HomeMy WebLinkAboutBid/Contract
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Miller
Pipeline
Corp.
8850 CRAWFORDSVILLE RD.
P.O. BOX 34141
INDIANAPOLIS, INDIANA 46234
TELEPHONE: (800) 428-3742
TELEPHONE: (317) 293-0278
FAX: (317) 295-6410
January 21,2008
City of Jeffersonville
City Hall
500 Quartermaster Court
Jeffersonville, IN 47130
RE" Eighth Street Emergency Sewer Rehabilitation JTL Job No. 07159
To Whom It May Concern:
Please be advised that Miller Pipeline Corporation is in the receipt of Addendum 1 dated January 9,
2008 for the above referenced proj ect. This addendum contained the common construction wage
scale to be used on the project.
*~ed'
Kevin Miller
President
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In case of underpayment of wage to a worker on this project under the contract by the
Contractor or any Subcontractor, the Owner shall withhold the difference between the wages
required to be paid and the wages actually paid such worker and the Owner may disburse
such amount so withheld by it for and on account of the Contractor to employee to whom
such amount is due. The amounts withheld shall be in addition to percentages to be retained
by the Owner pursuant to other provisions of the contract. This contract is subject to the
"Anti-Kickback" (18 USC 874: 40 USC 276 (C)) Statute.
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The prevailing wage scale as fixed and determined for the project may be examined at the
Owner's address as given in the "Notice to Bidders" if not attached hereto.
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13.0 . BID FORMS
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CONTRACTOR'S BID FORM
JEFFERSONVILLE SEWER BOARD
CITY OF JEFFERSONVILLE
500 QUARTERMASTER COURT
JEFFERSONVILLE, IN 47130
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RE: EIGHTH STREET EMERGENCY SEWER REHABILITATION
MORRIS AVENUE TO SHORT JACKSON STREET
JOB NO. 07159
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Gentlemen:
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We submit, herewith, our sealed proposal to furnish all necessary labor, material and
equipment to construct the above captioned project, in accordance with the subject plans and
specifications at the unit prices listed herein.
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EIGHTH STREET EMERGENCY SEWER REHABILITATION, JOB NO. 07159
ITEM NO.
APPROXIMATE DESCRIPTION WITH UNIT
QUANTITY PRICE WRITTEN IN
WORDS
1482 LF 24-inch Cured-in-Place
Pipe Liner
For. N.tP.-.~:tY..7)fJ:Y.~...............
.............................. .Dollars
Per Linear Foot
30-hicl~ Cured-ih:Place.. .
Pipe Liner
For. .Que.. E@o.:r.e.o...............
. ~~~~y.:: r.~ x~....... .Dollars
PerLinear Foot $ 125.00
UNIT PRICE IN TOT AL AMOUNT
NUMBERS FOR BID ITEM
1
$ 95.00
2
738 LF
$ 140,190. 00
$ 92,250.00
3 1 LS Dewatering for C.I.P.P.
Installation (if required)
For. .T:w.euty.7.f.i v.e...............
...............................Dollars $ 25.00
4 1 LS Traffic Control
For. .T:w.e.:o. ty.. .'Ib.o.v.~.t;l.uo.......
...... ...................... ..Dollars
Per Lump Sum $ 20 .000.00
SUMMATION OF ITEMS 1 THRU 4 = TOTAL BID PRICE =
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$
25.00
$
20.000.00
$ 253,065.00
BID FOR:
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EIGHTH STREET EMERGENCY SEWER REHABILITATION
MORRIS AVENUE TO SHORT JACKSON STREET
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JOB NO. 07159
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CITY OF JEFFERSONVILLE
CLARK COUNTY, INDIANA
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RESPECTFULL Y SUBMITTED,
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Miller Pipeline Corporation
NAME OF FIRM
PERSON .f: M~Sident
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PERSON
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ATTEST Secretary
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DATE
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Accepted this
day of
, 2008
SEWER BOARD
CITY OF JEFFERSONVILLE, INDIANA
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Mayor Thomas R. Galligan, President
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William A. Saegesser, P.E., P.L.S., Member
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Jeffery A. Caldwell, Member
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DIVISION A - BIDDING REQUIREMENTS
SECTION A-3 - METHOD OF 1\fEAS,UREMENT AND PAYMENT
'FORBID ITEMS
1.0 UNITS
1.1
1.2
The unit shown for each item on the bid form shall be used for payment purposes. These
prices shall be "installed" unit prices.
Where no quantity is shown for a particular bid item, a unit price shall be supplied, but will
only be used where unanticipated extra or deleted workis called for by job conditions and
authorized by change order. These unit prices and items shall not be included in the total
price shown on the bid form.
2.0 MEASUREMENT FOR PAYMENT
2.1
The unit price for "cured-in-place pipe liner" (C.I.P.P.) shall include mobilization and
demobilization, removal and replacement of all manhole castings and cones if required for
liner insertion and its associated excavation, backfill and paving replacement, by-passing of
sewage, sewer cleaning and disposal of debris at owner-designated dump site, pre and post
inversion CCTVI, C.I.P.P. installation, lateral reinstatements, liner sealing at manholes,
testing and sampling, final cleanup, and disposal of all surplus material. Dewatering
associated with the installation of the C.I.P.P. shall be paid for under a separate item.
2.2 The lump sum price for "Dewatering for C.I.P.P. Installation" shall include all well
installation, pumps, hoses, and any and all other items necessary to lower the groundwater,
if necessary, to allow the installation of the C.I.P.P. This pay item will only be used if
dewatering is necessary (none expected).
2.3 The lump sum price for traffic control shall include all signs, barricades, detour assemblies,
cones, barrels, and any other materials, equipment and labor.
INCIDENTAL CONSTRUCTION EXPENSES
All incidental construction expenses not mentioned elsewhere shall be included in the
appropriate unit prices.
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DIVISION A - BIDDING REQUIREMENTS
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SECTION A-4 - WAGE RATE
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TO BE ADDED BY ADDENDUM
AFTER 01/09/08
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DIVISION B - CONTRACT FORMS
SECTIONB-1- CONTRACT DOCUMENTS
1.0 GENERAL
1.1 It is understood that the signature and seal of the CONTRACTOR on a properly completed
and executed State Board of Accounts Form 96 indicates the CONTRACTOR's acceptance of
all terms as set out in these specifications and documents and his willingness to complete the
project as stated herein and shown on the drawings.
1.2 It is further understood that by the acceptance of, and the proper affixing of the signatures of
the OWNER to the Form 96, that a binding contract exists between the OWNER and the
CONTRACTOR.
1.3
After the OWNER signs the Form 96, and notifies the CONTRACTOR of his acceptance, the
CONTRACTOR shall proceed to complete the project with the best workmanship possible
conforming to all specifications set out herein and to all details, drawings and notes shown on
the plans for this project.
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B-1 0 1
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Prescribed by State Board of Accounts
Form No. 96 (Revised 2000)
CONTRACTORS BID FOR PUBLIC WORK
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PART I
(To be completed for all bids)
(Please type or print)
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Date: January 21. 2008
1. Governmental Unit (Owner): City of Jeffersonyille
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2. County:
3. Bidder (Firm):
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Miller Pipeline Corporation
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Address:
8850 Crawfordsyille Rd.
Indianapolis. IN 46234
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City/State:
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4. Telephone Number:
317/293-0278
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5. Agent of Bidder (if applicable): --
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete .....
the pUblic works project of Eighth St. Emergency Sewer Rehabilitation JTL #No. 07159
(Governmental Unit) in accordance with plans and specifications prepared by Ci ty of
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Jeffersonyille. IN
Two Hundred Fifty-Three Thousand Sixty-
Fiye Dollars and No Cents
and dated
1/4/08
for the sum of
$ 253,065.00
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The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the
notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the
notice. Any addendums attached will be specifically referenced at the applicable page.
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If additional units of material included in the contract are needed, the cost of units must be the same as
that shown in the original contract if accepted by the Governmental Unit. If the bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a separate attachment.
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The Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee,
or applicant for employment, to be employed in the performance of this contract, with respect to any matter
directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry.
Breach of this covenant may be regarded as a material breach of the contract.
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CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory
obligation to use steel products made in the United States. I.C. 5-16-8-2. I hereby certify that I and all
subcontractors employed by me for this project will use U.S. steel products on this project if awarded. 1\
understand that violations hereunder may result in forfeiture of contractual payments.
8-102
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ACCEPTANCE
The above bid is accepted this
, subject to the
day of
following conditions:
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Contracting Authority Members:
PART II
(Complete sections I, II, III, and IV for all state and local public works projects as required
by statutes if project is one hundred thousand dollars ($100,000) or more. (IC 36-1-12-4)
Governmental Unit:
City of Je~fersonville
Bidder (Firm)
Miller Pipeline Corporation
Date:
,TRTIlJRry ::>1 l ::>ooR
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1.
What public works projects has your organization completed f6rtheperi6dof one (1) year prior to the
date of the current bid?
Contract Amount
Class of Work
When
Com leted
Name and Address of Owner
City ?f Ray City, 704 Main St.,
$188 544.00
CIPP
PO
2. What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
When to be
Com leted
Name and Address of Owner
Hillsborough Co., 601 E. Kennedy
8-103
3.
Have you ever failed to complete any work awarded to you?
No
If so, where and why?
4.
List referenced from private firms for which you have performed work.
See Attached
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1.
Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, completed the project, number of workers, etc. and any other information which
you believe would enable the govemmental unit to consider your bid.)
2.
Mobilize Crew and Equipment to job site. Clean & televise the sewer
segments to be lined to verify location of active service laterals.
Line the sewer with CIPP. As soon as possible following the completion
of the lining, the active lateral connections are cut open and trimmed
to reinstate service to the sewer main.
If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you expect to require a bond. However, if you
are unable to currently provide a listing, please understand a listing must be provided prior to contract
approval.
None
3.
What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
See Attached
4.
Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? Otherwise, please explain the rationale used which would corroborate the
prices listed.
Yes
8-104
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SECTION III CONTRACTOR'S FINANCIAL STATEMENT
rstateme~r:~~~t7:e~fb~.i~t~f&t~.~h:lft~~r:~~tb~~~~d~redjri~~I~:Tht~~a~~1als~~~~:~t ;:~~~~~ds~:e~~~~~i~~
the governing body awarding the contract must be specific enough in detail so that said governing body can make
~ a proper determination of the bidder's capability for completing the project if awarded.
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SECTION IV bATH AND AFFIRMATION
I hereby affirm under the penalties of pe~ury that the facts and information contained in the foregoing bid
for public works are true and correct to the best of my knowledge and belief.
