particulate air (HEPA) filters must be employed. When dusts, mists, fumes, or radio nuclides are present with vapors or gaseous contaminates, a combination gas/vapor-dust filtering device should be used. It is important to select the appropriate cartridge. Do not use a more efficient respirator filter or cartridge than necessary since the used time of the unit will be considerably reduced compared with one of correct efficiency. For example, do not use a fume -type cartridge for nuisance dust as it will clog up rapidly. For the same reason, a disposable dust/fume/mist unit is not used for particulates such as asbestos. Filters may be used until breathing resistance indicates replacement is necessary. When utilizing HEPA filters, it is important to remember that these filters have been proven ineffective when wet. HEPA cartridges are color coded in magenta (purple). 11. Organic Vapor/Acid Gas Cartridges Exposure to various chemicals, organic vapors, and acid gasses requires appropriate cartridge filters. Cartridge type filters may provide a dual protection factor when two types are combined. Combination cartridges are commonly called "piggyback cartridges." All cartridges (regardless of manufacture) are color coded in accordance with NIOSH/MSHA standards. Piggyback cartridges are dual color coded. Appendix D lists the color codes and the appropriate applications. NOTE: Cartridges are not interchangeable between manufacturers. Do not use a cartridge manufactured for other than the respirator in use. 12. Decontamination Procedures for Respirators Decontamination of respirators is an important part of respirator maintenance. If the respirator becomes contaminated, it will no longer properly protect the wearer. 12.1 Half -Face or Full -Face Dual -Cartridge Respirators The following procedures should be performed when leaving the work area when utilizing when for asbestos abatement or when performing maintenance in asbestos contaminated areas. 1. Remove disposable coveralls, head covers, and foot covers or boots in the equipment room. Respiratory Protection Program 34 2. Still wearing respirators, proceed to the shower. Care must be taken in cleaning and removing the respirator to avoid possible asbestos exposure while showering. 3. Rinse off the respirator while holding the palms of your hands over the intake portion of the respirator. Respirator should be totally disassembled. 4. Thoroughly wet the body from the neck down. Without wetting the respirator filter, wet hair as thoroughly as possible. 5. Take a deep breath, hold it and/or exhale slowly. Remove the respirator, hold it outside the shower, and wet face before starting to breathe. 6. Place the respirator on a storage hook or flooring until finished showering. 7. Once showering is complete, wipe out the inside of the respirator with a clean cloth. 8. Disassemble respirator and inspect filters. If dirty or wet, dispose of them and replace with new ones. If not, use tape and cover all filter openings. 9. Wipe the respirator clean with a disinfectant then place on a storage hook to dry. 12.2 Powered Air -Purifying Respirators (PAPR's) 1. When exiting the work area, remove disposable coveralls, head covers, and footwear covers or boots in the equipment room. 2. Still wearing the respirator, proceed to the shower. Care must be taken in removing the respirator to avoid possible asbestos fiber exposure while showering. 3. Wash off the outside of the P.A.P.R. unit, taking care not to wet the inside of the HEPA filter. After washing off the outside of the mask, dispose of HEPA filter, cup and finish the shower process. 4. Carefully was the face piece of the respirator inside and out. 5. When using a PAPR, remember to shut down the unit in the following sequence. First cap the inlets to the filter cartridges and then turn off the blower unit (this sequence will help keep debris, which has collected on the inlet side of the filter, from dislodging and contaminating the outside of the unit). Unit should be disassembled for cleaning. Thoroughly wash the blower unit and hoses. Carefully wash the battery pack with a wet rag. Avoid getting water in the battery pack as this will short it out and destroy the battery. Usually, the battery pack is left inside of the work area on breaks and only washed and taken out of the contained area at quitting time. 6. Once showering is complete, wipe clean the entire respirator with a disinfectant, replace HEPA filter and place on a storage hook to dry. 12.3 Type C - Supplied -Air Respirators 1. Prior to entering the equipment room, clean a sufficient length of hosing to be able to reach the shower room. 2. Remove disposable coveralls, head cover, and foot covers or boots in the equipment room. 3. Still wearing respirators, proceed to showers. Care must be taken in removing the respirator to avoid must be taken in removing the respirator to avoid exposure to asbestos fibers while showering. 4. Thoroughly wet the body including hair and face. Respiratory Protection Program 35 5. With the respirator still in place, thoroughly wash the body, hair, respirator face piece, and all parts of the respirator (especially the hosing). Pay particular attention to the seal between the face and the respirator and under the straps. 6. Take a deep breath, hold it and/or exhale slowly; completely wet hair, face, and respirator. While still holding breath, remove the respirator and hold it away from the face before starting to breathe. 7. Carefully wash the face piece of the respirator inside and out. 8. Once showering is complete, disassemble respirator, wipe the entire respirator clean with a disinfectant and then place on a storage hook to dry. 13. Emergency Procedures These are three basic situations that necessitate a respirator during an emergency: 1. Self rescue in a sudden occurring hazardous environment. 2. Rescue of others trapped or overcome in a hazardous environment. (This will normally be responded to via call to X2911 - Public Safety.) 3. Shut down or repair an operation creates a hazardous environment. (Engineering Control) The equipment employed during emergencies is generally the same as that used in routine situations. 14. Rescue, Repair and Shut Down Since the concentrations which develop in an emergency situation cannot be quickly determined, the only type of respirator acceptable for performing work in such an area is a full -face supplied -air respirator (Type C) operated in a pressure -demand mode equipped with an auxiliary positive pressure S.C.B.A. (according to OSHA regulations 1926.58, Table D-4). The Type C respirator with an auxiliary S.C.B.A. will afford complete respiratory protection in any atmosphere for which the lungs are the principal routes of entry into the body. 15. Lifeline The lifeline is seldom used, but the proper procedures and usage should still be understood. Confined space entry may commonly require lifeline procedures. The lifeline must be used in any area that is or appears to be highly hazardous from the standpoint of a worker becoming lost or separated. Some of the areas would be basements, cellars, crawl spaces, pipe tunnels, chases, and large areas. The lifeline should be tied around the waist with bowline or snapped around the waist. For confined space entry through a small top opening, a parachute harness is required. A system should be established in which the wearer can transmit signals to indicate to the line Respiratory Protection Program 36 tender his/her present condition. The American Industrial Hygiene Association (A.I.H.A.) has developed signals for the lifeline that are easy and simple to remember. The word OATH is the key: One pull = O-K Two Pulls = A -Advance Three pulls = T-Take up slack Four pulls = H-Help Transmit the signals with full arm swings and get acknowledgment from the person receiving the signal. While traveling up or down stairs, inclines, or ladders with a lifeline, have a sufficient amount of the lifeline to release if a signal is received. This way, slack can be released to prevent being pulled down or off a ladder, stairs, or incline when signaled. The line tender must pay attention to the line at all times and keep track of the wearer's time in the area or building. It is recommended that a line tender be responsible for no more than two lines at one time. 16. Entry There are certain procedures that must be followed to rescue someone or repair or shut down operations. The entry is very important because you are leaving a safe or clean atmosphere and entering a hazardous atmosphere. 1. Remain calm and do not panic, as this can create a state of incapability, both mentally and physically. An emotional state can also increase breathing rate. 2. Work with a partner; check on each other; stay together and communicate. 3. Stay low upon entry, especially where heat is involved, as it is cooler close to the ground. Also, this aids in visibility when smoke is present. If you cannot see where you are going feel ahead of you for obstructions or holes. 4. Use radio sets in large buildings, basements, cellars, or wherever else the situation warrants their use. 5. Use lights to penetrate smoke and darkness. If problems arise once in a hazardous area, such as becoming lost or trapped, remain calm. It is important to remember that you are in a contaminated atmosphere. Do not panic and remove your respirator. Try to notify someone by signaling with the lifeline or making noise until acknowledged and you are found. If possible, try to find your way out of the building by following light, noise, etc. 17. Leaving a Hazardous Area The primary object of emergency response is the protection of life and property. It is not always possible for these responses to be carried out. Reasons, which may result in a respirator wearer leaving a hazardous area, include the following. Respiratory Protection Program 37 1. Failure of the respirator to provide adequate protection (air supply exhausted, regulator malfunction, increase in breathing resistance). 2. Detection of leakage of air contaminant into the respirator. 3. Severe discomfort in wearing the respirator. 4. Illness of respirator wearer (dizziness, nausea, coughing, sneezing, fever, chills). In all of the above situations, it is important to remain calm and relaxed. Follow the same basic procedures for entry and move to safety. If working as a team, advise your partner that you are leaving the area. Your partner may also be able to give you some assistance. Once you have reached safety, do not immediately remove your face piece. Your clothing may be contaminated to the point where the removal of the face piece could produce serious injury or death. Wait to be checked. 18. Special Situations The breathing apparatus is designed to give full respiratory protection, but it cannot protect from gases or toxic substances that attack the body through the skin. Other protection may be needed along with the breathing apparatus. Examples: 1. Ammonia: Extremely irritating, attacking the skin especially moist areas. 2. Hydrocyanic Acid: Absorbed through the skin. Hydrocyanic acid gas is water- soluble. 3. Sulfuric Acid: Absorbed through skin, corrosive, highly toxic. 4. Pesticides and Poisons: These can enter the body by: (a) absorption through the skin; (b) ingestion; (c) inhalation; and (d) through a puncture or wound. Protect yourself by wearing full protective clothing. Other atmospheric hazards may further contaminate the particulate atmosphere. Other personnel protective equipment may be necessary to protect the respiratory system. This may include chemical cartridge respirators used in combination with particulate cartridges, fire -fighting respirators SCBA and gas masks. The use of this equipment may require specialized training. Other special situations may arise, both with respect to respirator use and to conditions in the workplace. An important element of maintaining safety is a constant awareness of conditions in the workplace. It is important to report any condition considered unsafe or otherwise unusual to your supervisor. 19. Disciplinary Actions Any Intercon employee who knowingly violates procedures prescribed in this program is subject to disciplinary action. Appropriate supervisory personnel will take disciplinary actions. Disciplinary action, depending upon gravity of the violation(s) may include termination of employment from Intercon. Respiratory Protection Program 38 Appendix A Respirator Log Name Employer Unit Type Unit Number Issued By Respiratory Protection Program 39 Appendix B Respiratory Protection for Asbestos, Tremolite, Anthophyllite, and Actinolite Fibers Airborne concentration of asbestos, tremolite, anthophyllite, actinolite, or Required Respirator a combination of these minerals Not in excess of 2 f/cc �high-efficiency 1. Half -mask air -purifying respirator equipped with (10 x PEL). filters. Not in excess of 10 Fcc 1. Full face piece air -purifying respirator equipped with (50 x PEL). high- efficiency filters when quantitatively tested. 1. Any full-faced powered air -purifying respirator Not in excess of 20 f ec equipped with high efficiency filters. (100 x PEL). 2. Any supplied -air respirator operated in continuous flow mode. Not in excess of 200 f/cc 1pressure 1. Full face piece supplied respirator operated in (1000 x PEL). demand mode. Greater than 200 f/cc 1. Full face piece supplied air respirator operated (>1000 x PEL) or unknown concentration in pressure demand mode unknown concentration equipped with an auxiliary positive pressure self- contained breathing apparatus. NOTE: 1. Respirators assigned for higher environmental concentrations may be used at lower concentration. 2. A high -efficiency filter means a filter that is at least 99.97 percent efficient against mono -dispersed particles of 0.3 micrometers in diameter. Respiratory Protection Program 40 Appendix C Half -Mask and Full Face piece Air -Purifying Respirators Recommended Respiratory Selection for Protection against Asbestos In August 1975, the Joint NIOSH-OSHA Standards Completion Program published the RDL (Ex. 25-4, Appendix F, Docket No. H049). The RDL contained a table of protection factors that were based on quantitative fit testing performed at LASL and elsewhere, as well as the expert judgment of the RDL authors. In 1978, NIOSH updated the RDL specifying the following protection factors: 5 for single -use respirators; 10 for half mask respirators with DFM or HEPA filters; 50 for full facepiece air -purifying respirators with HEPA filters or chemical cartridges; 1,000 for PAPRs with HEPA filters; 1,000 for half mask SARs operated in the pressure -demand mode; 2,000 for full facepiece SARs operated in the pressure -demand mode; and 10,000 for full facepiece SCBAs operated in the pressure -demand mode. Publication Date: 08/24/2006 • Publication Type: Final Rules • Fed Register #: 71:50121-50192 • Standard Number: 1910; 1915; 1926 • Title: Assigned Protection Factors; Final Rule Assigned Protection Factors Type of Respiratorl,2 1. Air -Purifying Respirator 5 2. Powered Air -Purifying Respirator (PAPR) 3. Supplied -Air Respirator (SAR) or Airline Respirator • Demand mode • Continuous flow mode • Pressure -demand or other positive -pressure mode 4. Self -Contained Breathing Apparatus (SCBA) • Demand mode • Pressure -demand or other positive -pressure mode (e.g., open/closed circuit) Quarter Half Full Helmet/Hood Loose -Fitting Mask Mask Facepiece Facepiece 10 50 — — 50 1,000 25/1,0004 25 10 50 50 10 50 1,000 1,000 50 10,000 25/1,0004 50 10,000 25 Respiratory Protection Program 41 Appendix D Color of cartridge/ filter type Black Yellow Green Magenta (purple) Purple - black Purple - yellow Purple - white Cartridge Types (Color Coding) Description Organic Vapors Cartridge Organic Vapors and Acid Gases Cartridge Ammonia and methylamine Cartridge. Approved for Organic vapors. Organic vapors, chlorine, hydrogen chloride and sulfur dioxide. Ammonia and methylamine. Dusts, fumes and mists with a TWA less than 0.05 mg/m and radon daughters attached to Magenta HEPA Filter Cartridge HEPA Filter Cartridge these dust, fumes and mists; (Purple) asbestos -containing dusts and mists; and radio nuclides. Pre- filter and retainer caps optional. Organic vapors; dusts, fumes and mists with a TWA less than 0.05 mg/m and radon daughters Purple Organic Vapors/ HEPA Organic Vapors/HEPA attached to these dusts, Cartridge fumes & Black Cartridge and mists; asbestos - containing dusts and mists; and radio- nuclides. Pre- filter and retainer caps optional. Organic vapors, chlorine, hydrogen chloride, sulfur dioxide; dusts, fumes and Purple Organic Vapors/ Organic Vapors /Acid mists with a TWA less than & Yellow Acid Gases/HEPA Cartridge Gases/HEPA 0.05 mg/m and radon daughter Cartridge attached to these dusts, fumes and mists; asbestos -containing dusts and mists; and radio- nuclides. Pre -filter and retainer caps optional. Acid Gases/HEPA Cartridge Purple- Ammonia/Methylamine/HEPA green Cartridge Respiratory Protection Program Chlorine, hydrogen chloride, sulfur dioxide; dusts, fumes and mists with a TWA less than Purple Acid Gases/HEPA 0.05 mg/m, and radon & White Cartridge daughters attached to these dusts, fumes and mists; asbestos -containing dusts and mists; and radio nuclides. Pre -filter and retainer caps optional. Ammonia or methylamine; dusts, fumes and mists with a TWA Purple Ammonia/ less than 0.05 mg/m and radon & Green Methylamine/HEPA daughters attached to these Cartridge dusts, fumes and mists; asbestos -containing dusts and mists; and radio nuclides. Pre -filter and retainer caps optional. 42 STANDARD OPERATING PROCEDURES & QUALITY CONTROL Table of Contents Standard Operating Procedures 1. Site Preparation...............................................................................................................4 1.1. Conduct Survey of the Work Area...............................................................................4 1.2. Post Warning Signs......................................................................................................4 1.3. Heating, Ventilating, and Air Conditioning Systems(HVAC)......................................4 1.4. Furniture and Non -Stationary Items.............................................................................5 1.5. Stationary Items...........................................................................................................5 1.6. Windows, Doors, and Other Large Openings...............................................................5 1.7. Floor Coverings...........................................................................................................5 1.8. Walls Coverings..........................................................................................................6 1.9. Securing the Electrical System.....................................................................................6 1.10. Securing the Work Area...............................................................................................7 2. Decontamination Facilities..............................................................................................7 2.1. Decontamination Unit..................................................................................................7 2.1.1. Clean Room.........................................................................................................8 2.1.2. Shower Room......................................................................................................8 2.1.3. Equipment Room.................................................................................................8 2.1.4. Waste Load -Out Area..........................................................................................8 2.2. Decontamination Procedures........................................................................................8 2.3. Decontamination Procedures for Equipment................................................................9 2.4. Alternate Decontamination Procedure..........................................................................9 3. Removal Techniques.....................................................................................................10 3.1. Wet Removal.............................................................................................................10 3.2. Sprayed or Trowelled -on Friable Ceiling Materials....................................................10 3.3. Insulation from Pipe, Boilers, and Tanks....................................................................12 3.4. Special Considerations...............................................................................................13 4. Glovebag and Mini Enclosures......................................................................................13 4.1. Glovebags..................................................................................................................13 4.2. Glovebag Installation.................................................................................................13 4.3. Glovebag Equipment and Supplies.............................................................................13 4.4. Glovebag Work Practices...........................................................................................14 4.5. Mini-Enclosure..........................................................................................................16 4.6. Removal of Entire Structure.......................................................................................17 4.7 Removal of Window Caulking...................................................................................17 5. Work Area Housekeeping..............................................................................................17 5.1. Clean -Up During Gross Removal..............................................................................18 5.2. Initial Final Clean-Up................................................................................................18 5.3. Gross Contamination from Equipment.......................................................................18 5.4. Gross Contamination from Wall Coverings................................................................18 5.5. Gross Contamination from Floor Coverings...............................................................18 5.6. Detailed Cleaning......................................................................................................18 6. Visual Inspection and Re-Cleaning................................................................................19 7. Final Wipe Down and Removal of Equipment...............................................................19 Standard Operating Procedures 2 8. Final Visual Inspection and Re-Cleaning.......................................................................19 9. Sealant to Substrate.......................................................................................................19 10. Final Clearance Monitoring...........................................................................................20 11. Floor Covering and Carpet.............................................................................................20 12. Wet Mop Floors.............................................................................................................20 13. Encapsulation................................................................................................................20 13.1. Encapsulation Methods..............................................................................................21 14. Sprayback......................................................................................................................22 15. Waste Disposal Requirements........................................................................................22 15.1. Preparation of Asbestos -Containing Waste................................................................23 15.1.1. Wetting..............................................................................................................23 15.1.2. Containerizing....................................................................................................23 15.1.3. Containerizing....................................................................................................23 15.1.4. Bagging.............................................................................................................24 15.1.5. Waste Load -Out Procedure................................................................................24 15.1.6. Other Forms or Asbestos -Containing Waste.......................................................25 15.2. Transportation to the Asbestos -Containing Waste Disposal Site.................................26 15.3. Disposal at the Landfill..............................................................................................26 15.4. Other Considerations for Asbestos -Containing Waste Disposal..................................27 16. Changes to the Standard Operating Procedures..............................................................27 17. Air Monitoring..............................................................................................................27 18. Record Keeping.............................................................................................................28 19. Protective Clothing........................................................................................................29 Table2......................................................................................................................................31 Standard Operating Procedures 3 Standard Operating Procedures 1. Site Preparation Airborne fibers, which are generated by disturbance of asbestos -containing material, may remain suspended in the air for long periods of time because of their small size and aerodynamic properties. These airborne asbestos fibers can migrate via air currents to other parts of the building. Proper preparation of the work area before an asbestos abatement project begins serves the primary purpose of containing fibers, which are released within the work area. Good preparation techniques serve to protect interior finishes such as hardwood floors or carpets from water damage and reduce cleanup efforts. General safety issues are also a major consideration in work area preparation. (See section in Other Safety and Health Considerations.) Each project has unique requirements for effective preparation. For instance, the sequence of steps would probably be different for preparing a boiler room than for preparing an area with asbestos material above a suspended ceiling. The following are general guidelines, which can be modified to address specific problems encountered on an asbestos abatement project. 1.1. Conduct Survey of the Work Area The contractor, building owner, and architect should make a walk through survey to inventory and photograph any existing damages. Intercon procedures require the Project Manager or other Intercon representative to comply with these procedures prior to the start of work to document pre job conditions. 1.2. Post Warning Signs Warning signs should be placed at each entrance to the work area. Re -usable metal signs or disposable cardboard signs should be used. Signs should inform the reader that breathing asbestos dust might cause serious bodily harm. See Section (g) of the Occupational Safety and Health Administration asbestos standard for sign specification. These signs are available from most safety supply houses and asbestos abatement contractor suppliers. 1.3. Heating, Ventilating, and Air Conditioning Systems (HVAC) The HVAC system supplying the work area should be shut down and isolated to prevent migration of asbestos dust throughout the building. The building maintenance personnel should do this. To avoid inadvertent activation of the HVAC system while removal operations are in progress, the control panel should be tagged (advising personnel not to activate) and locked. Standard Operating Procedures 4 All vents and air ducts inside the work area should be covered and sealed with two layers of 6-mil polyethylene and duct tape. The polyethylene should be left in place until the area has passed final visual inspection and clearance air monitoring. HVAC filters which may be contaminated with asbestos dust should be removed and disposed of in the same manner as the other asbestos -containing material (see Section 15.) 1.4. Furniture and Non -Stationary Items Workers should remove all furniture and non -stationary items that can feasibly be taken out of the work area. This prevents further contamination of the items and facilitates the removal process. Before storing the items outside the work area, they should be cleaned with a high efficiency particulate air (HEPA) filtered vacuum and/or wet -wiped to remove any asbestos -containing dust. If drapes are not disposed, they should be HEPA vacuumed and removed. Carpet should be (HEPA) vacuumed or disposed of as asbestos - containing waste. 1.5. Stationary Items Items not being removed from the work area, such as large pieces of machinery, blackboards, water fountains, toilets, etc., should be wet -wiped or HEPA vacuumed and wrapped in place with two layers of 6-mil polyethylene and sealed with duct tape. Water fountains should be disconnected, covered with two layers of 6-mil polyethylene, and labeled non -operational to discourage anyone from cutting through the polyethylene to get a drink. Electrical outlets should be shut down, covered with two layers of 6-mil polyethylene and taped. 1.6. Windows, Doors, and Other Large Openings All windows, doorways, and other large openings from the work area should be sealed utilizing two layers of 6-mil polyethylene and duct tape. 1.7. Floor Coverings Two layers of 6-mil polyethylene sheeting should be used to cover the floor in the work area. Several sheets of polyethylene will be seamed together with spray adhesive and duct tape. After joining the sheets of polyethylene together, the floor covering should be cut to the proper dimensions, allowing the polyethylene to extend twelve inches up the wall all the way around the room. The polyethylene should be flush with the walls at each corner to prevent damage by foot traffic. When the first layer of polyethylene has been secured in place, a second layer should be installed with the seams of the first and second layer offset by twelve inches. The second Standard Operating Procedures layer of polyethylene should extend up the wall twelve inches above the first layer on the wall and secured with duct tape. When covering stairs, ramps, or other potential slippery spots with polyethylene, care must be taken to provide traction for foot traffic. Wet polyethylene is very slippery and can create serious tripping hazards. To provide better footing, masking tape, duct tape or thin wood strips can be placed on top of the polyethylene to provide rough surfaces in the area. Blue or red carpenters chalk placed beneath the seam lines of the polyethylene sheets will darken in color if water leaks through. Any leaks, which occur, should be cleaned up immediately. The polyethylene floor sheets should be cut peeled back to allow access to the wet area. After mopping up the water and any contamination that leaked through, the area should be wet -wiped with clean rags. The peeled -back sheets are put back in place and sealed with duct tape after the area dries. An additional "patch" sheet can be placed over the area and sealed with duct tape to provide extra protection. 