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HomeMy WebLinkAboutP-24-403 Robert V Jensen Inc. Agreement.pdf 1-0 County of Fresno INTERNAL SERVICES DEPARTMENT Facilities• Fleet• Graphics• Purchasing •Security•Technology O� 1$5 O ORES PROCUREMENT AGREEMENT Agreement Number P-24-403 July 18, 2024 Robert V. Jensen, Inc. 4029 S. Maple Fresno, CA 93725 The County of Fresno (County) hereby contracts with Robert V. Jensen, Inc. (Contractor)for bulk fuel and delivery in accordance with the text of this agreement, Attachment"A", County of Fresno Request for Quotation No: 24-074 and the attached contractors response to County of Fresno Request for Quotation No: 24-074 by this reference made a part hereof. TERM: This Agreement shall become effective September 15, 2024 and shall remain in effect through September 14, 2027. EXTENSION: This Agreement may be extended for two (2) additional one (1)year periods by the mutual written consent of all parties. MINIMUM ORDERS: Unless stated otherwise there shall be no minimum order quantity. The County reserves the right to increase or decrease orders or quantities. CONTRACTOR'S SERVICES: Contractor shall perform the services as described in Attachment"A" attached, at the rates set forth in Attachment"A". ORDERS: Orders will be placed on an as-needed basis by The County of Fresno Department of Internal Services under this contract. PRICES: Prices shall be firm for the contract period. MAXIMUM: In no event shall services performed and/or fees paid under this Agreement be in excess of Thirty Million Dollars ($30,000,000.00). ADDITIONAL ITEMS: The County reserves the right to negotiate additional items to this Agreement as deemed necessary. Such additions shall be made in writing and signed by both parties. DELIVERY: The F.O.B. Point shall be the destination within the County of Fresno. All orders shall be delivered complete as specified. All orders placed before Agreement expiration shall be honored under the terms and conditions of this Agreement. DEFAULT: In case of default by Contractor, the County may procure the articles/services from another source and may recover the loss occasioned thereby from any unpaid balance due the Contractor or by any other legal means available to the County. The prices paid by County shall be considered the prevailing market price at the time such purchase is made. Inspection of deliveries or offers for delivery, which do not meet specifications, will be at the expense of Contractor. 333 W. Pontiac Way,Clovis,CA 93612/(559)600-7110 *The County of Fresno is an Equal Employment Opportunity Employer PROCUREMENT AGREEMENT NUMBER: P-24-403 Page 2 Robert V. Jensen, Inc. July 18, 2024 INVOICING: An itemized invoice shall be sent to requesting County department in accordance with invoicing instructions included in each order referencing this Agreement. The Agreement number must appear on all shipping documents and invoices. Invoice terms shall be Net 45 Days. INVOICE TERMS: Net forty-five (45) days from the receipt of invoice. TERMINATION: The County reserves the right to terminate this Agreement upon thirty (30)days written notice to the Contractor. In the event of such termination, the Contractor shall be paid for satisfactory services or supplies provided to the date of termination. LAWS AND REGULATIONS: The Contractor shall comply with all laws, rules and regulations whether they be Federal, State or municipal, which may be applicable to Contractor's business, equipment and personnel engaged in service covered by this Agreement. AUDITS AND RETENTION: Terms and conditions set forth in the agreement associated with the purchased goods are incorporated herein by reference. In addition, the Contractor shall maintain in good and legible condition all books, documents, papers, data files and other records related to its performance under this contract. Such records shall be complete and available to Fresno County, the State of California, the federal government or their duly authorized representatives for the purpose of audit, examination, or copying during the term of the contract and for a period of at least three years following the County's final payment under the contract or until conclusion of any pending matter(e.g., litigation or audit), whichever is later. Such records must be retained in the manner described above until all pending matters are closed. LIABILITY: The Contractor agrees to: Pay all claims for damage to property in any manner arising from Contractor's operations under this Agreement. Indemnify, save and hold harmless, and at County's request defend the County, its officers, agents and employees from any and all claims for damage or other liability, including costs, expenses (including attorney's fees and costs), causes of action, claims or judgments resulting out of or in any way connected with Contractor's performance or failure to perform by Contractor, its agents, officers or employees under this Agreement, and from any and all costs and expenses (including attorney's fees and costs), damages, liabilities, claims, and losses occurring or resulting to any person, firm or corporation who may be injured or damaged by the performance, or failure to perform, of Contractor, its officers, agents, or employees under this Agreement. INSURANCE: Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the following insurance policies or a program of self-insurance, including but not limited to, an insurance pooling arrangement or Joint Powers Agreement(JPA)throughout the term of the Agreement: A. Commercial General Liability: Commercial general liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. Coverage must include products, completed operations, property damage, bodily injury, personal injury, and advertising injury. The Contractor shall obtain an endorsement to this policy naming the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, as additional insureds, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insureds will apply as primary insurance and any other insurance, or self-insurance, maintained by the County is excess only and not contributing with insurance provided under the Contractor's policy. B. Automobile Liability: Automobile liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages. Coverage must include any auto used in connection with this Agreement. C. Professional Liability: Professional liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must be prior to the date on which services began P-24-403 Robert V Jensen, Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Page 3 Robert V. Jensen, Inc. July 18, 2024 under this Agreement; (2)the Contractor shall maintain the policy and provide to the County annual evidence of insurance for not less than five years after completion of services under this Agreement; and (3) if the policy is canceled or not renewed, and not replaced with another claims-made policy with a retroactive date prior to the date on which services begin under this Agreement, then the Contractor shall purchase extended reporting coverage on its claims-made policy for a minimum of five years after completion of services under this Agreement. D. Worker's Compensation: Workers compensation insurance as required by the laws of the State of California with statutory limits. Additional Requirements Relatinq to Insurance: Contractor shall obtain endorsements to the Commercial General Liability insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained by County, its officers, agents and employees shall be excess only and not contributing with insurance provided under Contractor's policies herein. This insurance shall not be cancelled or changed without a minimum of thirty (30) days advance written notice given to County. Contractor hereby waives its right to recover from County, its officers, agents, and employees any amounts paid by the policy of worker's compensation insurance required by this Agreement. Contractor is solely responsible to obtain any endorsement to such policy that may be necessary to accomplish such waiver of subrogation, but Contractor's waiver of subrogation under this paragraph is effective whether or not Contractor obtains such an endorsement. Within Thirty(30)days from the date Contractor signs and executes this Agreement, Contractor shall provide certificates of insurance and endorsement as stated above for all of the foregoing policies, as required herein, to the County of Fresno, Fleet Services -4551 E Hamilton Ave Fresno, CA 93702, stating that such insurance coverage have been obtained and are in full force; that the County of Fresno, its officers, agents and employees will not be responsible for any premiums on the policies; that such Commercial General Liability insurance names the County of Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned; that such coverage for additional insured shall apply as primary insurance and any other insurance, or self- insurance, maintained by County, its officers, agents and employees, shall be excess only and not contributing with insurance provided under Contractor's policies herein; and that this insurance shall not be cancelled or changed without a minimum of thirty (30) days advance, written notice given to County. Certificates of Insurance are to include the contract number at the top of the first page. In the event Contractor fails to keep in effect at all times insurance coverage as herein provided, the County may, in addition to other remedies it may have, suspend or terminate this Agreement upon the occurrence of such event. All policies shall be with admitted insurers licensed to do business in the State of California. Insurance purchased shall be purchased from companies possessing a current A.M. Best, Inc. rating of A FSC VII or better. COMING ON COUNTY PROPERTY TO DO WORK: Contractor agrees to provide maintain and furnish proof of Comprehensive General Liability Insurance with limits of not less