Dated at Indianapols. IN this 21st
day of January
, 2008
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Miller Pipeline Corporation
. By ;y:. ;prOOl
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President
(Title of Person Signing)
ACKNOWLEDGEMENT
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COUNTY OF Marion
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STATE OF Indiana
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"[(pviTl MillpT'
being duly sworn, deposes and says that he is
President
of the above Miller Pipeline Corporation
(Name of Organization)
(Title)
and that the answers to the questions in the foregoing questionnaires and all statements therein contained are
true and correct.
Subscribed and sworn to before me this
21
day of
January
2008
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Notary Public
My Commission Expires: ? /14/08
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County of Residence:
Hendricks
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8-105
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NON - COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other
member, representative, or agent of the firm, company, corporation or partnership represented by him, entered
into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such
letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is
made without reference to any other bid and without any agreement, understanding or combination with any other
person in reference to such bidding.
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He further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale.
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OATH AND AFFIRMATION
I affirm under the penalties of perjury that the foregoing facts and information are true and correct to the
best of my knowledge and belief.
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Dated at Indianapolis. IN this
'21st,
day of
January
, 2008
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By
Miller Pipeline Corporation
(Nam:. o:~izatiOn)
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President
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(Title of Person Signing)
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ACKNOWLEDGEMENT
COUNTY OF M~-ri rm
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STATE OF Indiana
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Kevin Miller
being duly sworn, deposes and says that he is
President
of the above
Miller Pipeline Corporation
(Name of Organization)
(Title)
and tnatfl'lestafementsconfained In the foregoing bid, certification and affidavit are trUe and correct.
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Subscribed and sworn to before me this 21st
day of January
, 2008
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County of Residence:
Hendricks
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TO THE BIDDER-
The following Form 96a is not required by the State Board of Accounts. However, the bidder must
either use this form or one similar to it prepared by their accountant.
JACOBI, TOOMBS AND LANZ, INC.
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Gcnenl Foan No. 96-a
Prescribed by the Stale
Board of Accounts of
Indian~ Revised 1949
STANDARD QUESTIONNAIRES AND
FINANCIAL STATEMENT FOR BIDDERS
Prescribed by
THE STATE BOARD OF ACCOUNTS OF INDIANA
For use in investigating and determining the qualifications of bidders on public
construction when the aggregate cost of any such work or improvement will be Five
Thousand Dollars or more.
These statements tobe submitted under oath by each bidder with and as a part of his
bid, as provided by Chapter 305, page 1248, Acts of 1947.
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S ubmi tted to ... n' ..~~::X __.? ~n .<!.::.~~.~E.~.?~ ~~~~::.:.. n~ ~.... .......n. noon... moo.... _.. __ ... __.......00 n' _'
By ...................n....Mi-.+.l~.r....:e;l1l.~)j,n.~..J;.2rP.2:;-.~~J2E."............ {~ ~:~~::~
An individual
Address
8850 Crawfordsville Rd.
....................~..................................-..-......_.....................................--...............................................-.......-......................................................
Indianauolis IN 46234
.. ......... ....... ........................... L.... ............on ......... ......... n.... n ........ .......... ........ .n.. ..00......
Date submitted ... ..... ...... ~;':l;n ~.?r;y: ..fJ. ....... ......... ................... .00..... __....
20.l2~.......nn
Filed
................................... ..............................._...........................-,~_...............;.............................................-......
.........................................................................................................,...............................
............. ................. ........ ....... ....... ... ....... .,... ........... ......':'.... ~~...... ..,-,.. ..-... ...~~ ...~.,. .
A.E. BOYCE, MUNOE, IND
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Submitted by.... ........ .......M~.+.*~.r. ..f~E~J:.:h~!:...g.'?!-:p'r;:: !;.t;l;~ .:!:~.~.......................m.......... ...................... ...........
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Principal Office at .. ....... .~~.~.Q...Q!;.~~ !.?!.'.<?:~;:.~~.~::...~~.:..,...................m.......m.....m................... ................._....._............ .....................-i~
) ... ............. ........ ....n. .......J.n.9j, g,,:g gP.Q J.J.!=?,. ..llR.. H. Q2.3.~...... ...................................... ................ ....... .......................... ........ .................. ~.~.
I.
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaixe guarantees the truth and accuracy of all statements and of all answers to interrogatories .,
hereinafter made.
1.
How many years has your organization been in business as a general contractor under your present business name? .
..... ............5 .!J... .Y.~a:r..s.. ........ ...... ........ ............................ ...................... .... '" ........ ................. .... ........ ....... ......... .... ..... .... .................... .......
How many years experience in construction work has your organization had (a) as a general contractor; and (b) .",
as a subcontractor? ......... 2.~.. .y..~~!".~........... ...... ................. ..................... ...... .................................... ...... .......................................... ..
What projects has your organization completed? ....S.~~...A:t:!&c;:.hg.9:.......................................................................................
2.
3.
CONTRACT AMOUNT
CLASS OF WORK
WHEN COMPLETED
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3a. What projects does your organization now have in process of construction?
--
WHEN COMPLETED
~.,:
CONTRACT AMOUNT
CLASS OF WORK
NAME AND ADDRESS /'..
OF OWNER .~
1 Y 0 Hl s orou~ o.~
....$.g.,.7.9..7.,}9..9..~9.9.................... .........f.S?~g...t;l;~~..r..'?~............. .............m.9.~/..9.2......................... C ~r~f1tfi~~~2~~.~o.:L...~
.. ..$.J.. ,.29..f .,.3.1.9....9.9....... ............. ........ .f.S?.:hs1...~~i..r..<?.!.!P:............. .............. ...9.~ /..9.~.. ................. ...... .. y.~.. .~.~ I9..~. ~~ an 0, TX
P rt lJe o Eli 'C"'Wa-ce'r'.'1;;:'Sewf'"
16 1.00 CIPP 02/08 3g N. ~in St, Port
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Have you ever failed to complete any work awarded to you? If so, where and why.
. .... ..........NQ............ ...... ........................ ......... ........ ....... .......... .... .................. m........... ..................................... .... ......................................
... ....... ..... ........ ....... ... .... ....................... ................ ........... ......... ...... ........................... ............. ....... ....... ................ ............... ........... ............ . ~
5. H~~.~y.~ffi~~.~~.~~;.~f.y~~.~~g;:~~ti~~.~;~~.b~~~..~.~.~ffi~~~.~~.p;rt~~~.~T~.~~.~..~th.~~.~~g~~~ti~~.th~t..f;cl~d.t~
complete a construction contract? If so, state name of individual, other organization and reason therefor. ..~
..... ......... ~Q.... ................ -- ....... .... ....... .......... ................... ................. .............. ...... ..... .......... ...... ".. ............................. .................... . ..........----
4.
6. H~~.~y.~ffi~~~.~~.p~~~~.~fy~~.~~g~~~ti~.~.~~~~.f~~d..t~.~~~pl~t~.~.~~~~;;;~ti~~.~~~tr~~t.h~~di~d.~.hi~Jh~~'~:;~
name? If so, state name of individual, name of owner and reason therefor. )
..... ....... ..No...... ...... .......... ..................................... ................ ............. ....... ................. ........ .......... ............ ............. ....................................
7 . I~.;h~t.~th~~.~~~.~f"b~~~~~~..;;;~.y~-;;.fu~ciilly.~t~~~~.t~d?....................................... ...... .......... ..... ............. .................... ........ ~
None
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(, 8. For what corporations or individuals have you performed work, and to whom do you refer?
.................................................................................................................................................................................................................................................................................................
; ;~;...........$. ~g,. . At. t.?':Qh~d............... ...................... ....... ......... ......... ............... .......... .......... ....................... .... ............... ....... .......... ..........
...................................................................................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................................................................................
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9 . F;;.;h;t.citi~~..h;;~.y~;:;.p~;f~~~~i";~;k.;~d.t;.:;h~~.d;.ydri.~~f~;?......................... ................................................ .......... ...
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.............. S. e ~...A tt.ac:: he d............................... ....... .................................................. ................................ ............. :.................................
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10. For what counties have you performed work and to whom do you refer?
J.
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...........................................................................................................................................................................................................................-.............................................................................................
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11. For what State bureaus or departments have you performed work and to whom do you refer?
............ ..S.e e...A.t. tach-ed......... .................. .... ........... .................. ............ .......... ......... ........................... ........ .............. ......... ........ ..........
.........................................................................................................................................................................................................................................................................................................
....................................................................................................................................................................................'.-...............;..-......................................................................................................................
....................................................................................................................................................................................................................................................................................................
.................................................................................................................................................~.........................................................................................................................................................
Have you ever performed any work for the U.S. Government? If so, when and to whom do you refer?
..............Depar.tment...oi'...Nav.y:....................................Me.:t.T.Q...W.aghingtQX1. ..Air;P.Qr:t...Al.l.t hQr.ity.. ......................... .........
............. .B~.t he s.da"...MU............................................... ...R ?-.9.h ;i.,:Ug:t.Q g. ,... p.. Q....... ........................... ....... ........................ ........ ..........
..... .........Shar.on.. Cusi.c................................ .............. .....!5.~ :J:;.t::E~ p. ~ ..~~!?: f.:... ......................... ..... ..................................................
..... n...... .2Q.21.6.85.::-B.211. ............. ....... ......... ............ ........I.Q~.!. ~.~I .':".~ ~ .f?~...................... ................................. .................................
..................................................................................................................................................................................................................................................................................................................................................................
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13. What is the construction e enence of the rind al individuals of our or ni2ation?
YEARS OF
INDMDUALS PRESENT POSITION CONSTRUCTION
NAME OR OFFICE EXPERIENCE
MAGNITUDEAND NWHATCAPACITY
TYPE OF WORK
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..... ........ ........ ...... ................ .... ~E ~ .~.~~.~~~................. ................ ?~...................... ... ~~.~.~~.~. ~!:.f!: ~.~.?!:...... .. ...~~.~ ~.~~~~!:::...............
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..D.a.le..MiJ.le.r.............. ....Cha.ir:m.an..... ........ ...n. .............. ..5.~............. ......... ... AdUJi.ni.at r.ati.Qu..... . ...Manageme.ut...... .... .....
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..,Mark..lIalle.t:t............ .. ..yicB...Er.es...Op.s....... ...............3.l..................... ...Admi.ni.$.tr.ati.Qn...... .....Ma.nag.em.ent.......... .....
..P..Q}JK .J?~;r:m1.ng... ........ .... Q];Q i .Qf.9................. ..... .............. ..??...................... ... Mm1;Q j,,9.t.r..1?: t.1 .9.n...... .... M~m.?:g,~.N.~.TIt...... .........
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..Ralph. ..Mi.ller...... ...... ....YP-..Safety-.j.HR ...,. .... ...............3-7-...................... ....AQminiR:t.T.~.t.iQ.:u...... ....M?:n?:g~;m~.:ut.. .... .... .n"
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PLAN AND EQUIPMENT QUESTIONNAIRE .
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories
hereinafter made. .,~
In what manner have you inspected this proposed work? Explain in detail.