1.8. Walls Coverings After the floors and stationary objects have been covered with polyethylene, one or two layers of 6-mil polyethylene are used to cover the walls. The sheets of 6-mil polyethylene should be hung from the top of the wall a few inches below the asbestos material and should be long enough to overlap the floor sheets by twelve inches. The vertical sheets should be overlapped and seam -sealed with adhesive duct tape or spray adhesive. The sheets should be hung using a combination of nails and furring strips (small wood strips), or adhesive and staples, and sealed with duct tape. Duct tape alone will not support the weight of the polyethylene after exposure to the high humidity that occurs inside the work area. Nails may cause some minor damage to the interior finish; however, it is usually more time -efficient to touch up the nails holes than to repeatedly repair fallen barriers. 1.9. Securing the Electrical System Amended water is typically used to saturate asbestos -containing material prior to removal. This creates a humid environment with damp to very wet floors. The electrical supply to the work area should be de -energized and locked out before removal operations begin to eliminate the potential for a shock hazard. 1. Identify and de -energize electrical outlets in the work area. 2. Lock the breaker box after the system has been shut down and place a warning tag on the box. 3. Make provisions for supplying the work area with electricity from outside the work area, which is equipped with a ground -fault -interrupt system. Standard Operating Procedures 6 4. If the electrical supply cannot be disconnected, energized parts must be insulated or guarded from employee contact and any other conductive object. 5. Light fixtures may have to be removed or detached and suspended to gain access to asbestos -containing material. Before beginning this task, the electrical supply should be shut off. Light fixtures should be wet -wiped before they are removed from the work area. If it is not feasible to remove the light fixtures, they should be wet -wiped and completely enclosed with 6-mil polyethylene sheeting and dust tape. 1.10. Securing the Work Area When the work area is occupied, padlocks must be removed to permit emergency escape routes. Arrows should be taped on the polyethylene -covered walls to indicate the location of exits. All entrances should be secured when removal operations are not in progress. Provisions must also be made to secure the decontamination station entrance when no one is at the job site. Security guards may be a reasonable precaution, depending on the nature of the project. Only essential personnel should not be permitted to enter the work area. An on -site job log should be maintained for recording who enters the work area and the time each person enters and exits the work zone. 2. Decontamination Facilities 2.1. Decontamination Unit The decontamination unit is designed to allow passage to and from the work area during removal operations with minimal leakage of asbestos -containing dust to the outside. Typical units consist of a clean room, shower room, and an equipment room separated by airlocks. The airlocks are formed by overlapping three sheets of polyethylene at the exit of one room, and three sheets at the entrance of the next room with three feet of space between the barriers. Materials used to construct a typical unit include 2-inch by 4-inch studs for the frame, 1/4 inch to 1/2 inch plywood or 6-mil polyethylene for the walls, duct tape, staples and nails. The floor of the decontamination unit should be covered with three layers of 6-mil polyethylene. The decontamination unit can be built in sections to allow for disassembly and re -use at another area of the building. The design of the decontamination unit will vary with each project depending on the size of the crew and the physical constraints imposed by the facility. Whether a decontamination unit is constructed on -site or is in the form of a trailer, the basic design is the same. The major components and their uses are discussed below and illustrated in the decontamination unit diagram. Standard Operating Procedures 7 2.1.1. Clean Room No asbestos -contaminated items should enter this room. Workers use this area to suit up, store street clothes, and don respiratory protection on their way to the work area, and to dress in clean clothes after showering. This room should ideally be furnished with benches, lockers for clothes and valuables, and nails for hanging respirators. 2.1.2. Shower Room Workers pass through the shower on their way to the removal area, and use the showers on their way out after leaving contaminated clothing in the equipment room. Although most job specifications require only a single showerhead, installation of multiple showers may be time and cost effective if the work crew consists of a large number of individuals. Shower wastewater should be collected and treated as asbestos -containing material or filtered before disposal into the sanitary sewer. State and local requirements on methods of shower wastewater treatment vary. 2.1.3. Equipment Room This is a contaminated area where equipment, boots or shoes, hard-hats, goggles, and any additional contaminated work clothes are stored. Workers place disposable clothing such as coveralls, booties, and hoods in bins before leaving the work area for the shower room. Respirators are worn until workers enter the shower room and thoroughly soak them with water. The equipment room may require cleanup several times a daily to prevent asbestos material from being tracked into the shower and clean rooms. 2.1.4. Waste Load -Out Area This is an area separate from the decontamination unit, which is used as a short- term storage area for bagged waste and as a port for transferring waste to the enclosed truck. An enclosure can be constructed to form an airlock between the exit of the load -out area and the enclosed truck. The outside of the containers should be free of all contaminated material before removal from the work area. Gross contamination material should be wiped or scrapped off containers before they are placed in the load -out area. Any remaining contamination should be removed by wet wiping or the bagged material can be placed in a second clean bag. To save clean-up time, fiber drums can be removed with an outside bag of polyethylene before they are taken into the work area, which can be removed before taking the drum into the load -out area. 2.2. Decontamination Procedures 1. Before entering the work area each worker and authorized visitors shall remove street clothes in the clean change room and put on a respirator and clean protective clothing. Proceed to work area. Standard Operating Procedures 8 2. While inside the work area there shall be no smoking, drinking, eating, chewing gum, or chewing tobacco. 3. Prior to leaving the work area each worker and or authorized visitors shall remove any gross contamination from clothing, proceed to the equipment room and remove all protective clothing except respirators. Remove and store contaminated work shoes in equipment room until completion of asbestos abatement at which time they are to be disposed of as contaminated material. With respirator in place proceed to shower room. Clean the outside of the respirator with soap and water then remove respirator. Completely wash and shampoo themselves. 4. After showering proceed to clean change room and dress in clean protective clothing or street clothes (if at end of work day.) 2.3. Decontamination Procedures for Equipment 1. Prior to entering the equipment room remove all gross contamination from all equipment by wet sponging or wiping all exposed surfaces. 2. Move equipment into equipment decontamination enclosure for final cleaning. 3. Prior to removing equipment into uncontaminated area place small hand tools into 6-mil poly bags and seal completely. Remove all filters from HEPA vacuums and dispose of as contaminated material. 2.4. Alternate Decontamination Procedure When workers are required to move from a work site through a clean area to another work site (as moving from one room to another) it is possible to set up a centralized decontamination unit and to utilize the following procedures to prevent contamination of areas through which workers must move: 1. Place decon unit in a location that any access from the general area where asbestos abatement is to take place must be through the decontamination unit. 2. At each abatement site place two clean sheets of poly (approximately 6' x 6') and a clean suit. 3. After abatement at site and after complete cleanup, vacuuming off suit and wipe respirator free of any visible debris with amended water. 4. Stand on one clean sheet of poly and remove suit, placing suit in disposable bag. 5. Step to second clean poly sheet and don clean suit. Standard Operating Procedures 9 6. Proceed to next abatement site or shower. Repeat procedure whenever moving from one abatement site through a clean area to another abatement site. 7. Shower out using decontamination procedures. 3. Removal Techniques 3.1. Wet Removal EPA regulations which cover the removal of asbestos containing material (40 CFR, Part 61, Subpart M, 1992 & Appendix A, 1994) require wetting the material before removal begins and keeping it wet as it is removed and while it is being bagged. Dry removal, which requires specific EPA approval, is appropriate for some types of asbestos - containing materials, which have been previously encapsulated and will not absorb amended water. Also, there are special conditions, which preclude the use of water such as a room containing electrical supply lines, which cannot be de -energized during the removal project. Two advantages to the use of wet methods for removing asbestos -containing materials include a reduction in airborne fiber concentrations, which are generated during removal and a reduction in the effort, required to remove the material. Wet removal is based on the ability of the asbestos -containing material to release airborne asbestos fibers and increase the airborne fiber concentrations may be reduced significantly by using wet removal techniques rather than dry. Adding a wetting agent to the water can further enhance the positive effect of wet removal. The wetting agent is a combination of chemicals, which aids in the penetration of the material and increases the probability of individual fiber wetting. Various wetting agents are available which have been used in the agricultural industry and fire fighting profession for many years. EPA recommends a wetting agent consisting of 50% polyoxyethylene ester and 50% polyoxyethylene ether in a ration of 1 ounce to 5 gallons of water. This wetting agent is not as effective with materials that contain a high percentage of amosite asbestos. 3.2. Sprayed or Trowelled -on Friable Ceiling Materials At this point in the abatement project, the work area has been sealed off with two layers of 6-mil polyethylene on the floors and two layers of 6-mil polyethylene on the walls (see Section 1). The decontamination unit and negative air filtration units are in place, and the scaffolding, ladders, various sizes of short and long handled scrapers, and other removal equipment have been brought into the work area. (See Table 2) The first step in the removal process is to thoroughly wet the ceiling material with a low- pressure spray of amended water. The material should be sprayed with a light coat of amended water to initially set the surface and then a saturation coat is applied. The material can be wetted using a low-pressure pump system or water hose with garden sprayer attachment, which can mix the wetting agent with the water. A hand pump Standard Operating Procedures 10 garden sprayer can be used for small-scale projects. Application with large pump systems or airless sprayers may cause leakage behind the barrier seals, resulting in contamination of the walls and floor. Also, the initial impact of water applied with high pressure may cause elevated airborne fiber concentrations; therefore a low pressure careful technique in application should be used. Time should be allotted between spraying with amended water and removal to provide for maximum penetration into the material. If the time frame allows, the ceiling material should be thoroughly saturated with amended water the shift before removal starts. Removal of ceiling material is carried out in two stages, gross and secondary removal. Gross removal is typically conducted with three or four worker team. Two people working from a mobile scaffold with rails remove the friable material using scrapers. Wide blades can be used if the comes off easily. Workers of approximately the same height should be paired together on scaffolds. One or two workers on the ground package the moist material before it has time to dry out in 6-mil plastic bags or plastic - lined fiber drums. Rubber dustpans, plastic snow shovels, push brooms, squeegees, and standard house brooms should be used to collect and bag the material. Avoid using metal shovels and dustpans to prevent inadvertent tears in the polyethylene floor barriers. The crew that bags the material also moves the scaffolding as needed, relaxing the wheels after each move. If several crews are removing material, it may be time -efficient to designate a spray person who walks from one area to the next, keeping the material on the ceiling and the floor wet and misting the air to maintain low airborne fiber concentrations. The spray person can also check for damage floor barriers and promptly repair them. Bags containing asbestos waste material are processed for waste load -out, by wet wiping and or HEPA vacuuming and then placing inside another clean bag inside the waste removal decontamination chamber prior to storage in the waste holding area. All waste bags are goosed necked and sealed with tape. All bags should be removed from the work area by the end of the shift. Removal of bags on a continual basis provides for easier movement (particularly if workers are wearing air -supplied respirators) in the work area. After removing as much of the sprayed -on material as possible with scrapers, crews begin secondary removal. Depending on the type of substrate (material underneath the friable insulation), various techniques and tools may be required. Common types of ceiling construction to which friable insulation materials may be applied include concrete, 3 coat plaster system, suspended metal lath, concrete joist and beams, metal deck, corrugated steel, steel beam or bar joist. The surface substrate may be smooth, rough, or pitted and will affect the difficulty of the secondary removal. Typically, combinations of brushing and wet wiping are used to remove the remaining residue. Nylon bristled brushes should be used instead of wire brushes which may break the small fibers into smaller fibers. The rags used for wet wiping should not leave any fabric fibers on the substrate, which might be mistaken as visual contamination. High efficiency particulate air vacuum cleaners are also useful for removing "hard -to -get -to" residue. Standard Operating Procedures 11 While crews are working from scaffolds or ladders to remove all remaining residue for the ceilings, workers should also be cleaning material off the polyethylene wall barriers and any stationary objects in the area. Brooms, wet rags, or squeegees are good for this purpose. Secondary removal is finished when all visual contamination is removed from the ceilings. The next phase is final clean up. 3.3. Insulation from Pipe, Boilers, and Tanks There is a wide variation in the types of asbestos -containing insulation used on pipes, boilers, and tanks. Pipes may be insulated with preformed fibrous wrapping, corrugated paper, and chalky mixture containing magnesia, fiber felt and insulating cement. (NOTE: There are older materials labeled "magnesia" which contain asbestos and new materials labeled "magnesia" which contain glass fiber instead of asbestos). Usually a protective jacket, which may also contain asbestos, made of paper, tape, cloth, metal, or cement covers the insulation materials. Boilers and tanks may be insulated with asbestos "blankets" on wire lath, preformed block, or the chalky magnesia mixture, which is typically covered with finishing cement. Different approaches are required for removing these asbestos -containing materials than sprayed -on or thrilled -on ceiling insulation, but the same protective measures are used. Careful handling and packaging is required in many cases because of the metal jackets, bands, or wire associated with the insulation materials. Glovebags, which can be sealed around sections of pipe to form "mini containment areas", may be used in some situations for removing pipe insulation (see Section 4). Insulated objects which are not readily accessible or are too large or hot for application of the glovebag technique require a more conventional approach. Because insulation on pipes, boiler, and tanks often contains 70% asbestos and areas where these materials are being removed are often confined, high airborne fiber concentrations may occur. Also, these materials are more difficult to saturate with water and they often contain amosite, which is not controlled as well with water as other types of asbestos. Two person teams can remove insulation from pipes, tanks, or boilers. Cuts or slits are made in the insulation material, a spray nozzle is inserted, and the material is wetted to the extent feasible. One man cuts the insulation and bags it while the other continuously sprays the material with amended water. Any metal bands or wires that are removed should be folded or rolled and placed in polyethylene to avoid lacerating personnel. After the gross material is removed, nylon brushes and tack cloths are used to thoroughly clean the pipes, tank, or boilers. Particular care must be taken to clean the fittings and joints where a cement -plaster type material has been removed. After brushing, the surfaces are wet -wiped and the final clean-up phase begins. Standard Operating Procedures 12 3.4. Special Considerations Steam or hot water distribution networks should be shut down, if at all possible, when the insulation is being removed. If these systems must stay on line, special consideration must be given to heat stress and measures taken to avoid skin burns. When workers are using airline respirators, care must be taken not to let the airline come into contact with hot pipes, which might burn a hole in the rubber line. When personnel working from scaffolds wear airlines, care must be taken not to wrap the airline around objects on the ground or the scaffold. 4. Glovebag and Mini Enclosures 4.1. Glovebags The use of appropriate engineering controls and proper installation of glovebags will allow Intercon to reduce the 8-hour time -weighted -average (TWA) exposures of employees involved in these work operations to levels far below the OSHA Permissible Exposure Level (PEL) of 0.1 Fcc, and will thus provide a degree of employee protection exceeding that provided by compliance with all provisions of 29 CFR 1926.1101. 4.2. Glovebag Installation Glovebags are approximately 40 inches wide times 64 inches long bags fitted with arms through which the work can be performed. When properly installed and used, they permit workers to remain completely isolated from the asbestos material inside the bag. Glovebags can thus provide, easily installed, and quickly dismantled, temporary small work area enclosure that is ideal for small-scale asbestos renovation or demolition jobs. These bags are single use control devices that are disposed of at the end of each job. The bags are made of transparent polyethylene plastic with arms of a plastic or TYVEK material (the same material used to make the disposable protective suits used in major asbestos removal, renovation, and demolition operations and in protective gloves) Glovebags are readily available from safety supply stores or from specialty asbestos removal supply houses. Glovebags come pre -labeled with the asbestos warning label prescribed by OSHA and EPA for bags used to dispose of asbestos waste. 4.3. Glovebag Equipment and Supplies Supplies and materials that are necessary to use glovebags effectively include: 1. Tape to seal the glovebag to the area for which asbestos is to be removed 2. Amended water or other wetting agents 3. An airless sprayer for the application of the wetting agent Standard Operating Procedures 13 4. Bridging encapsulant (a paste -like substance for coating asbestos) to seal the rough edges of any asbestos -containing materials that remain within the glovebag at the points of attachment after the rest of the asbestos has been removed 5. Tools such as razor knives, snips, and brushes (or other suitable for cutting wire, etc.) 6. A HEPA filtered -equipped vacuum for evacuating the glovebag (to minimize the release of asbestos fibers) during removal of the bag from the work area and for cleaning any material that may have escaped during the installation of the glovebag 7. HEPA equipped full -face respirators for use by the employees involved in the removal of asbestos with the glovebag 4.4. Glovebag Work Practices The proper use of glovebags requires the following steps: 1. Isolate nearby doorways and all critical barriers with poly and duct tape and place warning signs and barrier tape around area to prevent unauthorized entry. Cover all non -movable equipment with poly drop cloths. All employees working inside the restricted area don protective clothing use full -face negative pressure air - purifying respirators, gloves and protective footwear (rubber boots, disposable shoes, etc.). 2. Glovebags must be installed so that they completely cover the pipe or other structure where asbestos work is to be done. Glovebags are installed by cutting the sides of the glovebag to fit the size of pipe from which the asbestos is being removed. The glovebag is attached to the pipe by folding the open edges together and securely sealing them with tape. All openings in the glovebag must be sealed with duct tape or equivalent material. The bottom seam of the glovebag must also be sealed with duct tape or equivalent to prevent any leakage from the bag that may result from a defect in the bottom seam. Place poly drop cloths under each glovebag site. 3. The employee who is performing the asbestos removal with the glovebag must don a full -face, dual cartridge, HEPA-equipped respirator. Respirators should be worn by employees who are in close contact with the glovebag and who may thus be exposed as a result of small gaps in the seams of the bag or holes punched through the bag by a razor knife or a piece of wire mesh. 4. The removed asbestos material from the pipe or other surface that has fallen into the enclosed bag must be thoroughly wetted with a wetting agent, which is Standard Operating Procedures 14 applied with an airless sprayer through the pre-cut port provided in most glovebags or applied through a small hole cut in the bag. 5. Once the asbestos material has been thoroughly wetted, it can be removed from the pipe, beam or other surface. The choice of tool to use to remove the asbestos - containing material depends on the type of material to be removed. Asbestos - containing materials are generally covered with painted canvas or wire mesh. Painted canvas can be cut with a razor knife and peeled away. The asbestos - containing material underneath may be dry, in which case it should be re -sprayed with a wetting agent to ensure that it generates as little dust as possible when removed. If the asbestos material is covered with wire mesh, the mesh should be cut with snips or other appropriate tool and removed. A wetting agent must then be used to spray any layer of dry material that is exposed beneath the mesh, the surface of the stripped underlying structure, and the inside of the glovebag. 6. After removal of the layer of asbestos -containing material, the pipe or surface from which asbestos has been removed must be thoroughly cleaned with a brush and wet wiped with a wetting agent until no traces of the asbestos -containing material can be seen. 7. Any asbestos -containing material edges that have been exposed as a result of the removal or demolition activity must be encapsulated with bridging encapsulant to ensure that the edges do not release fibers into the air after the glovebag has been removed. 8. Spray and wipe down the sides of the glovebag, washing all visible residues into the bottom of the bag. Grasp all tools in one glove and pull the glove inside out; still grasping the tools. Tape the glove between the tools and the glovebag, isolating the tools from the inside of the glovebag. Detach the glove by cutting through the middle of the taped area, being careful to leave both tools and glovebag sealed. Place the glove containing the tools into the next glovebag or into a bucket of water for cleaning. 9. When the asbestos removal and encapsulation has been completed, a vacuum hose from a HEPA filtered vacuum must be inserted into the glovebag through the port to remove any air in the bag that may contain asbestos fibers. When the air has been removed form the bag, the bag should be squeezed tightly (as close to the top as possible), twisted, and sealed with tape, to keep the asbestos materials safely in the bottom of the bag. The HEPA vacuum can then be removed from the bag and the glovebag itself can be removed from the work area to be disposed of properly. 10. Carefully cut the glovebag away from the pipe. Use a HEPA vacuum alongside the knife to prevent the release of any fibers that may be in the glovebag. Standard Operating Procedures 15 11. Place all waste (ACM, glovebag, gloves, poly, etc.) in a 6-mil asbestos disposal bag. Remove suit and place in bag. Evacuate all air from disposal bag using duct tape (tape bag shut, then fold over excess bag material and tape again, forming a "goose -neck" loop). Double -bag all asbestos waste bags, "goose -neck", and place in a sealable container or a poly -lined enclosed vehicle for transport. 12. Record all air monitoring data and deliver samples to lab. Leave all barriers and warning signs in place until air test or industrial hygienist clears area for re - occupancy. Provide all documents to Intercon Operations. 4.5. M ni-Enclosure In some instances, such as removal of asbestos from a small ventilation system or from a short length of duct, a glovebag may not be either large enough or of the proper shape to enclose the work area. In such cases, a mini -enclosure can be built around the area where asbestos work is to be performed. Such an enclosure should be constructed of polyethylene sheeting and can be small enough to restrict entry to the asbestos work area to one worker. For example, a mini -enclosure can be built in a small utility closet when asbestos - containing duct covering is to be removed. The enclosure is constructed by: 1. Affixing polyethylene sheeting to the walls with spray adhesive and/or tape; 2. Covering the floor with plastic and sealing the plastic covering the floor to the plastic on the walls; 3. Sealing any penetrations such as pipes or electrical conduits with tape; and 4. Construct a small change room (approximately three square feet) made of polyethylene sheeting. 5. Decontamination facilities will be utilized as if for glovebag removal. Depending on the type of removal and amount, either an attached or centralized decon can be set up. The change room should be contiguous to the mini -enclosure, and is necessary to allow the worker to vacuum off his/her protective coveralls and remove before leaving the work area. While inside the enclosure, the worker should wear disposable coveralls and the appropriate HEPA filtered dual cartridge respiratory protection. The advantages of mini -enclosures are that they limit the spread of asbestos contamination, reduce the potential exposure of bystanders and other workers who may be working in adjacent areas, and are quick and easy to install. The disadvantage of mini -enclosures is that they may be too small to contain the equipment necessary to Standard Operating Procedures 16 create a negative pressure within the enclosure; however, the double layer of polyethylene sheeting will serve to restrict the release of asbestos fibers to the area outside the enclosure. 4.6. Removal of Entire Structure When pipe are insulated with asbestos -containing materials, removal of the entire pipe may be more protective, easier, and more cost-effective than stripping the asbestos insulation from the pipe. Before such pipe is cut, the asbestos -containing insulation must be double wrapped with 6-mil polyethylene sheeting and securely sealed with duct tape or equivalent. This polyethylene covering will prevent asbestos fibers becoming airborne as a result of the vibration created by the power saws used to cut the pipe. If possible, the pipes should be cut at locations that are not insulated with asbestos -containing materials; small sections should be stripped using the glovebag method described above before the pipe is cut at the stripped sections. 4.7 Removal of Window Caulking Removal of asbestos containing window caulk is under NESHAP regulations only as is it is located outside the building envelope. Also, not all windows have asbestos -containing caulk. Some have rubber and some have been replaced with silicone caulk. However all that have the white putty type shall be assumed to contain asbestos unless tested to prove otherwise. The amount of window caulk used per window will vary from less than 1/6 of a square foot for a small window pane to approximately 3 square feet for a very large window. All windows being replaced should have non -asbestos window caulk. 1. First cover the inside of the window frame that is broken with a 6 mil poly critical barrier. 2. Next cover the inside of the entire window opening with a 6 mil poly critical barrier. 3. Next cover the base of the outside of the window with poly to recover and keep any pieces of caulk that fall from contaminating the ground. Next, DO NOT GRIND, SAND OR ABRADE DURING REMOVAL. No visible emissions are allowed. Wet the caulk with amended water and keep wet during the removal of the window caulk. Use a HEPA vacuum to catch any small debris. 