than $500,000 per occurrence. INDEPENDENT CONTRACTOR: In performance of the work, duties and obligations assumed by Contractor under this Agreement, it is mutually understood and agreed that Contractor, including any and all of Contractor's officers, agents, and employees will at all times be acting and performing as an independent contractor, and shall act in an independent capacity and not as an officer, agent, servant, employee,joint venturer, partner, or associate of the County. Furthermore, County shall have no right to control or supervise or direct the manner or method by which Contractor shall perform its work and function. However, County shall retain the right to administer this Agreement so as to verify that Contractor is performing its obligations in accordance with the terms and conditions thereof. Contractor and County shall comply with all applicable P-24-403 Robert V Jensen, Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Page 4 Robert V. Jensen, Inc. July 18, 2024 provisions of law and the rules and regulations, if any, of governmental authorities having jurisdiction over matters the subject thereof. Because of its status as an independent contractor, Contractor shall have absolutely no right to employment rights and benefits available to County employees. Contractor shall be solely liable and responsible for providing to, or on behalf of, its employees all legally-required employee benefits. In addition, Contractor shall be solely responsible and save County harmless from all matters relating to payment of Contractor's employees, including compliance with Social Security, withholding, and all other regulations governing such matters. It is acknowledged that during the term of this Agreement, Contractor may be providing services to others unrelated to the County or to this Agreement. NON-ASSIGNMENT: Neither party shall assign, transfer or sub-contract this Agreement nor their rights or duties under this Agreement without the written consent of the other party. AMENDMENTS: This Agreement constitutes the entire Agreement between the Contractor and the County with respect to the subject matter hereof and supersedes all previous negotiations, proposals, commitments, writings, advertisements, publications, Request for Proposals, Bids and understandings of any nature whatsoever unless expressly included in this Agreement. This Agreement supersedes any and all terms set forth in Contractor's invoice. This Agreement may be amended only by written addendum signed by both parties. INCONSISTENCIES: In the event of any inconsistency in interpreting the documents which constitute this Agreement, the inconsistency shall be resolved by giving precedence in the following order of priority: (1)the text of this Agreement(excluding Attachment"A", County's Request for Quotation No. 24-074 and the Contractor's Quote in response thereto); (2)Attachment"A"; (3)the County's Request for Quotation No. 24- 074 and (4)the Contractor's quotation made in response to County's Request for Quotation No. 24-074. GOVERNING LAWS: This Agreement shall be construed, interpreted and enforced under the laws of the State of California. Venue for any action shall only be in County of Fresno. ELECTRONIC SIGNATURES: The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. An "electronic signature" means any symbol or process intended by an individual signing this Agreement to represent their signature, including but not limited to (1) a digital signature; (2)a faxed version of an original handwritten signature; or(3)an electronically scanned and transmitted (for example by PDF document) of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. Please acknowledge your acceptance by returning all pages of this Agreement to my office via email. Please refer any inquiries in this matter to Crystal Nino, Purchasing Analyst, at 559-600-7113 or cnino@fresnocountyca.gov. P-24-403 Robert V Jensen, Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Page 5 Robert V. Jensen, Inc. July 18, 2024 FOR THE COUNTY OF FRESNO Digitally signed by Manuel M. Manuel M. Vilanova Vilanova Date:2024.07.19 14:51:13-07'00' Manuel Vilanova Deputy Director- ISD 333 W. Pontiac Way Clovis, CA 93612 MV:cn P-24-403 Robert V Jensen, Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Page 6 Robert V. Jensen, Inc. July 18, 2024 CONTRACTOR TO COMPLETE: Company: ©S .ZT ✓ dN��a' ,rN ' Type of Entity: Individual Limited Liability Company Sole Proprietorship Limited Liability Partnership _Corporation General Partnership . �3W 1,7- '7,0.7 � � 1� Address City State Zip -�7— 'lks%kz1D' "fC s�Z `� ��j�" �5�3 �JIs�1,��2 •�/ 'i✓�Eiils iy,Cj1�; • TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS Print Name & / Title: ��if�� t -JA41&,# - Print Name &Title: depA1 Signature: O Signature: ACCOUNTING USE ONLY ORG No.: 8910 Account No.: 7410 Requisition No.: 8912400562 (08/2022) P-24-403 Robert V Jensen,Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Attachment Page 1 of 2 Robert V. Jensen, Inc. July 18, 2024 A TTACHMENT "A " Cost shall be the 10 AM Fresno OPIS Daily RACK Average plus or minus the differential. LOCATION PRODUCT DIFFERENTIAL American Ave Disposal Site Red Dye Renewable -0.085 18950 W.American Ave. Kerman (ULS Renewable-R) Gasoline -0.1575 Auberry Public Works Yd. ULSDR 99 -0.085 33148 Auberry Ave. Auberry Gasoline -0.1575 Avocado Lake Park ULSDR 99 -0.085 Gasoline -0.1575 Biola Public Works Yd. ULSDR 99 -0.085 12855 W. "G"Street Biola Gasoline -0.1575 Caruthers Boot Camp ULSDR 99 -0.2 500 E. Elkhorn Ave. Caruthers Caruthers Public Works Yd. ULSDR 99 -0.085 2544 W. Mountain View Ave. Caruthers Gasoline -0.1575 Clovis Public Works Yd. ULSDR 99 -0.085 9401 N. Matus Clovis Gasoline -0.1575 Coalinga Public Works Yd. ULSDR 99 -0.085 Gasoline -0.1575 ISD—Pontiac ULSDR 99 -0.085 333 W. Pontiac Way. Clovis County Plaza Building ULSDR 1,500 -0.085 2220 Tulare Street Fresno Courthouse Motor Pool Gasoline -0.1575 1155"M"Street Fresno "Special Requirement:Night Delivery Only Del Rey Public Works Yd. ULSDR 99 -0.085 3633 S. Del Rey Ave. Del Rey Gasoline -0.1575 P-24-403 Robert V Jensen, Inc.Agreement.docx PROCUREMENT AGREEMENT NUMBER: P-24-403 Attachment Page 2 of 2 Robert V. Jensen, Inc. July 18, 2024 LOCATION PRODUCT DIFFERENTIAL Dunlap Public Works Yd. ULSDR 99 -0.085 Gasoline -0.1575 Firebaugh Public Works Yd. ULSDR 99 -0.085 Gasoline -0.1575 Fulton Street Health Dept. ULSDR 99 -0.2 1221 Fulton Street Hamilton Motor Pool ULSDR -0.085 4551 E. Hamilton Ave. Gasoline -0.1575 Juvenile Justice Campus ULSDR 99 -0.085 3333 American Avenue Gasoline -0.1575 Juvenile Justice Campus ULSDR 99 -0.085 Fire Generator 3333 American Avenue "Special Requirement:Has to be Pumped Kearney Park ULSDR 99 -0.085 6725 W. Kearney Blvd. Gasoline -0.1575 Main Jail ULSDR 99 -0.085 1225"M"Street Reedley Public Works Yard ULSDR 99 -0.085 17627 W. Manning Ave. Gasoline -0.1575 Sanger Public Works Yard ULSDR 99 -0.085 9525 E. Olive Ave. Gasoline -0.1575 Satellite Jail ULSDR 99 -0.085 110"M"Street Shaver Lake Public Works ULSDR 99 -0.085 41687 Dinkey Creek Road Gasoline -0.1575 Sheriff's Administration Bldg. ULSDR 99 -0.085 2200 Fresno Street Tranquility Public Works Yd. ULSDR 99 -0.085 25411 W. Silveira Ave. Gasoline -0.1575 P-24-403 Robert V Jensen, Inc.Agreement.docx Contractor's Response to County of Fresno Request for Quotation No. 24-074 P-24-403 Robert V Jensen, Inc.Agreement.docx ROBERT V. JENNIEN, IMM PETROLEUM DISTRIBUTOR SINCE 1952 07/03/24 P.0 BOX 12907• FRESNO, CA 93779-2907 PHONE: (559)485-8210•FAX: (559) 485-8503 TOLL FREE: (800) 366-8210 County of Fresno RFQ #24-074 Closing Date: July 8, 2024 Time: 9am Attn: Crystal Nino Thank you for the opportunity to bid the fuel requirements of the County of Fresno. Robert V. Jensen Inc has been a business operating in the County since 1952 and takes immense pride in this achievement. I want to bring to the purchasing departments attention that we have included invoices that point out all the taxes and fees that the County would pay. Also, our calculation is based on OPIS DAILY RACK AVERAGE DAY OF; minus the differential. Minus, - .085 for R99, and minus -.1575 for Regular Unleaded Gasoline. Please contact me with any questions you may have. Regards Michael A. Martin. DISTRIBUTORS OF: CHEVRON FUELS AND LUBRICANTS • PENNZOIL-QUAKER STATE LUBRICANTS • SHELL LUBRICANTS • 76 FUELS • VALERO FUELS SERVING THE SAN JOAQUIN VALLEY AND CENTRAL COAST COUNTY OF FRESNO co 0� 5 0 pREs REQUEST FOR QUOTATION NUMBER: 24-074 BULK FUEL AND DELIVERY Issue Date: June 4, 2024 Closing Date: JURY 3, 2024 AT 9:00 AM All Questions and Responses must be electronically submitted on the Bid Page on Public Purchase. For assistance, contact Crystal Nino at Phone (559) 600-7110. BIDDER TO COMPLETE Undersigned agrees to furnish the commodity or service stipulated in the attached at the prices and terms stated in this RFQ. Bid must be signed and dated by an authorized officer or employee. Ro60.47 ✓ Jc-alscv 11✓d- COMPANY /�i Gls�El /� rtl�tr��✓ CONTACT PERSON c. 46 ax 14,00 7 ADDRESS XC45 WN Coo g37-75F CITY ,/ STATE ZIP CODE Y�� - $'Z/o ,Ek /17 11A0 k rim✓ All ;CxUr' E-MAIL ADDRESS AUTHORIZED SIGNATURE /1l/G44,,K1 /ft- /l1 TiN QaeA471An/ f�'l•�+t�.k�,��iP PRINT NAME MLE Purchasing Use: CN:st ORGIRequisition:891018912400562 24-074 Bulk Fuel and Delivery COUNTY OF FRESNO ADDENDUM NUMBER: ONE (1 ) RFQ NUMBER: 24-074 BULK FUEL AND DELIVERY Issue Date: June 25, 2024 CLOSING DATE: JULY 8, 2024 AT 9:00 AM Submit all Questions and Quotations on the Bid Page at Public Purchase. For assistance contact Crystal Nino at(559) 600-7110. NOTE THE FOLLOWING AND ATTACHED ADDITIONS, DELETIONS AND/OR CHANGES TO THE REQUIREMENTS OF REQUEST FOR QUOTATION NUMBER: 24-074 AND INCLUDE THEM IN YOUR RESPONSE. PLEASE SIGN AND RETURN THIS ADDENDUM WITH YOUR QUOTATION. ➢ Questions and Answers ➢ Revised Quotation Schedule ➢ Past Bid Tab ➢ Bills of Lading ➢ Invoices 1-6 ACKNOWLEDGMENT OF ADDENDUM NUMBER ONE (1) TO RFQ 24-074 COMPANY NAME: ,o �e 7 K `/" (PRINT) SIGNATURE: NAME & TITLE: � 'a 6l�' '�`'�r`'v (PRINT) Purchasing Use:CN:st ORG/Requisition:8910/8912400562 24-074 Addendum 1 Quotation No. 24-073 Page 19 VENDOR MUST COMPLETE AND RETURN WITH REQUEST FOR QUOTATION. Firm: �,�7- ✓. Jo*,�A t/ /A—Pv REFERENCE LIST Provide a list of at least five (5) customers for whom you have recently provided similar products/services. If you have held a contract for these or similar services with the County of Fresno within the past seven (7) years, list the County as one of your customers. Please list the person most familiar with your contract. Be sure to include all requested information. Reference Name: &uAjry to ov Contact: ff4.6&y .foW*,r Address: q tS tS' ,F ,!TO 117'OAI 4,kL City: A4> State: 4C4 Zip: -76-z Phone No.: (57n? ) o -7S'3e Date: �7 2 2,9 Service Provided: Reference Name: -4Z T/ OA2 AROswb Contact: iFfx ,� %-O-Ae WO-s Address: j// (> ,5 - City: gyG State: — j Zip: 3?m4 Phone No.: (SJ ) 441 - !!