........ ........ .W.q.lk.f;. d..:tn.<?..ll.T. Qj.~s;.t....~n sl.. ~ gg;t.11 ~.~!.J11g...r? .+.~p.? ...?:g.9:.. .~.P.~ ~. ~!.~. S:~.t~9.12~........................ ................. ........... '.
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...............................................a.......................................................................................................................................................................................................................................................
.. ........... ................... ................. ............................. ........... ...... m............ ......................... ....................... .......... ............................. ............. ...
...................................a........................................................................................................................................................................................................................................................a.........................
....................................................................................a..........................................................................................................................................................................................................................................
2. Explain your plan or layout for performing the proposed work.
.................Clean..and..T.Y...the...s.~R~x:..R.E;'!,gm.<?n:t.~...t.Q..J?~..1:j,D:.~g....t.9...y~.!.iJY....JQs;.?:tJ.<.?g...2.:f...~.s:tJ.y.~..,... ............... .
service laterals. Line the sewer with CIPP. As soon as possible following
::::~~:::~~:~~~~:ih~:~~9~9~i~iJ:2~::~2i~~~~~~~~ii!i~E~~~;~::!~~:::~~!~y.~:::~~I~~:~~:~:::~~~~~~~~~:~~~:::~~~:::~~~::::::::::::::::::::::::::::
.. .... ...........2P.~!!; ..~!!;~...!: ~.~.~~~...~~... ~.':.~~.~. ~~~::...~.~.~y.~~.~. ..~.?...~~:.. .~.:~ ~.::.. ~~.~.:: ......... ................................. ............... .....
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............... ...m........... ......... ......................... ............. ....... .......... ....... .............. ......... ......... ............. ....................................... ....................... ..
.......................................................................................................................................................................................................................................................................................................................
.............................................. ..................'.................. .................................................................................................... ......................................... .......... ........................~................................................................... ~.........
................ .............. ........... .............. ........ ...................... ......................... ......... ................................... ",' ....... .............................................. .
... .......... a........ ............. ................. ........ ............ ................. ......... ....~... a..... .............. ..... ....... .................~. ~..... ....... ...... ".~........ .........................~............ ~...... ............ ...... ..................... .......... ....... .......... ..a...... .................. .......
. .......................................... .............................................................................................a............................................................. ................................................ .................................................................~......~.......................................
...... ......... .................................. ........... ......... ..... .................... ...... ,.. ....... ......... .............................. .................................. .............. ..............
................~......................................................-............ ............................................................................................................................~.............................. ...............................................................~.......................a........ ........
.......................................................... ......................~ .......... ........................ ......................................................... ........... .......... .................................................. ................................................................'...............a.............
3. The work, if awarded to you, will have the personal supervision of whom?
Mark Hallett / .
::::~:~::::::::~::::::~:::::~~::~~::~:::~::::~:~~:::~:~:::::~:::::::~:~::::::::::::~:::::::::::~::::::~::~::~::~::~::~~::~:::::::::::::::::::::::::::~::::::::::::::~:::::::::::::::::::::::::::~:::::::::::..,.
4. * Do you intend to do the hauling on the proposed work with you own forces? If so, give amount and type of
equipment to be used. ..J
................ JJ..I.A....... ........................ .................................... .......................................................................................................... ........ ..... ,if.
5. *...Ify~:;;fut~~~i't~.~-;;bi;t.th~.k~.~;p;~f;;~it.ifu:~~gh..~~.~g~~~..~.t~t;.~~~~t.~f.~.;;b~~~tr~~t.~~.~g;~t..~.;~tr~~t.~~.~( ,'.
if known, the name and address of subcontractor or agent, amount and type of his equipment, and flnancial.
responsibility.
.............. ...Iia.. .s.ub .c..on tr.a ~ :t.Qr.:;;......................... ............... ...... ............ ..................... ......................... ..... .............. ..............................
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6.
. .............. ................. ......... ... ........... ............... ..................................................................................................... ..... .............. ................. --. "f
* Do you intend to do the grading on the proposed work with your own forces? ,(
. .... .......... ..N. j.A.............. ........... .................................... ........... ............,.......... .................................................... ............ ........................ __.
. --... ................................................... --................................................................ --... ................................... ............................................... I'
................................................................... ................. ...... .................... ......... ................................................................. .......................... ~
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fi 7. * If you intend to sublet the grading or perform it through an agent, state amount of subcontract or agent's contract and,
if known, the name and address of subcontractor or agent, amount and type of his equipment and financial
responsibility.
N/A
.,..
j .......... ....... .... ...... ......................... ........ ..... ......... ...... ........ ......... ....... ........ ..... ............................................ ....... ........ ........... .......... .............
.
8. Do you intend to sublet any other portions of the work? If so, state amount of subcontract and, if known, the name and
address of the subcontractor, amount and type of his equipment and financial responsibility.
...... ......... ..All.. JtT.or.k.. M. ill..:b a.. sell:::: p.e.r f.armed.............. .................................... ....................................................................
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........................................................... ...............a........................ ................_...............................~....................................-............................~........_........ ........................._.............................
9. From which subcontractors or agents do you expect to require a bond?
. ......,.. ..... ..N} 1\........................... ........... ....... ........ ...................... ......... ......................................... ..................................... ................. ........
. ';;';;' ;;:~,.-.-..'..":,;,,,,";;..'. '.-..... ..'... '.'.... .-. ............... ..'.-..........: ..:. ~ .d,:.... .'. ..,......: "':...:........,... .-....~.. ...-__ ...... ............ ........... ...;...:..-.'...,.~-... ...'...;;. ;,:.. '. '.......'.'.. ... '..__ ...:;,: .:.. ..... ..;....,........ .-....,;, '.. '. -.; ~ _. .... .-..... . ....... ........ '.:~'. ....... ..........- .. . . .... .. .'. .-...... ..... .... .'....,;, . ... .'...... '.... .... .....
.............................................................................................................................................................................................................................................................................
10 What equipment do vou own that is available for the proposed work:>
DESCRIPTION,
SIZE, CAPACITY, CONDITION
ETC.
QUANTITY
ITEM
YEARS OF
SERVICE
PRESENT
LOCATION
See Attached
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11 What eqU1pment do you Intend to purchase for use on the proposed work, should the contract be awarded to you?
APPROXIMATE
COST
r.
QUANTITY
ITEM
DESCRIPTION, SIZE CAPACITY, ETC.
None
.......m. .... ...... ........... .... ......... m... .__...... m.... ......................... ... .... ...........m.. m...... ................... ____... ........ m. __....... ... .....m........ ...... no..... --...,
... m..... .... ..mm.. m.... .... .... ............ __.. ....... m..... .. m.. m........... m m... m.m.. ........ .............. ...m................. m........ ..... ..__... .................. __' ... ... m.. --., "t
.
. ................. ...__ ............. ......m........... m...... ...... ..... ............ .... ................ ..m.......m......... __......... __...............__.. .... --.... "" .................... ....... --. ....., ,41
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.......... .........m m m.... m' .... .m...... m......... ......... .. m........ .... m.... ..... .m. ..... ......m ..... ......... ..... .......... m.............. ............. ................................... .
12. How and when will you pay for the equipment purchased?
.. ............. N./.A.... "" .__.... ..... m. .......... ....... ........ ......... ........ .... ... __...... ....... z...... .......... .--.............. ........ .... ..... m... --. on m.............. m................. =:~
13. D~'y~~' p~~p~~~"t~'~~~t'~~y'~q~p~~~t'f;~--thi;';~~k?"If'~~':'~t~t~'typ'~':'q~;;;tity'~~d'~~;~~~~'f~;.~~~ti;g~.......~....m.......... ..
No
..
..m m........m ...... ..... .........m ...... ....... ... ....... ......... .............. ....... m........... .......... ..m...... ..... ........... ...m........ m..... . ........ ............ ....... m ....... .... .
14. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not ",
give names of dealers or manufacturers..
. m........... X.~.8...........m.. m...... ................... m............... ...... ..... ........ m.m. ............__......... .......m ...... ..mm............... ..... ............ ............... .....
. ..__... __ ...... ....... ......... m......... ...__.....................__....... __ .............. .... .__. ..__..... m... .... m... .... __ ............m ... ... ... __. ........................ .............. m... f
\IIIIfI!IIJ
Dated at ...rJ1Q.j..?J:J-.1?-1!9Jj..~.....JJL__...__... this ..mm?1..:?.t..............m.......m day of ...J.'J?DJ.J.J?..r.Y.. m.m ......__..__.m ......... .... 20 ..Q.a..__.......
iif
...
.....Mi.1..l~;rmP.:j..1!g.l;i.n..E;...Q.Q;rIlQ;r.?-t.i.QD....____..... .......m.m...mm.m
(Name of Otganization)
BY.........~.....~........m............m......................,
.......?or .e.si.d~:o.. t......................... m............. ........... .__..__..__ .... __" m...... ,~'
(fide of Person Signing) .
STATE OF .........In.diana........mmmm.. )
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COUNTY OF ........M~:r.!9.P.:...........mm..m...)
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...m.m.........mmm.....m.K~y.:j...n...Mj..l1..~.r.m.......m...........m.......mmmbeing duly sworn, deposes and says that he is a member of ..
...mm........Mi~l.e.r...P.i;p.~l.imLC.QX';p.Q.r..a,:t.iQ:O"...................'...mand that the answers to the questions in the foregoing
(Name of Otganization)
questionnaire and all statements therein contained are true and correct. bfYV'O-...- 't\ 0~. ~~..
Subscribed and sworn to me this __........?J-.?~__m____.____..__........__.day of ......m.m_.iL~g:!:;~EY........m...__...m__.m.20 .9.?.m......~L..._.......__
My commission expires ....GJ.J.~.!.Q.e..........m....__.....................m. :._ '. r;'..'~t-. "f';;'
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~, CONTRACTOR'S FINANCIAL STATEMENT
r' S b d b eKe horn
,. u mitte y ...............MJ1;!-.~E...~te~.~~!?-.~...Q9E.P.:?E~:t?J:?~.......................................................................... { A C~~~:~ership
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An Individual
With principal office at ...~.?!.2...gE~:::.~:?E~.~.~.~.~~.E?..~.~.~.?....~~9:~~.~~F.~.~.~::??}.~..~.?~.?.~........................._............... ........... ......
To ....... ........... ......... .......Q :i:.~.y.... ?f...;::::. ~.:f.~E.~.9? y..~.~ ;J;..~...... ..~~......................................... ....... .......................... ....... .............. ................. ....
Conditions at close of business
December 31, 2006
ASSETS Dollars Cts.
Cash: (a) on hand l.........................cb) in bank lL................................jc) elsewhere 1...................... SE Ii:
Notes receivable (a) due within 90 days ...................................................................._....................... .Il. S.
(b) due after 90 days ............................................................................................