5. Work Area Housekeeping Although clean up is a tedious, sometimes lengthy process, it is one of the most critical tasks of the project. Successful clean-up operations require proper sequencing of tasks and great attention to detail. One cannot afford to overlook these items, because much more time may be spent in the re -cleaning and re -testing cycle than would have been spent to initially conduct a thorough, correct clean up. Sequential steps and details for cleaning up an area where sprayed -on material has been removed are provided in this SOP. Removal and clean-up operations in boiler rooms may vary, depending on specifications and the nature of the project. Standard Operating Procedures 17 5.1. Clean -Up During Gross Removal Clean up of the work area begins shortly after workers start removing the asbestos - containing material from the substrate. A floor support crew wearing the appropriate personal protective equipment is responsible for bagging the material soon after it is removed, while it is still damp. The material is collected from the floor with brooms, squeegees, plastic dustpans, or other appropriate tools and placed in 6-mil labeled bags for disposal. 5.2. Initial Final Clean -Up Final clean-up housekeeping applies to the phase of the project in which all visible asbestos -containing material has been removed from the substrate and the substrate has been brushed and wet -wiped. 5.3. Gross Contamination from Equipment The next cleaning effort should be directed toward removing gross contamination from the exteriors of the equipment such as the negative air filtration units. 5.4. Gross Contamination from Wall Coverings The next cleaning task should be the removal of any gross contamination, which has spattered or collected on the polyethylene wall coverings. The plastic is wiped down followed by the removal of the outer layer of plastic. The contaminated sheet is lightly misted or sprayed with encapsulant to minimize the release of airborne asbestos fibers. After detaching or cutting the first layer of polyethylene from the bottom of the wall, the worker should mount ladders to reach the top of the wall sheet. The outer sheet should be gently detached from the top of the wall and folded inward to form a compact bundle, which can be packaged in a 6-mil polyethylene bag for disposal. Any visual debris which leaked behind the outer layer of polyethylene onto the inner layer is now removed with a HEPA vacuum and/or wet -wiping method. 5.5. Gross Contamination from Floor Coverings At this point, the top layer of 6-mil polyethylene that has been used to cover the floor area will be mopped to remove bulk asbestos followed by lightly misting and carefully folding inward to form compact bundles for bagging and disposal. Any visible contamination, which leaked through to the inner floor layer, should be removed (i.e., squeegee, HEPA vacuumed, wet -wiped.) 5.6. Detailed Cleaning The recommended method for brushing or cleaning a substrate after gross removal has taken place is to use a nylon brush. This will aid in getting to fibers that may have become lodged in grooves or crevices in the substrate surface. Wetting of the substrate should also take place while the brushing is being performed since the change in airborne fiber generation is still present. Use of a wire brush would cause a mechanical breakdown of larger asbestos fibers or fiber bundles into fibrils of minute size, which are easily dispersed throughout the surrounding air (heavy dispersion can make final cleaning Standard Operating Procedures 18 very difficult). In either case, wire or nylon will generate airborne fiber to some degree. Once the brushing is completed, a final wipe down of the substrate with wet, lint -free rags or task cloth should take place in order to ensure that all loose fibers are eliminated. It may be necessary to wipe the surface with a lint -free rag and dusting agent once it has dried. 6. Visual Inspection and Re -Cleaning After these tasks have been accomplished, a thorough visual inspection of the area should be conducted. The inspector (building owner's representative) and the Project Manager will check for visual contamination on the substrate from which the asbestos -containing material has been removed, on ledges, on tops of doors, indented corners, and other areas which might "catch" falling material or contain residual material. A high -intensity flashlight should be helpful during this inspection. As the inspector and Project Manager walk through the area, a tape recorder could be used to record the inspection; documenting on tape those areas that need additional cleaning can facilitate the re- cleaning process. Intercon is responsible for correcting any of the deficiencies noted during the inspection before beginning the next phase of work. 7. Final Wipe Down and Removal of Equipment After the work crew has completed re -cleaning the areas noted on the inspection list, the equipment should be thoroughly cleaned (gross contamination was removed earlier). Equipment should be wet -wiped or tack ragged, washed off in the shower at the waste load -out area, wrapped in polyethylene, or bagged in polyethylene bags. Tools such as scrapers, utility knives, and brushes can be placed in buckets or pans (bottoms cut off of fiber board drums work well) and then sealed in polyethylene bags for transport to the next project. Equipment that is not needed for completion of the project should be removed from the work area. The negative air filtration units remain in place and operating for the remainder of the clean-up operation until after clearance samples are collected and final clearance levels achieved. 8. Final Visual Inspection and Re -Cleaning The work area should be dry before the final visual inspection is conducted. The owner's representative and the Project Manager again conduct the inspection. All surfaces are carefully checked for visible contamination and any areas, which need further cleaning are listed on paper. Ledges, tops of beams, and all hidden locations will also be inspected for asbestos -containing dust. 9. Sealant to Substrate The next phase of the project involves applying a sealant to the substrate and remaining plastic to encapsulate any microscopic fibers which might remain. Also, the mist, which occurs during application of the sealant, aids in settling fibers that are still airborne. This procedure is addresses in detail in Section 13. Standard Operating Procedures 19 10. Final Clearance Monitoring An overnight waiting period (12 - 24 hours) should be provided after the sealant has been applied. The area should be dry before clearance samples are taken. The area is thoroughly covered with a powered air blower (electric leaf blower or fan), paying attention to corners and ceiling edges. Fans are placed in the area of the sampling pumps to keep any fibers suspended. Clearance tests will run a minimum of six hours and pull a sufficient volume of air to achieve a detection limit that is half the allowable clearance limit. When the air sampling results indicate the airborne fiber concentration meets the criteria for clearance, the polyethylene can be removed from the walls, stationary objects such as fountains, electrical outlets, etc., and any additional barriers are removed as well. If the first set of samples indicate airborne fiber concentration in the area above the specified "clearance level", the area must be re -cleaned and encapsulated, followed again by clearance sampling. This cycle is repeated until results of airborne fiber concentrations indicate the clearance criteria have been attained. 11. Floor Covering and Carpet After misting the polyethylene floor covering, each side is detached from the wall, and folded inward to form a compact bundle for bagging and disposal. If a carpet is in the work area and specified for removal (removal instead of cleaning is the preferred practice), workers should lightly mist the entire carpet before detaching it from the floor and rolling it up. Once the carpet is rolled up, it can be wrapped with 6-mil poly, sealed with duct tape, and labeled for disposal. A note of caution: in some location, carpet may be stuck to the floor with glue that does not readily separate from the flooring. As the carpet is taken up, some portions of the backing may tear away and remain stuck to the floor. Several unplanned additional man-hours may be required to pry or scrape up the glue/carpet spots, which remain after the carpet is removed. 12. Wet Mop Floors The floor is mopped with a clean mop head wetted with amended water. The water should be changed frequently. Wastewater from the mopping operation is treated as asbestos -containing water and dumped into the shower drain. 13. Encapsulation Every asbestos removal project ultimately involves the stripping away of some type of asbestos -containing material from a permanent substrate or surface. Dependent upon the surface structure of this substrate, or the cohesive strength of the asbestos -containing material to the substrate, there will always be some residual fibers left behind after gross removal has taken place. Some of the most common materials found as substrates include cement, corrugated sheet metal, wire mesh, metal piping, plaster, and wood. These materials each have different characteristics pertaining to surface structure and cohesive strength. For example, Standard Operating Procedures 20 cement substrates are often porous and pitted (many small groves on the surface). This type of surface is extremely difficult to clean for two reasons. First, the pits in the surface may have become filled with asbestos -containing material when it was originally sprayed or trowelled on the surface. Secondly, when the material is scraped away during removal, asbestos -containing materials will be packed tightly into grooves or pits. Most of the material can then be removed through tedious brushing; however some fibers remain. For this reason, it is necessary to develop and follow an encapsulation strategy, which will effectively control the future release of airborne fibers from porous or non- porous surfaces from which the removal has already taken place. 13.1. Encapsulation Methods The polyethylene barriers should be cleaned of gross contamination before applying the sealant to the substrate. All workers performing encapsulation will wear disposal protective clothing and respirators suitable for asbestos and organic vapors (if applicable) because the area is still contaminated. (Note: Organic vapor respirators may be needed if the encapsulant is volatile in liquid form when being applied, i.e. solvent -based.) There are a variety of products that can be used for encapsulation. These products can usually be applied as spray -on liquid type sealants (alternatives for certain situations are latex paint (Cablecoat II), encapsulating solutions, and concrete sealant). The encapsulant should be applied using a low-pressure airless sprayer. It is important that the encapsulant be compatible with the substrate. Thus, it is important to insure that cohesion occurs between the two surfaces (substrate and encapsulant) and in some cases three surfaces (substrate, encapsulant, and sprayback). For example, would work well in encapsulating a cemented surface, whereas it would not be acceptable for use on metal piping since it will peel and crack. Caution should also be used so that the encapsulant does not present a new hazard during application and anticipated use/conditions. The supply person should obtain all available information on the substance (i.e., toxicity, volatility, fire ratings and acoustics). Demand the Material Safety Data Sheets (MSDS's). They should be available from both the manufacturer and distributor of the material. It may be necessary to request additional data on the fire rating and acoustics of the material. All information should be obtained, considered and submitted to the client prior to beginning the project. Intercon will generally use color tinting when applying encapsulant. This will make it easier to visually check that all areas of the substrate have been covered. One coat of encapsulant will usually be adequate to prevent the generation of airborne residual fibers. In some cases, additional coats may be needed for cosmetic purposes. Also, if the encapsulant is being applied to irregular, grooved, or corrugated surfaces, it should be administered from the opposing side, or at the right angle to the direction of previous application. Standard Operating Procedures 21 14. Sprayback Once the encapsulant has been applied, the next step is often to reapply an adequate substitute for the asbestos -containing material that was originally present. In most cases, the original asbestos -containing material was probably used as fireproofing, thermal insulation, condensation control, or acoustical insulation. Therefore, it is imperative that the substrate material (sprayback) be capable of the same functions and has similar functional properties relative to the original asbestos -containing material. This material should also be chosen during the planning stage of the project. Additionally, it is important that the sprayback not introduce another potential health hazard itself. Any material chosen must be thoroughly investigated. Once a substitute is selected, a trial application should be conducted on a small sample area of the substrate to determine whether or not it will be adequate. The architect or engineer will generally recommend various types of sprayback materials. This person will be most familiar with the chemical and physical properties of the various substances available. The architect or engineer will also be familiar with the building structure; specifically, the acoustics and fire ratings. Additionally, the industrial hygienist will be able to evaluate the sprayback material for potential health hazards such as toxicity during application. If the sprayback material is not specified, recommendations should be made to the client based on the application. In many instances, the non -asbestos containing substitute will be applied as spray -on coating. There are several types available, depending on what the specific purpose will be. Exfoliated vermiculite and perlite, a volcanic rock, are two common substitutes for asbestos. Other minerals frequently used as substitutes in a wide variety of situations include mineral wool, treated cellulose, and fibrous glass. Depending on the situation, cork and asbestos -free fiber reinforced cement board may also be used as substitute materials. 15. Waste Disposal Requirements Provide an overview of correct methods and regulatory requirements for disposal of asbestos -containing waste resulting from asbestos abatement projects. Information in this section should enable a participant to: 1. Understand correct procedure regarding the disposal of asbestos -containing waste. 2. Become familiar with procedures of notifying the appropriate agencies. 3. Understanding the appropriate labeling techniques, wet methods, and packaging procedures. 4. Know requirements for effective transportation of asbestos -containing waste and actual disposal at the landfill or disposal site. Standard Operating Procedures 22 5. Become familiar with appropriate OSHA and EPA regulations regarding asbestos waste disposal. 6. Understand record keeping requirements. 15.1. Preparation of Asbestos -Containing Waste 15.1.1. Wetting Once the asbestos -containing waste material has been removed from areas of concern, there are certain precautions that must be taken before disposal operations begin. The first, and probably most important, undertaking is to insure that all of the asbestos -containing waste has been thoroughly treated with water, or "wetted". This may be accomplished by having a water supply available in any area that abatement work is taking place (i.e., a hose). As the asbestos -containing material is being removed, the material should be kept as damp as possible via a low-pressure water stream. By ensuring this, the chances of airborne asbestos fiber generation are significantly reduced. The waste material will then be suitable for containerizing. 15.1.2. Containerizing The safest and most effective way to ensure that the asbestos -containing waste has been properly packaged for transportation to the disposal site is to establish a standard procedure for bagging and handling the waste. The first step in the procedure would be to select the appropriate disposal bags (recommended: 6-mil polyethylene). These will be airtight and puncture resistant. Also, these bags should be labeled with the EPA & OSHA required statements: DANGER ASBESTOS DUST HAZARD CANCER AND LUNG DISEASE HAZARD DANGER CONTAINS ASBESTOS FIBERS AVOID CREATING DUST CANCER AND LUNG DISEASE HAZARD 15.1.3. Containerizing Once the preparation is completed, the next step is to train the abatement workers in the proper techniques for containerizing the waste materials. Important concepts of this training should include: 1. Discussion of the importance of handling asbestos -containing waste in a careful manner to keep airborne fiber generation minimal. Standard Operating Procedures 23 2. Instruction on materials that should not be included in the bags (i.e., metal, sharp objects), and also that each bag should be considered "full" when it is half filled (material saturated with water will be much heavier.) 3. Instruction on the correct procedures for sealing off waste containing bags with duct tape. Ensure that all excess air is squeezed out of bags before they are sealed (to conserve space.) 4. Discussion on the importance of ensuring that the asbestos warning label on each bag is legible, so that no bags will be disposed of mistakenly. 15.1.4. Bagging Once the asbestos -containing waste is securely enclosed inside the bag, the best recommended practice is to hose the bag down, wet wipe or HEPA vacuum them clean. The bags should then be placed in fiberboard drums with locking rims. These drums should be labeled in the same manner as the bags. The most efficient method is to place four or five bags in each drum. Important concepts that should be included when instructing workers in drum utilization are: 1. Prior to the time that drums are to be used, while they are still in the waste load -out area, an effective method of contamination control is to line the outside of each drum with a plastic bag. 2. This outside bag should be kept on the drum while it is being filled with the asbestos -containing waste bags. 3. Once the drum is filled, the lid or rim should be locked into place. The drum will then be ready for transportation out of the work area. 4. Before leaving the work area (at the doorway to the waste load -out area), the plastic bag on the outside of the drum should be removed and placed in the next drum to be filled with waste. 5. Before the drum enters the load -out area, it should be hosed down and/or wet wiped to ensure that there is no residual contamination present on the outside of the drum. 6. Immediately after this bag transfer is accomplished, the sealed drum should be moved into the waste load -out area, and subsequently into the enclosed truck. 15.1.5. Waste Load -Out Procedure The most effective method to use in a waste load -out procedure is to utilize two teams of workers, an inside team and an outside team. The inside team, wearing Standard Operating Procedures 24 appropriate respirators and protective clothing, will be responsible for ensuring that the drums are properly packed, lids locked into place, and plastic bags removed from the outside of each drum before it is sent through the waste load out area and into the enclosed truck. (The plastic bags should then he placed inside of the next drum to be disposed of). It is important that no workers from the inside team exit the work area through the airlock. In cases where the drums are not being covered with plastic bags, it becomes necessary for the inside team to assure that each drum exiting the work area be free of any dust. This may be accomplished by inspecting and wet -wiping every drum leaving the area. (If drums are not being used, a second bag takes the place of the drum). The outside team (in the waste load -out area), wearing dual cartridge respirators and appropriate protective clothing, will post themselves at the entrance to the work area. The inside team will then pass the drums into the load -out area. From here, the outside team will load them into the enclosed truck. The entrance into the waste load -out area from the work area should then be secured to prevent any unauthorized entry or exit. The outside team will bring the drums through the airlock and safely store them in the enclosed truck. Drums should be placed on level surfaces in the cargo area and packed tightly together to prevent them from shifting or tipping over. Under no circumstances should containers be thrown into the cargo area. Also, when moving the containers, hand truck, dollies, or pull carts should be utilized. In addition to this, it is important to instruct workers in proper lifting techniques in order to avoid back injuries. Where ramps are not possible, trucks with lift gates would be helpful for raising drums during loading. To assure that the truck is properly enclosed the inside or "bed" area should be lined with 2 layers of 6-mil polyethylene. First, the floor should be completely covered with a 6-inch overlap of each piece. The same method should also be used when lining the sides and top of the cargo area also. Duct tape should be used to properly secure the layers of polyethylene. This will not only ensure additional enclosure of the asbestos -containing waste, but it will also provide for easier clean-up operations. It should be noted here that any debris or residue observed on containers or surfaces outside of the work area resulting from disposal activities should be immediately cleaned by using HEPA filtered vacuum equipment and/or wet wiping, as appropriate. 15.1.6. Other Forms or Asbestos -Containing Waste In any asbestos abatement project, not all of the waste material that needs to be disposed of will be loose or broken apart. There are many cases in which it will be necessary to dispose of materials such as asbestos -containing floor, wall, or ceiling tiles, shingles, rugs, etc. The rule of thumb to follow in these instances is Standard Operating Procedures 25 simply good common sense. This may include neatly banding together tiles or shingles with care not to expose sharp edges or any other protruding objects that could possibly puncture the polyethylene enclosure. Once the materials are banded together, each bundle should be wrapped in 2 layers of 6-mil polyethylene. When this is complete, the bundles should be neatly stacked in the cargo area of the truck. Care should be used so that tipping or shifting of the load is prevented. 15.2. Transportation to the Asbestos -Containing Waste Disposal Site As work progresses, and to prevent exceeding available storage capacity on -site, sealed and labeled containers of asbestos -containing waste should be removed and transported to the pre -arranged disposal location. Regulations may vary from state to state, but there are standard procedures that must be followed in any operation involving asbestos waste disposal. Disposal must occur at an authorized site in accordance with regulatory requirements of NESHAP (National Emission Standard for Hazardous Air Pollutants) and applicable local guidelines. It is best to confer with state officials on these requirements. When transporting asbestos -containing waste to any disposal location, it is important that the drivers of the vehicles be properly trained in correct waste handling procedures. It is important that they not use excessive speeds or unusually rough roads to avoid load slippage or tipping. It will also be the driver's responsibility to retain all dump -receipts, trip tickets, transportation manifest, or other documentation of disposal. These should then be given to the building owner for his/her records. 15.3. Disposal at the Landfill Once the asbestos -containing waste truck arrives at the landfill, the driver should approach the disposal location as closely as possible for unloading of the waste materials. Bags should then be taken out of the drums along with the other waste components. They should be inspected as they are off-loaded. In the event that a bag has been damaged, the material should be repacked in another bag as appropriate. There may be some instances in which the drums can be buried at the landfill; however, it is usually more economical to re -use the drums. Waste bags should be placed on the ground at the disposal site, not pushed or dropped out of the trucks, as the weight of the wetter material could rupture the containers. Personnel off-loading the containers should wear proper protective equipment, which includes disposable head, body, and foot protection. Also, minimum respiratory protection requirements should include the use of half -face, air -purifying, dual cartridge respirators equipped with high efficiency filters. Upon complete removal of all containerized waste, the truck cargo area should be decontaminated using HEPA vacuums and/or wet wiping methods to comply with the OSHA "no visible residue" and EPA "no visible emissions" criteria. The polyethylene sheeting should be removed and discarded along with contaminated cleaning materials Standard Operating Procedures 26 and disposable protective clothing in other bags and/or drums at the disposal site. The landfill personnel should have their own personal protective equipment; however, if this is not the case, the contractor should supply them with protective clothing and respiratory protection. The bags or drums should be place intact in an excavated area and covered with a minimum of six inches of earth at the end of each working day. These areas must be clearly marked to prevent future disturbance of the waste. The EPA Regional Asbestos Coordinator in the area that the asbestos abatement work is taking place can usually provide a list of approved site for disposal of asbestos -containing waste. 15.4. Other Considerations for Asbestos -Containing Waste Disposal An aspect that must not be overlooked when devising an asbestos -containing waste disposal strategy is that of filtering the run-off from showers in the worker decontamination area. It is now generally accepted that filtration of asbestos - contaminated water through a five micron filter is the state of the art procedure for asbestos removal from water. Discharge of the filtered water should be to a sanitary sewer system, or in its absence, to a septic tank and field system with adequate capacity. If there is any uncertainty regarding water regulations in a particular area, the best course of action to follow would be to contact the State Department of Environmental Management. 16. Changes to the Standard Operating Procedures These standards are applicable for ideal situation and conform to the current law. However changes in the law and the availability of new technology will necessitate the revision of these written procedures. These permanent changes can only be made by the President and Corporate Health and Safety Officer. Site specific deviations from the written plan based on site conditions need to be approved by the project manager and incorporated into the site specific work plan for approval by the Corporate Health and Safety Officer. 17. Air Monitoring During each project, employees will be under air monitoring procedures in compliance with 29 CFR 1926.1101. The sampling and analysis strategy that is developed by the Owner/Consultant and carried out by an Independent Industrial Hygiene Firm is carefully conformed to by the Intercon staff. This strategy may employ bulk, air and settled dust samples as well as visual inspection and aggressive sampling. Analytical methods to evaluate ACM and asbestos fiber counts may include Polarized Light Microscopy (PLM) for bulk sampling, Phase Contract Microscopy (PCM) for air monitoring, Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) for area and Standard Operating Procedures 27 personal monitoring as deemed necessary by the Owner/Consultant and/or Industrial Hygienist. Some of the steps followed by Intercon to insure an effective air monitoring program are: 1. Review with consultant pre -abatement bulk and background sample information. Submit outline for Owner/Consultant review showing sampling laboratory, personal, outside and clearance sampling methods. Air monitoring cassettes used for ambient personal or other area sampling, must include the appropriate number of field blanks and techniques for asbestos and federal standards for laboratory analysis. 2. Confirm time frame and means of communication for relaying laboratory reports to Consultant and/or Owner. Constant review of air monitoring results will allow all parties to evaluate the effectiveness of containment and engineering controls and take any steps necessary for maintaining safety in the work area. 3. Analysis of air monitoring cassettes must include the appropriate number. All air monitoring results are documented and posted for employee review in accordance with Federal Register Standards. 18. Record Keeping Intercon Environmental, Inc. maintains all pertinent records in accordance with all OSHA EPA and other federal requirements on the project site and in-house. The on -site records kept include the following: 1. Daily on site log (decontamination entry and exit log) which records: a. Persons who enter the work area. b. The time each person enters and exits the work zone. C. Affiliation and purpose. d. Date. e. Description of activity performed. 2. Air monitoring results to reports which are also readily available or posted on site for employee review. 3. OSHA 100 Forms, which record every worker injury or illness. This information will be transferred (in-house) to OSHA 200 forms within 6 days of the injury or accident. 4. Daily safety meeting reports. 5. Texas Department of State Health Services (TDSHS) notification and any other permits required. 6. Employees TDSHS cards, medical records and proof of employee physicals and proof of employee training. 7. Respirator fit tests. 8. Description of daily work performed. 9. Any loss of differential air pressure. Standard Operating Procedures 28 19. 10. Any accidents (including minor accidents). 11. Signature of the supervisor and date. The in-house records kept are the following: 1. Employee medical surveillance records which include: medical history questionnaire, results of physical examination by licensed physician, pulmonary function test, and X-ray at discretion of the physician. 2. Employees work history and any other pertinent personal information such as respiratory program verification and fit test records. 3. Air monitoring results during pre -construction, pre -clean, abatement, and post - abatement periods. 4. Disposal tickets and transport information. 5. Correspondence pertinent to the project, employees, equipment, materials, inventory, etc. 6. OSHA 200 injury and accident forms transferred from OSHA 100 forms that will be available to employees, former employees and their representatives for examination. 