/3 Date: Service Provided: ,��iy,�,e�, Off' , L �w6���wr.vTs Reference Name: Contact: sI" Address: /S /V, Sys t/Nys�/� O&X City: el'o YLS State: ew Zip: 9: Gr4a- Phone No.: ( $3-1 2G7z Date: lo--y Z424/ Service Provided: Reference Name: Contact: 1*40 Ri41 010llleA 14 W Address: City: ZAPy/s State: 44 Zip: <j Phone No.: ( ) 3 Z7- 94 J72- Date: Service Provided: �,�1i�Eer, 'AA Reference Name: S.t/D l�if/i�j��� Contact: J11/ip �AS Address: A" City: A i 4> State: GA Zip: q7 7 2.Z Phone No.: (S' j 4(S"7,4-2b L Date: 41 2a 2 cj Service Provided: 3,25 /,Vr4, Og q 4i4AR-z e-A;�nJ7s Failure to provide a list of at least five (5) customers may be cause for rejection of this RFQ. 24-073 Oils,Lubricants and Fluids Quotation No. 24-074 Page 10 BIDDER TO COMPLETE: GUARANTEED PICK UP AND/OR DELIVERY: Bidder will be considered in award of bid only if they can guarantee. Enter guarantee on this line (i.e. number of days from receipt of order to delivery): MINIMUM ORDER: Bidder to state minimum order quantities and charges for less than minimum order quantity (if not stated it will be assumed there are none). A114 SUBCONTRACTORS: List all subcontractors that would perform work in excess of one/half of one percent of the total amount of your bid, and state general type of work such subcontractor would be performing. The primary contractor is not relieved of any responsibility by virtue of using a subcontractor: 24-074 Bulk Fuel and Delivery 24-074 QUOTATION SCHEDULE REVISED FOR ADD 1 QUOTATION SCHEDULE Please ensure to factor all costs throughout the five-year contract term. Also factor any taxes, fees and costs. The County will not accept price increases during the entire length of the contract. The County will award to the vendor with the lowest annual total for all locations. Bidders must complete the Quotation Schedule in its entirety. Bidder Name: Robert V. Jensen, Inc Cost shall be the 10 AM Fresno OPIS Daily RACK Average plus or minus the differential as indicated below (Please include CAR and LCFS fees) ESTIMATED ESTIMATED TOTAL ANNUAL LOCATION PRODUCT QUANTITY P/ ANNUAL DIFFERENTIAL COST ORDER QUANTITY American Ave Disposal Site 18950 Red Dye 6,265 75,180 -0.085 -$6,390.30 W.American Ave. Renewable Kerman (ULS Gasoline 1,212 14,544 -0.1575 -$2,290.68 Auberry Public Works Yd. 33148 ULSDR 99 2,800 33,600 -0.085 -$2,856.00 Auberry Ave. Auberry Gasoline 4,800 57,600 7 0.1575 -$9,072.00 Avocado Lake Park ULSDR 99 275 3,300 -0.085 -$280.50 Gasoline 719 8,628 -0.1575 -$1,358.91 Biola Public Works Yd. 12855 W. "G" ULSDR 99 4,325 51,900 -0.085 -$4,411.50 Street Biola Gasoline 3,900 46,800 -0.1575 -$7,371.00 Caruthers Boot Camp 500 E. Elkhorn ULSDR 99 350 4,200 -0.2 -$840.00 Ave. Caruthers Caruthers Public Works Yd. 2544 W. ULSDR 99 4,325 51,900 -0.085 -$4,411.50 Mountain View Ave. Caruthers Gasoline 3,900 46,800 -0.1575 -$7,371.00 Clovis Public Works Yd. 9401 N. ULSDR 99 1,434 17,208 -0.085 -$1,462.68 Matus Clovis Gasoline 6,584 79,008 -0.1575 -$12,443.76 Coalinga Public Works Yd. ULSDR 99 3,650 43,800 -0.085 -$3,723.00 Gasoline 4,650 55,800 -0.1575 -$8,788.50 ISD—Pontiac ULSDR 99 3,100 37,200 -0.085 -$3,162.00 333 W. Pontiac Way. Clovis County Plaza Building 2220 Tulare ULSDR 99 1,050 12,600 -0.085 -$1,071.00 Street Fresno Courthouse Motor Pool 1155"M" Gasoline 6,390 76,680 -0.1575 -$12,077.10 Street Fresno *Special Requirement:Night Delivery Only Del Rey Public Works Yd. 3633 S. ULSDR 99 2,500 30,000 -0.085 -$2,550.00 Del Rey Ave. Del Rey Gasoline 3,300 39,600 -0.1575 7$6,237.00 Dunlap Public Works Yd.40315 ULSDR 99 1,000 12,000 -0.085 -$1,020.00 Dunlap Road Dunlap Gasoline 2,000 24,000 -0.1575 -$3,780.00 Firebaugh Public Works Yd. 38825 ULSDR 99 4,000 48,000 -0.085 -$4,080.00 W. Nees Ave. Firebaugh Gasoline 4,300 51,600 -0.1575 -$8,127.00 Fulton Street Health Dept. 1221 ULSDR 99 400 4,800 -0.2 -$960.00 Fulton Street Fresno Hamilton Motor Pool 4551 E. ULSDR 3,400 40,800 -0.085 -$3,468.00 Hamilton Ave. Fresno Gasoline 7,780 93,360 -0.1575 -$14,704.20 Juvenile Justice Campus 3333 ULSDR 99 1,363 16,356 -0.085 -$1,390.26 American Avenue Fresno Gasoline 6,950 83,400 -0.1575 -$13,135.50 Juvenile Justice Campus Fire ULSDR 99 350 4,200 -0.085 -$357.00 Generator 3333 American Avenue Fresno *Special Requirement:Has to be Pumped Kearney Park ULSDR 99 2,550 30,600 -0.085 -$2,601.00 6725 W. Kearney Blvd. Fresno Gasoline 4,800 57,600 -0.1575 -$9,072.00 Main Jail ULSDR 99 8,000 96,000 -0.085 -$8,160.00 1225"M"Street Fresno Reedley Public Works Yard 17627 ULSDR 99 7,000 84,000 -0.085 -$7,140.00 W. Manning Ave. Reedley Gasoline 7,000 84,000 -0.1575 -$13,230.00 Sanger Public Works Yard 9525 E. ULSDR 99 2,843 34,116 -0.085 -$2,899.86 Olive Ave. Sanger Gasoline 5,372 64,464 -0.1575 -$10,153.08 Satellite Jail 110"M"Street Fresno ULSDR 99 1,667 20,004 -0.085 -$1,700.34 Shaver Lake Public Works 41687 ULSDR 99 1,667 20,004 -0.085 -$1,700.34 Dinkey Creek Road Shaver Lake Gasoline 5,000 60,000 -0.1575 -$9,450.00 Sheriff's Administration Bldg. 2200 ULSDR 99 16,000 192,000 -0.085 -$16,320.00 Fresno Street Fresno Tranquility Public Works Yd. 25411 ULSDR 99 3,259 42,348 -0.085 -$3,599.58 W. Silveira Ave. Tranquility Gasoline 4,743 56,916 -0.1575 -$8,964.27 ANNUAL TOTAL FOR ALL LOCATIONS -$244,180.86 RFQ 24-074 EXHIBIT D FLEET COMPLIANCE CERTIFICATION. Bidder hereby acknowledges that it has reviewed the CARB's policies, rules and regulations and are familiar with the requirements of Title 13, California Code of Regulations, Division 3, Chapter 9, effective on January 1, 2024 (the "Regulation"). Bidder hereby certifies, subject to the penalty of perjury, that the option checked below relating to the Bidder's fleet, and/or that of their subcontractor(s) ("Fleet") is true and correct: The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. ❑ The Fleet is exempt from the Regulation under Section 2449.1(f)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. ❑ Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to Section 2449.1(f)(3). Bidder shall keep detailed records describing the normal refueling methods, their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e., third party correspondence or vendor bids). ❑ The Fleet is exempt from the requirements of the Regulation pursuant to Section 2449(i)(4) because this Project has been deemed an "emergency," as that term is defined in Section 2449(c)(18) of the Regulation. Bidder shall only operate the exempted vehicles in the emergency situation, and records of the exempted vehicles must be maintained pursuant to Section 2449(i)(4). ❑ The Fleet does not fall under the Regulation or are otherwise exempt and a detailed reasoning is attached to this certification. Name of Bidder: o S.G.cT d. ,! •WL Signature: Name: •Y#Mra Title: ©�/ piD Date: 7/03 tin ui' County Attorney Approved Version 04/24/2024 Quotation No. 24-074 Page 13 BIDDER TO COMPLETE THE FOLLOWING: PARTICIPATION The County of Fresno is a member of the Central Valley Purchasing Group. This group consists of Fresno, Kern, Kings, and Tulare Counties and all governmental, tax supported agencies within these counties. Whenever possible, these and other tax supported agencies co-op (piggyback)on contracts put in place by one of the other agencies. Any agency choosing to avail itself of this opportunity, will make purchases in their own name, make payment directly to the contractor, be liable to the contractor and vice versa. per the terms of the original contract, all the while holding the County of Fresno harmless. If awarded this contract, please indicate whether you would extend the same terms and conditions to all tax supported agencies within this group as you are proposing to extend to Fresno County. Yes, we will extend contract terms and conditions to all qualified agencies within the Central Valley Purchasing Group and other tax supported agencies. IF] No, we will not exte d contract terms to any agency other than the County of Fresno. (Authorized Signature) Title 24-074 Bulk Fuel and Delivery Quotation No. 24-074 Page 16 PREFERENCE CERTIFICATION LOCAL VENDOR AND/OR DISABLED VETERANS BUSINESS ENTERPRISE The Fresno County Local Vendor Preference (FCLV) and the Disabled Veteran Business Enterprise Preference (DVBE) are applicable to this Request for Quotation as previously explained. Qualified Vendors that desire consideration as a FCLV and/or a DVBE under this RFQ must complete the "Statement of Local Vendor Certification" and/or the "Statement of DVBE Certification", each is included below, and submit it/them as a part of their quotation. Late submittals of these certification forms will not be considered. Submission of either or both certifications will qualify the vendor for treatment as a local vendor or a DVBE for purposes of this RFQ only. The certification(s) made under this RFQ do not qualify the vendor for a preference under any other RFQ. NOTIFICATION OF RE-BID If a vendor's bid qualifies under the Fresno County Local Vendor Preference or the DVBE Preference, the vendor will be notified of his/her opportunity to re-bid. If so notified, the Vendor must submit his/her re-bid within two County business days of notification. Notification will be issued by e-mail or Fax, whichever is preferred by the vendor. Notification to Vendor shall be considered complete upon County's transmission of e-mail or Fax. It will be the vendor's responsibility to check his/her e-mail or Fax messages for notification. The vendor's delay in retrieval of his/her notification will not alter the two (2) County business day period allowed for re-bid submission. FCLV or DVBE TO COMPLETE: Indicate ONE method for notification of re-bid opportunity by providing the appropriate e-mail address or Fax number. Submit this document as a part of your quotation. E-Mail Address or Fax Number(Identify contact person) 24-074 Bulk Fuel and Delivery Quotation No. 24-074 Page 17 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- STATEMENT OF LOCAL VENDOR CERTIFICATION COUNTY OF FRESNO Qualified local vendors desiring consideration under the Fresno County Local Vendor Preference must complete the following and submit with their quotation (print or type). I yl<Gls,arl/ ,4�. �lrZ/1a'i y 40;0,ER.a77,W. sO1>441 ,8,e (individual submitting bid) (title) of/for Certify that ,Po Sd2T ✓, J�.yss.