(c) past due .......... ... .... ...... ................... .... ... ....... ........................... ................. .......
Accounts receivable from completed contracts, exclusive of claims not approved for payment ............
Sums earned on uncompleted contracts as shown by engineer's or architect's estimate
(a) Amount receivable after deducting retainage .............................................
(b) Retainage to date, due upon completion of contracts ........................................
Accounts receivable from sources other than construction contracts .............................................
Deposits for bids or other guarantees (a) Recoverable within 90 days ................................
(b) Recoverable after 90 days ................................
Interest accrued on loans, securities, etc. ........._..................................................................................
Real Estate: (a) Used for business purposes...................................................................................
(b) Not used for business purposes .........................................................................
(a) Listed - present market value ...............................................................
(b) Unlisted - present value ...............................................................
Materials in stock not included in Item 4 (a) for uncompleted contracts (present value) ............
(b) other materials (present value) ........................
Equipment, book value .........................m....... ....... .......................... .... ............. ............_....... ..... ...........
Furniture and fi..'ttures, book value
Other assets
Stocks and bonds:
................ .............. ............ ...... ........ ............... ............. ...... ......... ...... .,... ..... "T~t;J A~~~;;;
LIABIliTIES
Accounts payable
to banks regular ........... ........ ........ ............ .......................... ....... ....................
to banks for certified checks .........................................................................
to others for equipment obligations ...............................................................
d) to others exclusive of equipment obligations ......................................................
(a) Not past due ...... .................................. .......................... ...............................
(b) Past due ........................................... ................................. ........... ....... .......
Real estate encumbrances
Other liabilities
Reserves
Capital stock.p;Jd~p........... ..(~).C;;~~;....::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
(b) Common ............... .... ........ ....... ...................... ................ ....................
(c) Preferred ..... ..................... ......................... ....................... ..................
(d) Preferred . .................................. ...... .......... ..... ............... .....................
Surplus (net worth) .......... ... ................. ...... _...................... .,... ............... """ ....... ................... ............ .....
Total Liabilities
CONTINGENT LIABILITIES
Liability on notes receivable, discounted or sold ...................................................................................
Liability on accounts receivable, pledged, assigned or sold ...............................................................
Liability as bondsman .. ..... ....................... ......................... ................................. ........ ............. .............
Liability as guarantor on contracts or on accounts of others ...............................................................
Other contingent liabilities
....... ....... ........ ............................. no.... ............ ....1' ~.t~rCc;~ci;;~~;:t Ii~biliri~~
................-........................................................................................................-..................................
Notes payable
.................-.....................................................................................................................................................................
, '. ,..... . ".. ....... ." ,'..-..' . . , ~ .. .... . -- ,
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(a) on hand ~ ...~...~..........._...... ......................................................-................... ............................................................. ............. $ ..........................................................................
1 Cash (b) deposited in banks named below .................................................................................................... $ ........................................................................
(c) elsewhere - (state where) $
.......................-........................-............................................................................. .........................................................................
NAME OF BANK LOCATION DEPOSIT IN NAME AMOUNT \:
.................................................................................... ..............-.................................................................. ......................................................................................... ................................................................................
..................................................................................... ............................................................................................. ....................................................................................... ............................................................................................
................................................................................................... ......................................................................................... ..................................................................................... ...........................................................................................
(a) due within 90 days ....................................................................................................................... $ .......................................................................
2* Notes receivable (b) due after 90 days ..................................................................................................................... $ .................................................................
(c) past due ........................................................................................................................................................... $ .....................................................................
RECETV ABLES FROM: NAME AND ADDRESS ROR WHAT DATE OF MATURlTY AMOUNT
HOW SECURED
............................................................................................................................................ ............................... ............................................................................. ....................................................................
.......................................................................................................................................................... ..................................... ................................................................................... ...................................................................
....................................................................................................................................................... .................................. ....................................................................... .............................................................
DETAILS RELATIVE TO ASSETS
If
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.
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..
Have any of the above discounted or sold? If so, state amount, to whom, and reason.
............. ...... ................................... .......... ...... .... ................ no.............................. .... .............. ............... .......... ........... ..... .... ........ .......... ........ ..... ... "If
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.
3* .., Accounts receivable from completed contracts exclusive of claims not approved for payment
..................................
NAME AND ADDRESS OF OWNER NATURE OF AMOUNT OF AMOUNT RECEIVABLE
CONTRACT CONTRACT
............................................................................................................... ............................................................. ..................................................................... ....................................................................................
............................................................................................................................... .................................................................. ..................................................................... .............................................................................................
............................................................................................................"......... ............................................................. ............................................................... ..........................................................................................
.......................................................................................................................... ............................................................ ................................................................ ..........................................................................................-........
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..
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Have any of the above discounted or sold? If so, state amount, to whom, and reason.
'!
.
,................................................................................................................................................................................;.......;........................................................................................................;......................................;....................................... ..:.:1
Sums earned on uncompleted contracts, as shown by engineer's or architect's estimate
4* (a) Amount receivable after deducting retainage $
............................................................................ ..........................................................'............
(b) Retainage to date due upon completion of contract $
............................................................ ........... ........ ....,.... .................
DESIGNATION OF AMOUNT OF AMOUNT AMOUNT RETAINAGE AMOUNT
CONTRACT AND NAME EXCLUSIVE OF
AND ADDRESS OF OWNER CONTRACT EARNED RECEIVED WHEN DUE AMOUNT RETAINAGE
................................................................................ ................................................ ......................................... .............................................. ..................................... .................................... ..........................................
............................................................................. ......................................... ..................................... ............................................. ..................................... .................................... ................................................
....................................................................................... ........................................................ ...................................... ................................................ ........................................... ........................................ ..............................................
.............................................................................. .............................................. ...................................... .......................................... ....................."............. ................................. .............................................
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Have any of the above been sold, assigned or pledged? If so, amount, to whom and reason.
"" ...... .................. ........... ............................. ...... m...... .......... ............. ...... ..... ......... .......... ....., ...,.. ;.;... ...;.... ';m.. ......;.. .;.. .,.~.. ............ m.... oom'. .......
* List separately each item amounting to 10 percent or more of the total and combine the remainder.
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5* I Accounts receivable not from construction contracts $
.................................................................. ........................................................................
RECEIVABLES FROM: NAME AND ADDRESS FOR WHAT WHEN DUE AMOUNT
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............................................................................................................................................. .............................................................. .................................................. ..........................................................
........................................................................................................................................................ .................................................................... .............................-.................................. ....................................................................
......................-.................................................................................................................. ................................................. ....................................................... ........................................................
What amount, if any, is past due
..........................................................................................................................................................
$
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Deposits with bids or otherwise as guarantees $
........................................................................... ................................................................
DEPOSITED WITH: NAME AND ADDRESS FOR WHAT WHEN AMOUNT
RECEIVABLE
..........................,..............................................................................................:"....~.....,.......... ............................................................. ............................................................ .............................................................
.;.-................;.;;.....;..............;......:..............;.................;...................................................:.......... ................................................................. .................................................................... ....................................................................
". .... .',' ,. '. "'."
...-.......................;..............................................:....;...........................'...........'.............................................. ............................................................... ..................................................................... ........................................................................
........................................................................................................................................... ...................................................... .......................................................... .....................................................................
.......
7 , .'"., ....... .' " ,.. J, "'..
Interest accrued on loans, securities, etc. $
........................................................................................................ .......................................................................
ON WHAT ACCRUED TO BE PAID WHEN AMOUNT
................................................................................................................................................................................................ ...............................................-......................... ............................................................
.............................................................................................................................................................................-.......................... ................................................................................... ...-....................................................................
....................................................................................................................................................................;.........:.................... ............................................................................. ...............................................................
"'-,..' '...... ...",......,". .',', . . "....,- .-..' ...... . ................................................................................. .....................,........................................
.,;........ ...... ..... ........ ....... ........ ....... ..... ...... ......... ............ ...-........ ........... ......,~ .~.. ...... ....... ............ ........ ..................... .... ......... ..................
, . . . '.,' - .'. ',' ....- - . -. ., --' ....... -. ... .. """ -- .. -- .. -... -- . .... ",; C.. ""~ ~
Real (a) used for business ~"c; $
8 estate { purposes ............................................................................
...................................................................................
book value (b) not used for business purposes $
...................................................................... ......................................................................
.... " IMPROVEMENTS
DESCRIPTION OF PROPERTY NATURE OF TOTAL BOOK
IMPROVEMENTS BOOK VALUE VALUE
1 .............................................................................................................................................. ...................................................................... ....................................................... ....."'...........................................................
2 ..........................-................................................ .............................01...................... .......................................................................
...........................................................................................................................................................-.....
3 .................................................................................................................................................. ........................................................................ ...................................................... ...................................................................
4 ............................................................................................................................................. .................................................................... ................................................. ...................................................................
5 ...................................................................... .................................................. .....................................................................
......................................................................................................................................
6 ........................................................................................................................................... .......................................................................... ...........................................-..... ..............................................................
7
',. " '.' HELD IN WHOSE ASSESSED AMOUNT OF
LOCATION
'. ". , , '. .. ., NAME VALUE ENCUMBRANCES
1 .. ,'" '" ... .
..................................................................................................................................... .................................................................. .................................................... ...............................................................
2 ................................................................................................................................................ ................................................................ ....................................................... ..............................................................
3 ........................................................................................................................................................- .............................................................................. .......................................................- ................-...............-.............................-..........
4 ............................................................................................................................................. ................................................................. ..................................................... .................................................................
5 ..................................................................... ............................................... .................................................................
........................................................................................................................................
6 ..............-..............................................................................................................-................................. ................................................................................. ........................................................ ........................................................................
7 .
* List separately each item amounting to 10 percent or more of the total and combine the remamder.
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B-117
DETAILS RELATIVE TO ASSETS (Continued)
9 Stocks and bonds (a) Listed - present market value $
...................................................................... ......................................................................................
(b) Unlisted - present value $
.................................................................................. ....................................................... ..........~...... ..........
LIST NT. OR /
PRESENT
DESCRIPTION ISSUING COMPANY DIY PAID PAR MARKET QUANTITY AMOUNT'!
VALUE
DATE % VALUE
1 .............................................. ...................................
..................................................... ...................................................................................... ........................................... ....................................... .........................................
2 .............................................'..........'............. .....................................................................'............................ ......................................... ............................................. .........................................
.......................................... .......................................
3 .................................... ...................................... ....................................
................................................. ....................................................................... ......................................... .......................................
4 ..................................... .......................D............. ...............................
............................................. ...............................................................'................. .................................. ....................................
5 ................................................... .................................................................................... ................................. .............................. ........................................ ......................................... ........................................
6 ....................................................................................... ............................................ ............................................. .....................................
................................................... ....................................... .......................................