7. Contract correspondence. 8. Project meeting minutes. 9. Field change orders. 10. Punch lists. 11. Contracts. 12. Documentation pertinent to each project and its execution. 13. Hazard Communication information, MSDS Information, and all training materials with easy access to all employees. Protective Clothing Intercon will provide workers with sufficient sets of protection, disposable, full body clothing recommended for use in asbestos operations. 19.1. Such full body clothing shall consist of: 1. Foot coverings including shoes, boots, or disposable foot coverings. Rubber boots are recommended. 2. Head coverings (disposable are recommended). 3. Clothing should be full body coverall type. 19.2. Street clothes shall not be worn under protective clothing. 19.3. Any non -decontaminated protective clothing shall remain within the contaminated areas and shall be disposed of as contaminated waste upon completion. 19.4. Provide authorized visitors with suitable sets of protective full body clothing including footwear. Standard Operating Procedures 29 19.5. Provide eye protection and hard hats as required for job conditions or by applicable safety regulations. 19.6. All clothing shall be sealable by design or by securing with tape at the workers' ankles and wrists. Short pants or short sleeves will not be allowed. Standard Operating Procedures 30 Table 2 Equipment Used for Removal of Friable Insulation Materials Portable High Efficiency Particulate Air (HEPA) filtered, exhaust units Replacement filters Flexible or rigid ducts HEPA vacuum cleaner Electrical extension cords Garden hose Garden spray bottle attachments for the water hose Hand pump garden sprayer Wetting agent (50% polyoxethylene ether and 50% polyoxethylene ester or equivalent) Stiff scraper, ranging in size from narrow, putty knife type to 4-inch wide blades and 6- inch wide scrapers mounted on 6-foot long wooden handles Nylon brushes of various sizes Plastic dustpans Plastic snow shovels Brooms - standard house and push brooms Squeegees Scaffolding with railing 6-mil polyethylene bags for holding wetted asbestos Stepladders of appropriate height Duct tape Temporary lighting Ventilation smoke tubes and bulbs Standard Operating Procedures 31 Short Service Employee (SSE) Program SSE Program - page. 1 1. Purpose Intercon Environmental, Inc.'s (Intercon's) Short Service Employee (SSE) Program applies to employees who have less than six months experience in the area of work in which they were hired. The purpose of the program is to prevent work related injuries and illnesses to new hires and temporary workers . 2. General Requirements Intercon's SSE are to be managed in accordance with this program to ensure that they have an initial orientation of the Company's health and safety requirements prior to performing work. • An SSE may only work under the direct on -site supervision of a designated employee who, as one of his duties, serves as a mentor/trainer in safety for the SSE. The mentor/trainer assigned to an SSE must be a knowledgeable, experienced employee who can provide guidance and development for the SSE. • An exception to the mentor/trainer requirement may be granted to employees who have a high level of previous work experience in the same job functions. • An SSE must be easily identified while on a job site. This is accomplished by using a unique identifier to be determined prior to starting work. • A single person crew cannot be an SSE. 3. Procedure General Supervisor Responsibilities to SSE: • Assure they have been through the Intercon's Safety Orientation • Assure they are aware of, and understand the contents of Intercon's safety plans • Assure they have completed all mandatory training required by DSHS • Assign a mentor/trainer to each SSE • Discuss the job expectations and procedures prior to the job to provide a clear understanding of what is expected • Notify a customer if a SSE will be working at their facility • Provide customer with a proper identifier so the SSE is easily recognizable • Obtain SSE acknowledgment of the program (See Attached Acknowledgment Form.) SSE Program - page. 2 Mentor/Trainer Responsibilities to SSE: • Set the proper safety example • Assure they have a complete knowledge of their job functions • Converse frequently with those assigned to them to discuss any questions or concerns SSE Responsibilities: • Shall consult with and listen to mentor and supervisor • Shall perform work as directed • Shall speak up when and if work is deemed unsafe • Shall wear identifier clothing as instructed 4. Monitoring Supervisors will monitor its employees, including SSE personnel for awareness of the health and safety policies and procedures. If at the end of the six month period, the SSE has worked safely, adhered to the Company's health and safety policies and has no recordable incidents attributable to him/her, the SSE identifier may be removed at the discretion of their Supervisor. SSE Program - page. 3 GENERAL: Short Service Employee (SSE) Acknowledgement Form Intercon's Short Service Employee (SSE) program applies to employees who have less than six months service with the company or craft. The purpose of the program is to ensure that these contractor employees have an initial orientation of safety requirements prior to performing work under direct on -site supervision of a designated contractor employee who also serves as a mentor/trainer. SSE Employee Name: I DATE: This is to certify that I have reviewed the Company's safety plans. I have read the rules and understand the contents and agree to abide by these rules. I have successfully completed all mandatory training. Also, I agree to visit with my supervisor and understand other applicable safety rules which apply to the specific work I will be performing on Company's job sites and premises. I understand that my safety and the safety of others is my #1 responsibility. I will not take action until I understand the safest way to perform the tasks assigned to me. I agree to speak up and as necessary stop any job I recognize as unsafe. Short Service Employee Title Date (Please Print) Short Service Employee (Signature) Intercon Environmental, Inc. Title Date Supervisor (Please Print) Intercon Environmental, Inc. Supervisor (Signature) SSE Program - page. 4 \\ NAIV ppppppp ntercon 210 South Walnut Creek Drive • Mansfield, Texas 76063 • Phone: (817) 477-9995 • (817) 477-9996 ENVIRONMENTAL, INC. Asbestos Abatement Lead Remediation Mold Remediation Interior Demolition Structural Demolition Site Clearing DEMOLITION STANDARD OPERATING PROCEDURES Table of Contents Standard Operating Procedures 1. Purpose............................................................................................................................4 2. Scope...............................................................................................................................4 3. Regulatory References.....................................................................................................4 4. Responsibilities...............................................................................................................4 4.1 Project Manager...........................................................................................................4 4.2 Demolition Supervisor.................................................................................................4 5. General Operational and Safety Procedures.....................................................................5 6. Prior to Commencement of Work....................................................................................7 7. Commencement of Work.................................................................................................8 8. Post Demolition...............................................................................................................9 9. Manifest........................................................................................................................10 10. Traffic Control...............................................................................................................10 11. Personnel Safety and PPE Requirements........................................................................10 11. Changes to the Standard Operating Procedures..............................................................11 Demolition Standard Operating Procedures 3 Demolition Standard Operating Procedures 1. Purpose The purpose of this Standard Operating Procedure (SOP) is to provide the minimum procedures and safety and health requirements applicable to the conduct of demolition/disposal operations. In our company we monitor and analyze any hazard or safety risk areas on all of our jobs prior to demolition. Because of the high danger of personal, public or even collateral damage to surrounding areas and structures during demolition, safety is of our upmost importance. 2. Scope This SOP applies to all site personnel, including contractor and subcontractor personnel, involved in the conduct of demolition/disposal operations. This SOP is not intended to contain all of the requirements needed to ensure complete compliance, and should be used in conjunction with project plans, Intercon's Master Book Regulations, and applicable federal, state and local regulations. 3. Regulatory References Applicable sections and paragraphs in the documents listed below will be used as references for the conduct of Intercon demolition/disposal operations: 1. OSHA General Industry Standards, 29 CFR 1910 2. OSHA Construction Standards, 29 CFR 1926 3. Applicable sections of DOT, 49 CFR Parts 100 to 199 4. NESHAP 5. Texas Asbestos Health Protection Rules (TAHPR) 6. Waste Codes 4. Responsibilities 4.1 Project Manager The project manager shall be responsible for ensuring the availability of the resources needed to implement this SOP, and shall also ensure that this SOP is incorporated in plans, procedures and training for sites where this SOP is to be implemented. 4.2 Demolition Supervisor The demolition supervisor is responsible for assuring that adequate safety measures and housekeeping are taken during all phases of site operation, to include demolition activities, and shall work site demolition locations as deemed necessary to ensure that demolition operations are carried out in a safe, clean, efficient and economical manner. The supervisor must make sure work is performed in accordance with TSDHS notification, all amendments, and the asbestos inspection report, if applicable. Demolition Standard Operating Procedures 4 Prior to initiation of demolition operations, Intercon shall designate an experienced and trained supervisor to act as the demolition supervisor. The demolition activities shall then be conducted under the direct control of the demolition supervisor, who will have the responsibility of supervising all demolition operations within the area. The demolition supervisor shall be responsible for training all on -site personnel regarding the nature of the materials handled, the hazards involved and the precautions necessary. The demolition supervisor will also ensure that the Demolition Daily Report, Engineering Survey, Daily Time Sheets, Trip Reports, and inventory records are properly filled and accurately depict the demolition events and demolition material consumption for each day's operations. The demolition supervisor shall be present during all demolition operations or designate a competent, qualified person to be in charge during any absences. The demolition supervisor is held responsible for keeping all federal, state and local regulations, the TSDHS notification, and all amendments, the asbestos inspection report, MSDS Sheets, and any other required notices or regulations. 5. General Operational and Safety Procedures All personnel, including contractor and subcontractor personnel, involved in operations on sites shall be familiar with the potential safety and health hazards associated with the conduct of demolition/disposal operations, and with the work practices and control techniques used to reduce or eliminate these hazards. This is done prior to each project by the demolition supervisor or project manager by holding a safety meeting with all personnel. During demolition operations, general safety provisions listed below shall be followed by all demolition personnel, at all times. Non-compliance with the general safety provisions listed will result in positive discipline, up to and including termination of employment: 5.1 All safety regulations applicable to demolition and materials involved shall be 100% compliance. 5.2 Demolition of any kind is prohibited without the express permission from the client and all applicable permits and notifications in hand on the job site. 5.3 In the event of an electrical storm, or heavy snow or dust storms, or any inclement conditions develop, immediate action will be taken to cease all demolition operations and evacuate the area. 5.4 In the event of a fire or unplanned explosion, if possible, put out the fire, if unable to do so contact 911, notify the fire department and evacuate the area. If injuries are involved, remove victims from danger, administer first aid and seek emergency medical attention. 5.5 The demolition supervisor is responsible for reporting all injuries and accidents which occur along with documenting the incident with witness statements. 5.6 Employees will not tamper with any safety devices or protective equipment 5.7 Any defect or unusual condition noted that is not covered by this attachment will be reported immediately to the demolition supervisor and project manager. Demolition Standard Operating Procedures 5 5.8 Means and methods of demolition will be laid out and reviewed with all management and on site supervisory personnel prior to starting on the first day of each individual project. 5.9 Adequate first aid equipment shall be on site at all times. 5.10 All personnel engaged in demolition activities shall wear all PPE required, and, under and outer garments made of natural fiber, close -weave clothes, such as cotton. 5.11 Care will be taken to minimize exposure to the smallest number of personnel, for the shortest time, to the least amount of hazard, consistent with safe and efficient operations. 5.12 Work locations will be maintained in a neat and orderly condition. 5.13 All hand tools shall be maintained in a good state of repair. 5.14 Each heavy equipment and/or vehicle operator will have in his possession a valid operator's permit, i.e., state driver's license. 5.15 Equipment and other lifting devices designed and used for lifting will have the load rating and date of next inspection marked on them. The load rating will not be exceeded and the equipment will not be used without a current inspection date. 5.16 Lifting and carrying require care. Improper methods cause unnecessary strains observe the following precautions before attempting to lift or carry: 1. When lifting, keep your arms and back as straight as possible, bend your knees and lift with your leg muscles; and, 2. Be sure you have good footing and hold, and lift with a smooth, even motion. 5.17 Motor vehicles and material handling equipment used for transporting demolition materials must meet all FMCSR requirements and the following requirements: 1. Exhaust systems shall be kept in good mechanical repair at all times. 2. Lighting systems shall be an integral part of the vehicle. 3. One Class ABC rated, portable fire extinguisher shall be mounted in the vehicle. 4. Wheels of carriers must have brakes set during loading and unloading. 5. No demolition material shall be loaded into or unloaded from, motor vehicles while their motors are running. 6. Motor vehicles and material handling equipment used to transport demolition material must meet all FMCSR requirements and shall be inspected prior to use to determine that: 1. Fire extinguishers are filled and in good working order 2. Electrical wiring is in good condition and properly attached 3. Fuel tank and piping are secure and not leaking 4. Brakes, steering and safety equipment are in good condition Demolition Standard Operating Procedures 6 5. The exhaust system is not exposed to accumulations of grease, oil, gasoline, or other fuels, and has ample clearance from fuel lines and other combustible materials. 5.18 Employees are required to wear leather or rubber gloves when handling demolition materials. The type of glove worn is dependent on the type of demolition material. 5.19 No demolition operation will be left unattended during the active portion of the operation. 6. Prior to Commencement of Work Intercon estimators and project managers shall review all aspects of structures and site conditions in order to determine, means and methods of demolition activities. Also identify any and all possible potential hazards on each project site. 6.1 Attend a site visit with the client's representative and discuss the following: 1. Are there abandoned cisterns or wells? 2. All public, commercial and, in some cases residential structures must be inspected by a Texas certified asbestos inspector prior to beginning any demolition or renovation project. Has there been an asbestos inspection? 3. Determine if any other hazardous waste is located on the site. 4. Are there above- or below -ground petroleum storage tanks? 5. Are there air conditioning units or refrigeration units with refrigerants such as chlorofluorocarbons, or CFCs? 6. Are there light ballasts that may contain Polychlorinated Biphenyls, or PCBs? 7. Identify the recycling or disposal facility receiving the demolition waste to ensure it can receive it or for any restriction or special requirement they may have for the waste. 8. Do we need a Storm Water Prevention Plan (SWPPP)? 6.2 Provide an estimate of the cost for each project. 6.3 Coordinate a project work schedule with the client giving start and completion dates of each project. 6.4. Submit a completed and signed original Texas Department of State Health Services (TDSHS) Demo lition/Renovation Notification form and all amendments or modifications to that form to TDSHS prior to commencement of work. 6.5 Not commence work until the required ten working day waiting period as specified by TDSHS has lapsed. 6.6 Pay all applicable filing fees for each project, unless otherwise identified on the solicitation. 6.7 Perform DigTess. Demolition Standard Operating Procedures 7 6.8 Assist in arranging for all private utility lines servicing the property to be disconnected, capped or relocated, including all electrical, sewer, water and natural gas lines. 7. Commencement of Work Prior to commencement of all projects, project manager, demolition site supervisor, along with all team members, will attend on site meeting to lay out the plan's means and methods of the demolition activities and all safety concerns specific to each individual project. 7.1 Photos of pre job conditions. 7.2 Water wells shall be capped or plugged, in accordance with all federal, state and local regulations. 7.3 Recover all refrigerants from appliances in accordance with all applicable laws prior to demolishing the improvement. 7.4 All solid and liquid waste material shall be removed from septic tanks. Waste material will be transported and disposed of in accordance with all federal, state, and local regulations. 7.5 Demolish and dispose of improvement(s) and debris located on project site as directed by the client, in accordance with all federal, state and local laws and requirements. As a minimum, the following shall be included, but may not be limited to buildings, structures, concrete foundations, footings, driveways, parking lots, tires, fences and swimming pools. 7.6 Apply water to the structure and to debris prior to and during demolition to minimize dust related to demolition. 7.7 Demolition of exterior walls and floors must begin at the top of the structure and proceed downward. 7.8 Masonry walls must NOT be permitted to fall on the floors of a building in masses that would exceed the safe carrying capacities of the floors. 7.9 No wall section, one story in height or higher, shall be permitted to stand alone without lateral bracing, unless such a wall was originally designed and constructed to stand without such support, and is safe enough to be self-supporting. 7.10 All walls must be left in a stable condition at the end of each work shift. 7.11 Structural or load -supporting members on any floor must not be cut or removed until all stories above such a floor have been removed. 7.12 In buildings of "skeleton -steel" construction, the steel framing may be left in place during the demolition of masonry. 7.13 Walkways or ladders must be provided to enable workers to safely reach or leave any scaffold or wall. 7.14 Walls, which serve as retaining walls to support earth or adjoining structures, must not be demolished until the supporting earth has been properly braced or until Demolition Standard Operating Procedures 8 adjoining structures have been properly underpinned. Existing walls must not be used to retain debris, unless they are capable of supporting the imposed load. 7.15 Dismantle steel construction column length by column length, and tier by tier. 7.16 No workers shall be permitted in any area when using wrecking claw to remove debris. Only those workers necessary to perform such operations are to be permitted in this work area at any time. 7.17 When pulling over walls or portions of walls, all steel members affected must have previously been cut. 7.18 All roof cornices or other ornamental stonework must be removed prior to pulling walls over. 7.19 Inspections by a competent person shall be provided thought demolition, to detect hazards resulting from weakened or deteriorated floors or walls. No employee shall be permitted to work where such hazards exist until they are corrected by shoring, bracing, or other effective means. 7.20 Contain all loose trash and debris in a container of sufficient size and cover with netting to prevent debris from blowing away or spilling. The vendor may haul loose trash and debris from the premises on a daily basis to prevent debris from blowing away or spilling. 7.21 Conduct operations to ensure little or no obstruction or interference with roads, streets, walks and other adjacent occupied or used facilities. 7.22 Secure property from unauthorized entrance 7.23 If backfill is required, use clean soil to grade site if any hole or depression exposed as a result of removal of improvements to meet the surrounding grade level. Area shall be leveled to be suitable for future mowing and free of rocks, debris, etc. 7.24 Upon completion, leave the site free of all debris and in orderly condition including sweeping sidewalks clear of dirt and debris. 7.25 Recycle waste materials produced in order to minimize the impact of construction wastes on landfills to the greatest extent possible. 7.26 Properly and safely transport and dispose of all debris at an approved Texas Commission on Environmental Quality (TCEQ) disposal facility. 8. Post Demolition 8.1 Security fencing removed 8.2 Sidewalks replaced or repaired as needed 8.3 Final cleaning of site 8.4 Grade site to prevent ponding 8.5 Install final erosion control 8.6 Hydro seeding — seasonal timing and type of grass 8.7 Compliance documents Demolition Standard Operating Procedures 9 8.8 Site approval from client 8.9 Photos of site `after' demolition 9. Manifest 9.1 Prepare, sign and provide a manifest for each shipment of waste. Note: The original copy of manifests will be signed and dated by an agent of the treatment or disposal facility certifying the type and amount of materials delivered to the treatment or disposal facility and then it will be mailed to client from the treatment or disposal facility. 10. Traffic Control In order to facilitate safety standards and safe operations, a Traffic Control Plan will be established, if needed, and will adhere to the guidelines and procedures set forth in the Texas Manual on Uniform Traffic Control Devices, latest issue, regarding lane closures. 11. Personnel Safety and PPE Requirements Intercon's personnel will be provided with all required safety equipment and we instruct personnel to observe all safety policies, rules and requirements at all times, including, but not limited to, wearing hard hats, safety shoes, goggles, and a radio system to provide open communications between team members. The following safety measures and personal protective equipment shall be used in preventing or reducing exposure to the hazards associated with demolition/disposal operations. These requirements will be implemented unless superseded by site specific requirements stated in Intercon's Health and Safety Plan. 1. Steel -toed safety boots will be worn by personnel conducting demolition/disposal operations 2. Wear hard hats 3. Safety glasses 4. High visibility safety vests 5. Two-way radio system We will maintain safe and continuous access to the work site at all times for the Client's representative, federal, state, and local authorities. Provided access will not interfere with operations or endanger lives. We shall provide all necessary safety measures including, but not limited to, fencing, barricades, warning signs, flags, and steel plates over trenches to ensure the safety of our personnel, our subcontractors, and all vehicular and pedestrian traffic in the project area. We will strive for the preservation of all public and private property and use every precaution necessary to prevent damage. Demolition Standard Operating Procedures 10 Handle and store equipment, materials, and supplies in a safe and orderly manner and keep the premises orderly and free from accumulation of waste materials or rubbish resulting from operations under each purchase order. Ensure all work is completed in a manner that minimizes the possibility of any threat to human health and safety or the environment. 11. Changes to the Standard Operating Procedures These standards are applicable for ideal situation and conform to the current law. However changes in the law and the availability of new technology will necessitate the revision of these written procedures. These permanent changes can only be made by the President and Corporate Health and Safety Officer. Site specific deviations from the written plan based on site conditions need to be approved by the project manager and incorporated into the site specific work plan for approval by the Corporate Health and Safety Officer. Demolition Standard Operating Procedures 11 FORTWORTH. ADDENDUM TO REQUEST FOR QUALIFICATIONS NO. 25-0080 CITY DEMOLITION SERVICES ENVIRONMENTAL SERVICES DEPARTMENT ADDENDUM NO. 1 DATE ISSUED: February 25, 2025 REQUEST FOR QUALIFICATIONS (RFQ): 25-0080 RFQ OPENING DATE: March 6, 2025 (NO CHANGE) RFQ No. 25-0080 issued February 5, 2025, is hereby amended as follows: 1. Attachment RFQ-07-Business Equity-MWBE with ATTACHMENTS is hereby incorporated as an attachment, Exhibit A of this addendum and within the Bonfire e-procurement system. 2. Attachment RFQ-08- Questionnaire, Qualifications and Requirements is hereby incorporated as an attachment, Exhibit B of this addendum and within the Bonfire e- procurement system. All other terms and conditions remain unchanged. - Sarah Czechowicz Purchasing Manager By the signature affixed below, Addendum No. 1 is hereby incorporated into and made part of the above -referenced REQUEST FOR QUALIFICATIONS. COMPANY NAME: Intercon Environmental, Inc. SIGNATURE: Karen Andrews, President NOTE: Company name and signature must be the same as on the original bid documents. Failure to return this form with your sealed bid may constitute grounds for rejection of your offer. EXHIBIT C City's RFO 25-0080 FORT WORTH CITY OF FORT WORTH - ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation TABLE OF CONTENTS 1.0 BROWSERS.........................................................................................................................4 2.0 SUPPORT.............................................................................................................................4 3.0 QUESTIONS.........................................................................................................................4 4.0 CLARIFICATIONS AND ISSUANCE OF ADDENDA.....................................................4 5.0 SCHEDULE OF EVENTS....................................................................................................5 6.0 CLOSE DATE AND TIME..................................................................................................5 7.0 SUPPORTING DOCUMENTATION (PUBLIC FILES).....................................................5 8.0 SUBMISSION INSTRUCTIONS.........................................................................................6 9.0 REQUEST FOR QUALIFICATION....................................................................................6 10.0 RESPONSE.......................................................................................................................7 11.0 FIRM.................................................................................................................................7 12.0 UNAUTHORIZED COMMUNICATIONS......................................................................7 13.0 NON -ENDORSEMENT AND PUBLIC COMMENTS...................................................8 14.0 PRE -RESPONSE CONFERENCE....................................................................................8 15.0 PREPARATION OF REPONSES.....................................................................................8 15.1 Tax Exemption..................................................................................................................9 15.2 Response Adequacy...........................................................................................................9 15.3 Response Page Limit: ........................................................................................................ 9 15.4 Response Summary and Company Overview...................................................................9 15.5 RFQ Exemptions:............................................................................................................10 15.6 Proprietary Information...................................................................................................10 15.7 Business Equity Division (M/WBE) Documents: ........................................................... 11 15.8 Alternate Reponses..........................................................................................................11 15.9 Response Preparation Costs: ............................................................................................ 11 15.10 Free on Board (FOB) Point..............................................................................................11 15.11 Prices: .............................................................................................................................. 