✓ e.t/�. �o�iseT I/�„/eE,t/.s,�.d (Company Name) (Company Name) Is a esno Cou ty cal Vendor as defined within this RFQ and therefore qualifies for the Local Vendor Preference. OL1diP„�-?io,yi .4.jE�P �` O3 !Zo Ly Signature Title Date (Print Name) -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- STATEMENT OF DISABLED VETERAN BUSINESS ENTERPRISE CERTIFICATION Qualified vendors desiring consideration under the Fresno County DVBE Preference must complete the following and mit with their quotation (print or type). I , (individual submitting bid) (title) of/for Certify that ('Comp Name) (Company Name) Is a Disabled Veteran Business Enterprl ertified by the State of California and therefore qualifies for the DVBE Preference. State of California DVBE Certification Number: Signature Date (Print Name) "Company name on file with the State of California DVBE program. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- 24-074 Bulk Fuel and Delivery Invoice ` r ITP*70 ACCOUNT: 01-COFRFLE R_QRMEtT V.%THN-SEN4 I+NQ, INVOICE: 0625Q-IN J_ rl,��J -J INVOICE DATE: 6/25/2024 PETROLEUM DISTRIBUTOR SINCE1952 DUE DATE: 8/9/2024 PO BOX 12907 FRESNO, CA 93779 FEDERAL ID NUMBER 94-2266370 (559)485-8210 FAX (559)485-8503 PREPAID SALES TAX NO SG-DH 78-005268 1-800-366-8210 BILL TO: SHIP TO: COUNTY OF FRESNO HAMILTON-FLEET COMPLEX FLEET SERVICES DIVISION PO#P-19-434-C EXP:09/16/22 4551 E.HAMILTON AVE 4551 E.HAMILTON AVE FRESNO,CA 93702 20K UNL&12k DSL FRESNO,CA NET-45 DAYS PURCHASE ORDER: ORDER SHIP DATE TAX AGY RECEIVED 6/25/2024 CA FRSCIT SIGNATURE ITEM SHIPPED PRODUCT UNIT PRICE AMOUNT 0470 7,500.00 RENEWABLE ULS DIESEL(R99) GAL 3.0091 22,568.25 FRESNO RACK AVG$3.0491 STATE EXCISE TAX-DIESEL 0.44100 3,307.50 FEDERAL LUST TAX-DIESEL 0.00100 7.50 QUOTE Gasoline(All Grades),Diesel(All Grades),and Lubricants: Extremely flammable. Harmful or fatal if swallowed.Prolonged or repeated contact may cause skin/eye and respiratory irritation or other injury. In case of leak,spill or fire,call CHEMTREC Toll Less Discount: 0.00 Free(800)424-9300. Seller has included those federal,state,and local taxes and fees on this invoice that to the best of seller's Sales Tax: 3,183.18 information,knowledge,and belief,are applicable to this sale. Any tax or fee subsequently determined to be applicable to this sale and not included on this invoice will be billed to the purchaser at a later date. Dyed diesel fuel,nontaxable use only,penalty Invoice Total: 29,066.43 for taxable use. Container deposits paid by customer will be refunded by Company upon prompt return of the container in good condition. Retain This Invoice. No other will be sent. PLEASE MAKE CHECK PAYABLE TO ROBERT V.JENSEN, INC.SEND TO ADDRESS ABOVE Invoice T-ll�P '■III ACCOUNT: 01-COFRFLE INVOICE: 0625Q-I N Will I r __ — INVOICE DATE: 6/25/2024 PETROLEUM DISTRIBUTOR SINCE1952 DUE DATE: 8/9/2024 PO BOX 12907 FRESNO,CA 93779 FEDERAL ID NUMBER 94-2266370 (559)485-8210 FAX (559)485-8503 PREPAID SALES TAX NO SG-DH 78-005268 1-800-366-8210 BILL TO: SHIP TO: COUNTY OF FRESNO HAMILTON-FLEET COMPLEX FLEET SERVICES DIVISION PO#P-19-434-C EXP:09/16/22 4551 E.HAMILTON AVE 4551 E.HAMILTON AVE FRESNO,CA 93702 20K UNL&12k DSL FRESNO,CA NET-45 DAYS PURCHASE ORDER: ORDER SHIP DATE TAX AGY RECEIVED 6/25/2024 CA FRSCIT SIGNATURE ITEM SHIPPED PRODUCT UNIT PRICE AMOUNT 0417 7,500.00 RENEWABLE ULS DIESEL(DYED) GAL 3.0220 22,665.00 FRESNO RACK AVG$3.062 FEDERAL LUST TAX-DIESEL 0.00100 7.50 QU Gasoline(All Grades),Diesel(All Grades),and Lubricants: Extremely flammable. Harmful or fatal if swallowed.Prolonged or repeated contact may cause skin/eye and respiratory irritation or other injury. In case of leak,spill or fire,call CHEMTREC Toll Less Discount: 0.00 Free(800)424-9300. Seller has included those federal,state,and local taxes and fees on this invoice that to the best of seller's Sales Tax: 3,196.82 information,knowledge,and belief,are applicable to this sale. Any tax or fee subsequently determined to be applicable to this sale and not included on this invoice will be billed to the purchaser at a later date. Dyed diesel fuel,nontaxable use only,penalty Invoice Total: 25,869.32 for taxable use. Container deposits paid by customer will be refunded by Company upon prompt return of the container in good condition. Retain This Invoice. No other will be sent. PLEASE MAKE CHECK PAYABLE TO ROBERT V.JENSEN, INC.SEND TO ADDRESS ABOVE Invoice ACCOUNT: 01-COFRFLE EtOREIRT"V. inN.SPEW I'o° INVOICE: 0625Q-IN J~ t J J INVOICE DATE: 6/25/2024 PETROLEUM DISTRIBUTOR SINCE1952 DUE DATE: 8/9/2024 PO BOX 12907 FRESNO,CA 93779 FEDERAL ID NUMBER 94-2266370 (559)485-8210 FAX (559)485-8503 PREPAID SALES TAX NO SG-DH 78-005268 1-800-366-8210 BILL TO: SHIP TO: COUNTY OF FRESNO HAMILTON-FLEET COMPLEX FLEET SERVICES DIVISION PO#P-19-434-C EXP:09/16/22 4551 E.HAMILTON AVE 4551 E.HAMILTON AVE FRESNO,CA 93702 20K UNL&12k DSL FRESNO,CA NET-45 DAYS PURCHASE ORDER: ORDER SHIP DATE TAX AGY RECEIVED 6/25/2024 CA FRSCIT SIGNATURE ITEM SHIPPED PRODUCT UNIT PRICE AMOUNT 0300 8,500.00 REGULAR UNLEADED GAL 3.0701 26,095.85 FRESNO RACK AVG$3.1451 STATE EXCISE TAX-GAS 0.57900 4,921.50 CA LEAD POISON PREV FEE-GAS 0.00328 27.88 FEDERAL LUST TAX-GAS 0.00100 8.50 FEDERAL ENVIRO FEE-GAS 0.00193 16.41 FEDERAL SUPERFUND FEE-GAS 0.00364 30.94 CA ENVIRONMENTAL FEE-GAS 0.00679 57.72 QUOTE Gasoline(All Grades),Diesel(All Grades),and Lubricants: Extremely flammable. Harmful or fatal if swallowed.Prolonged or repeated contact may cause skin/eye and respiratory irritation or other injury. In case of leak,spill or fire,call CHEMTREC Toll Less Discount: 0.00 Free(800)424-9300. Seller has included those federal,state,and local taxes and fees on this invoice that to the best of seller's Sales Tax: 1,043.82 information,knowledge,and belief,are applicable to this sale. Any tax or fee subsequently determined to be applicable to this sale and not included on this invoice will be billed to the purchaser at a later date. Dyed diesel fuel,nontaxable use only,penalty Invoice Total: 32,202.62 for taxable use. Container deposits paid by customer will be refunded by Company upon prompt return of the container in good condition. Retain This Invoice. No other will be sent. PLEASE MAKE CHECK PAYABLE TO ROBERT V.JENSEN, INC. SEND TO ADDRESS ABOVE DATE(MMDD/YYYY) I CERTIFICATE OF LIABILITY INSURANCE 6/25/ 2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Andrelnl&Company Andreini &Company-San Mateo PHONE FAX 220 West 20th Ave AIC No Ext: 650-573-1111 A/C No):650-378-4361 San Mateo CA 94403 ADDRESS: czeng@andreini.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cypress Insurance Company(CA) 10855 INSURED ROBER-3 INSURER B: Underwriters at Lloyds,London 85202 Robert V. Jensen, Inc. P.O. Box 12907 INSURER C:GuideOne Insurance Company 15032 Fresno CA 93779 INSURERD:Sutton Specialty Insurance Co. 16848 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:190835834 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL�TYPE OF INSURANCE INSO SUER POLICY NUMBER MM DIDY LTR /YYYY MMIDD/Y Y LIMITS C X I COMMERCIAL GENERAL LIABILITY Y 62P10115601 9/30/2023 9/30/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE � OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 X JECT OTHER: $ C AUTOMOBILE LIABILITY 62P10115601 9/30/2023 9/30/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ X OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED LXX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X MSC90 CA9948 Is B UMBRELLALIAB X OCCUR 23UKPCB230002530147003 9/30/2023 9/30/2024 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ i $ A WORKERS COMPENSATION Y ROWC432775 1 10/1/2023 10/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability-2nd Layer ISCNBO500000002600 9/30/2023 9/30/2024 Each Occurrence 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Quotation No.24-073 County of Fresno,its officers,agents and employees,and volunteers individually and collectively are included as additional insured but only insofar as the operations under this Agreement is concerned.This insurance is primary and non-contributory. 10 Day Notice of cancellation applies for non-payment of premium/30 days cancellation for all other reasons. A Waiver of Subrogation applies to Workers Compensations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County of Fresno, Fleet Services ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Fleet Manager 4551 E. Hamilton Avenue AUTH9kRIZED REPRESENTATIVE Fresno CA 93702 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 62P10115601 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET AS PER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARYAND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and CIS 20 01 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Insured Copy WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410 C (Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manual premium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculated charge to derive the final cost of this endorsement. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Blanket Waiver Person/Organization Blanket Waiver—Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium (priorto adjustments) All CA Operations 5062.00 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 10/1/23 PolicyNo.:ROWC330075 Endorsement No.: Insured: Premium $ Insurance Company: Cypress Insurance Company Countersigned by WC990410C (Ed. 01-19) CALIFORNIA . CLEAN TRUCK CHECK AIR RESOURCES BOARD Affirmation of Fleetwide Compliance Certification ID: 1660 This certificate affirms that Robert V Jensen 4029 S Maple Ave Fresno, CA 93725 has attested in the Clean Truck Check electronic reporting system to report a complete list of vehicles subject to Heavy-Duty Inspection and Maintenance (HD I/M) Regulation and the California Air Resources Board (CARB) hereby verifies that as of 12/8/2023, all of the attested vehicles are compliant with the Clean Truck Check. * A complete list of the attested vehicles is listed in the following page(s). *This Affirmation of Fleet Wide Compliance shall be used for the fleet's purposes of proving their fleet compliance status with their freight contractors and brokers. This Affirmation of Fleet Wide Compliance shall not constitute proof of a vehicle compliance with the Clean Truck Check beyond the issued date. Page 1 3ALHGBDV5FDGP9433 3AKJGBDV7JSJM0870 1XPBDP9X9ED193883 1 NPVD79X7ED235698 1FVHC5DV9EHFN1203 1 FVHC5DV3CDBH5680 1 FUJGBDV9BSBC0055 3ALHGEDV1 FDGJ4810 3QPCNGH038703 3BPDPGH031711 1 NPVL79X7ED224767 1NPVLP9X5ED224816 1 NP5LU9X93D802508 1 NP5LU9X73D802507 1 FVHGBDV5BSAV2643 1 FVHC5DV7CDBH5679 3ALHGBDVODDFB4673 3AKJGBDV6DSFJO925 3AKBC5DV3DDFB4674 1 NPVL79X1 DD199069 1 FVHC5DVXJHJL4275 1 FVHC5DV6BDBC0056 3ALHGEDV8FDGJ4805 3ALHGEDV5FDGJ4809 3AKBGBDV5FSGH9451 3AKJGBDV4ESFR2042 3AKJGBDV2FSGH9452 3AKBGBDV4FDGP9434 1 FVACXDC45HV10597 1 FVACWDC25HU94832 1 FUWHJBA7YHG02837 1 FUJHTFW2MLMT7165 Page 2 r p N U �+ v � Oa y.�. tl 14Jl� M v _�b � v 00 0` �. � V .5 � N Q) l a r' E 1 rrrrrr� Q ? O�OL1 Q O rq N u t? IS ( ? C N �. Q � tll H s 0 . E CLM .Wo -�� LL (D L-UJ in 4— � � .10 Lcm cryCf) �► a w as u m -2 ( v . 0) Q� N Lc � v E .r. � C.L E t11 -�v, ? Q ,n u o-a m C. V) .. u v 2 _0 8 L L (V E O1 cR Q y c' C ia- Ov a � ' .Z V t'o N oY } CL ru Qj E cn _Q E C (i3 C3 G _ .. .�8•_i.. a .. Safety Data Sheet PHILLIPS According to OSHA HCS 2012(29 CFR 1910.1200),Health Canada HPR (SOR/2015-17),and Mexico NOM-018-STPS-2015 ll -1t&t N& _,Ida' Iff i on: Product Identifier: Renewable Diesel Other means of identification: R-100; R-99; R95/B5 Code: 831938 Issue date: 27-May-2021 Relevant identified uses: Fuel Uses advised against: All others 24 Hour Emergency Phone Number: CHEMTREC Global+1 703 527 3887 CHEMTREC United States 1-800-424-9300 CHEMTREC Mexico 01-800-681-9531 Manufacturer/Supplier: Phillips 66 Company P.O. Box 421959 Houston,Texas 77242-1959 SDS Information: URL: www.phillips66.com/SDS Phone: 800-762-0942 Email: SDS@P66.com zar wik entift Classified Hazards Hazards Not Otherwise Classified(HNOC) H227-Flammable liquids Category 4 PHNOC: Electrostatic charge maybe generated during H304--Aspiration Hazard- Category 1 pumping and other operations H351 --Carcinogenicity--Category 2 H373 Specific target organ toxicity(repeated exposure) Category 2 (Liver/thymus/bone marrow) HHNOC: None known Label elements DANGER H227-Combustible liquid H304-May be fatal if swallowed and enters airways H351 -Suspected of causing cancer H373-May cause damage to the following organs through prolonged or repeated exposure:Liver/thymus/bone marrow P201 -Obtain special instructions before use;P202-Do not handle until all safety precautions have been read and understood; P210-Keep away from heat/sparks/open flames/hot surfaces.-No smoking;P260-Do not breathe dust/fume/gas/mist/vapors/spray;P280-Wear protective gloves/protective clothing and eye/face protection;P301 +P310-IF SWALLOWED: Immediately call a POISON CENTER or doctor/physician;P331 -Do NOT induce vomiting;P308+P313-IF exposed or concerned:Get medical advice/attention;P370+P378-In case of fire:Use CO2,dry chemical,or foam to extinguish; P403+P235-Store in a well-ventilated place.Keep cool; P405-Store locked up;P501 -Dispose of contents/container to an approved waste disposal plant CT1Q GQm �s ©n/l = rm't on on gin„ 'redints.. ill:Names. .:. . lFtN Concentration' Fuels,diesel, C9-18-alkane branched and linear 1159170-26-9 >95 Fatty acids,C16-18 and C18-unsatd., Me esters 67762-38-3 0-5 Fuels,diesel 68334-30-5 0-1 'All concentrations are percent by weight unless ingredient is a gas. Gas concentrations are in percent by volume. IS' r . tC ' N,., 4 Ctrs#.ald,measures --------------------------------------------------------------------- 831938- Renewable Diesel Page 1/8 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 218 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- Eye Contact: If irritation or redness develops from exposure, flush eyes with clean water. If symptoms persist,seek medical attention. Skin Contact: Remove contaminated shoes and clothing and cleanse affected area(s)thoroughly by washing with mild soap and water or a waterless hand cleaner. If irritation or redness develops and persists,seek medical attention. If product is injected into or under the skin,or into any part of the body, regardless of the appearance of the wound or its size, the individual should be evaluated immediately by a physician. (see Note to Physician) Inhalation: First aid is not normally required. If breathing difficulties develop, move victim away from source of exposure and into fresh air in a position comfortable for breathing. Seek immediate medical attention. Ingestion: Aspiration hazard: Do not induce vomiting or give anything by mouth because this material can enter the lungs and cause severe lung damage. If victim is drowsy or unconscious and vomiting, place on the left side with the head down. If possible, do not leave victim unattended and observe closely for adequacy of breathing. Seek medical attention. Most important symptoms and effects,both acute and delayed: While significant vapor concentrations are not likely, high concentrations can cause minor respiratory irritation, headache,drowsiness, dizziness,loss of coordination, disorientation and fatigue. Ingestion can cause irritation of the digestive tract, nausea,diarrhea, and vomiting. Prolonged or repeated contact may dry skin and cause irritation. Notes to Physician: When using high-pressure equipment, injection of product under the skin can occur. In this case,the casualty should be sent immediately to the hospital. Do not wait for symptoms to develop. High-pressure hydrocarbon injection injuries may produce substantial necrosis of underlying tissue despite an innocuous appearing external wound. These injuries often require extensive emergency surgical debridement and all injuries should be evaluated by a specialist in order to assess the extent of injury. Early surgical treatment within the first few hours may significantly reduce the ultimate extent of injury. E1C„ trefs" .htrii measures NFPA 704: National Fire Protection Association Health: 0 Flammability: 2 Instability: 0 0=minimal hazard 1 =slight hazard Q 2=moderate hazard 3=severe hazard 4=extreme hazard Extinguishing Media: Dry chemical, carbon dioxide, foam, or water spray is recommended. Water or foam may cause frothing of materials heated above 212°F/100°C. Carbon dioxide can displace oxygen. Use caution when applying carbon dioxide in confined spaces. Simultaneous use of foam and water on the same surface is to be avoided as water destroys the foam.Water may be ineffective for extinguishment, unless used under favorable conditions by experienced fire fighters. Specific hazards arising from the chemical Unusual Fire&Explosion Hazards: Combustible. This material can be ignited by heat, sparks, flames,or other sources of ignition(e.g., static electricity, pilot lights, or mechanical/electrical equipment). May create vapor/air explosion hazard if heated. This product will float and can be reignited on surface water. Vapors are heavier than air and can accumulate in low areas. If container is not properly cooled, it can rupture in the heat of a fire. Hazardous Combustion Products: Combustion may yield smoke, carbon monoxide,and other products of incomplete combustion. Oxides of nitrogen and sulfur may also be formed. Special protective actions for fire-fighters: For fires beyond the initial stage, emergency responders in the immediate hazard area should wear protective clothing. When the potential chemical hazard is unknown, in enclosed or confined spaces,a self contained breathing apparatus should be worn. In addition,wear other appropriate protective equipment as conditions warrant (see Section 8). Isolate the hazard area and deny entry to unnecessary and unprotected personnel. Stop spill/release if it can be done safely. Move undamaged containers from immediate hazard area if it can be done safely.Water spray may be useful in minimizing or dispersing vapors and to protect personnel. Cool equipment exposed to fire with water, if it can be done safely.Avoid spreading burning liquid with water used for cooling purposes. ---------------- ---------------------------------------------------- 831938- Renewable Diesel Page 218 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 3/8 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- See Section 9 for Flammable Properties including Flash Point and Flammable(Explosive)Limits SE T13N 6 Acc dea