7
AMOUNT
WHO HAS IF ANY ARE PLEDGED OR IN ESCROW, STATE FOR WHOM AND PLEDGED
POSSESSION? REASON OR IN
ESCROW
1
........................................................ .................................................................................................................................................................................................................................................. .................................
2
.............................................. ................................................................................................................................................................................................................................. .....................................
3 .......................................................... ........................................................................................................................................................................................................................................
..............................
4
............................................. ........................................................................................................................................................................................................................... .................................
5 ......................................
..................................................... .....................................~....................................,.................................................................................................................................................................................-...
6 ............................................................................................................................................................................................................................... ...................................
..................................................
7
Materials ill stock and not included ill Item 4, Assets:
10 (a) For use on uncompleted contracts (present value) $
..................................... ......................................................................................../
(b) Other materials (present value) $
................................................................................. ......................................,..............................................
PRESENT VALUE
DESCRIPTION OF lVfATE:RIAL QUANTITY FOR UNCOrMPLETED OTHER MATERIALS
CONTRACTS
.................................................................................................. ................................................... .............................................................................. ..............................................................................
................................................................................................................ ...................................................... ................................................................................. ...........................................................................
................................................................................................................ ...................................................... ..................-................................................................ .............................................................................................
............................................................................................................. ......................................................... ........................................................................................... .........................................................................
11* Equipment at book value $
. ........ ................. ...... ........ ............. ................ ................ ......... .............................................................................
.c. .',"::'. .... ." ...... .;...... _..q_.... "',
QUANTITY DESCRIPTION AND CAPACITY OF ITEMS AGE OF PURCHASE DEPRECIATION BOOK
ITEM PRICE CHARGED OFF VALUE
........................................ ................................................................................................................................... .......................... .......................................... ....................................................... ..........................
........................................... ................................................................................................................................... ............................. ............................................... .....................................D.............. ...........................
.......................................... ..................................................................................................................................... ......................... ............................................ ...................................................... ..............................
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Are there any liens against the above? If so, state total amount .................................................. $ ................................................ 'fl;
· If two Of mo'" items are lumped above, give the sum of their ages..
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B-118
fill:
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DETAILS RELATIVE TO ASSETS (Continued)
12
13
Other assets ....... ..... ....... ...... ...................... 0........ ..............00 .... ............... .......... .... .... ....... $ ...........m............................. .......
'.. ................ . DESCRIPTION .'. AMOUNT
Furniture and fixtures at book value
$
. .
..................................................................................................................................................................................................................................................... ..............................................................-.......................
...... .,.-........', ....., ...,.......... '" ..........
.......................................................................................................:...................'.;..........-.'..'...-..'..'...'........-.......,..-......'............................................................................................. ........................................................................
I Total Assets:
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(a) To banks, regular $
................................................................................................................................................ -........................................................................
1 { (b) To banks for certified checks $
o blig~ti~~~...~: :::::::::: ::::::: ::::::: ::::::::: :::::::: ::::: ::::::::: . $ .............................................................
(c) To others for equipment
......................................................................
(d) To others exclusive of equipment obligations $
.......................................................... ...................................................................
TO WHOM: NAME AND ADDRESS WHAT SECURITY WHEN DUE AMOUNT
.......................................................................................................................... .......................................................... .................................................................... ........................................................................................
.................................................................................................................. ......................................................... ............................................................... ......................................................................
2 { (a) Not past due ................................................................................................................................................. $
....................................................................
(b) Past due $
..................................................................................................................................................................................... .........................................................................-
TO WHOM: NAME AND ADDRESS FOR WHAT DATE PAYABLE AMOUNT
.................-..................................................................................................................... ............................................................... .......................-................................................. ..................................................................-..-..................
-.................................................................................................................. ................................................................. .................................................................... ......................................................................................
3 Real estate encumbrances (see Item 8, Assets) $
.................................................................................... .............................................................................
4 Other liabilities $
.................-......... ....... ............ .............~ ............ ............................................. ................... ............... ........................ ...... ............................-.................... ......................... ~._..
DESCRIPTION AMOUNT
.. , "., "". .... ,..~ ,; " '."
. .... ...................................................................................... .............~.. ...................................................................~................................................ ....................................................... ......................................................................................
.............................................................................................................................................................................................................................................................................. ................................................................................
5 Reserves $
......................................................................................................................................................................................................... ...............................................................................
INTEREST INSURANCE BLDGS & FIX PLANT DEPT. TAXES BAD DEBTS
$ $ $ $ $ $
6 up{ (a) Common $ ....................................................................
Capital Stock paid ...................................................................................................................
(b) Preferred $
................................................................................................................................... ...........................................................................
7 Surplus $
.............................................................................................................................................................................................................. ........................................................................................
I Total liabilities:
DETAILS RELATIVE TO LIABILITIES
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S:\SydneyIWPDOCSlmlscellaneous\MASTERldivB,wpd
B-119
If a corporation, answer this:
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When incorporated .... ....... July.. .1.9. '!>". .lSl9.S,... ............... ....... ......... ........ ................... ................._... '._""" ,. .,........."........ ...... ........ ',' .........
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In what state ......... .._ ... ...... .IJJ.di.an.l2........ ..... ............ ........ ...... ... ........ ........ ... ............... ......................................... .... ...,.. ........... ....... .........
Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for
the corporation, including its officers, the signatures of whom are legally binding.
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'......... .... IS; ~y.;\' J1..M.i.;J...::!,~;r...::,. ..J?.r. ~.s.i d.~..n t.................. ......... ..... ........ .................... ....................... ................ .............. ..................................
-;$
.'
,......... ....P.2:':l:gJ..t;l;!?..e .:... J?t;l;n..~ ~ Qg.,...~ r.!... ::.. .gJj:;Q 1. Q E.Q................... ........................ ................................. .................................................
'... ....... ...Nina..Manu.. :::...8 e.c.r.e. tar.y. j .Tre.a.slJ.1': e..r........... ......... .............................. ................ ........................ .....,......... ..........................,
'. ......... ...K~ .:t.t. h. J1JJ l.~:r... -::...Y. i.. ~ ~...r. :rg.9..i.9.~JJ..t....... ........ ..................... ..... ............................ ........... ......... .....,.. .............. ........ ............ .... .-'
....-..................................................................................................................................................................................................................................:......................................................-..........................--........................................................................-............................
Do you have the necessary "certificate of authority" to transact corporate business in this state, under the terms of ..
Chapter 215, Acts of 1929, and acts amendatory thereto? ........X~.9...............................................................................................
J
If a co-partnership, answer this:
~
Date of organization
State whether co-partnership is general, limited or association ....................................................................................................... ..
Give the names, addresses and proportional interests of all parties
...................................................... . ......................................... '"
NAME
ADDRESS
SHARE
$
..................................................................................
$
................ ............... ..... ~.~..... ~ ........ ..... ~..oo ...... ~.. ~.. ~ ......... ."~
$
.. ~ ~ ~ ~ ........~..oo..oo..... .....~ ~.......oooo....... ~..~........................
$
.. $...................... ..... .......... '" ....... ..
..............................................................
$
.................................-..........-.--.........................--..
$
........................-..............................................................
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S:\Sydney\WPOOCS\mtscellaneousIMASTERldlvB, wpd
B-120
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The name of the partnership firm under which the above partners kre operating is
............................................................................................................................
........................................................................................................................................;....................................................................................................................................................
Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the partnership, the
signatures of whom are legally binding.
........... ...... ................ ................ ........... .... ............. .................~.... .......... ...... .......... ... ............... .......................... ............................. ........... .....
i
..............................................................................................................................L.....................................................................................................................................................................
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.. :............ ........ ......... ..... ................... .............. .,................ ....... ..,L........... ......... .". ~.. ~.....,... ".., ".;.,. ",.. .... ... ,......... ..................................... .............
The undersigned hereby declares that the foregoing is a true statement' of the financial condition of the individual, co-partnership or corporation herein
first named, as of the date herein first given; that this statement is f~r the express purpose of inducing the party to whom it is submitted to award the
stibmitter a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such party with any information
n~cessary to verify this statement.
~OTE: A co-partnership must give firm name and signature ot all partners. A
corporation must give full corporate name, signature of official and affix corporate
seal.
..............................................................................-...................................................
...........................................................................................................................
......................................................................................................................................................
.......................................................................................................................................
Af~davit for Individual
COUNTY OF
.......... .... .............. ....... ............. )
) SS:
....... ......... ............ .................... )
STATE OF
I
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............. ...................................................................................L......being duly sworn, deposes and says thereof that the foregoing financial
statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the
foregoing interrogatories are true. .
.............................................................................................................
(Applicant must sign here)
Subscribed and sworn to me this ................................. day of ................... 20 .............
: . ..... . ..' .' .' I
.... ...................... .......... .......N ~t;;ry.p;.;.bii~ ...... .......... ........ ..... ...i"........
Affidavit for Co-Partnership
COUN1Y OF
............. ........... .... .................... )
) SS:
....... ...... .... ............... ........... ..... )
r':..- iTAm OF
.'..............................................................................................J..........being duly sworn, deposes and says that he is a member of the firm of
:..............................................................................................J......."..and that he is familiar with the books of said firm showing its financial
condition; that the foregoing financial statement, taken from the books of said firm, is a true and accurate statement of the financial condition of said
firm as of the date thereof and that the answers to the foregoin~ interrogatories are true.
,
,.-.
...........................................................................................................
(Member of firm must sign here)
Subscribed and sworn to me this .................................dayof '................... 20 .............
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Notary Public
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Affidavit for Corporation
t,
COUN1Y OF
...... .In.gj, g.:Q~.... .................... )
) SS:
.......Mar.iQn.......................... )
STAm OF
....................................K~y.:i-.n...:~U.:).1.~.r..................................being duly sworn, deposes and says that he is a member of the corporation of
............Miller...Eipeline...CQ.r.p.o.rati.o.n................J.....described in and which executed the foregoing statement; that he is familiar
with the books of said corporation showing its financial conditi;on; that the foregoing financial statement, taken from the books of said corporation
is a true and accurate statement of the financial condition of said corporation as of the date thereof and that the answer to the fore ing interrogatories
are true.' : ...........~.. .. . . . ...............................
i ", ' (Officer ust sign here)
Subscribed and~wom to me this ..........~1:..................day Of,.......J.gD............ 20 ...Q~L...
i ....................... .:(.'rY::I.~~~~.~...............r..... .
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B-121
{"
Miller Pipeline Summary
Miller Pipeline Corporation is one ofthe nation's premier contractors, providing a
comprehensive range of pipeline contracting and rehabilitation services for sewer
pipelines, water, and gas, as well as specialty products and services for the industrial and
telecommunications industries.
Miller Pipeline Corporation exceeding $100,000,000 in revenues is owned by a
Vectren Corporation, which distribute$ electricity and natural gas to nearly 770,000
business and residential customers with,revenues close to $2.0 Billion.