11 16.0 MODIFICATION OR WITHDRAWAL OF RESPONSE..............................................12 16.1 Modification of Response................................................................................................12 16.2 Withdrawal of Response..................................................................................................13 17.0 OPENING OF RESPONSE.............................................................................................13 18.0 EVALUATION AND AWARD......................................................................................13 18.1 Evaluation........................................................................................................................13 18.2 Award..............................................................................................................................13 18.3 Acceptance of Response..................................................................................................14 18.4 Reservations.....................................................................................................................14 Page 1 of 19 FORT WORTH. CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation 18.5 Negotiations.....................................................................................................................15 18.6 Period of Acceptance.......................................................................................................15 19.0 DOCUMENTS REQUIRED FROM RECOMMENDED FIRM....................................15 19.1 Certificates of Insurance..................................................................................................15 19.2 Certificate of Interested Parties Form 1295.....................................................................15 20.0 AGREEMENT TERM.....................................................................................................16 21.0 UNIT PRICE ADJUSTMENT........................................................................................16 22.0 INVOICE AND PAYMENTS.........................................................................................17 22.1 Registration......................................................................................................................17 22.2 Invoice.............................................................................................................................17 22.3 Payment...........................................................................................................................19 23.0 PROTEST PROCEDURE...............................................................................................19 24.0 COOPERATIVE PURCHASING...................................................................................19 25.0 GENERAL PROVISIONS..............................................................................................20 26.0 SUBCONTRACTORS....................................................................................................20 27.0 BEST AND FINAL OFFER............................................................................................20 28.0 ASSIGNMENT...............................................................................................................20 29.0 ERRORS OR OMISSIONS.............................................................................................21 30.0 TERMINATION.............................................................................................................21 31.0 RIGHT OF ASSURANCE..............................................................................................21 32.0 CHANGE ORDERS........................................................................................................21 33.0 VENUE...........................................................................................................................22 34.0 CONFLICT OF INTEREST............................................................................................22 35.0 INSURANCE..................................................................................................................22 36.0 CONTRACT CONSTRAINTS AND CONDITIONS....................................................22 37.0 CHANGE IN COMPANY NAME OR OWNERSHIP...................................................22 Page 2 of 19 FORT WORTH 1.0 2.0 3.0 4.0 BROWSERS CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation The Procurement Portal (Bonfire Portal) can be accessed using Microsoft Edge, Google Chrome, or Mozilla Firefox. Javascript must be enabled. Browser cookies must be enabled. SUPPORT For technical questions about the Procurement Portal, visit Bonfire's help forum at httos://vendorsupport.aobonfire.com/hc/en-us or contact the Bonfire support team at Su-mort(a,GoBonfire.com or by calling 1-800-354- 8010. To get started with Bonfire, watch this five-minute training video: httDs://vendorsupport.2obonfire.com/he/en-us/articles/6796500613655- Vendor- Reaistration-and-Submission-VIDEO- QUESTIONS All questions, explanations, clarifications, or interpretations desired by Qualified Firms regarding any part of the solicitation must be electronically submitted to the City of Fort Worth's Bonfire Public Procurement Portal (Procurement Portal) through the "Vendor Discussion" section under the respective Project/Request for Qualification (RFQ) before the Questions Due Date and time specified in the Procurement Portal. CLARIFICATIONS AND ISSUANCE OF ADDENDA The Environmental Services Department of the City of Fort Worth (City) will post an Addendum on the Procurement Portal with answers to all questions received before the deadline before the submission Close Date and Time. Interpretations, corrections, or changes to the RFQ made in any other manner are not binding upon the City, and Qualified Firms shall not rely upon such interpretations, corrections, or changes. Oral explanations or instructions given before the award of the Contract are not binding. If the City, in its sole discretion, determines that a change or additional information is needed or a clarification is required, the City shall issue an Addendum in the Procurement Portal regarding such change, additional Page 3 of 19 FORT WORTH 5.0 6.0 7.0 CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation information, or clarification. Sole authority for issuing of Addendum shall be vested in the City's Environmental Services Department. Qualified Firms are advised to check the Procurement Portal frequently for any Addendum issued. SCHEDULE OF EVENTS Tentative Schedule of events are available in the facing page of Bonfire. The City reserve the rights to change those dates as and when required. Qualified Firms are advised to recheck those dates frequently. CLOSE DATE AND TIME The deadline date and time for submission(s)/Responses against a Project/RFQ shall be specified in the Procurement Portal. Your Reponses must be finalized, uploaded, and submitted on the Procurement Portal prior to the posted Close Date and Time for the Project/RFQ. The City reserve the rights to change those dates as and when required. Qualified Firms are advised to recheck those date frequently. Electronic submission is subject to electronic interface latency, which can result in transmission delays. All Qualified Firms assume the risk of late transmission/submission. The City shall not be held liable if an interested Firm is unable to submit a complete Response before the published deadline due to transmission delays or any other technical issues or obstructions. The City strongly recommends allowing sufficient time to complete the submission process (ideally a week before the deadline) to begin the uploading process and to finalize your submission to give adequate time in the event an issue anses. SUPPORTING DOCUMENTATION (PUBLIC FILES) Supporting Documentation (Public Files) attached to the Procurement Portal are integral part of the Project/RFQ. Bidders should download and review all those documents. Bidders should complete required documents and upload those to "Required Information" section of the Project in the Procurement Portal. Page 4 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation 8.0 SUBMISSION INSTRUCTIONS All submissions/Response(s) must be submitted electronically prior to the close date and time under the respective Project/RFQ via the Procurement Portal: httos://www.fortworthtexas.2ov/departments/finance/purchasinv-/online- biddina- platform Failure to submit all completed required information listed in the respective RFQ will be grounds for rejection of a Response as non -responsive. No late Reponses shall be accepted. Reponses delivered in any other manner than using the Bonfire Platform (Procurement Portal) will not be accepted or considered. If, upon being opened, a submission is unreadable to the degree that material conformance to the requirements of the procurement specifications cannot be ascertained, such submission will be rejected without liability to the City, unless such Firm provides clear and convincing evidence (a) of the content of the submission as originally submitted and (b) that the unreadable condition of the Electronic Response was caused solely by error or malfunction of the Bonfire Platform (Procurement Portal). Failure to scan a clear or readable copy of a Response into the system does not constitute and shall not be considered an error or malfunction of the Bonfire Platform (Procurement Portal). Qualified Firms are encouraged to fully review each page of every document within their submission prior to submitting to ensure all documents are clear, legible, and complete. 9.0 REQUEST FOR QUALIFICATION A Request for Qualification (RFQ) is the publication of the City's intent of requesting Statement of Qualifications (SOQ) on the means and methods of how they will provide the requested goods and/or services to the City. It may also be referred to as a Project or Solicitation. The purpose of the RFQ is to describe the goods and/or services to be procured. Qualified Firms are expected to examine all documents that make up the RFQ. Qualified Firms shall promptly notify the City of any omission, ambiguity, inconsistency, or error that they may discover upon examination of the RFQ. Page 5 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation The City assumes no responsibility for any errors or misrepresentations that result from the use of incomplete SOQ. The evaluation criteria to award a contract from an RFQ shall be Best Value. The award of contract shall be made to the responsible Qualified Firms whose Response is determined to be the most advantageous to the City considering the relative importance of price and the other evaluation factors included in the RFQ. 10.0 RESPONSE An offer/submission by a Firm for goods and/or service submitted in the Procurement Portal against the RFQ before the submission Close Date and Time. Response may also be referred to as a Bid. 11.0 FIRM An entity (which could be a person or a business) that (i) seeks or has the potential to do business with the City and serve as a Supplier (also referred to as Seller, Vendor, Contractor, Consultant, etc.) and (ii) responds to a City procurement. Firm may also be referred to as Bidder. 12.0 UNAUTHORIZED COMMUNICATIONS Cone of Silence: the period of time that begins when a RFQ has been released until the Intent to Award has been published. During this period of time, Qualified Firms' contact regarding this RFQ with employees or officials of the City other than the Environmental Services Staff, the Business Equity Division, or as otherwise indicated in the RFQ is prohibited and may result in disqualification from this procurement process. No officer, employee, agent, or representative of the Firm shall have any contact or discussion, verbal or written, with any members of the City Council, City staff, or City's consultants, or directly or indirectly through others, seek to influence any City Council member, City staff, or City's consultants regarding any matters pertaining to this RFQ, except as herein provided. Any violation of this prohibition may result in the Firm being disqualified from the procurement process. Any oral communications are considered unofficial and non -binding with regard to this RFQ. Qualified Firms should refrain from making comments regarding a specific solicitation or its subject matter — in the media or otherwise — until the selection process is complete. For the selected Firm, such comments are also inappropriate until the contractual engagement with the City has ended. 13.0 NON -ENDORSEMENT AND PUBLIC COMMENTS If a Response is accepted, the successful Firm shall not issue any news releases or other statements pertaining to the award or servicing of the agreement that state or imply the Page 6 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation City's endorsement of the successful Firm's services. Qualified Firms shall refrain from making comments regarding this RFQ or its subject matterin the media or otherwise —until the selection process is complete. For the selected vendor, such comments are also inappropriate until the study has concluded and the final report has been issued. 14.0 PRE -QUALIFICATION CONFERENCE If a pre -qualification conference is held, the time, place, and nature of the conference will be specified on the Procurement Portal section under the respective RFQ. Attendance at pre -qualification conferences is not mandatory but is highly encouraged. 15.0 PREPARATION OF REPONSES Each Firm must furnish all information required by a RFQ on the documents provided and/or in the format required, unless otherwise stated. Reponses submitted on different forms or in different formats than required in the RFQ shall be considered non- responsive. Any attempt to alter the wording in the RFQ is ineffective and may result in rejection of the Response. In order to be considered, Response must include all the documents and information requested in this RFQ. Page 7 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation 15.1 Tax Exemption: Purchases of Goods or Services for City use are usually exempt from City, State, and most Federal Taxes. Reponses shall not include exempted taxes. The successful Firm should request a Tax Exemption Certificate from the Environmental Services Department. Under no circumstances shall the City be liable to pay taxes under any Contract for which the City has an exemption. 15.2 Response Adequacy: Reponses should adequately address all evaluation factors listed on RFQ and include required details and documents that will be used as part of the evaluation. Reponses should be prepared as simply as possible and provide a straightforward, concise description of the Firm's capabilities to satisfy the requirements of the RFQ. Utmost attention should be given to accuracy, completeness, and clarity of content. Reponses shall be completed in accordance with the requirements of this RFQ. Statements made by a Firm shall be without ambiguity, and with adequate elaboration, where necessary, for clear understanding. All parts, pages, figures, or tables should be numbered and clearly labeled. Response information should be limited to pertinent information only. 15.3 Response Page Limit: Unless stated otherwise, Reponses shall be limited to a maximum of twenty-five (20), Letter size (8-1/2" x 11") pages using a font size no smaller than 12-point Times New Roman or Arial and margins of at least one inch in each direction. The required/requested Attachments and Exhibits and Addendums are not of this page limit. 15.4 Response Summary and Company Overview: Response must include the following information, failure to provide all the information will deem the Response non- responsive: Executive Summary - The purpose of provide a high-level description of th e Page 8 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation understanding of the services to be performed and make a positive commitment to provide the services as specified; ��. Company History and Ownership - Qualified Firms shall provide a brief overview of company history and current ownership in narrative form. If owned by a private equity or investment firm, please provide the name of the private equity or investment firm and when the operating entity was acquired. All subcontractors must be identified, including the role of each subcontractor. Company Experience - Firm shall demonstrate they have the preferred minimum experience and list years of experience for which the Firm has provided services similar to the size of the City. Firm shall briefly describe in narrative format the Firm's experience. The Firm shall communicate their company background and history, with a specific focus on history in Fort Worth, Dallas -Fort Worth Metroplex and Texas. 15.5 RFQ Exemptions: Response Exemptions - Any and all exceptions to the RFQ must be listed on an item -by -item basis and cross- referenced. If there are no exceptions, the Firm must expressly state that no exceptions are taken; 15.6 Proprietary Information: 1. All material submitted to the City becomes public property and is subject to the Texas Open Records Act upon receipt. ii. If a Firm does not desire information that it believes to be proprietary in the Response to be disclosed, the Firm shall attach a listing of each page number in a chart as shown below and must clearly mark and identify each page by including the word "PROPRIETARY" in all caps and highlighted yellow on the bottom center of each page at the time of submittal. The City will, to the extent allowed by law, endeavor to protect such information from disclosure. The final decision as to the information that must be disclosed lies with the Texas Attorney General. Note: Pricing may not be marked proprietary and will be made publicly available in the form of a bid tab following evaluation of all Reponses. By submitting a response, Qualified Firms agree that pricing is not proprietary and may be released. Page 9 of 19 FORT WORTH iii 1V. CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation Pages with information Please indicated if only specific believed to be Proprietary sections on the page are believed to be Proprietary Failure to identify proprietary information, as required in above paragraph will result in all unmarked sections being deemed non-proprietary and available upon public request. 15.7 Business Equity Division (M/WBE) Documents: If a Business Equity Goal has been established for the RFQ, the applicable documents must be submitted by all Qualified Firms wishing to continue in the RFQ evaluation process within two (2) City business days after the RFQ Close Date, exclusive of the Close Date, to the Procurement Portal. 15.8 Alternate Reponses: Firm may offer an "equal" product as an alternate Response. Final "approved equal" determination remains with the City. 15.9 Response Preparation Costs: All costs associated with preparing a Response in response to a RFQ shall be borne by the Firm. 15.10 Free on Board (FOB) Point: Freight Terms shall be FOB Destination, Freight Prepaid and Allowed. The Firm should quote its lowest and best price, with the goods delivered to the place specified, at the Firm's expense and risk, and their tender delivery to the City. Reponses offering any other delivery terms are not acceptable and may be cause for rejection. 15.11 Prices: Reponses shall be firm -priced offers unless otherwise specified. ii. In the event of a discrepancy between unit price and extended price, the unit price shall govern. iii. Prices shall be offered in the United States Dollars and cents. IV. Unit prices shall include all costs associated with the specified good/service unless specified in the RFQ, including but not limited to handling, delivery, fuel charges, fees and certifications fees. No additional charges will be accepted or paid by the city. Page 10 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation v. The quantities listed on the RFQ are only estimates based on previous usage and do not indicate intent to purchase or a guarantee of future business. The City is obligated to pay for only those goods or services actually ordered by an authorized City employee and then received as required and accepted by the City. Qualified Firms should extend their best price based on the estimated quantities included in the RFQ, but it is understood that the City may purchase more or less of any item included in the RFQ. vi. Following the award, additional services of the same general category that could have been encompassed in the award of the contract, and that are not already on the contract, may be added based on the discount price sheet provided with the Response so long as such inclusion does not violate state or local law. vii. Any services that have been omitted from this RFQ that are clearly necessary or in conformance shall be considered a requirement although not directly specified or called for in the RFQ. 16.0 MODIFICATION OR WITHDRAWAL OF RESPONSE 16.1 Modification of Response: Response may be modified in the Procurement Portal at any time prior to the Close Date and Time. 16.2 Withdrawal of Response: Response may be withdrawn in the Procurement Portal at any time prior to the Close Date and Time. Withdrawn Response may be resubmitted, with or without modifications in the Procurement Portal, before the Close Date and Time. No Response may be withdrawn after the Close Date and Time without forfeiture of the Response/Bid guarantee, if any, unless there is a material error in the Response. 17.0 OPENING OF RESPONSE For Projects/RFQ that requires a public opening as per state law, the Purchasing Department representative responsible for opening Response(s) will publicly open and read each Firm Title (name) aloud in the Fort Worth City Council Chambers located at 200 Texas, Fort Worth, Texas 76102, at 2:00 PM after Close Date and Time, unless otherwise noted in the RFQ. 18.0 EVALUATION AND AWARD 18.1 Evaluation: Qualified Firms may furnish pricing for all or any portion of the RFQ (unless Page 11 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation otherwise specified). However, the City may evaluate and award the contract for any item or group of items shown on the RFQ, or any combination deemed most advantageous to the City. Reponses that specify an "all or none" award may be considered if a single award is advantageous. 18.2 Award: The method of award is detailed in the respective RFQ. The City can award contracts to the Firm who offers represents the "best value" to the City. The following criteria may be considered to determine the best value (see section 252.043 of the Texas Local Government Code): i. Purchase Price; ii. Reputation of the Firm and of the Firm's goods and/or services; iii. Quality of the Firm's goods and/or services; iv. Extent to which the goods and/or services meet the City's needs; V. Firm's past relationship with the City; vi. Impact on the ability of the City to comply with laws and rules relating to contracting with historically underutilized businesses, including Certified Minority Women -Owned Businesses, and non-profit organizations employing persons with disabilities; vii. Total long-term cost to the City to acquire the Firm's goods and/or services; and viii. Any relevant criteria specifically listed in the RFQ. 18.3 Acceptance of Response: Acceptance of a Response will be in the form of a Purchase Order or a contract. Subsequent purchase releases may be issued as appropriate. The contents of a Response shall become a part of the contract. Under no circumstances will the City be responsible for goods and/or services provided without a Purchase Order issued through the City's PeopleSoft system. 18.4 Reservations: The City expressly reserves the right to: i. Specify approximate quantities in the RFQ; ii. Extend the RFQ Close Date and Time; Consider and accept alternate Reponses, if specified in the RFQ, when most advantageous to the City; iv. Waive as an informality, minor deviations from specifications provided Page 12 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation they do not affect competition or result in functionally unacceptable goods and/or services; v. Waive any minor informality in any RFQ procedure (a minor informality is one that does not affect the competitiveness of the Qualified Firms); vi. Add additional terms or modify existing terms in the RFQ; vii. Reject a Response because of unbalanced unit prices Response; vill. Reject or cancel any or all Response; ix. Reissue a RFQ; X. Procure any item by other means; and/or xi. Award to multiple Qualified Firms on a non-exclusive award basis, or primary and secondary Qualified Firms. 18.5 Negotiations: The City reserves the right to negotiate all elements that comprise the successful Firm's response to ensure that the best possible consideration be afforded to all concerned. 18.6 Period of Acceptance: Firm acknowledges that by submitting the Response, Firm makes an offer that, if accepted in whole or part by the City, constitutes a valid and binding contract as to any and all items accepted in writing by the City. Unless specified otherwise, the period of acceptance of Reponses is one hundred and eighty (180) calendar days from the Close Date. 19.0 DOCUMENTS REQUIRED FROM RECOMMENDED FIRM 19.1 Certificates of Insurance: When insurance is required, the Firm must provide Certificates of Insurance in the amounts and for the coverages required to the Purchasing Office within 14 calendar days after notification of award, or as otherwise required by the Solicitation. Page 13 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation 19.2 Certificate of Interested Parties Form 1295: If the Purchase Agreement must be approved by the City Council before execution, the successful Firm is required to complete the Certificate of Interested Parties Form 1295 and submit the form within two (2) City business days to the Purchasing contact listed in the solicitation before the purchase/contract will be presented to the City Council. The form may be completed at https://www.ethics.state.tx.us/whatsnew/elf info_form129 5.htm 20.0 AGREEMENT TERM Unless specified otherwise, the initial term of the agreement shall be one year. Upon the expiration of the initial term, the agreement shall renew automatically under the same terms and conditions for up to four (4) one- year renewal periods, unless City or Supplier provides the other party with notice of non -renewal at least 90 days before the expiration of the initial term or renewal periods. In the event no funds or insufficient funds are appropriated by City in any fiscal period for any payments due hereunder, City will notify supplier/vendor of such occurrence and the contract will terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. 21.0 UNIT PRICE ADJUSTMENT Suppliers/vendors may require that unit prices be adjusted for increases or decreases in Supplier's cost during the contract period using the following procedure: 1. The Supplier must submit its price adjustment request, in writing, at least 30 days before the requested effective period. The Supplier shall provide written proof of cost increases with the price adjustment request. ii. If the City concludes that the rate increase being requested is exorbitant, the City reserves the right to adjust the rate request, or reject the rate request in its entirety and allow the contract to expire at the end of the contract term. If the City elects not to exercise the renewal option, the Environmental Services Department will issue a new solicitation. Prices shall remain firm for the term of the Agreement and shall include all associated freight and delivery costs, unless otherwise specifically stated and agreed to by City. Page 14 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation iv. Prices offered shall be used for Response analysis and for the contract. In cases of errors in extensions or totals, the unit prices offered will govern. v. Upon expiration of the contract term the successful Firm, agrees to hold over under the same terms and conditions of the contract for a reasonable period of time to allow the city to re-solicitate an agreement, not to exceed ninety (90) days. vi. The provision of goods and/or services shall not be suspended by the Supplier except as expressly allowed by the contract's terms and conditions. 22.0 INVOICE AND PAYMENTS 22.1 Registration: Successful Firm are required to register for direct deposit payments prior to providing goods and/or services using the forms posted on the City's website at https://www.fortworthtexas.gov/departments/finance/pur chasing/register 22.2 Invoice: The Supplier shall send invoices electronically to the City's centralized Accounts Payable department invoice email address: supplierinvoices@fortworthtexas.gov. This email address is not monitored so please do not send correspondence to this email address. The sole purpose of the supplier invoices email address is to receipt and process supplier invoices. Please include the following on the subject line of your e-mail: Supplier name, Invoice number, and PO number, separated by an underscore (ex: Example, Inc._123456_FW022-0000001234) To ensure the system can successfully process your invoice in an expedient manner, please adhere to the following requirements: All invoices must be either a PDF or TIFF format. ii. Image quality must be at least 300 DPI (dots per inch). Invoices must be sent as an attachment (i.e. no invoice in the body of the email). iv. One invoice per attachment (includes PDFs). Multiple attachments per email is acceptable but each invoice must be a separate attachment. v. Please do not send handwritten invoices or invoices that contain handwritten notes. vi. Dot matrix invoice format is not accepted. Page 15 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation vii. The invoice must contain the following information: a. Supplier Name and Address; b. Remit to Supplier Name and Address, if different; C. Applicable City Department business unit# (i.e. FW013) d. Complete City of Fort Worth PO number (i.e. the PO number must contain all preceding zeros); e. Invoice number; f. Invoice date; and viii. Invoices should be submitted after delivery of the goods and/or services. To prevent invoice processing delays, please do not send invoices by mail and email and please do not send the same invoice more than once by email to supplierinvoices@fortworthtexas.gov. To check on the status of an invoice, please contact the City Department ordering the goods/services or the Central Accounts Payable Department by email at: ZZ_FIN AccountsPayable@fortworthtexas.gov. If you are unable to send your invoice as outlined above at this time, please send your invoice to our centralized Accounts Payable department instead of directly to the individual city department. This will allow the city staff to digitize the invoice for faster processing. If electronic invoicing is not possible, you may send your paper invoice to: City of Fort Worth Attn: FMS Central Accounts Payable 200 Texas Street Fort Worth, Texas, 76102 The City's goal is to receive 100% of invoices electronically so that all supplier payments are processed efficiently. To achieve this goal, we need the Contractor's support. If Contractor has any questions, please contact the Accounts Payable team at (817) 392-2451 or by email to ZZ_FIN AccountsPayable@fortworthtexas.gov. Contractor shall not include Federal, State of City sales tax in its invoices. City shall furnish a tax exemption certificate upon Vendor's request. 