release measures. Personal precautions, protective equipment and emergency procedures: Combustible. Keep all sources of ignition away from spill/release.The use of explosion-proof electrical equipment is recommended.Stay upwind and away from spill/release. Avoid direct contact with material. For large spillages, notify persons down wind of the spill/release, isolate immediate hazard area and keep unauthorized personnel out.Wear appropriate protective equipment, including respiratory protection, as conditions warrant(see Section 8). See Sections 2 and 7 for additional information on hazards and precautionary measures. Environmental Precautions: Stop and contain spill/release if it can be done safely. Prevent spilled material from entering sewers,storm drains, other unauthorized drainage systems, and natural waterways.Use water sparingly to minimize environmental contamination and reduce disposal requirements. If spill occurs on water notify appropriate authorities and advise shipping of any hazard.Spills into or upon navigable waters,the contiguous zone, or adjoining shorelines that cause a sheen or discoloration on the surface of the water, may require notification of the National Response Center(phone number 800-424-8802). Methods and material for containment and cleaning up: Notify relevant authorities in accordance with all applicable regulations. Immediate cleanup of any spill is recommended. Dike far ahead of spill for later recovery or disposal.Absorb spill with inert material such as sand or vermiculite, and place in suitable container for disposal. If spilled on water remove with appropriate methods(e.g. skimming, booms or absorbents). In case of soil contamination, remove contaminated soil for remediation or disposal, in accordance with local regulations. Recommended measures are based on the most likely spillage scenarios for this material-, however local conditions and regulations may influence or limit the choice of appropriate actions to be taken. See Section 13 for information on appropriate disposal. R I'D,f 7:,Ha t ll�. and sfi if Precautions for safe handling: Keep away from heat, hot surfaces, sparks, open flames and other ignition sources. No smoking. Take precautionary measures against static discharge. Use non-sparking tools. Obtain special instructions before use. Do not handle until all safety precautions have been read and understood.Wear protective gloves/protective clothing/eye protection/face protection. Do not breathe vapor or mist.Wash thoroughly after handling. Use good personal hygiene practices and wear appropriate personal protective equipment(see section 8). Open container slowly to relieve any pressure. May vaporize easily at ambient temperatures. The vapor is heavier than air and may create an explosive mixture of vapor and air. Beware of accumulation in confined spaces and low lying areas. The use of explosion-proof electrical equipment is recommended and may be required(see appropriate fire codes). Refer to NFPA-70 and/or API RP 2003 for specific bonding/grounding requirements. Do not enter confined spaces such as tanks or pits without following proper entry procedures such as ASTM D-4276 and 29CFR 1910.146. Do not wear contaminated clothing or shoes. Keep contaminated clothing away from sources of ignition such as sparks or open flames. High pressure injection of hydrocarbon fuels, hydraulic oils or greases under the skin may have serious consequences even though no symptoms or injury may be apparent. This can happen accidentally when using high pressure equipment such as high pressure grease guns,fuel injection apparatus or from pinhole leaks in tubing of high pressure hydraulic oil equipment. The use of hydrocarbon fuel in an area without adequate ventilation may result in hazardous levels of incomplete combustion products(e.g. carbon monoxide, oxides of sulfur and nitrogen, benzene and other hydrocarbons)and/or dangerously low oxygen levels. For use as a motor fuel only. Do not use as a solvent due to its flammable and potentially toxic properties. Siphoning by mouth can result in lung aspiration which can be harmful or fatal. Diesel engine exhaust contains hazardous combustion products and has been identified as a cancer hazard. Exposure should be minimized to reduce potential risk. Static Accumulation Hazard: Electrostatic charge may accumulate and create a hazardous condition when handling this material. To minimize this hazard, bonding and grounding of tanks,transfer piping, and storage tank level floats are necessary but may not, by themselves,be sufficient. Review all operations which have the potential of generating and accumulating an electrostatic charge and/or a flammable atmosphere(including tank and container filling, splash filling,tank cleaning,sampling,gauging, switch loading,filtering, mixing, agitation,and vacuum truck operations)and use appropriate mitigating procedures. Special care should be given to ensure that special slow load procedures for"switch loading"are followed to avoid the static ignition hazard that can exist when higher flash point material(such as fuel oil or diesel)is loaded into tanks previously containing low flash point products (such as gasoline or naphtha). For more information, refer to OSHA Standard 29 CFR 1910.106, 'Flammable and Combustible Liquids', National Fire Protection Association(NFPA 77, 'Recommended Practice on Static Electricity', and/or the American Petroleum Institute(API) Recommended Practice 2003, 'Protection Against Ignitions Arising Out of Static, Lightning, and Stray Currents'. --------------------------------------------------------------------- 831938- Renewable Diesel Page 3/8 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 4/8 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- Conditions for safe storage: Keep container(s)tightly closed and properly labeled. Use and store this material in cool, dry, well-ventilated area away from heat and all sources of ignition. Post area"No Smoking or Open Flame."Store only in approved containers. Keep away from any incompatible material(see Section 10). Protect container(s)against physical damage. Outdoor or detached storage is preferred. Indoor storage should meet OSHA standards and appropriate fire codes. "Empty"containers retain residue and may be dangerous. Do not pressurize, cut,weld,braze,solder,drill,grind, or expose such containers to heat,flame, sparks, or other sources of ignition. They may explode and cause injury or death. "Empty"drums should be completely drained, properly bunged, and promptly shipped to the supplier or a drum reconditioner. All containers should be disposed of in an environmentally safe manner and in accordance with governmental regulations. Before working on or in tanks which contain or have contained this material, refer to OSHA regulations,ANSI Z49.1, and other references pertaining to cleaning, repairing,welding,or other contemplated operations. 7wr V '�i'tth .:'^4'1.?lm '4 y 1.f `!!,#`�17l �Y I" OnR �' Occupational exposure limits The following constituents are the only constituents of the product which have a PEL,TLV or other recommended exposure limit.At this time,the other constituents have no known exposure limits. 0I:Name ACti,, ,__' OSMA. NOMexico, ptttlli "s:66 Fuels,diesel TWA-8hr:100 mg/m3 Carcinogen TWA-8hr: 100 mg/m3 TWA-8hr:100 mg/m3 inhalable fraction and inhalable fraction and Skin vapor vapor(VLE-PPT) Skin State, local or other agencies or advisory groups may have established more stringent limits. Consult an industrial hygienist or similar professional, or your local agencies,for further information. Biolo ical occupational exposure limits None. Engineering controls: If current ventilation practices are not adequate to maintain airborne concentrations below the established exposure limits, additional engineering controls may be required. Eye/Face Protection: The use of eye/face protection is not normally required; however, good industrial hygiene practice suggests the use of eye protection that meets or exceeds ANSI Z.87.1 whenever working with chemicals. Skin/Hand Protection: The use of gloves impervious to the specific material handled is advised to prevent skin contact. Users should check with manufacturers to confirm the breakthrough performance of their products.Depending on exposure and use conditions,additional protection may be necessary to prevent skin contact including use of items such as chemical resistant boots, aprons,arm covers, hoods, coveralls,or encapsulated suits. Suggested protective materials: Nitrile rubber Respiratory Protection: Where there is potential for airborne exposure above the exposure limit a NIOSH certified air purifying respirator equipped with organic vapor cartridges/canisters may be used. A respiratory protection program that meets or is equivalent to OSHA 29 CFR 1910.134 and ANSI Z88.2 should be followed whenever workplace conditions warrant a respirator's use.Air purifying respirators provide limited protection and cannot be used in atmospheres that exceed the maximum use concentration(as directed by regulation or the manufacturer's instructions), in oxygen deficient(less than 19.5 percent oxygen)situations, or under conditions that are immediately dangerous to life and health(IDLH). Suggestions provided in this section for exposure control and specific types of protective equipment are based on readily available information. Users should consult with the specific manufacturer to confirm the performance of their protective equipment. Specific situations may require consultation with industrial hygiene,safety,or engineering professionals. filQ?t1" Rh 's�cal an, 'chemical " sorties Note: Unless otherwise stated,values are determined at 20oC(68°F)and 760 mm Hg(1 atm). Data represent typical values and are not intended to be specifications. Appearance: clear Physical form of product: Liquid Odor: Mild Odor threshold: No data --------------------------------------------------------------------- 831938- Renewable Diesel Page 4/8 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 5/8 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- pH: Not applicable Melting/freezing point: No data Initial boiling point and boiling range: 356 - 608 °F / 180 - 320 °C Flash point: > 140 °F / > 60 °C Method: (estimate) Evaporation Rate(nBuAc=1): No data Flammability(solid,gas): Not applicable Upper Explosive Limits(vol%in air): No data Lower Explosive Limits(vol%in air): No data Vapor pressure: 0.65 mm Hg @ 77°F/25°C Vapor density: >1 (air= 1) Relative density: 0.77-0.79 @ 60°F(15.60C)(water= 1) Solubility(ies): Negligible Partition coefficient n-octanol/water(log KOW): No data Autoignition temperature: 399 °F Decomposition temperature: No data Viscosity: 2.6 cSt @ 40oC Molecular weight: No data Other information Particle Size: No data Pour point: No data Bulk density No data Sfab�O and"reaO!V-I " Reactivity: Not chemically reactive. Chemical stability: Stable under normal ambient and anticipated conditions of use. Possibility of Hazardous Reactions: Hazardous reactions not anticipated. Conditions to Avoid: Avoid high temperatures and all sources of ignition. Prevent vapor accumulation. Incompatible Materials: Avoid contact with strong oxidizing agents and strong reducing agents. Hazardous Decomposition Products: Not anticipated under normal conditions of use. ,:. C "CN'' '��.To�c>cot " icaln#ormatlon Information on Toxicological Effects Substance/Mixture Q 14 Additional Iri#arr anon LC601L�50)7a#a ozici Unlike/ to be harmful >20 m /L va or, estimated nhaCa'l _� y. _ _renal Unlikely to be harmful >2 /k estimated 01 "Maybe harmful if swallowed >2 /k rat Likely Routes of Exposure: Inhalation,eye contact, skin contact Aspiration Hazard: May be fatal if swallowed and enters airways Skin Corrosion/Irritation: Causes mild skin irritation. Repeated exposure may cause skin dryness or cracking. Serious Eye Damage/Irritation: Not expected to be irritating. Skin Sensitization: Not expected to be a skin sensitizer. ---------------- ---------------------------------------------------- 831938- Renewable Diesel Page 618 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 6/8 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- Respiratory Sensitization: No information available. Specific Target Organ Toxicity(Single Exposure): No information available on the mixture, however none of the components have been classified for target organ toxicity(or are below the concentration threshold for classification). Specific Target Organ Toxicity(Repeated Exposure): May cause damage to organs through prolonged or repeated exposure. Carcinogenicity: Suspected of causing cancer. Germ Cell Mutagenicity: Not expected to cause heritable genetic effects. Reproductive Toxicity: Not expected to cause reproductive toxicity. Other Comments: Diesel engine exhaust has been classified by the International Agency for Research on Cancer(]ARC) and National Toxicology Program (NTP)as a carcinogen. Information on Toxicological Effects of Components Fuels,diesel Carcinogenicity: Petroleum middle distillates have been shown to cause skin tumors in mice following repeated and prolonged skin contact. Follow-up studies have shown that these tumors are produced through a non-genotoxic mechanism associated with frequent cell damage and repair, and that they are not likely to cause tumors in the absence of prolonged skin irritation. Target Organ(s): Repeated dermal application of petroleum gas oils for 90 days resulted in decreased liver,thymus, and spleen weights,and altered bone marrow function. Microscopic alterations included liver hypertrophy and necrosis,decreased hematopoesis and lymphocyte depletion. WT104."I EGE)a 1'C„ 1 tl forma tOC1 GHS Classification: No classified hazards Toxicity: Not expected to be harmful to aquatic life Persistence and Degradability: Gas oils are complex combinations of individual hydrocarbon species. Based on the known or expected properties of individual constituents, category members are not predicted to be readily biodegradable. Some hydrocarbon constituents of gas oils are predicted to meet the criteria for persistence; on the other hand,some components can be easily degraded by microorganisms under aerobic conditions. Persistence per IOPC Fund definition: Non-Persistent Bioaccumulative Potential: Gas oil components have measured or calculated Log Kow values in the range of 3.9 to 6 which indicates a high potential to bioaccumu]ate. Lower molecular weight compounds are readily metabolized and the actual bioaccumulation potential of higher molecular weight compounds is limited by the low water solubility and large molecular size. Mobility in Soil: Releases to water will result in a hydrocarbon film floating and spreading on the surface. For the lighter components, volatilization is an important loss process and reduces the hazard to aquatic organisms. In air,the hydrocarbon vapors react readily with hydroxyl radicals with half-lives of less than one day. Photoxidation on the water surface is also a significant loss process particularly for polycyclic aromatic compounds. In water, the majority of components will be adsorbed on sediment. Adsorption is the most predominant physical process on release to soil.Adsorbed hydrocarbons will slowly degrade in both water and soil. Other adverse effects: None anticipated. ECTI© 1 _�>Is ,osl 4cc�ns�delati4ns, ,, , 777 , The generator of a waste is always responsible for making proper hazardous waste determinations and needs to consider state and local requirements in addition to federal regulations. This material, if discarded as produced,would not be a federally regulated RCRA"listed"hazardous waste and is not believed to exhibit characteristics of hazardous waste. See Sections 7 and 8 --------------------------------------------------------------------- 831938- Renewable Diesel Page 6/8 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 718 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- for information on handling, storage and personal protection and Section 9 for physical/chemical properties. It is possible that the material as produced contains constituents which are not required to be listed in the SIDS but could affect the hazardous waste determination.Additionally, use which results in chemical or physical change of this material could subject it to regulation as a hazardous waste. Container contents should be completely used and containers should be emptied prior to discard. � TINCrE4r Tralits ort information UN Number: UN1202 UN proper shipping name: Diesel fuel Transport hazard class(es): Combustible liquid Packing Group: III Environmental Hazard(s): This product does not meet the DOT/UN/IMDG/IMO criteria of a marine pollutant Special precautions for user: Combustible liquid classification is dependent on a flash point of>600 C(1400 F)and<930 C(2000 F). Combustible liquids are not regulated by DOT in non-bulk quantities shipped by land. Transport in bulk according to Annex II of MARPOL 73178 and the IBC Code: Not applicable tctm 15�:Re. tory inf©rmatron,. CERCLA/SARA-Section 302 Extremely Hazardous Substances and TPQs(in pounds) This material does not contain any chemicals subject to the reporting requirements of SARA 302 and 40 CFR 372. CERCLA/SARA-Section 311/312(Title III Hazard Categories) Should this product meet EPCRA 311/312 Tier reporting criteria at 40 CFR 370, refer to Section 2 of this SIDS for appropriate classifications. CERCLA/SARA-Section 313 and 40 CFR 372 This material does not contain any chemicals subject to the reporting requirements of SARA 313 and 40 CFR 372. EPA(CERCLA)Reportable Quantity(in pounds) This material does not contain any chemicals with CERCLA Reportable Quantities. California Proposition 65 9MWARNING.This product can expose you to chemicals including Naphthalene(CASRN 91-20-3)which is known to the State of California to cause cancer. For more information go to www.P65Warnings.ca.gov. International Inventories TSCA(United States): All ingredients are on the inventory or exempt from listing. 'f I N 1" : Other n onn ran ( ,# Ido 7-May-2021 29-Apr-2021 1831938 IFINAL Revised Sections or Basis for Revision: Identified Hazards(Section 2); Precautionary Statement(s)(Section 2); First Aid(Section 4);NFPA ratings(Sections 5); Personal Protective Equipment(Section 8);Toxicological(Section 11); Environmental hazards(Section 12); Shipping information(Section 14) Mexican NOM-018-STPS-2015: The information within is considered correct but is not exhaustive and will be used for guidance only,which is based on the current knowledge of the substance or mixture and is applicable to the appropriate safety precautions for the product. Precautionary Statements P201 -Obtain special instructions before use P202-Do not handle until all safety precautions have been read and understood --------------------------------------------------------------------- 831938- Renewable Diesel Page 7/8 Issue date: 27-May-2021 Status: FINAL 831938- Renewable Diesel Page 818 Issue date: 27-May-2021 Status: FINAL --------------------------------------------------------------------- P210-Keep away from heat/sparks/open flames/hot surfaces. -No smoking P260-Do not breathe dust/fume/gas/mist/vapors/spray P280-Wear protective gloves/protective clothing and eye/face protection P301 +P310-IF SWALLOWED: Immediately call a POISON CENTER or doctor/physician P331 -Do NOT induce vomiting P308+P313-IF exposed or concerned: Get medical advice/attention P370+P378-In case of fire: Use CO2,dry chemical, or foam to extinguish P403+P235-Store in a well-ventilated place. Keep cool P405-Store locked up P501 -Dispose of contents/container to an approved waste disposal plant Key literature references and sources for data: Information used includes one or more of the following:results from internal company data,supplier toxicology