We believe there are many reasons why Miller Pipeline Corporation is regarded as a
premier and well-respected national contractor. Certainly our combination of innovative
thinking, technical expertise, and customer service have played a big part. We continue
to research and improve our products and processes in order to offer our customers cost-
effective and value-added products and services.
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We pride ourselves in our ability to proyide our customers with a full range of
rehabilitation methods to meet individual needs and specific application constraints.
I
Miller was one of the first contractors t<;> import trenchless technologies from Europe and
the Far East. We acquire the latest high-tech equipment that is so vital to doing the job
right and in a safe, efficient manner.
We realize that our employees are the backbone of our existence. They are never takerf;,
for granted. Many of the Miller Pipeline Corporation team started with us. Many
others have spent most of their entire career. This lets us know that as a company we are
doing something right. This is key to our success and it shows.
Miller Pipeline Corporation has been.in the business for 53 years and has demonstrated
resilience to economic downturns and will remain secure for the future. Our organization
is solid, not only from an economic standpoint, but the issue at hand, demonstrating our
knowledge to correct (III) problems and overflows.
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Corporate Experience and Capacity
Miller Pipeline Corporation has been praviding aur custo.mers with experience and an
admirable list af care capabilities and customer centered salutians since 1953. Miller Pipeline
Corporation is headquartered in Indianapalis, IN. and has additianal affices natianwide fram
Califarnia to. New Jersey. Currently, the Campany maintains mare than 170 canstructian crews
made up af skilled, prafessianal emplayees, many afwham have been with the Camp any their
entire careers. We are an arganizatian with aver 1,000 emplayees and an equipment fleet nearing
$30,000,000.
As a recagnized leader in the industry we attribute much af aur success and langevity to. the
quality af wo.rk we pravide to. aur custamers and the professio.nal and stable leadership at all
levels within the campany. The values and principals, an which the co.mpany was ariginally
faunded, remain taday as the carnerstane af aur co.mmitment to. quality and value-added service.
It is in this way aur Co.mpany stays an the leading edge and achieve maximum efficiencies to.
pro.vide greater value.
At Miller Pipeline Corporation we are co.mmitted to. aut standing perfarmance as well as
exceeding client expectatians. The care capabilities o.fMiller Pipeline Corporation include:
Gas
. Distributian
. Main and Service Installatians
. New, Replace, and Rehabilitatian
. Directio.nal Drilling
. Catho.dic Pratectian
. Distributian Statians I Fabricatio.n
. Vacuum Excavatian
. External and Internal Jaint Repair
. Internal Jaint Repair Sales
. Transmissian
. Extensio.ns
. Replacement
. Rehabilitatian
. Relacatian
Wastewater
. MPC TaughTube™, Cured-In-Place Pipe
. Pipe Bursting
. High strength PVC Internal Lining Systems
. CCTV
. Paint Repairs
. Manho.le Rehabilitatian Praducts
Water
. Mainline and Service Installatian
. New I Rehabilitatian
. Directianal Drilling
. HDPE Pipe Expertise
. WEKO Internal Jaint Sealing
Telecommunications
. Trenching
. Directianal Drilling
. Manhale Installatian
. Fiber Optic Installatian
. Verificatian and Daylighting
Vacuum Excavation
. Gas Line Rehabilitatian
. External Jo.int Sealing
. Utility Verificatian I Daylighting
. Cathadic Pro.tectian
. Ano.des I Test Statians I Fault Finding
Miller Pipeline Corporation acquisitiansafbath Southeastern Infrastructure Systems, Inc.,
lacated in the City af Atlanta, Geargia as well as Griner's Pipeline Services lo.cated in Mo.unt
Dara, Flarida, expand to. aur current capacity far salutians to. Inflo.w and Infiltratian prablems.
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Action by Written Consent
of the Board of Directorsof
Miller Pipeline Corporation
Effective May 9, 2006
The undersigned, being all of the members of the Board of Directors (the
"Board") of Miller Pipeline Corporation, an Indiana corporation (the "Company"), acting
by unanimous consent and without a meeting and pursuant to Section 23-1-34-2 of the
Indiana Code, hereby waive notice of a meeting of the Board as may be required by law
and/or the Company's by-taws and adopt the resolutions as set forth hereinbelow,
taking or authorizing the actions specified therein.
NOW, THEREFORE, BE IT RESOLVED That the persons whose names are set
forth below be and they are hereby duly appointed to the offices in the Corporation set
forth below opposite their names, to serve at the pleasure of the Board until its next
annual organizational meeting, and until their respective successors shall be duly
appointed and shall qualify, or until any such person's earlier resignation or removal
from office.
Dale R. Miller.......................................... Chairman
Douglas S. Banning, Jr........................... Chief Executive Officer and
Chief Financial Officer
Kevin G. Miller ........................................ President and
Chief Operating Officer
Mark R. Wallbom..............;...................... Senior Vice President
Nina A. Mann........................................... Secretary and Treasurer
RESOLVED FURTHER, the Board hereby adopts the forms of any such
resolutions that may be required to effect any of the foregoing resolutions.
General
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RESOLVED That any persons hereinabove duly appointed and/or the Board and
proper officers of the Corporation be and they are hereby authorized and directed to
take or cause to be taken all such further actions, to execute and deliver, or cause to be
executed and delivered, all such furth~r agreements, instruments and documents and
to incur and payor cause to be paid all such fees and expenses in the name and on
behalf of the Corporation as in their judgment shall be necessary or advisable in order
to carry out fully the intent and purposes of the foregoing resolutions.
#186136
1
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RESOLVED FURTHER That all pctions heretofore taken in the name and on
behalf of the Corporation by any persons herein above duly appointed by the Board be
and the same are hereby approved, ratified, confirmed and adopted in all respects as
the actions of the Corporation.
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Kevin G. Miller
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#186136
2
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Dale R. Miller
SE\T BY. : \0 I ANAPOL IS
:11- 6-95 : 2:55P~
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.31i 23i 1000 O~
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OFfICi Of THR SE~ltARY 01 STATE
STAT8 OF IHDrAN~
CBRT!F!C~TE OF EXISTENCE
To Whom These Presents Came, Greecing;
I, SU& ARN~ GI~~OY( 5ecreeary of State oE Indi~na, do hereby certify
~hat I am/ by vlrtue of the la.a ot the State of Indi~na, the custodian of
the corporace recor~8 an~ the proper official to execute thi3 certificate.
I f~r;her certifJ that record~ of thi~ office disclo~e th~t
KILLER PIP!LINE CORPORATION
rnea ArtiCles of Incorporation on July 19, 199:', and is a corporation
dllll' organi::ed and editing uncilr Ilnd by virtu.. of the lil!J9 of I:.hg St.ate
of Indiana.
I further certiEy this c:orf'Or"ticn ha:3 filed it3 mos~ H.c:ent Illnnual
repcct required by Indi~~~ ld~ with the Secretary ot state, or is not yet
.~uicad to rile suet! iionual rl;pOni:, and that i'lc::tcleb or D1ssolution
have not been filed.
In witn~ss w~acaof, ! ~a~e h.rQ~nto G~t ~i
nand and a'f1xed the seal of the State of
Indiana. ut the City of Indianapolis, this
Sixth day of ~ove.ber, 1995.
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Miller
Pipeline
Corp_
TRADE REFERENCES
Citizens Gas & Coke Utility
2020 N Meridian Street
Indianapolis, IN 46202
(3 I 7)297 -4626
Mike Sullivan
Columbia Gas of Ohio
920 W. Goodale Blvd.
Columbus,OH 43216
(440)240-6123
Jeff Winterstein
r,
Louisville Gas & Electric Company
820 W Broadway
Louisville, KY 40232
(502)364-8764
PaulStratrnan
Alabama Gas Corporation
410 South Tenth Street
Birmingham, AL 35233
(205)326-8211
Ed Smith
The Peoples Gas, Light, & Coke Company
124 I Division Street
Chicago, IL 60622
(773)395-7412
Edward Doerk
Baltimore Gas & Electric Company
1699 Leadenhall Street
Baltimore, MD 21230
(410)291-4726
Harry LeBrun
City of Grand Rapids
1900 Oak Industrial Drive NE
Grand Rapids, MI 49503
(616)456-4550
Donald Spencer
r\:
/
City of Baltimore
200 N Holiday Street
Baltimore, MD 21202
(410)396-3476
Sam Edorer
8850 CRAWFCRDSVILLf Re.
P.O. BOX 34141
INDIANAPOLIS, iNDIANA 46234
TELEPHONE: (317) 293-0278
~A^: (317) 293-8502
Vectren Energy Delivery
1630 N Meridian Street
Indianapolis, IN 46202
(317)321-0767
Alex Ramsey
Cinergy
139 E 4th & Main
Cincinnati, OH 45202
(513)287-2588
Dennis Westenberg
Atrnos Energy - MSVG
4155 Industrial Drive
Jackson,MS 39209
(601)961-6788
Jamie McKenzie
Missouri Gas Energy
223 Gillis Street
Kansas City, MO 64120
(816)472-3463
Gary Williams
Public Service Electric & Gas Co
300 Connecticut Drive
Burlington, NJ 08016
(609)239-2428
Ed Galarza
NIPSCO
5265 Holunan Avenue
Hamrnond,IN 46320
(219)477-6303
Tim Dehring
City of Greenfield
809 S State Street
Greenfield, IN 46140
(317)462-8530
David Scheiter
City of PIano
4120 W PIano Parbvay
PIano, TX 75086
(972)964-4140
Steve Spencer
www.mtubeonline.com
May 18, 2007
Mr. Mark Hallett
Vice President of Utility Division
Miller Pipeline Corporation
8850 Crawfordsville Road
Indianapolis, IN 46234
Subject: Manufacturers Certification
Dear Mr. Hallett,
160 Corporate Dr.
Batesville. MS 38606
Tel: (662) 578-7797
Fax: (662) 578-7798
This Manufacturers Certification docyments that Miller Pipeline Corporation has
received MTC installation data and is authorized to install MTube for Cured In
Place Pipe (CIPP) rehabilitation.
F\
Sincerely,
. ~~~-'rff'PkA.
Greg Laszczynski
Director of Business Development
Mississippi Textiles Corporation - MTC
(\
April 16, 2007
To: Miller Pipeline
,~\ I
Mississippi Textile Corporation hereby certifies the MTube ™ CIPP liners being
delivered to your Company have been tested and meet the CIPP chemical
resistance requirements of ASTM F1216, ASTM F 1743, and ASTM D 5813.