22.3 Payment: All payment terms shall be "Net 30 Days" unless specified in the Response and agreed by the City. Page 16 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation 23.0 PROTEST PROCEDURE Due to the subjective nature of evaluating responses from RFQ, a Firm who submitted a Response may not protest the City's selection of the RFQ award. 24.0 COOPERATIVE PURCHASING i. The City has interlocal agreements with many other governmental entities that provides the ability for other entities to use the City's contracts, so long as Supplier/vendor agree to extend the same terms, conditions, and pricing to the other entities. Firm, shall indicate in their Response whether they agree that to extend the terms, conditions, specifications, and pricing of its agreement with the City to other governmental entities. ii. If the successful Firm agrees to extend the resulting contract to other governmental entities, the following shall apply: Governmental entities with interlocal agreements with the City shall be eligible, but not obligated, to purchase material/services under contract(s) awarded as a result of City solicitations. All purchases by governmental entities other than the City shall be billed directly to that governmental entity and paid by that governmental entity. The City shall not be responsible for another governmental entity's debts. Each governmental entity shall order its own material/services as needed. 25.0 GENERAL PROVISIONS The Supplier shall not assign its rights or duties under an award without the prior written consent of the City. Such consent shall not relieve the assignor of liability in the event of default by its assignee. 26.0 SUBCONTRACTORS Qualified Firms may include subcontractors for any part of services offered. City reserves the right at its sole discretion to accept or reject any Response that includes subcontractors. Upon award of a contract, City reserves the right to pre -approve use of any and all subcontractors. 27.0 BEST AND FINAL OFFER The City at its sole discretion may elect to have Qualified Firms that submit Reponses deemed most advantageous to the City to prepare a Best and Final Offer for consideration by the Evaluation Committee. Contract negotiations will then be based on submitted Best and Final Offers. 28.0 ASSIGNMENT Page 17 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation The Qualified Firms shall not assign its rights or duties under an award without the prior written consent of the City. Such consent shall not relieve the assignor of liability in the event of default by its assignee. 29.0 ERRORS OR OMISSIONS The Firm shall not be allowed to take advantage of any errors or omissions in this RFQ. Where errors or omissions appear in this RFQ, the Firm shall promptly notify the City's Environmental Services Department in writing of such error or omission it discovers. Any significant errors, omissions or inconsistencies in this RFQ are to be reported no later than ten (10) days before time for the RFQ response is to be submitted. 30.0 TERMINATION 1. If this award results in a contract, it shall remain in effect until contract expires, delivery and acceptance of products and/or performance of services ordered or terminated by the City or Supplier with a thirty (30) day written notice prior to cancellation. 1i. In the event of termination, the City reserves the right to award a contract to next lowest and best Firm as it deems to be in the best interest of the City. Further, the City may cancel this contract without expense to the City in the event that funds have not been appropriated for expenditures under this contract. The City will return any delivered but unpaid goods in normal condition to the Firm or pay for the goods, at the City's sole direction. 31.0 RIGHT OF ASSURANCE Whenever the City has reason to question the Firm's intent to perform, the City may demand that the Firm(s) give written assurance of Firm's intent to perform. In the event a demand is made, and no assurance is given within ten (10) calendar days, the City may treat this failure as an anticipatory repudiation of the contract. 32.0 CHANGE ORDERS No oral statement of any person shall modify or otherwise change or affect the terms, conditions or specifications stated in the resulting contract. All change orders to the contract will be made in writing and signed by both parties. Change orders must be approved by City Council if dollar amount is over $50,000.00. 33.0 VENUE The contract/agreement(s) will be governed and construed according to the laws of the State of Texas. The contract(s) is performable in Tarrant County, Texas. Venue shall lie exclusively in Tarrant County, Texas. 34.0 CONFLICT OF INTEREST Page 18 of 19 FORT WORTH CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT Checklist and Required Documentation No public official shall have interest in this contract, in accordance with Vernon's Texas Codes Annotated, Local Government Code Title 5, Subtitled C., Chapter 171. 35.0 INSURANCE For the duration of a contract resulting from this RFQ, Firm shall carry insurance in the types and amounts as negotiated in the final contract. 36.0 CONTRACT CONSTRAINTS AND CONDITIONS All goods and/or services shall be provided in accordance with applicable requirements and ordinances of the City, laws of the State of Texas, and applicable federal laws. The proposed contract has been provided with this RFQ. However, all final terms and conditions will be negotiated with the awarded Firm. 37.0 CHANGE IN COMPANY NAME OR OWNERSHIP The successful Firm (Supplier) shall notify the City's Purchasing Department, in writing, of a company name, ownership, or address change for the purpose of maintaining updated City records. The president of the company or authorized official must sign the letter. A letter indicating changes in a company name or ownership must be accompanied with supporting legal documentation such as an updated W-9, documents filed with the state indicating such change, copy of the board of director's resolution approving the action, or an executed merger or acquisition agreement. Failure to do so may adversely impact future invoice payments. Page 19 of 19 FORT WORTH. CITY OF FORT WORTH - ENVIRONMENTAL SERVICES DEPARTMENT CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE (CIQ) Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to contract for the sale or purchase of property, goods, or services with a local governmental entity (i.e. City of Fort Worth) must disclose in the Conflict of Interest Questionnaire Form "CIQ" the person's affiliation or business relationship that might cause a conflict of interest with the local governmental entity. Bylaw, the Questionnaire must be filed with the City of Fort Worth Secretary no later than seven days after the date the person begins contract discussions or negotiations with the City or submits an application or response to a request for proposals or bids, correspondence, or another writing related to a potential agreement with the City. Updated Questionnaires must be filed in conformance with Chapter 176. A copy of the Questionnaire Form CIQ is enclosed with the submittal documents. The form is also available at httvs://www.ethics.state.tx.us/forms/conflict/ If you have any questions about compliance, please consult your own legal counsel. Compliance is the individual responsibility of each person or agent of a person who is subject to the filing requirement. An offense under Chapter 176 is a Class C misdemeanor. NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with the City, state the Proposer name in # 1, and use N/A in each of the areas on the form. However, a signature is required in the #7 box in all cases. FORT WORTH. CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICE USE ONLY This questionnaire is being filed in accordance with Chapter 176. Local Government Code, by a vendor who Data Aece.ea has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meats requirements under Section 176.0061a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An of arse nder !his se-icn is a nsdemeanor. J Name of vendor who has a business relationship with local governmental entity. J Chedt this box ifyou are filing an u a1e to a reviou filed questionnaire. (The law re quires that you f le an u Y 9 Pd P �Y q q y plated completed questionnaire witn the appropriate fling authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) J Name of local , . : : I officer about whom the information is being disclosed. Name of Officer J Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer. Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIO as necessary. A. Is the local government officer or a family member of me officer receiving or likely to receive taxable income. other than investment income. from the vendor? Yes F—] No B. Is the vencor receiving or likely to receive taxable income, other than investment income. from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity? 71 Yes F7No J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more. 61 ElCheck this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gets described in Section 176.003(a-1). 71 Z tgnafure of vendor doing business wrm me governmental entity Uate Form provided by Texas Ethics Commission wKw.ethics.state.ix.us Revised 111.2021 FORT WORTH. CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT CIQ FORM CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at http:::www.statutes- leg is- state. tx.us Docs LG' htm'LG 176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code A 176.001(1-a): "Business relationship" means a connection between two or more parties based on commerciai activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or i C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code 4176.003(al(2)(A) and (B):. a) A local government officer shall file a conflicts disclosure statementwith respect to avendor 0: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income. that exceeds $2.500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor: (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code 4176.006(a) and (a-1) i a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer. described by Section 176.003(a)(2)(A); (2) has given a local govemment officer of that local governmental entity. or a family member of the officer, one or more gi tswith the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity- (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity: or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a): (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.stato.tx.us Revised V•:232• FORT WORM, CITY OF FORT WORTH ENVIRONMENTAL SERVICES DEPARTMENT 100 FORT WORTH TRAIL FORT WORTH, TEXAS 76102 REQUEST FOR QUALIFICATIONS CITY DEMOLITION SERVICES RFQ: 25 - 0080 Legal Name of Respondent: DB/A Name of Respondent: City of Fort Worth Peoplesoft Bidder/Supplier ID or Federal ID Number (TIN): Address: Name of the Authorized Representative: Title: The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFQ and agrees to be bound by the terms therein. The undersigned agrees if the Statement of Qualifications is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFQ. Signature of the Authorized Representative: Email: Phone: Name of Contact Person 1: Title of Contact Person 1: Email: Phone: Name of Contact Person 2: Title of Contact Person 2: Email: Phone: Name of Contact Person 3: Title of Contact Person 3: Email: Phone: Please answer each question below: Will the agreement be available for Cooperative Agreement use? Yes No Prompt Payment Discount Terms: Percent Days (i.e. 3% Net 15, etc.) 2 FORT WORTH. CITY OF FORT WORTH - ENVIRONMENTAL SERVICES DEPARTMENT REFERENCE SHEET Respondent shall furnish the following information with their Statement of Qualifications, for at least three (3) recent clients/customers to whom subject services were provided that are similar to the requirements stipulated in this RFQ. 1. Company's Name: Name of Contact: Title of Contact: Address: Phone No. Email: Type of Services Provided: 2. Company's Name: Name of Contact: Title of Contact: Address: Phone No. Email: Type of Services Provided: 3. Company's Name: Name of Contact: Title of Contact: Address: Phone No. Email: Type of Services Provided: FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 1 of 9 Services 1. Scope of Services a. The City of Fort Worth (City) Code Compliance and Environmental Services Departments are seeking statements of qualifications from experienced firms to establish non-exclusive agreements for demolition services of residential and commercial structures and any required asbestos abatement activities as required by the Texas Department of State Health Services (TDSHS) on a Task Order basis. b. Respondents must download all attachments to ensure a complete understanding of the agreement the City intends to award through this Request for Qualifications (RFQ). The awarded Respondent shall be known hereafter as "Contractor"/"Vendor." 2. Evaluation Factors a. For the Respondent's Statement of Qualifications (SOQ) to be evaluated, the Respondent must provide a complete Response submitted within the stated deadline and per the RFQ requirements. Respondent shall include in their Response all documents and details required for evaluating, including; Business Equity Goal documentation for the RFQ. (See file, RFQ-07-Business Equity- MWBE) b. If the Soy meets the above requirements, selection will be based on the qualified Respondent(s) that is determined to be the most advantageous to the City considering the relative importance of evaluation factors listed below: c. Note: A respondent may be disqualified if they do not meet at least 50% of the evaluation points available. i. Approach to Perform Services — up to 30 points available. • This will be evaluated based on the information provided in the Statement of Qualifications, (RFQ-08-Questionnaire and Requirements, Section 4.d.). ii. Company Qualification & Experience — up to 45 points available. • This will be evaluated based on information provided in the Reference Sheet (RFQ-04-Reference Sheet), Questionnaire (RFQ- 08-Questionnaire and Requirements). iii. Past Performance — up to 15 points available. • This will be evaluated based on information provided in the Reference Sheet, (RFQ-04-Reference Sheet). iv. Safety Plan & Associated Records — up to 10 points available. • This will be evaluated based on the information provided by the Health and Safety Plan, (RFQ-08-Questionnaire and Requirements) v. Business Equity Firm Participation Response — Responsive or Non - Responsive FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 2 of 9 Services This will be evaluated based on the information provided in RFQ- 07-Business Equity MWBE and supporting documents. 3. Definitions a. Emeraencv Demolition Order: a demolition ordered by the City of Fort Worth Building Official due to the threat to public health and/or safety posed by a structure. b. Request for Cost: a request sent to the Contractors along with a description of services needed and any necessary details in order to obtain a cost quote or bid in order to conduct the project therein described. c. Task Order: a written description and specification directing the Contractor to perform specific services. 4. Scope of Services: City Demolition Services a. Background i. The City of Fort Worth's Building Standards Commission may determine whether buildings, properties, or structures are in compliance with the City Code and may if a violation is found, order a property owner to comply with all applicable laws and ordinances, including requiring vacation, relocation of occupants, securing, repair, removal, abatement, or demolition of a building, property, or structure. The property owner is allotted a certain amount of time to make necessary repairs or demolish the structure(s). If the property owner does not make necessary repairs or demolish the structure during this time, the City will have the structures demolished. In such an event, the Building Standards division of Code Compliance will issue a task order to have the structure(s) demolished. ii. Residential and commercial demolition services may be performed on the following: • Structures exempt from the Asbestos National Emissions Standards for Hazardous Air Pollutants (NESHAP) — such as a single-family residence. • Facilities regulated under the Asbestos NESHAP that contain regulated asbestos -containing material (RACM) below thresholds. • Facilities regulated under the Asbestos NESHAP that require removal of RACM prior to building demolition. • Facilities regulated under the Asbestos NESHAP that have been declared structurally unsound or in danger of imminent collapse. • Facilities or structures owned by the City of Fort Worth that may be demolished for future site redevelopment of usage. FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 3 of 9 Services b. Task Order i. The City Departments will identify a scope of work and a schedule for each project opportunity. The amount of work assigned to each Contractor is variable. To be considered for award of the Task Order project, Contractors shall respond to a Request for Cost within 14 calendar days of issuance by the requesting Department. The Request for Cost may require, at minimum abatement plan of action, demolition plan of action, site supervisor and worker documentation, licensing documentation, schedule of work, and a total price for completing the project. The Task Order project may be awarded to the Contractor based on the following criteria: price, approach and timeline in which the contractor that can meet the Task Order's schedule. Please see Exhibit A for an example of the Request for Cost. ii. Task Orders may be issued for structures and non -structures such as, but not limited to fencing, parking lots, bridges, and water wells. iii. Emergency Demolition Orders may be issued by the Building Official. In such event, a Request for Cost shall be issued to the Contractors. The response time to such request will be dependent on the urgency and nature of the Emergency Demolition Order. A timeframe for response shall be included by the requesting department in the event of an Emergency Demolition Order. iv. No change orders shall be allowed unless fully justified and mutually agreed upon with the designated project manager. v. Work performed for each Task Order issued shall be compensated on a fixed -price basis, which shall be specified on the Task Order for each project. The compensation amount on the Task Order shall be the bid amount from the contractor for the individual Task Order project. vi. Quantities identified in this Requests for Costs are estimated quantities only. Prior to submitting a bid for a Task Order, the Contractor is responsible for verifying all quantities. The Contractor is to rely exclusively upon its own estimates, investigation, research, tests, and other data necessary to supply the full and complete information upon which the Contractor's bid is based. c. Inspection i. Prior to commencement of work, the Contractor shall ensure the designated City project manager is present at the job site. ii. Prior to commencement of work, the Contractor shall be responsible for inspecting all areas in which work will be performed to ensure safety of the crew. Contractor shall prepare a listing of any damages to structures, surfaces, and equipment at and around surrounding properties which could FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 4 of 9 Services be misconstrued as damage resulting from work being performed. Photographs and/or video recording of the existing conditions are allowed, as necessary, to document such conditions and may be kept for future needs. Any photographs and/or video recordings must be taken from the street right-of-way. iii. The Contractor must acknowledge that structures slated for demolition may still be occupied. It is the Contractor's responsibility to assess and assume all risks associated with this condition. The Contractor shall take all necessary precautions to ensure the safety of occupants and surrounding properties during the demolition process. d. Contractor Minimum Qualifications i. Have a minimum of 5 (five) years of experience performing demolition services similar or related to the Scope of Services. ii. Have and operate a full-time, permanent business address with the ability to be reached by email and telephone. iii. The Contractor shall designate at least one (1) person with the firm as the point of contact that can be reached by phone or email for accessibility. iv. The contractor shall be responsible for providing and covering the cost of all materials, equipment, labor, transportation, tools, fuel, utilities, and any necessary temporary facilities for completing the work as outlined in each Task Order. e. Contractor Responsibilities i. The contractor shall be responsible for providing and covering the cost of all materials, equipment, labor, transportation, tools, fuel, utilities, and any necessary temporary facilities for completing the work as outlined in each Task Order. ii. The contractor shall be responsible for coordinating with the Code Compliance — Building Standards Division or the Environmental Services Department, the start date of demolition/asbestos abatement to allow for notification to the Texas Department of State Health Services (DSHS). The City of Fort Worth will prepare and submit the DSHS notification. iii. Upon receipt of a Task Order and before demolition, contractor must obtain a wrecking/razing permit to demolish any structures from the City's Development Services Department - (817) 392-2222. Permits can be applied for online through Accela or in person at New City Hall located at 100 Fort Worth Trail, Fort Worth, Texas 76102. iv. In obtaining the wrecking permit, the contractor will be required to abide by City of Fort Worth ordinance number 17228, also known as the "Tree Preservation Ordinance." Under the preservation ordinance, no tree 6" diameter or greater will be removed and all trees within 50 feet of a FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 5 of 9 Services structure will be protected as per Tree Ordinance #17228. Removing trees that interfere with construction is permissible while still retaining 50% of existing canopy. v. Prior to site mobilization, the contractor must determine the applicability of the Texas Commission on Environmental Quality (TCEQ) and City of Fort Worth Storm Water Rules including the TPDES General Permit No. TXR150000 and receive approval from the City. In addition, the contractor must also submit any required documentation to the TCEQ and the City of Fort Worth. The contractor must maintain compliance with these rules and ensure posting of any required materials is done in such a manner so that the information can readily be obtained by the general public. vi. Utilities will have been terminated to the sites. Prior to demolition, the Contractor will be responsible for verifying with the City that all utilities (i.e. natural gas, telephone, water, etc.) have been disconnected. vii. Contractor shall cut and cap all site utilities at point of connection to the site. viii. Contractor shall be responsible for contacting applicable utility services in order to decide whether or not main lines or routes effectively traverse the project site. City staff will consult with the Contractor to determine the best method for addressing any utility concerns. ix. All regulated structures shall be abated of all RACM and shall be demolished typically removing all slabs/foundations, utility infrastructure and grading of the parcel to properly manage storm water. x. All debris generated from the removal of RACM is to be disposed of as asbestos -containing waste. Such debris must be transported to disposal facilities registered with the United States Environmental Protection Agency (EPA) and the Texas Commission on Environmental Quality (TCEQ). xi. Prior to any site disturbance, the contractor shall implement stormwater Best Management Practices (BMPs), if applicable. This may include, but not be limited to, the use of silt fencing, rock check dams, mulching, erosion control blankets, curb and inlet protection devices, sediment traps, sediment basins, and/or stabilized construction entrances and exits. a. Contractor shall clean and remove all remaining furniture, household furnishings, building materials, tires, debris, trash, rubbish and any other solid waste from the premises. These materials shall be recycled, reclaimed or disposed at a facility or landfill that is approved to accept such waste. b. Contractor shall maintain proper safety fencing, as needed, and also provide for adequate signage, barricades, traffic cones, and "flagmen" during the course of the project when heavy traffic will be leaving or entering the site. Temporary safety fencing to be used shall be a heavy-duty, diamond- link mesh, orange, FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 6 of 9 Services high density polyethylene safety or security fencing that will withstand substantial weather -related stresses. c. The contractor shall use applied water to the structure prior to and during the demolition process, including loading of debris so as to prevent fugitive dust emissions from leaving the project site in accordance with the provisions of NESHAP. d. The Contractor shall be responsible for obtaining a City of Fort Worth — Water Department water meter if usage of water from nearby fire hydrants is anticipated. e. The work area shall be maintained in a manner that will control all demolition debris from becoming windblown and/or migrating from the work area during and after working hours. f. The contractor shall use site material, if available, or clean fill from an approved source to fill any holes in the terrain resulting from any of the above work, and grade the entire lot, ensuring that low areas are filled to prevent the pooling of water. g. For the duration of the entire project, contractor shall sweep dirt and debris from the haul routes used to ensure any sediment tracked from the site is collected and does not migrate onto City streets. h. Each abatement worker, as required, shall the appropriate current TDSHS abatement worker license and a current abatement worker certificate from a certified TDSHS abatement training provider. i. All personnel on -site shall have current medical surveillance and respirator fit test as outlined by OSHA and as required by TDSHS for maintenance of individual licensure (for asbestos -related activities). j. All personal on -site shall use all applicable personal protective equipment (PPE) at all times while on -site. Anyone found not using the appropriate PPE may be escorted from the premises until they obtain and use the applicable PPE. 5. General Performance Requirements a. Any and all asbestos related activities must be performed at a minimum in strict adherence to the Texas Asbestos Hazards and Protection Act (TAHPA), NESHAP, and Occupational Safety and Health Administration (OSHA) rules and regulations. For asbestos -related activities, if the Provider provides its own personal sampling pumps and Phase Contrast Microscopy (PCM) cassettes to the City's Asbestos Consultant then the City's Consultant will perform the laboratory analysis of the PCM cassettes for OSHA monitoring. b. Provider will be required to comply with all applicable Texas Pollution Discharge Elimination System (TPDES) Storm Water permits, rules and regulations. c. All work shall be performed in accordance with applicable federal, state and local rules and regulations. Contractor is required to stay abreast of any changes to applicable rules and regulations. FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 7 of 9 Services d. Contractor shall maintain a work force adequate to accomplish the work as specified by each Task Order. 6. City Responsibilities a. The City shall perform the following tasks: i. Provide structure demolition specifications for each Task Order project; ii. Provide Asbestos Assessment Reports and Asbestos Removal Specifications, as required; iii. Provide site contact information; iv. Provide site access; v. Provide timely notice to Contractor in writing of Task Order projects, detailing the location(s), type of work, and other pertinent information; vi. Provide Asbestos Consultant, Air Monitoring Technician, and Project Manager to oversee asbestos removal work, as required; vii. Provide approved OSHA Air Monitoring for asbestos abatement activities, as required; viii. Pay applicable Texas Department of State Health Services (DSHS) asbestos or demolition notification fees and file DSHS notifications and make necessary amendments. 7. Monitoring and Oversight (when applicable with asbestos -related activities) The City shall provide third -party air monitoring technicians/project managers, as required, to monitor areas where abatement is being performed. 8. Health and Safety Plan a. Contractor must provide the following items in the Response: i. The current safety procedures concerning all employees, crew makeup, and equipment proposed under this solicitation. ii. Any OSHA exceptions or citations issued to the Respondent in the preceding three (3) years iii. Contractor's OSHA Incident Rate for the most recent two (2) years. iv. Current standing with the Texas Department of State Health Services (TDSHS) v. Any TDSHS Incidents for the most recent five years vi. Sample of written work plan including abatement methods and equipment vii. Written compliance plan including health and safety plan and respiratory plan viii. Waste Transporter and Disposal site information ix. Identification of OSHA air monitor for OSHA monitoring personnel x. Copies of all outstanding and resolved Notice of Violations issued to the Contractor by the Texas Department of State Health Services (TDSHS) for the last five (5) years. FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref. #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 8 of 9 Services xi. Copies of any violations issued by the Texas Commission on Environmental Quality (TCEQ) within the last five (5) years for any illegal dumping of hazardous asbestos waste. 9. Quality Control a. The contractor shall ensure that Abatement supervisors are on -site at all times during all abatement activities, as required. b. The Contractor's crew shall not do any work without the presence of the third - party air monitoring technicians/project managers, as required. c. Any visitors present at the work site must wear their company's branding in order to be clearly identified and must maintain a professional demeanor while on the premises. d. Any visitors, including 3rd party contractors present at the work site must be included in the daily log. e. Daily Log: The Contractor shall maintain a daily log that records the dates and times of, but is not limited to the following items: i. Visitations; authorized and unauthorized, ii. Personnel, by name, entering and leaving the work area, iii. Special or unusual events, i.e., barrier breaching, equipment failures, iv. Air monitoring tests and test results, as needed, v. Documentation with the confirmation signature of the Project Manager of the following: • Inspection of the work areas' preparation prior to start of asbestos removal and daily thereafter, as required. • Removal of any polyethylene barriers, as required. • Contractors' inspection prior to encapsulation, as required. • Removal of waste material from the work area. • Decontamination of equipment — please list all items, as applicable. vi. Contractor shall provide a copy of daily log at final closeout of the project to the City's Project Manager, for asbestos -related work as required. 10. Task Order Close Out a. Upon completion of the Task Order project, the Contractor shall notify the City's Project Manager. A visual inspection may be performed to confirm all work has been completed in accordance with the project specifications. b. The Contractor shall submit the following documents as part of the closeout process: i. Copies of all permits ii. Waste disposal documentation iii. Before and after photographs iv. Daily Log FORT WORTH® CITY OF FORT WORTH — ENVIRONMENTAL SERVICES DEPARTMENT EVALUATION FACTORS & SCOPE OF SERVICES RFQ Ref #: 25-0080; City Demolition Doc. Ref#: RFQ-06 Page 9 of 9 Services EXHIBIT A SAMPLE REQUEST FOR COST Project #:20 4FORT WORTH®-06-123 June 17, 2024 Bid Request Due: 7.01.2024 Physical Address: Legal Description: 2904 LEE AVE, FORT WORTH ELLIS, M G ADDITION Block 71 Lot 22 Building Description 1-Primary structure 1.378 s t - Asbestos NESHAP Part 61) Exempt, single family residential structure HIS it. 24-01 Issued to: For: Demolition Separate Invoicing for Activities: Bill to Code Compliance Site Contact: Jason Pittman (817) 994-4385 With issuance of this Task Order, is awarded City of Fort Worth project 2024-01-101 for demolition of the above referenced structure(s). All work will be performed in accordance Wth the Contract bet+neen the Vendor and the City of Fort Worth; the Request for Cost for project 2024-01-101 issued on January 04, 2024; the contractor's response to the Request for Cost; and this Task Order. contracw: • Demolish primary structure All invoice must be submitted within one month following competition of the project. Involce(s) required for this project shall Include: • Project Number - 2024-01-101 • Purchase Order Number • TAD Account Number • Date of demolition andior asbestos abatement activities • Description of work. At a minimum, include: o Address o Number and type of structure demolished. o Copies of all trip tickets / manifests for confirmation of waste disposal Deliver invoices and supporting documentation by mail to: Jason Pittman Code Compliance - Environmental City of Fort Worth 200 Texas St, Fort Worth TX 76102 Or email tojason.oittmanOFortWorthTexas.aov Vendor Name: Asbestos Abatement - $ Demolish Structure - $ Total $ FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 1 of 3 BUSINESS EQUITY (M/WBE) The Business Equity Goal for this RFP is 15.96% Note: If there is no Goal assigned for this RFP, please ignore all Business Equity -related language and related documentation, including this document. If a Business Equity Goal has been established for the RFP: i. Proposers should complete and sign these cover pages (pages 1 & 2 of this document) to confirm their understanding of the Business Equity Goal and related process. ii. Proposers should submit the completed and signed cover pages (pages 1 & 2 of this document) in the Bonfire Portal before the Close Date and Time. iii. Proposers are strongly encouraged to submit all required Business Equity documents, including a Utilization Plan (or Good Faith Effort), at the time of their bid/proposal submission. However, per City ordinance, Proposers may submit the required documents after the Close Date and Time but no later than 2:00 PM on the 31d business day (which will usually be the following Tuesday) after the Close Date. Vendors will receive a message following the Close Date and Time at Messages > Vendor Discussions in the Bonfire Portal that will restate these deadlines. To submit the required documents after the Close Date and Time, Vendors must submit the required documents as an attachment to the message and send it back through the Bonfire Portal by the due date and time. iv. All items received through the message function will be appended to the Proposer's response; however. onlv Business Equity documents will be reviewed. Anv attempt to modify anv other portion of the bid will not be accepted or reviewed by the evaluation panel or Purchasing Division. V. Failure to submit a preliminary Utilization Plan (or Good Faith Effort) as required and by the due date and time may render a Proposer non -responsive. For any questions on how to submit the information, please contact Bonfire Support at https://fortworthtexas.bonfirehub.com/portal/support. Do not wait until the deadline to reach out with questions to allow for time for them to respond and assist you. vi. Proposers must obtain a listing of certified Business Equity Firms from the City's Department of Access and Opportunity Services. The request for listings form can be found on the City's website at https://www.fortworthtexas.gov/departments/diversity- inclusion/business-equity, or email DVIN BEOffice@fortworthtexas.gov vii. For additional information regarding the Business Diversity Equity Goal, contact the Department of Diversity and Inclusion at (817) 392-2674 or send an email to DVIN_BEOffice@fortworthtexas.gov Legal Name of the Proposer: Name of the Authorized Representative: Title: Page 1 of 3 FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 2 of 3 Signature of the Authorized Representative: Email: Phone: Note: Please see the Important Information on the following pages. Page 2 of 3 FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 3 of 3 Important Information: i. All Proposers shall note that the Business Equity Ordinance No. 25165-10-2021 (codified in Chapter 20, Article X of the Fort Worth Code of Ordinances, as amended), and any relevant policy or guidance documents, was adopted to ensure the full and equitable participation of certified Minority- and Women -owned business enterprises (M/WBEs), (collectively, "Business Equity Firms") in City contracts for the procurement of goods and services where a contract's total dollar value is greater than $100,000, as detailed below. ii. If a Proposer is certified as a Business Equity Firm, such Proposer can count its self - performance services towards meeting the Business Equity Goal(s) for the assigned NAICS commodity codes on their MBE or WBE certification. If such a Proposer will not self - perform all of the work, it will be required to provide subcontracting opportunities with certified Business Equity Firms to meet the stated Goal(s). iii. The selected Proposer acknowledges it will present Business Equity Firms currently certified by the North Central Texas Regional Certification Agency (NCTRCA) or Dallas/Fort Worth Minority Supplier Development Council (D/FW MSDC) and the Women's Business Council Southwest (WBCS) and accepted by the City in order for the participation to be counted towards the established Goal(s). iv. The firms must be located in the Marketplace (Dallas, Johnson, Tarrant, Denton, Parker, and Wise) , or meet the requirements of the City's Significant Business Presence which means a Person (1) which has its principal place of business located inside the Marketplace; or (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. V. Proposers shall submit with their Proposals a preliminary Business Equity Utilization Plan ("Plan") to address how it will comply with the Business Equity Goal(s). At a minimum, the preliminary Plan must certify that the Proposer will comply with the requirements and present evidence of the Proposer's past business diversity procurement practices. vi. Business Equity Firms must be certified at the time the Proposal is submitted, in order for the participation to be counted towards the established Goal. vii. Short-listed firms are required to submit the final Utilization Plan detailing efforts to comply with the Business Equity Goal(s). List of Business Equity Documents Attached: • Instructions to Bidders About the Business Equity Goal • Business Equity Utilization Form • Letter of Intent • Good Faith Effort Form Page 3 of 3 FORTWORTH. City of Fort Worth Business Equity Division INSTRUCTIONS TO BIDDERS ABOUT THE BUSINESS EQUITY GOAL Bid number: Business Equity Goal: It is the policy of the City of Fort Worth to ensure the full and equitable utilization of Business Equity Firms when appropriate, in the procurement of all goods and services. When a Business Equity Goal is established for a bid, it means that the City of Fort Worth believes that there are Business Equity Firms available that can provide goods or services requested by the bid. The Business Equity Goal for Bid number is %. This means that the City believes that there are available Business Equity Firms that can provide goods or services required by this bid and therefore, % of the Bidder's awarded amount must be spent with a Business Equity Firm. All requirements and regulations stated in the City's current Business Equity Ordinance #25165-10-2021 apply to this bid. Definitions are at the end of this document. Because a Business Equity Goal has been established for this bid, in order for your bid to be considered, a Bidder must satisfv one (1) of the conditions below. A. Commit to Meet or Exceed the Business Equity Goal Hire Business Equity Firm(s) to provide goods or services and spend at least the goal amount with the Business Equity Firm(s). Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following two (2) forms: a. Utilization Plan b. Letter(s) of Intent B. Prove a Good Faith Effort Show attempt to hire Business Equity Firms to meet or exceed the goal, but was unsuccessful. This can occur in two (2) ways: 1) Bidder proposes a smaller Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following three (3) forms: a. Utilization Plan b. Letter(s) of Intent c. Good Faith Effort 2) Bidder proposes a 0% Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: If unsuccessful, submit Good Faith Effort Form. Please see Ordinance �20-370 (q) page for requirements of an acceptable Good Faith Effort. C. Prove that the Bidder Can Perform the Service and Provide all Materials on the Project as the Prime Contractor Bidder must show that the Bidder is providing all of the goods and services through their own company and that there are no goods or services provided by a third party or an affiliate. Bidder will not purchase any supplies or inventory from a third party. Step 1: Must submit Prime Contract Waiver Form D. Create a Joint Venture with a Business Equity Firm At least one or both of the firms must be a Business Equity Firm Step 1: Must submit Joint Venture Form DEADLINE TO SUBMIT REQUIRED DOCUMENTS AND FORMS Bidders must submit sealed bids to be opened at the date, time, and place stated in the solicitation for the public opening of bids. Faxed copies will not be accepted. FREQUENTLY ASKED QUESTIONS 1. If I am Business Equity Firm, can I count my performance of the bid? Answer. A Business Equity Prime Contractor can count its self -performance towards meeting the Business Equity Goal for the assigned North American Industry Classification System (NAICS) commodity codes on its Minority Business Enterprise (MBE) or Women Business Enterprise (WBE) certification. 2. What if I am a Business Equity Firm, but I am unable to self perform all work or provide all of the goods under the bid, can I count my performance under the Bid? Answer. If the Business Equity Prime cannot self -perform all of the work, it will be accountable for subcontracting with certified firms to meet the overall goal. Business Equity Firms that qualify under the "Significant Business Presence" definition may count in the Program upon approval of DVIN-BE. 3. This bid does not have a set amount that the City will purchase from the Awarded Bidder, how do I complete the form? Answers: a. For a low bid procurement, the lowest bidder shall submit a Utilization Plan no later than 2:00 PM on the third business day after bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. b. For a Best Value procurement, all bidders who wish to be considered for evaluation scoring shall submit a Utilization Plan by 2:00 PM on the third business day after the bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. c. Non-compliance. If the lowest bidder for a low bid procurement or any bidder for a Best Value procurement does not timely submit its Utilization Plan with the required documents, that bidder will be deemed Non -Responsive. For a low bid procurement, the City will notify the next lowest bidder who shall then submit a Utilization Plan with required documents no later than 2:00 PM on the third business day after the bidder receives notification. This process will be followed until a bidder submitting the required documents is selected. DEFINITIONS Business Equity Firm means an Independent Firm that is a Certified minority- and/or women -owned business enterprise (M/WBE) with a Significant Business Presence in the City's Marketplace. Business Equity Goal means a calculation prepared by the DVIN-BE that includes all the following factors: the detailed cost estimate of the work to be performed, or goods purchased; the 6-county Marketplace; the availability of Business Equity Firms and non -Business Equity Firms in the Marketplace determined ona Contract -by -Contract basis; and the subcontracting/supplier opportunities of each project. Certified means those firms identified by the North American Industry Classification System (NAICS) that have been determined to be a bona fide MBE or WBE by the North Central Texas Regional Certification Agency (NCTRCA), the Dallas/Fort Worth Minority Supplier Development Council (DFW /MSDC), Women's Business Council -SW (WBCS), Texas Department of Transportation (TxDOT) or another certifying agency that the DVIN-BE may deem appropriate and accepted by the City of Fort Worth. DVIN-BE means the City's Department of Diversity and Inclusion — Business Equity Division Good Faith Efforts means the actions undertaken by a Contractor and approved by DVIN-BE as described inthe Business Equity Ordinance U0-370 (g). Joint Venture means a business entity formed by two or more independent Persons for the purpose of pursuing a common objective, such as a prime contract. The resulting business entity has additional resources and capacity, enhancing its ability to compete for larger awards. A joint venture is generally characterized by shared ownership, shared returns and risks, and shared governance. In a joint venture, the prime managing partner holds 51 % or more interest in the business. Partner(s) hold less than 51 % interest but in most cases, not less than 20%. Marketplace means the geographic area as defined by the City's most current Disparity Study (i.e., Tarrant, Dallas, Denton, Johnson, Parker and Wise counties). Responsive means that a Person is compliant with the requirements of the Business Equity Ordinance. Significant Business Presence means a Person (1) which has its principal place of business located inside the Marketplace; (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. Utilization Plan means the list of Business Equity Firms that a Contractor commits will be utilized to meet the Business Equity Goal for a specific project, the scopes of the work and the dollar values or the percentages of the work to be performed. VIOLATIONS AND SANCTIONS 1. Failure to comply with the City's Business Equity Ordinance will result in the bid being considered "Non -Responsive." 2. Failure to submit the required Business Equity forms and documentation will result in the bid being considered non -responsive and a "written warning" letter that may impact the Offeror's evaluation scoring on future City bid opportunities for up to 12 months, refer to Ordinance F420-373 on VIOLATIONS AND SANCTIONS for continued offenses or failures to comply. If you have any questions, contact Department of Diversity & Inclusion, Business Equity Division Email: DVIN_BE@fortworthtexas.gov I Phone: 817-392-2674 FORT WORTH,',.-, ADDENDUM TO REQUEST FOR QUALIFICATIONS NO. 25-0080 CITY DEMOLITION SERVICES ENVIRONMENTAL SERVICES DEPARTMENT ADDENDUM NO. 1 DATE ISSUED: February 25, 2025 REQUEST FOR QUALIFICATIONS (RFQ): 25-0080 RFQ OPENING DATE: March 6, 2025 (NO CHANGE) RFQ No. 25-0080 issued February 5, 2025, is hereby amended as follows: 1. Attachment RFQ-07-Business Equity-MWBE with ATTACHMENTS is hereby incorporated as an attachment, Exhibit A of this addendum and within the Bonfire e-procurement system. 2. Attachment RFQ-08- Questionnaire, Qualifications and Requirements is hereby incorporated as an attachment, Exhibit B of this addendum and within the Bonfire e- procurement system. All other terms and conditions remain unchanged. Sarah Czechowicz Purchasing Manager ...................................................... By the signature affixed below, Addendum No. 1 is hereby incorporated into and made part of the above -referenced REQUEST FOR QUALIFICATIONS. COMPANY NAME: SIGNATURE: NOTE: Company name and signature must be the same as on the original bid documents. Failure to return this form with your sealed bid may constitute grounds for rejection of your offer. 1*141111.11W.11 FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 1 of 3 BUSINESS EQUITY (M/WBE) The Business Equity Goal for this RFP is 15.96% Note: If there is no Goal assigned for this RFP, please ignore all Business Equity -related language and related documentation, including this document. If a Business Equity Goal has been established for the RFP: i. Proposers should complete and sign these cover pages (pages 1 & 2 of this document) to confirm their understanding of the Business Equity Goal and related process. ii. Proposers should submit the completed and signed cover pages (pages 1 & 2 of this document) in the Bonfire Portal before the Close Date and Time. iii. Proposers are strongly encouraged to submit all required Business Equity documents, including a Utilization Plan (or Good Faith Effort), at the time of their bid/proposal submission. However, per City ordinance, Proposers may submit the required documents after the Close Date and Time but no later than 2:00 PM on the 31d business day (which will usually be the following Tuesday) after the Close Date. Vendors will receive a message following the Close Date and Time at Messages > Vendor Discussions in the Bonfire Portal that will restate these deadlines. To submit the required documents after the Close Date and Time, Vendors must submit the required documents as an attachment to the message and send it back through the Bonfire Portal by the due date and time. iv. All items received through the message function will be appended to the Proposer's response; however. onlv Business Equity documents will be reviewed. Anv attempt to modify anv other portion of the bid will not be accepted or reviewed by the evaluation panel or Purchasing Division. V. Failure to submit a preliminary Utilization Plan (or Good Faith Effort) as required and by the due date and time may render a Proposer non -responsive. For any questions on how to submit the information, please contact Bonfire Support at https://fortworthtexas.bonfirehub.com/portal/support. Do not wait until the deadline to reach out with questions to allow for time for them to respond and assist you. vi. Proposers must obtain a listing of certified Business Equity Firms from the City's Department of Access and Opportunity Services. The request for listings form can be found on the City's website at https://www.fortworthtexas.gov/departments/diversity- inclusion/business-equity, or email DVIN BEOffice@fortworthtexas.gov vii. For additional information regarding the Business Diversity Equity Goal, contact the Department of Diversity and Inclusion at (817) 392-2674 or send an email to DVIN_BEOffice@fortworthtexas.gov Legal Name of the Proposer: Name of the Authorized Representative: Title: Page 1 of 3 FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 2 of 3 Signature of the Authorized Representative: Email: Phone: Note: Please see the Important Information on the following pages. Page 2 of 3 FORTWORTH.. CITY OF FORT WORTH - PURCHASING DIVISION BUSINESS EQUITY (M/WBE) RFP Ref. #: 25-0080 Doc. Ref#: RFP-07 Page 3 of 3 Important Information: i. All Proposers shall note that the Business Equity Ordinance No. 25165-10-2021 (codified in Chapter 20, Article X of the Fort Worth Code of Ordinances, as amended), and any relevant policy or guidance documents, was adopted to ensure the full and equitable participation of certified Minority- and Women -owned business enterprises (M/WBEs), (collectively, "Business Equity Firms") in City contracts for the procurement of goods and services where a contract's total dollar value is greater than $100,000, as detailed below. ii. If a Proposer is certified as a Business Equity Firm, such Proposer can count its self - performance services towards meeting the Business Equity Goal(s) for the assigned NAICS commodity codes on their MBE or WBE certification. If such a Proposer will not self - perform all of the work, it will be required to provide subcontracting opportunities with certified Business Equity Firms to meet the stated Goal(s). iii. The selected Proposer acknowledges it will present Business Equity Firms currently certified by the North Central Texas Regional Certification Agency (NCTRCA) or Dallas/Fort Worth Minority Supplier Development Council (D/FW MSDC) and the Women's Business Council Southwest (WBCS) and accepted by the City in order for the participation to be counted towards the established Goal(s). iv. The firms must be located in the Marketplace (Dallas, Johnson, Tarrant, Denton, Parker, and Wise) , or meet the requirements of the City's Significant Business Presence which means a Person (1) which has its principal place of business located inside the Marketplace; or (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. V. Proposers shall submit with their Proposals a preliminary Business Equity Utilization Plan ("Plan") to address how it will comply with the Business Equity Goal(s). At a minimum, the preliminary Plan must certify that the Proposer will comply with the requirements and present evidence of the Proposer's past business diversity procurement practices. vi. Business Equity Firms must be certified at the time the Proposal is submitted, in order for the participation to be counted towards the established Goal. vii. Short-listed firms are required to submit the final Utilization Plan detailing efforts to comply with the Business Equity Goal(s). List of Business Equity Documents Attached: • Instructions to Bidders About the Business Equity Goal • Business Equity Utilization Form • Letter of Intent • Good Faith Effort Form Page 3 of 3 FORTWORTH. City of Fort Worth Business Equity Division INSTRUCTIONS TO BIDDERS ABOUT THE BUSINESS EQUITY GOAL Bid number: Business Equity Goal: It is the policy of the City of Fort Worth to ensure the full and equitable utilization of Business Equity Firms when appropriate, in the procurement of all goods and services. When a Business Equity Goal is established for a bid, it means that the City of Fort Worth believes that there are Business Equity Firms available that can provide goods or services requested by the bid. The Business Equity Goal for Bid number is %. This means that the City believes that there are available Business Equity Firms that can provide goods or services required by this bid and therefore, % of the Bidder's awarded amount must be spent with a Business Equity Firm. All requirements and regulations stated in the City's current Business Equity Ordinance #25165-10-2021 apply to this bid. Definitions are at the end of this document. Because a Business Equity Goal has been established for this bid, in order for your bid to be considered, a Bidder must satisfv one (1) of the conditions below. A. Commit to Meet or Exceed the Business Equity Goal Hire Business Equity Firm(s) to provide goods or services and spend at least the goal amount with the Business Equity Firm(s). Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following two (2) forms: a. Utilization Plan b. Letter(s) of Intent B. Prove a Good Faith Effort Show attempt to hire Business Equity Firms to meet or exceed the goal, but was unsuccessful. This can occur in two (2) ways: 1) Bidder proposes a smaller Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: Submit the following three (3) forms: a. Utilization Plan b. Letter(s) of Intent c. Good Faith Effort 2) Bidder proposes a 0% Goal Step 1: Obtain a listing of Business Equity Firms by completing the "Request for Listing of Certified Firms Form" located at the City of Fort Worth's Business Equity Division website. Step 2: Request bids from Business Equity Firms to provide goods or services at least 10 calendar days before bid opening. Step 3: If unsuccessful, submit Good Faith Effort Form. Please see Ordinance �20-370 (q) page for requirements of an acceptable Good Faith Effort. C. Prove that the Bidder Can Perform the Service and Provide all Materials on the Project as the Prime Contractor Bidder must show that the Bidder is providing all of the goods and services through their own company and that there are no goods or services provided by a third party or an affiliate. Bidder will not purchase any supplies or inventory from a third party. Step 1: Must submit Prime Contract Waiver Form D. Create a Joint Venture with a Business Equity Firm At least one or both of the firms must be a Business Equity Firm Step 1: Must submit Joint Venture Form DEADLINE TO SUBMIT REQUIRED DOCUMENTS AND FORMS Bidders must submit sealed bids to be opened at the date, time, and place stated in the solicitation for the public opening of bids. Faxed copies will not be accepted. FREQUENTLY ASKED QUESTIONS 1. If I am Business Equity Firm, can I count my performance of the bid? Answer. A Business Equity Prime Contractor can count its self -performance towards meeting the Business Equity Goal for the assigned North American Industry Classification System (NAICS) commodity codes on its Minority Business Enterprise (MBE) or Women Business Enterprise (WBE) certification. 2. What if I am a Business Equity Firm, but I am unable to self perform all work or provide all of the goods under the bid, can I count my performance under the Bid? Answer. If the Business Equity Prime cannot self -perform all of the work, it will be accountable for subcontracting with certified firms to meet the overall goal. Business Equity Firms that qualify under the "Significant Business Presence" definition may count in the Program upon approval of DVIN-BE. 3. This bid does not have a set amount that the City will purchase from the Awarded Bidder, how do I complete the form? Answers: a. For a low bid procurement, the lowest bidder shall submit a Utilization Plan no later than 2:00 PM on the third business day after bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. b. For a Best Value procurement, all bidders who wish to be considered for evaluation scoring shall submit a Utilization Plan by 2:00 PM on the third business day after the bids are opened detailing all Subcontractors the Contractor intends to utilize in its performance of a Contract. Contractors that are Business Equity Firms may count their self -performed services towards meeting a Business Equity Goal. c. Non-compliance. If the lowest bidder for a low bid procurement or any bidder for a Best Value procurement does not timely submit its Utilization Plan with the required documents, that bidder will be deemed Non -Responsive. For a low bid procurement, the City will notify the next lowest bidder who shall then submit a Utilization Plan with required documents no later than 2:00 PM on the third business day after the bidder receives notification. This process will be followed until a bidder submitting the required documents is selected. DEFINITIONS Business Equity Firm means an Independent Firm that is a Certified minority- and/or women -owned business enterprise (M/WBE) with a Significant Business Presence in the City's Marketplace. Business Equity Goal means a calculation prepared by the DVIN-BE that includes all the following factors: the detailed cost estimate of the work to be performed, or goods purchased; the 6-county Marketplace; the availability of Business Equity Firms and non -Business Equity Firms in the Marketplace determined ona Contract -by -Contract basis; and the subcontracting/supplier opportunities of each project. Certified means those firms identified by the North American Industry Classification System (NAICS) that have been determined to be a bona fide MBE or WBE by the North Central Texas Regional Certification Agency (NCTRCA), the Dallas/Fort Worth Minority Supplier Development Council (DFW /MSDC), Women's Business Council -SW (WBCS), Texas Department of Transportation (TxDOT) or another certifying agency that the DVIN-BE may deem appropriate and accepted by the City of Fort Worth. DVIN-BE means the City's Department of Diversity and Inclusion — Business Equity Division Good Faith Efforts means the actions undertaken by a Contractor and approved by DVIN-BE as described inthe Business Equity Ordinance U0-370 (g). Joint Venture means a business entity formed by two or more independent Persons for the purpose of pursuing a common objective, such as a prime contract. The resulting business entity has additional resources and capacity, enhancing its ability to compete for larger awards. A joint venture is generally characterized by shared ownership, shared returns and risks, and shared governance. In a joint venture, the prime managing partner holds 51 % or more interest in the business. Partner(s) hold less than 51 % interest but in most cases, not less than 20%. Marketplace means the geographic area as defined by the City's most current Disparity Study (i.e., Tarrant, Dallas, Denton, Johnson, Parker and Wise counties). Responsive means that a Person is compliant with the requirements of the Business Equity Ordinance. Significant Business Presence means a Person (1) which has its principal place of business located inside the Marketplace; (2) which has its principal place of business located outside the Marketplace but has been verified to be in existence for a minimum of 24 months and from which at least 20% of the business's workforce is based in the Marketplace; or (3) which has cumulative business receipts greater than $1,000,000 for work done in the Marketplace since January 1, 2013. Utilization Plan means the list of Business Equity Firms that a Contractor commits will be utilized to meet the Business Equity Goal for a specific project, the scopes of the work and the dollar values or the percentages of the work to be performed. VIOLATIONS AND SANCTIONS 1. Failure to comply with the City's Business Equity Ordinance will result in the bid being considered "Non -Responsive." 