MISSISSIPPI TEXTILES CORPOR,A.TION
-----/ 10 L
\ . /!..1~{ _~('J5CJo/";7-JK'_4'
Greg Laszczynski
Director of Business Development
WWW.mtubeonline.com
160 Corporate Dr.
Batesville, MS 38606
Tel: (662) 578-7797
Fax: (662) 578-7798
CERTIFICATE OF COMPLIANCE
Date:
April 16, 2007
To:
Miller Pipeline
Re:
CIPP Felt Tube
MTC CIPP felt tubes are manufactured in accordance with specifications of MTC
and will comply with the guidelines of ASTM F 1216 and ASTM F 1743. All MTC
CIPP felt tubes are also manufactur~d in an ISO 9000:2001 certified factory.
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Mississippi Textile Corporation
(~.---t' (~ / .
, . _/.:.J;l;t\~t'e::1'Yj~?/Ok>
Greg Laszczynski
Director of Business Development
MTC
DISCLAIMER OF WARRANTY: AS INSTA,LLATION CONDITIONS (INCLUDING, AMONG
OTHERS, PIPE TYPE & CONDITION, GROlJNDW A TER DEPTH & TEMPERA TlJRE, DEPTH OF
COVER & SOIL TYPE, LIVE LOADS, SITE ACCESS AND WEATHER) AND INSTALLER
EXPERIENCE, TECHNIQUES AND TYPE OF EQUIPMENT V ARY GREATLY, MTC EXCLUDES
ANY WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, WITH RESPECT TO THE GOODS
SOLD HERElJNDER AS TO MERCHANTAI?ILITY, FITNESS FOR PARTICULAR USE OR ANY
OTHER MATTER WITH RESPECT TO TH~ GOODS WHETHER USED ALONE OR IN
COMBINA nON WITH OTHER PRODUCTS. MTC HAS NOT PROVIDED ANY DESIGN
SPECIFICA nONS OR COMPUT A nONS, AND ACCORDINGLY, MTC DOES NOT WARRANT THE
DESIGN.
TNt
www.mtubeonline.com
160 Corporate Dr.
Batesville, MS 38606
Tel: (662) 578-7797
Fax: (662) 578-7798
CERTIFICATE OF COMPLIANCE
Date: April 16, 2007
To: Miller Pipeline
Re: CIPP Wetout Tube
Alpha Owens Corning (AOC) 1 02T A is a resin that has been approved by MTC
for use with MTC tubes in CIPP projects. AOC 102TA has a successful history in
both lab conditions and actual field installations and meets the chemical
I
resistance recommendations of ASTM F1216, ASTM F1743 and 05813. The
following physical properties are recommended for CIPP design when using the
AOC 1 02T A polyester resin system:
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Flexural Modulus of Elasticity.... .... ..... . ......... ..... ... .. .. .400,000 psi
Flexural Strength. ... ... ...... ... .... ..... .... .,. ... ... ... ... ...... ... ..4,500 psi
*T ensile Strength ..................................................... ..2,500 psi
Flexural Modulus Reduction to Account
For Long-Term Effects......................................... ..50%
* As stated in ASTM F1216, t~nsile strength is not a parameter that is
used in standard gravity flow design.
The above values were derived frorT;1 samples tested in accordance with modified
ASTM 0-790.
Mississippi Textile Corporation
\~1GfdYff19kd
Greg Laszczynski
Director of Business Development
DISCLAIMER OF WARRANTY: AS INSTA;LLATION CONDITIONS (INCLUDING, AMONG
OTHERS, PIPE TYPE & CONDITION, GROUNDWATER DEPTH & TEMPERATti'RE, DEPTH OF
COVER & SOIL TYPE, LIVE LOADS, SITE ACCESS AND WEATHER) AND INSTALLER
EXPERIENCE, TECHNIQUES AND TYPE OF EQUIPMENT VARY GREATLY, MTC EXCLUDES
ANY WARRANTY OF ANY KINTI, EXPRESS OR IMPLIED, WITH RESPECT TO THE GOODS
SOLD HEREUNDER AS TO MERCHANTAI;3ILITY, FITNESS FOR PARTICULAR USE OR AN"Y
OTHER MATTER WITH RESPECT TO THE GOODS WHETHER USED ALONE OR IN
COMBINATION WITH OTHER PRODUCTS. MTC HAS NOT PROVIDED ANY DESIGN
SPECIFICATIONS OR COMPUTATIONS, AND ACCORDINGLY, MTC DOES NOT WARRANT THE
DESIGN. I
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Insituform'
Worldwide Pipeline 17988 Edison Avenue
Rehabilitation Chesterfield, MO 63005
Tel: (636) 530-8000
Fax: (636) 530-8744
www.insituform.com
Cf~i(U! ;I:def fO( the \:/orid
May 9, 2007
RE: ~lanufacturcr Certification
To Whom it May Concern:
Please be advised. that Insituform Techn~)logies, Inc. manufactures and supplies CIPP
tube to Mississippi Textiles Corporation, Inc. (MTC).
Sincerely,
INSlTUFORM TECHNOLOGIES, lNC.
~~
Scot Pearson
Director of Marketing
ST ATE OF MISSOURI
COUNTY OF ST. LOUTS
Subscribed and sworn to before me this. 9th day of May in the year 2007
/'t 1 ~l
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Notary Public
",,,,,,,,;;-- AURA JOYCE
f'~;:'."('';;'::-'~ NololY Public. Sto1e of MIssoutl
i.:'<:::":~':.~' SL Louis county
~ '--",'... g commission # 06428257
'.......}f;;io~~$;;: My commtnk>n bplloS May 16, 2010
'Iti,;,\~\\'"
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Insituform
Wllrlihvidl'l'iiJl'iiile i 7991.) hli,on i\vcllUc Tel: Q,\6.'i.l0.8000
Reiwliililulitm Ck,lcrf1cld. MO 63()()5 Fax: 636.530.8744
W\VW.illsituftlrm.com
October 13, 2006
To Mississippi Textiles Corporation:
(',
Insituform Technologies, Inc. (ITI) hereby certifies that the CIPP liners being
manufactured under the MTube label for Mississippi Textiles Corporation (MTC)
are of identical physical and chemical composition as the Insitutube
manufactured by the ITI facility in Batesville, Mississippi. The only difference
between MTube CIPP liners and Ins.itutube CIPP liners is the ink jet printed label.
Furthermore, lnsituform Technologies, Inc certifies that the materials used in the
manufacturing of MTube forMTC have beEmtested and meet the CIPP chemical
resistance requirements of the Greenbook "Pickle Jar Test", The testing was
conducted using the same resin ancj liner materials that were tested and
approved by the City of Los Angeles, Department of General Services, Lab No.
98-514-2, reported on August 22, 1997. Copies of the test results are attached.
INSITUFORM TECHNOLOGIES, INC.
3 ~QJ ~--~----
Bill Moore
Material Manager
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Specifications for Cured-In-Place Pipe (CIPP) Tube
1. INTENT
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1.1 This document provides specifications for the tube products
used in the reconstruction of pipelines and conduits. Proper
installation of a resin-impregnated flexible tube produces a tight
forming product within the original conduit The resin is cured using
either hot water under hydrostatic pressure or steam pressure
within the tube. The Cured-in-Place Pipe (CIPP) will be continuous
and permanently fixed within the original pipe.
1.1.1 As installation conditions and experience and techniques
differ greatly, Mississippi Textiles Corporation (MTC) excludes
any warranty of any kind, express or implied, with respect
to the goods sold hereunder as to merchantability, fitness
for a particular purpose or any other matter with respect
to the goods whether used alone or in combination with
other products. MTC has not provided any design specifications;
accordingly, MTC does not warrant the design.
2. REFERENCED DOCUMENTS
This specification references standards from the American
Society for Testing and Materials, such as: ASTM F1216
(Rehabilitation of Existing Pipelines and Conduits by the
Inversion and Curing of a Resin-Impregnated Tube) and AS1'M
F1743 (Rehabilitation of Existing Pipelines and Conduits by
Pulled-in-Place Installation of Cured-in-Place Thermosetting
Resin Pipe (CIPP)), which are made a part hereof by such
reference and shall be the latest edition and revision thereof.
3. MATERIALS
3.1 Tube - The sewn Tube shall consist of one or more layers of
absorbent non-woven felt fabric and shalt meet the requirements of
ASTM F1216, Section 5.1 or ASTM F1743, Section 5.2.1.
3.1.1 The Tube shall be manufactured to a size. as specified
by the customer. Allowance should be made for circumferential
stretching during inversion. Overlapped layers of felt in longitudinal
seams that cause lumps in the final product shall not be utUized.
3.1.2 The outside layer of the Tube shall be coated with an
impermeable, flexible membrane that will contain the resin ,and
allow the resin impregnation (wet out) procedure to be monitored.
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3.1.3 The Tube shall be homogeneous across the entire wall
thickness containing no intermediate or encapsulated elastomeric
layers. No material shall be included in the Tube that may cause
delamination in the cured CIPP. No dry or unsaturated layers
shall be evident in the wet out tube.
3.1.4 The wall color of the interior pipe surface of CIPP after
installation shall be a relatively light, reflective color so that
a clear examination with closed circuit television inspection
equipment may be made.
3.1.5 Seams in the Tube shall be stronger than the non-seamed
felt material.
3.2 Resin - The resin system shall satisfy the requirements
of ASTM F1216 and ASTM F1743. The resin system shall
produce a CIPP that will comply with the structural and chemical
resistance requirements of the relevant ASTM standards.
4. STRUCTURAL REQUIREMENTS
4.1 The CIPP shall be deSigned by the customer as per
ASTM F1216, Appendix X.1.
5. INSTAllATION
Tube Design, Installation and Cool Down shall be performed by
the contractor in accordance with ASTM F1216 or ASTM F1743.
5.1 CIPP installation shall be in accordance with ASTM F1216,
Section 7, or ASTM F1743, Section 6.
5.1.2 Curing is accomplished by utilizing hot water under
hydrostatic pressure or pressurized steam in accordance with
the resin manufacturer's recommended cure schedule.
5.1.3 Cool down shall be in accordance with ASTM F1216,
Section 7, or ASTM F1743, Section 6.
'. 160 Corporate Drive. Batesville. MS 38606
Toll Free: 1-877-682-8823
Pi1one: 662-578.7797
Fax 662-5713-7798
EMmafl: info@!:ntut}80nhne.com
@ 2005 Mississippi Textiles Corporation
9105 M002
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.
1
MTube" is the industry's higl7est
quality cured-in-place pipe (eIPP) tube,
ready when you need it.
Every CIPP project you undertake has its share of challenges
and unexpected obstacles. When you order MTubes for your
projects, you can be assured that you are getting the highest
quality felt tubes available on the market and that you are getting
them on your schedule. Our tubes are specially manufactured
to accommodate your installation method whether you use
water or steam inversion. MTubes will also handle the unique
demands of steam cure.
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We understand what it takes to consistently produce high
quality MTubes. Over 30 years of experience and state-of-the-art
manufacturing techniques ensure that our MTubes are constructed
for optimal installation and long-term performance.
MTubes are manufactured from premium quality raw materials.
The raw synthetic fibers we select to make our MTubes
must pass our exacting standards for quality. We then put
our MTubes through more than 25 stringent quality checks
for weight, thickness, density, strength and elongation.
The result is an MTube with superior uniformity.
eman
Tile heat-banded coating aver the seam seals tfle stitching aM creates
a permanent connection at the butt-sewn seam joint.
The butted ends of our felt are sewn together. Experience has
shown that the strongest tubes are made with butt-sewn seams.
The uncoated, butt-sewn seam provides the required strength
and produces a smooth, uniform pipe wall around the full
circumference of the tube.
A heat-bonded coating is extruded over the seam. Extruding
hot coating onto the butt-sewn joint seals the outer seams of
our MTubes. This seals the stitching and creates a permanent
connection at the butt-sewn seam joint.
MTubes are avaifable in 6 to 96 irdl diarreters
We produce our MTubes to meet your schedules and deadlines.
When you encounter the unexpected, you'll appreciate our ability
to react to short lead times.
Get your next CIPP project off to a great start, order high-quality
MTubes from MTC.
Stateof'lhe-art manufacturing techniques ensure lliat MTubes are COllstructed Far Quality on Demand, caflllS at 877-MTC-TUBE {877-682-8823}.
tor optimal ins/allalion and long-term performance.
(\
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Mississippi Textiles Corporation
160 Corporale Drive. Bat6svi!le. MS 38606
Toil Free: 1-877-682-8823
Phone: 662-578-7797
Fax: 662-578-7798
E-mail: info@mfubeonline.com
@ 2005 Mississippi Textiles Corporation
9/05 M001
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Client:
Project:
Location:
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<><><><><><><> CIPP DESIGN <><><><><><><>
(as per ASTM F1216)
05/07/07
Conduit \ Condition: Gravity Sewer, Fully Deteriorated
250,000 psi
50 %
4,500 psi
2.0
60.00 inches
58.80 inches
2%
5.00 feet
5.00 feet
120 Ib.lcu.ft.
700 psi
5.8 psi
16,000 Ibs
o psf
0.3113
0.8236
0.9879
0.8860
Flexural Modulus
Flexural Modulus Reduction to Account for
Long-term Effects
Flexural Strength
Safety Factor for External Loads
Mean Diameter
Minimum Diameter
Ovality
Maximum External Water Head to flowline
Soil depth at Top of Conduit
Soil Density
Soil Modulus
Total Earth Loading
20,0001bs Highway Live Load per AASHTO
includes 1.64 psi Highway surcharge)
2025psf RR Live Load (80,000Ibs per axle or 320,0001bs per truck)
(includes 0.00 psi RR surcharge)
Thickness Limitations (in inches)
----------------------------------------------
i
Maximum compressive hoop stress
External pressure buckling
Minimum stiffness limitation, deteriorated conduit
External pressure, deteriorated conduit (AWWA)
inches
mm
Minimum DesiQn Thickness = 0.99
= 25~ 1
DR = 60.7
Minimum stiffness limitation, deteriorated conduit
Mode of Failure:
Long-term Deflection = 0.00%
Based on Trench Width of
(Spangler)
7.5 feet
2.3 meter
The input data for this project should be verified in the field
prior to construction. Should other conditions exist now or are
expected in the field over the d~sign life of this CIPP
differing from the information cqntained herein, then appropriate
adjustments must be made to the design calculations.
This Design Spreadsheet uses the equations from ASTM F1216
Appendix X1.2.2. User is responsible for All input values.
Designed by
Checked by
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Client:
Project:
Location:
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i
CIPP DESIGN <><><><><><><>
(as per ASTM F1216)
<><><><><><><>
Conduit \ Condition: Gravity Sewer, Partially Deteriorated
250,000 psi
50 %
Flexural Modulus
Flexural Modulus Reduction to Account for
Long-term Effects
Flexural Strength
Safety Factor for External Loads
4,500 psi
2
60.0 inches
58.8 inches
2%
Mean Diameter
Minimum Diameter
Ovality
40.0 feet
0.0 feet
Maximum External Water Pressure to flowline
Depth at Top of Conduit, soil only
Thickness Limitations (in inches)
0.811
1.625
Maximum compressive hoop stress
External pressure buckling
Minimum Desiqn Thickness
1.62
41.3
36.9
inches
mm
=
Mode of Failure:
DR=
External pressure buckling
The input data for this project should be verified in the field
prior to construction. Should other conditions exist now or are
expected in the field over the design life of this CIPP
differing from the information contained herein, then appropriate
adjustments must be made to the design calculations.
This Design Spreadsheet uses the equations from ASTM F1216
Appendix X1.2.1. User is responsible for All input values.
Designed by
Checked by
5/7/2007
'-'-~
C=ertifica tia n
A warded 'To
INSITUFORM TECHNOLOGIES, INC.
SEE j\PPENDLX PACE FOR REGISTFmED LOC\TIONS
Bureau Veritas Certification North;\merica, Inc. certifies that the management system of
the above organization has been audited and found to be in accordance with the
requircrncnts of the management system standards and scope of supply detailed below
___STt\NDART)S--------
ISO 9001:2000
PI': Oi" Sl'PPLY
-~...~.,~_._..._-~.~--_._-~.__._--_.._--_..---_.
DESIGN, DEVELOPMENT, CORPORATE FUNCTIONS, MANUFACTURING,
APPLICATIONS ENGINEERING, PREPARATION AND INSTALLATION OF
PRODUCTS FOR TIIE REHABILITATION OF
PIPELINES USING THE FOLLO\Xi'ING TRENCHLESS TECHNOLOGIES:
. INSITUFORM CURED-IN-PLACE PIPE (CIPP)
NUPIPE @ FOLD AND FORMED
. THElUvlOPIPETM FOLD AND FORMED.
. INSITUFORM ArmorGRiP n1 PANELS
Original Approval Date: 24 NOVEi\IT)i':l( 1995
Subject [0 the continued ;;atisfactory operation of the Organizatioll'si\hnagcment System, thIS
certificate will remain valid until: 25 FF::BRUi\RY 2008
[:unher clarifications regarding the scope of this certificate and the applicability of the management
system requirements may be obtained by consulting the organi7.aticlIl.
=~L~tcL:~~Q --
FG)~ Verita~1;~~tiflcation North i\rnerica, Inc.
515 \':/cst 5'" Street, Jamestown, New York, USA
w\V\v,certi fica lion. u s, bureau veritas, com
Certificate No: 164006
Issue Date: 21 MARCH 2005
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Aoe
2552 Industrial Drive
Valparaiso, IN 46383-95lO
(219) 465-1611
::
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rrol'ld Leader ill RlWill T(!('lmolo{JlJ
CERTIFICATE OF ANALYSIS
Customer: BLAYLOCK CHEMICAL AOC Order No; 46385
Product: lO2TA Approval Date: 11/13/06
Customer Order No; I 5695{)(i Print Date: III \3/06
Batch No; V961
Control No: 00004143 !
Property Method Description Units Results
Low Shear Vise V227.I357 NO 1, 25.0uC, LV !!3L, 0.6 rpm/200 see cP 40500
Viscosity V227.1357 NO 1, 25.0"C, L V#4, 60 rpm/200 see cP 5975
Od Time E613.l357B Sample@25.0'C, ,. 18.4
@ 60.0uC, TempI ~ 32.2'C Temp2"' 82?Or
Cd Time F613.13578 Sample @ 25.00C, min 11.7
@ 60.00C, Temp] =, 32.20C, Temp2 7., 82.2OC
Initiated StubiJiIY S495.1357B Sample 25.0or hr 20.0
27.8OC
INt Pcr Gal 011802 NO?, Wt/Gal Cup, US GAL, 250C Ibfgal 10.752
Prepanu By : Tom Sievers
(\ Technical Service Manager : Ed Kleese
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STA TElvfENT OF COMPLIANCE: AOC certifies that this shipmcnt meets the defined specifications for Insituform Technologies Inc.
AOC Authorized Signature: .______.
---~_....-....--_.....-_...-_.....-....-._----_...---..--_.._-_....-_................................---..-----......................-...---..-..-----------..--..-.._.._---..---..-----_..._......_........__....--.._--_..--~_..
IN:>[TUrORM ACCEPTANCE (to be completed upon delivery of shipment):
Temperature A, Receivc:d (bulk only): ........._....__...oF
Shipment Disposition: ..___.__.... Accepted
Rejected _~......._. Other (explain):
Signature of Authorized lnsituform Representative
Date
@
CO~!f~!NTllESIN
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ACe:.
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World Leader in Resin Technowgy
Product Information
102TAFilled
Polyester Resin
(lOZTA was/on""rly lO1-FTA)
Isophthalic Based Flesin
for Underground Sewer
Pipe Liners
TYPICAL \.IQUID ,R"SI~ f!RQP~RTIf;S", ~ ',J> "" '";~}2:~~:,7;>' '::,,:';::,' i ': :f-,.'
Test Method
Flexural Strength, PSI/MPa
Flexural Modulus, PSI/GPa
4,500131.5
400,000127,6
ASTMD-79O
ASTMD-790
-Typical prupertlcl are not to be c':onstrued lIS spcelOcatJODlf.
OESQ~~P~IO~ ,'.>~ / :. . ',. , . :~ ,~' /,,It; _ ~~ (~~j ~.: ) ~~' Jr,,~ ;":,:, ~-i;' :~,{:;,~ ;, ~/..'~ :~' ~y:~ \ .::: ~
AOC's I 02T A Filled is a high molerular weight isophthalic unsaturated polyester
resin that was developed for Insituform Technologies, Inc. and their licensees.
I 02T A Filled provides the corrosion resistance, durability and toughness that is
required in this demanding application. Using recommended catalyst systems and
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temperatures, up to 50 hours of catalyzed pot life may be obtained. 1 02T A Filled
thixotropic proper ties reduce resin pooling while providing superior PET felt
wet-out.
alGNIPIOANT
OHARAOTERlaTIOB
. Excellent catalyzed pot life
. Superior mechanical properties
. High molecular weight
. High heat distortion tempature
APPLlOATION
. Sewer pipe liners
PERPORMANOE GUIDI!LINIIES
Consistent shop conditions contribute to
consistent gel times.
STORAGE sTABlLrTY
Resins are stable for three months from
date of production when stored in the
original containers away from sunlight at
no more than 70oF12l .C. After extended
storage, some drift may occur in gel time.
During the hot summer months, no more
than two months stability at 860F/30.C
should be anticipated
aAPETY
See appropriate Material Safety Data Sheet
for guidelines.
.ao 8002 OERT1f'1llD
The Quality Management Systems at ev-
ery AOC manufacturingfucility have been
certified as meeting ISO 9002 standards.
This certification recognizes that each
AOC facility bas an internationally ac-
cepted model in place for managing and
assuring quality. We follow the practices
set forth in this model to add value to
the resins we make for our customers.