2. Failure to submit the required Business Equity forms and documentation will result in the bid being considered non -responsive and a "written warning" letter that may impact the Offeror's evaluation scoring on future City bid opportunities for up to 12 months, refer to Ordinance F420-373 on VIOLATIONS AND SANCTIONS for continued offenses or failures to comply. If you have any questions, contact Department of Diversity & Inclusion, Business Equity Division Email: DVIN_BE@fortworthtexas.gov I Phone: 817-392-2674 FORT WORTH PRIME/OFFEROR/OWNER COMPANY NAME: PROJECT NAME: PROJECT NUMBER: City of Fort Worth Business Equity Utilization Form Disadvantaged Business Enterprise Utilization Form (Applicable if Federally -Funded) BID DATE: City's Business Equity Goal: (Check if addressing DBE Goal) Check all applicable boxes to describe ❑ Not Certified MBE Prime/Offeror/Owner's Classification: Certifying Agency: ❑NCTRCA [:]D/FW MSDC �TX DOT Ethnicity: ❑African American Hispanic Caucasian 1:1WBE ❑DBE WBCS Asian Other: ATTACHMENT 1A Page 1 of 4 Offeror's Business Equity (or DBE) % Commitment: ❑HUB ❑ VOSB/ ❑Section 3 SDVOSB ❑ Native American Gender: El Male Dernale11 Non -Binary Definitions: Business Equity Firm: Certified MBE Minority Business Enterprise or WBE Women Business Enterprise DBE: Disadvantaged Business Enterprise HUB: Historically Under Utilized Business VOSB: Veteran Owned Small Business Section 3: Certified Housing Urban Development Vendors ALL BUSINESS EQUITY FIRMS MUST BE CERTIFIED BEFORE CONTRACT AWARD Failure to complete this form, in its entirety, and received by the Purchasing Division no later than 2:00 p.m. on the third City business day after bid opening, exclusive of bid opening date, will result in the bid being considered non -responsive to bid specifications. Exception: CFA, ICA, and CDBG proiects, documents will be submitted to the Citv Proiect Manaqer if up blicly bid or to the Developer if privately bid. The undersigned Prime/Offeror agrees to enter into a formal agreement with the Business Equity firm(s) listed in this utilization schedule, conditioned upon execution of a contract with the City of Fort Worth (Exception: Developer proiects). The intentional and/or knowing misrepresentation of facts is grounds for consideration of disqualification and will result in the bid being considered non -responsive to bid specifications. Business Equity firms listed toward meeting the project goal must be located in the City's marketplace at the time of bid or the business has a Significant Business Presence in the Marketplace. The marketplace is the Citv of Fort Worth including portions of Denton, Parker, Wise, and all of Tarrant, Dallas, and Johnson counties. Certified means those Business Equity Firms, located within the Marketplace, that have been determined to be a bona -fide minority or women business enterprise by the North Central Texas Regional Certification Agency (NCTRCA), Dallas/Fort Worth Minority Supplier Development Council (D/FW MSDC) and Women's Business Council -Southwest (WBCS). If hauling services are utilized, the Prime/Offeror will be given credit as long as the Business Equity firm listed owns and operates at least one fully licensed and operational truck to be used on the contract. The Business Equity firms may lease trucks from another Business Equity firm, including Business Equity owner -operated, and receive full Business Equity credit. The Business Equity firm may lease trucks from non -Business Equity firms, including owner -operated, but will only receive credit for the fees and commissions earned by the Business Equity as outlined in the lease agreement. Federally -funded Projects (ONLY), Counting DBE Participation: If materials or supplies are obtained from a DBE manufacturer, count 100 percent of the cost of the materials or supplies towards the goal. If the materials or supplies are purchased from a DBE reqular dealer, count 60 percent of the cost of the materials and supplies toward the DBE goal. When materials or supplies are purchased from a DBE neither a manufacturer nor a reqular dealer, count the entire amount of fees or commissions charged for assistance in the procurement of the materials and supplies or fees or transportation charges for the delivery of the materials or supplies delivered to the job site. In all cases, the Prime/Offeror is responsible to identify the amounts to be used toward the committed DBE goal. Note: For DBE Goals, 60% of the services count towards the goal. Effective 01/01/2021 Updated 02/07/2025 FORT WORTH ATTACHMENT 1A Business Equity Utilization Form Page 2 of Please note that only certified Business Equity firms will be counted to meet the Business Equity goal. Prime/Offerors are required to identify ALL subcontractors/suppliers, regardless of status; i.e., Business Equity firms and non -Business Equity firms. Prime/Offerors must identify by tier level all subcontractors/suppliers. Tier: means the level of subcontracting below the Prime/Offeror i.e. a direct payment from the Prime/Offeror to a subcontractor is considered 1 st tier, a payment by a subcontractor to its supplier is considered 2nd tier. Business Equity firms are to be listed before non -Business Equity firms. The Prime/Offeror is responsible to provide proof of payment of all tiered sub-contractors/suppliers identified as a Business Equity firm and counting those dollars towards meeting the contract committed goal. Certified Business Equity Prime/Offeror Contractors counting their self -performance towards meeting the contract goal, must be certified within those NAICS commodity codes with a certifying agency acceptable by the City of Fort Worth. Certified Business Equity Prime/Offeror counting self -performing services towards the goal, the service(s) to be performed should be listed first on the Utilization form. Check this box F—]if certified Prime Contractor services will be counting towards the Business Equity contracting goal. Please list services first below. Please list certified Business Equity firm names as listed on their certification, includinq DBA names. NAMES AND ADDRESSES OF CONTRACTORS/SUPPLIERS Business Name: Address: Phone: Email: TYPE OF SERVICES/SUPPLIES Specify Tier PROVIDED (NAICS Required) Name 1st Tier Type of Service/Supplies: NAICS Code: Contact Person: $ AMOUNT: Business Name: Type of Service/Supplies: Address: Phone: NAICS Code: Email: Contact Person: $ AMOUNT: Business Name: Type of Service/Supplies: Address: Phone: NAICS Code: Email: Contact Person: $ AMOUNT: Certification Agency Certified By: [ID/FW MSDC FINCTRCA EITXDOT E]WBCS Other: Certified By: EIDFW MSDC FINCTRCA EITXDOT []WBCS Other: Certified By: EIDFW MSDC FINCTRCA EITXDOT F_]WBCS Other: Gender and Ethnicity: ❑ Male ❑ Female ❑ Non -Binary African American ❑ Hispanic Asian Caucasian ❑ Native American Male ❑ Female ❑ Non -Binary African American Hispanic ❑ Asian ❑ Caucasian Native American ❑ Male ❑ Female ❑ Non -Binary ❑ African American ❑ Asian ❑ Caucasian ❑ Hispanic ❑ Native American Effective 01 /01 /2021 Updated 02/07/2025 FORT WORTH Business Equity Utilization Form Please include multiple copies of this page if needed to list all contractors and suppliers. NAMES AND ADDRESSES OF CONTRACTORS/SUPPLIERS Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: Business Name: Address: Phone: Email: Contact Person: ATTACHMENT 1A Page 3 of 4 TYPE OF SERVICES/SUPPLIES Specify Tier PROVIDED NAICS Re uired Certification Agency Gender and Ethnicity: � q ) Name 1st Tier Type of Service/Supplies: Certified By: ❑ Male ❑Female ❑Non -Binary ❑D/FW MSDC ❑African American ❑ Hispanic ❑NCTRCA NAICS Code: ❑Asian ❑TXDOT ❑WBCS ::]Other:❑Caucasian El Native $ AMOUNT: American Type of Service/Supplies: Certified By: ❑ Male ❑Female El Non -Binary ❑DFW MSDC ❑African American ❑Hispanic ❑NCTRCA NAICS Code: ❑TXDOT ❑WBCS ❑Asian ❑Other: ❑ Caucasian ❑ Native $ AMOUNT: American Type of Service/Supplies: Certified By: ❑ Male ❑Female ❑Non -Binary ❑DFW MSDC ❑ ❑NCTRCA African American ❑Hispanic NAICS Code: ❑TXDOT ❑WBCS ❑Asian ❑ Other: ❑ Caucasian ❑ Native $ AMOUNT: American Type of Service/Supplies: Certified By: ❑Male ❑Female El Non -Binary ❑DFW MSDC ❑NCTRCA ❑African American ❑Hispanic NAICS Code: ❑TXDOT ❑WBCS ❑Asian ❑Other: ❑ Caucasian ❑ Native $ AMOUNT: American Effective 01/01/2021 Updated 02/07/2025 FORT WORTH Business Equity Utilization Form Total Dollar Amount of Certified Prime/Offeror Services towards contract goal $ Total Dollar Amount of Business Equity (or DBE if applicable) Subcontractors/Suppliers $ Total Dollar Amount of Non -Business Equity Subcontractors/Suppliers $ TOTAL DOLLAR AMOUNT OF PRIME/ALL SUBCONTRACTORS/SUPPLIERS $ ATTACHMENT 1A Page 4 of 4 The Prime/Offeror will not make additions, deletions, or substitutions to this certified list without the prior approval of the Business Equity Division through the submittal of a Request for Approval of Change/Addition online. Any unjustified change or deletion shall be a material breach of contract and may result in debarment in accord with the procedures outlined in the ordinance. The Prime/Offeror shall submit a detailed explanation of how the requested change/addition or deletion will affect the committed Business Equity goal. If the detail explanation is not submitted, it will affect the final compliance determination. By affixing a signature to this form, the Prime/Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including non -Business Equity firms. The Prime/Offeror also agrees to allow an audit and/or examination of any books, records and files held by their company. The Prime/Offeror agrees to allow the transmission of interviews with owners, principals, officers, employees and applicable subcontractors/suppliers participating on the contract that will substantiate the actual work performed by the Business Equity firms on this contract, by an authorized officer or employee of the City. A Prime/Offerer who intentionally and/or knowingly misrepresents material facts shall be Debarred for a period of time of not less than three (3) years. Authorized Signature Title Company Name Address City/State/Zip Code Printed Signature Contact Name and Title (if different) Phone Number Email Address Date Department of Diversity and Inclusion - Business Equity Division Email: DVIN_BEOffice@fortworthtexas.gov Ph: 817-392-2674 Effective 01 /01 /2021 Updated 02/07/2025 FORT WORTH PROJECT # BID # (If Applicable Please Check One) Amendment ❑ Change Order ❑ Business Equity Division LETTER OF INTENT A. Business Equity Sub-Contractor/Consultant Information: A certified Business Eauitv firm is owned by a Minoritv or Woman Business Enterprise (M/WBE) [Pursuant to the City of Fort Worth's Business Equity Ordinance, certified Business Equity firms participating under the Ordinance must be certified prior to recommendation of award in order to be counted towards the Business Equity contract goal. Certifying agencies acceptable by the City: North Central Texas Regional Certification Agency (NCTRCA), Dallas/Fort Worth Minority Supplier Development Council, Inc. (DFW MSDC), Women's Business Council - Southwest (WBCS), or the Texas Department of Transportation (TXDOT). Note: For Federally -Funded projects the firm must be certified as a Disadvantaged Business Enterprise (DBE) by the NCTRCA and/or TXDOT only.] All Fields are Required - Do not leave blank. 1. Name of Project: 2. Name of Offeror/Prime Contractor: 3. Name of Business Equity Firm: Address: Firm Contact Name/Phone: 4. The undersigned is prepared to perform the following described work and/or supply the material listed in connection with the above project (where applicable specify "supply" or "install" or both): NAICS Code: (Owner/ Authorized Agent) Type or Print Name (Signature of Owner /Authorized Agent of Certified Business Equity Firm) (Email Address) B. Affidavit of Offeror/Prime I HEREBY DECLARE AND AFFIRM that (Owner/Authorized Agent) In the amount of $ (Name of Certified Business Equtiy Firm) (Date) (Phone Number) am the duly authorized representative of and that I have personally reviewed the material and facts (Name of Offeror/Prime) set forth in this Letter of Intent. To the best of my knowledge, information and belief, the facts in this form are true, and no material facts have been omitted. Pursuant to the City of Fort Worth's Business Equity Ordinance, any person/entity that makes a false or fraudulent statement in connection with participation of a certified firm in any City of Fort Worth contract may be referred for debarment procedures under the City of Fort Worth's Business Equity Ordinance. I do solemnly swear or affirm that the signatures contained herein and the information provided by the Offeror/Prime are true and correct, and that I am authorized on behalf of the Offeror/Prime to make the affidavit. (Owner/ Authorized Agent) Type or Print Name (Signature of Owner/Authorized Agent) (Email Address) (Name of Offeror/Prime) (Date) (Phone Number) Department of Diversity and Inclusion Effective 01/01/2021 Business Equity Division Revised. 6-8-21 Email: DVIN_BEOffice@fortworthtexas.gov Ph:817-392-2674 FORT WORTH. City of Fort Worth ATTACHMENT 1C Business Equity Division Page 1 of 4 Good Faith Effort Form PRIME/OFFEROR COMPANY NAME: PROJECT NAME: Check applicable box to describe Prime/Offeror's Certification Business Equity Non -Business I Firm Equity Firm BID DATE Business Equity Goal: Offeror's Business Equity Goal Commitment: PROJECT NUMBER I If the Offeror did not meet the Business Equity Goal for this project, the Prime/Offeror must complete !I this form. If the Prime/Offeror's method of compliance with the Business Equity Goal is based upon demonstration of a "Good Faith Effort", the Prime/Offeror will have the burden of correctly and accurately preparing and submitting the documentation required by the City. Compliance with each item, 1 thru 10 below, shall satisfy the Good Faith Effort requirement absent proof of fraud, intentional and/or knowing misrepresentation of the facts or intentional discrimination by the Prime/Offeror. Failure to complete this form, in its entirety with supportinq documentation, and received by the Project Manager on Bonfire no later than 2:00 p.m. on the third City business day after bid opening, exclusive of bid opening date, will result in the bid being considered non -responsive to bid specifications. Exception: CFA, ICA, and CDBG projects, documents will be submitted to the City Project Manager if publicly bid or to the Developer if privately bid. 1.) Please list each and every subcontracting and/or supplier opportunity for the completion of this project, regardless of whether it is to be provided by a Business Equity firm or non -Business Equity firm. (DO NOT LIST NAMES OF FIRMS). On all projects, the Prime/Offeror must list each subcontracting and or supplier opportunity regardless of tier. (Use additional sheets, if necessary) List of Subcontracting Opportunities List of Supplier Opportunities Effective 02/07/2025 ATTACHMENT 1C Page 2 of 4 2.) Obtain a current (not more than six (6) months old from the bid open date) list of Business Equity subcontractors and/or suppliers from the City's Business Equity Division. ❑ Yes ❑ No Date of Listing 3.) Did you solicit bids from Business Equity firms, within the subcontracting and/or supplier areas previously listed, at least ten calendar days prior to bid opening by telephone, exclusive of the day the bids are opened? ❑ Yes (If yes, attach list to include name of Business Equity firm, person contacted, phone number and date and time of contact.) ❑ No 4.) Did you solicit bids from Business Equity firms, within the subcontracting and/or supplier areas previously listed, at least ten calendar days prior to bid opening by fax, exclusive of the day the bids are opened? ❑ Yes (If yes, attach list to include name of Business Equity firm, fax number and date and time of contact. In addition, if the fax is returned as undeliverable, then that "undeliverable confirmation" received must be printed directly from the facsimile for proper documentation. Failure to submit confirmation and/or "undeliverable confirmation" documentation may render the NO GFE non -responsive.) 5.) Did you solicit bids from Business Equity firms, within the subcontracting and/or supplier areas previously listed, at least ten calendar days prior to bid opening by email, exclusive of the day the bids are opened? ❑ Yes (If yes, attach email confirmation to include name of Business Equity firm, date and time. In addition, if an email is returned as undeliverable, then that "undeliverable message" receipt must be printed directly from the FINO email system for proper documentation. Failure to submit confirmation and/or "undeliverable message" documentation may render the GFE non -responsive.) NOTE: The three methods identified above are acceptable for soliciting bids, and each selected method must be applied to the applicable contract. The Prime/Offeror must document that either at least two attempts were made using two of the three methods in order to deemed responsive to the Good Faith Effort requirement. NOTE: The Prime/Offeror must provide supporting documentation to be in compliance with questions 3 thru 5. 6.) Did you provide plans and specifications to potential Business Equity firms? ❑ Yes ❑ No 7.) Did you provide the information regarding the location of plans and specifications in order to assist the Business Equity firms? ❑ Yes ❑ No Effective 02/07/2025 ATTACHMENT 1C Page 3 of 4 8.) Did you prepare a quotation for the Business Equity firms to bid on goods/services specific to their skill set? ❑ Yes (If yes, attach all copies of quotations.) ❑ No 9.) Was the contact information on any of the listings not valid? ❑ Yes (If yes, attach the information that was not valid in order for the Business Equity Division to address the corrections needed.) ❑ No 10.) Submit documentation if Business Equity firms quotes were rejected. The documentation submitted should be in the firms forms of an affidavit, include a detailed explanation of why the Business Equity firms was rejected and any supporting documentation the Prime/Offeror wishes to be considered by the City. In the event of a bona fide dispute concerning quotes, the Prime/Offeror will provide for confidential in -camera access to an inspection of any relevant documentation by City personnel. (Please use additional sheets, if necessary, and attach.) Company Name Telephone ADDITIONAL INFORMATION: Contact Person Scope of Work Reason for Rejection Please provide additional information you feel will further explain your good and honest efforts to obtain Business Equity firm participation on this project. The Prime/Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed on this contract, the payment thereof and any proposed changes to the original arrangements submitted with this bid. The Prime/Offeror also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed on this contract, by an authorized officer or employee of the City. A Prime/Offeror who intentionally and/or knowingly misrepresents material facts shall be Debarred for a period of time of not less than three (3) years. Effective 02/07/2025 ATTACHMENT 1C Page 4 of 4 The undersigned certifies that the information provided and the Business Equity firms listed was/were contacted in good faith. It is understood that any Business Equity firms listed in Attachment 1C will be contacted and the reasons for not using them will be verified by the City's Business Equity Division. Authorized Signature Title Company Name Address City/State/Zip Business Equity Division Email: DVIN_BEOffice@fortworthtexas.gov Phone: (817) 392-2674 Printed Signature Contact Name and Title (if different) Phone Number Email Address Date Effective 02/07/2025 FORT WORTH OFFEROR COMPANY NAME: PROJECT NAME: City's MBE Project Goal: City of Fort Worth Business Equity (M/WBE) Specifications Prime Contractor Waiver Form Offeror's MBE Project Commitment: ATTACHMENT 1B Page 1 of 1 Check applicable block to describe Prime 1:1M/WBE NON-MWBE BID DATE PROJECT NUMBER If both answers to this form are YES, do not complete ATTACHMENT 1C (Good Faith Effort Form). All questions on this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is NO, then you must complete ATTACHMENT 1 C. This form is only applicable if both answers are yes. Failure to complete this form in its entirety and be received by Bonfire to the Project Manager no later than 2:00 p.m., on the third City business day after bid opening, exclusive of the bid opening date, will result in the bid being considered non -responsive to bid specifications. Will you perform this entire contract without subcontractors? YES If yes, please provide a detailed explanation that proves based on the size and scope of this NO project, this is your normal business practice and provide an operational profile of your business. Will you perform this entire contract without suppliers? ❑ YES If yes, please provide a detailed explanation that proves based on the size and scope of this this is business inventory business. NO project, your normal practice and provide an profile of your The Offeror further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including certified M/WBE(s) on this contract, the payment thereof and any proposed changes to the original M/WBE(s) arrangements submitted with this bid. The Offeror also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed by the M/WBEs on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of contract and may result in a determination of an irresponsible Offeror and barred from participating in City work for a period of time not less than one (1) year. Authorized Signature Title Company Name Address City/State/Zip Printed Signature Contact Name (if different) Phone Number Fax Number Email Address Date Business Equity Division Rev. 02/07/2025 Email: DVIN_BEOffice@fortworthtexas.gov Phone: (817)392-2674 1 *14 111 1.118 1.1 FORTWORTH.. CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 Doc. Ref#: RFQ-08 Page 1 of 5 Legal Name of Respondent: 1. PROPRIETARY INFORMATION i. All material submitted to the City becomes public property and is subject to the Texas Public Information Act upon receipt. ii. If a Firm does not desire information that it believes to be proprietary in the bid to be disclosed, the bidder must list each page number in the chart below and must clearly mark and identify each page by including the word "PROPRIETARY" in all caps and highlighted yellow on the bottom center of each page at the time of submittal. The City will, to the extent allowed by law, endeavor to protect such information from disclosure. The final decision as to the information that must be disclosed lies with the Texas Attorney General. Note: Pricing may not be marked proprietary and will be made publicly available in the form of a bid tab following evaluation of all bids. By submitting a response, Bidders agree that pricing is not proprietary and may be released. iii. Failure to identify proprietary information, as required in section 15.6 of the City's document "RFQ-01 Instruction to Proposers," will result in all unmarked sections being deemed non-proprietary and available upon public request. Pages with information Please indicate if only specific sections on the believed to be Proprietary page are believed to be Proprietary Page 1 of 5 FORTWORTH.. CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 Doc. Ref#: RFQ-08 Page 2 of 5 2. RESPONDENT'S QUALIFICATION QUESTIONNAIRE The information provided on this questionnaire and in the Response, will be used to determine the responsiveness of the statement of qualifications. Please answer each question thoroughly. Answers maybe provided on a separate sheet as long as each response is labeled according to the question. 2.1 Please confirm that your company provide demolition services. 2.2 How long has your company been in business under its present name? a. List any former names your company has operated under and the timeframe(s) of each name. 2.3 Does your company operate a full time, permanent business address within the Dallas -Fort Worth metroplex? 2.4 Does your company have a dedicated team for emergency requests? a. Please include contact information for emergency request team below 2.5 Has your company ever defaulted on a contract? a. If so, why were you unable to fulfill the obligation? 2.6 Do you or your personnel hold an active Wrecking Contract registration with the City of Fort Worth Development Services Department? a. Please provide the name and registration number of each individual below. b. If no, please sign below to acknowledge that registration is required prior to obtaining any wrecking/razing permit with the City of Fort Worth. Page 2 of 5 FORTWORTH.. CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 Page 3 of 5 2.7 Does your company utilize subcontractors? a. If so, please provide the information requested in the below table. 3. SUBCONTRACTOR INFORMATION SHEET Subcontractor's Name I Subcontractor's Address 1. 2. 3. 4. 5. 6. 7. Proposed Tasks on a Project Page 3 of 5 FORTWORTH.. CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 Doc. Ref#: RFQ-08 Page 4 of 5 4. CONTRACTOR REQUIREMENTS The Respondent shall include a comprehensive statement of qualifications. The information provided in this statement of qualifications will be used to determine the responsiveness of the contractor. Within the Statement of qualifications, the Respondent is expected to address the following key aspects: a. Company Overview i. Provide an overview of the company, highlighting the organizations has been in business for a minimum of five (5) years. Include any former names the organization has operated under and timeframe, if applicable. ii. Specify the business hours for communication and service availability. iii. Executive Summary detailing the contractor's interest and understanding of the Scope of Services. b. Personnel & Staff Overview i. Submit an organization chart depicting contact arrangement from the City to the Contractor. Identify keypersons by name and title and describe the primary work assigned. Please include a designated person, or team, as the point of contact for the City's Request for Costs. ii. Submit a brief resume (one page maximum per individual) for the overall Contract Manager, NESHAP Trained Individual, and Primary Asbestos and/or Demolition Contractor. c. Experience in Demolition Services and Asbestos Abatement Services i. Describe the Respondent's experience in performing these services within the market. This should include past and current work performed in or around the Dallas -Fort Worth area. d. Approach to Perform Services i. Include a statement detailing the contractor's understanding of, and planned approach to the services contemplated in the Scope of Services. ii. Provide a description of how materials will be processed for transportation and disposal. iii. Equipment: provide a list of the equipment, including vehicles and available resources to perform these services. iv. Crews: outline the number of crews and the corresponding number of crew members for each crew. v. Certifications: include copies of appropriate company licenses, certifications, and registrations such as, but not limited to, the following: • TDSHS Licensed Asbestos Consultant • TDSHS Licensed Asbestos Management Planner • TDSHS Licensed Asbestos Inspector • TDSHS Licensed Asbestos Project Designer • TDSHS Licensed Asbestos Air Monitoring Technical • TDSHS Licensed Asbestos Consultant Agency Page 4 of 5 FORTWORTH.. CITY OF FORT WORTH —ENVIRONMENTAL SERVICES DEPT. PROPRIETARY INFORMATION, QUALIFICATION QUESTIONNAIRE, AND STATEMENT OF QUALIFICATIONS RFQ Ref. #: 25-0080 1Doc. Ref#: RFQ-08 Page 5 of 5 vi. Any other information that will assist the City in selecting the most qualified contractor. e. Davis -Bacon Act i. Work orders that are funded fully or in part by federal funds may require compliance with the Davis -Bacon Act. Provide a minimum of three (3) projects where your firm was responsible for providing weekly payrolls. Briefly explain how you expect to meet this federal requirement. f. Health and Safety Plan Contractor must provide the following items in the SOQ: i. The current safety procedures concerning all employees, crew makeup, and equipment proposed under this solicitation. ii. Any OSHA exceptions or citations issued to the Respondent in the preceding three (3) years. iii. Contractor's OSHA Incident Rate for the most recent two (2) years. iv. Current standing with the Texas Department of State Health Services (TDSHS). v. Any TDSHS Incidents for the most recent five (5) years. vi. Sample of written work plan including abatement methods and equipment vii. Written compliance plan including health and safety plan and respiratory plan. viii. Waste Transporter and Disposal site information. ix. Identification of OSHA air monitor for OSHA monitoring personnel x. Copies of all outstanding and resolved Notice of Violations issued to the Contractor by the Texas Department of State Health Services (TDSHS) for the last five (5) years. xi. Copies of any violations issued by the Texas Commission on Environmental Quality (TCEQ) within the last five (5) years for any illegal dumping of hazardous asbestos waste. Page 5 of 5 City Secretary Contract No. EXHIBIT D VERIFICATION OF SIGNATURE AUTHORITY Intercon Environmental, Inc. Attn: Karen Andrews, President 210 South Walnut Creek Dr Mansfield, TX 76063 Execution of this Signature Verification Form ("Form") hereby certifies that the following individuals and/or positions have the authority to legally bind Vendor and to execute any agreement, amendment or change order on behalf of Vendor. Such binding authority has been granted by proper order, resolution, ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and representation set forth in this Form in entering into any agreement or amendment with Vendor. Vendor will submit an updated Form within ten (10) business days if there are any changes to the signatory authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been properly executed by Vendor. 1. Name: Position: Signature 2. Name: Position: Signature 3. Name: Position: Signature Name: Karen Andrews Karen A drewy Signature of President Other Title: Date: Non -Exclusive Vendor Services Agreement Page 18 of 18 Intercon Environmental, Inc. Signature:5�` Email: allison.tidwell@fortworthtexas.gov