studies,CONCAWE Product Dossiers and other publicly available resources Guide to Abbreviations: ACGIH=American Conference of Governmental Industrial Hygienists;CASRN=Chemical Abstracts Service Registry Number;CEILING=Ceiling Limit(15 minutes);CERCLA=The Comprehensive Environmental Response,Compensation,and Liability Act;EPA=Environmental Protection Agency;GHS=Globally Harmonized System;HPR=Hazardous Products Regulations;[ARC= International Agency for Research on Cancer; INSHT=National Institute for Health and Safety at Work;IOPC=International Oil Pollution Compensation;LEL=Lower Explosive Limit;NE=Not Established;NFPA=National Fire Protection Association;NTP= National Toxicology Program; OSHA=Occupational Safety and Health Administration; PEL=Permissible Exposure Limit(OSHA);SARA=Superfund Amendments and Reauthorization Act;STEL=Short Term Exposure Limit(15 minutes);TLV=Threshold Limit Value(ACGIH);TWA=Time Weighted Average(8 hours);UEL=Upper Explosive Limit; WHMIS=Worker Hazardous Materials Information System(Canada) Disclaimer of Expressed and implied Warranties: The information presented in this Safety Data Sheet is based on data believed to be accurate as of the date this Safety Data Sheet was prepared. HOWEVER,NO WARRANTY OF MERCHANTABILITY,FITNESS FOR ANY PARTICULAR PURPOSE,OR ANY OTHER WARRANTY IS EXPRESSED OR IS TO BE IMPLIED REGARDING THE ACCURACY OR COMPLETENESS OF THE INFORMATION PROVIDED ABOVE,THE RESULTS TO BE OBTAINED FROM THE USE OF THIS INFORMATION OR THE PRODUCT,THE SAFETY OF THIS PRODUCT,OR THE HAZARDS RELATED TO ITS USE. No responsibility is assumed for any damage or injury resulting from abnormal use or from any failure to adhere to recommended practices. The information provided above,and the product,are furnished on the condition that the person receiving them shall make their own determination as to the suitability of the product for their particular purpose and on the condition that they assume the risk of their use. In addition,no authorization is given nor implied to practice any patented invention without a license. --------------------------------- ----------------------------------- 831938- Renewable Diesel Page 8/8 Issue date: 27-May-2021 Status: FINAL Revised: 2/11/2021 Z_. . . Destinations: IP r e Purchase All Terminals ® Specifications All Terminals Renewable Diesel, Ultra-Low Sulfur (15 ppm max) _._._._......._ _Test Method _ ... . Units J fig'= dditives General Note ,PI Gravity(60 Dbg } _. µ..... ........ 298 D4052 _ ._.__: . ... .._' APr_._ ._, 30,0 2 Appearance Visual IClear&Brj 3 I D5186 03(2009). _ N% i 9.5 sh D482 Wt% 0.0 - , Carbon,Res 10°I°BunsD524 Wt% 0 35 I Cetane Number D613 D6890 40 0 I 5 _�� .,, m Cidud 't02500 D5771/2/3 D7689 Deg F 38 Apr Sep Cloud Pt 1D2500, D5771/2/3 D7689 Deg F 32 I Feb,Mar Oct i D5771/213 D7689, k. 'Deg F 26 Nov Jan Color ASTM D1500 40 W Copper Sttlp Corros►on Dt3 3 Hr @ 122 F Rating 3 _ IDist 10 Vol% Rec rD86 D2887 Deg F I Report ' 6 Dist 50 Vol%ie� D86,b2887 Deg F report 6 Y...._ _.. _ Di ; st 90 Vol% Rec D86 D2887 De F 540 572 640 672_ 6 DocurnentatioRn C�"neral Note 7 Flash Pt D56, D93, D3828, D7094 ' Deg F 1 135 l Haz 176 Procedure 2 Rating i 2 Mosurrent Version General Note 8 t C Product Desc iptionmm General Note 9° ; __ ._. Referee Methods See Note 10 "m Sulfur G„453 ppmw _... 5 93 13 Tax Status& Dye See Note . . Utscos�ty `104E(40C) ' D445,7042 __. cSt_,_., 1 9 4.1 Water and Sediment D2709 Vol% I i 0.05 Revised: 2/11/2021 PHILLIPS Destinations: Purchase All Terminals l , Specifications All Terminals Renewable Diesel, Ultra-Low Sulfur (15 ppm max) Notes: 1.Use of any additives in this fuel must be reviewed and approved by the Phillips 66 Fuel Quality Director prior to use. No biodiesel is allowed in this product. 2. Typical gravity should be in the 47-50 range. 3. This product must be clear and bright and visually free from undissolved water,sediment, and particulates. 4. Correlation Equation:Aromatic Hydrocarbons expressed in%by volume= .916x(Aromatic Hydrocarbons expressed in%by weight)+ 1.33 5.Typical Cetane Number should be above 70.0 but is tested for CARB compliance purposes. ASTM D6890 is a CARB equivalent test method. ASTM D976 and D4737 do not always correlate well with the default test method for renewable diesel and may be used for approximation only. 6.ASTM specifications for distillates no longer include ASTM D2887 limits directly. Instead,ASTM D2887 results may be converted to "Predicted D86"results using the "Jet and Diesel Fuel" correlation found in ASTM D2887,and reported in the same way. The ASTM D2887 limits listed in this Phillips 66 specification correlate to the corresponding listed ASTM D86 limits. 7. Suppliers shall provide: 1.A Certificate of Analysis identifying the test results which show that the Renewable Diesel complies with ASTM D975 latest version and any additional Phillips 66 requirements. All test results reported must be performed in accordance with actual ASTM test method referenced in ASTM D975 or those called out in the table above. 2.Custody transfer documentation that prominently states the name and address of the person selling or supplying the Renewable Diesel and the name, location,and operator of the facility at which the Renewable Diesel was produced. Test results shall not exceed the maximum or be less than the minimum values specified(herein).No allowance shall be made for the precision of the test methods. To determine conformance to the specification requirement,a test result may be rounded to the same number of significant figures as in this specification using Practice E 29.Where multiple determinations are made,the average result,rounded in accordance with Practice E 29,shall be used. 8.It is important that any supplier for Phillips 66 maintain the most recent version of this purchase specification to ensure compliance with the latest requirements. To obtain the latest revision,contact the Trader or Regional Fuel Quality Director. 9.Renewable diesel is defined as a liquid fuel derived from biomass that meets the registration requirements for fuels and fuel additives established by the EPA under Section 211 of the Clean Air Act and the requirements of ASTM D975 and does not contain FAME(biodiesel). This fuel should meet or exceed the requirements for ASTM D975(Ultra-Low Sulfur Grade No.2-D S15 Diesel Fuel Oil),with the possible exception of lubricity. Additives or further blending may be utilized at downstream locations to meet these requirements.This fuel should also meet the requirements of the California Air Resources Board(CARE)as set forth in Title 13 of the California Code of Regulations,sections 2281 -2285. 10.CARB Referee Methods for#2 CARB Diesel Fuel, 10%Aromatics, 15 ppm Sulfur,are as follows:Cloud Pt,ASTM D2500; Flash Point,ASTM D93;Distillation,D 86. (source ASTM D975)Aromatics,ASTM D5186-03(2009);Sulfur,ASTM D5453-93. (source CARB Title 13,Section 2282) 11.Under United States regulations, if distillates are sold for tax exempt purposes then,at or beyond terminal storage tanks,they are required by 26 CFR Part 48 to contain the dye Solvent Red 164 at a concentration spectrally equivalent to 3.9 lb per thousand barrels of the solid dye standard Solvent Red 26,or the tax must be collected. (ASTM D975 Table 1 Notes) K1NDERO IRGAN SPECIFICATIONS FOR CARBOB REGULAR Product Code Al (1) (2) (3) (4) ASTM CARE 3 Specification Points Method(2) *Octane(R+M)/2 D-2699 87.0 D-2700 *Octane specification is post blending with 10 vol%Fuel Ethanol per ASTM D4806 Vapor Pressure 13 CCR§ 2297 5.99 psi max. D-323 &D-6378-08 Sulfur,ppmw D-5453-93 21 Benzene,Vol. % Max D-5580-02 1.22 Aromatic HC, Vol. %Max D-5580-02 38.7 Olefins,Vol. %Max D-6550-10 11.1 MTBE, Vol%Max D-7754-11 0.05 Oxygen,(Combined)Wt. %, Max D-7754-11 0.06 (Total,from combined Oxygenates other Than MTBE or Ethanol) Distillation,deg. F. D-86-99ae1 T50, Max 232 T90, Max 335 End Point, Max 437 Workmanship Clear and Bright Lead, Max. gm/gal. D-3237 0.030 Phosphorus,Max gm/gal D-3231 0.005 (1) In addition to above KM specifications,product must meet latest revision of ASTM D4814. (2) This CARBOB certified for 3.3-3.7 wt% oxygen range with 10 vol%ethanol. (3) This product does not comply with the standards for California gasoline without the addition of ethanol. (4) Product suppliers assume all liability for consequences of this product not meeting required specifications according to the test methods prescribed above. 11/28/2023 Section 6.2 Sec6-2.doc Page 1 KINDER�MOROAN SPECIFICATIONS FOR CARBOB REGULAR Product Code A2 (1)(2) (3) (4) ASTM CARB 3 Specification Points Method (2) *Octane(R+M)/2 D-2699 87.0 D-2700 *Octane specification is post blending with 10 vol%Fuel Ethanol per ASTM D4806 Vapor Pressure 13 CCR § 2297 10.5 psi max. D-323 &D-6378-08 Sulfur,ppmw D-5453-93 21 Benzene,Vol. %Max D-5580-02 1.22 Aromatic HC, Vol. %Max D-5580-02 38.7 Olefins, Vol. % Max D-6550-10 11.1 MTBE, Vol%Max D-7754-11 0.05 Oxygen,(Combined) Wt. %, Max D-7754-11 0.06 (Total,from combined Oxygenates other than MTBE or Ethanol) Distillation,deg. F. D-86-99ael T50, Max 237 T90, Max 335 End Point, Max 437 Workmanship Clear and Bright Lead,Max. gm/gal. D-3237 0.030 Phosphorus,Max gm/gal D-3231 0.005 (1) In addition to above KM specifications,product must meet latest revision of ASTM D4814. (2) This CARBOB certified for 3.3-3.7 wt% oxygen range with 10 vol%ethanol. (3) This product does not comply with the standards for California gasoline without the addition of ethanol. (4) Product suppliers assume all liability for consequences of this product not meeting required specifications according to the test methods prescribed above. 11/28/2023 Section 6.2 Sec6-2.doc Page 2 KINDER AMAOROAN SPECIFICATIONS FOR CARBOB REGULAR Product Code A3 (1) (2) (3) (4) ASTM CARB 3 Specification Points Method (2) *Octane (R+M)/2 D-2699 87.0 D-2700 *Octane specification is post blending with 10 vol%Fuel Ethanol per ASTM D4806 Vapor Pressure 13 CCR§ 2297 12.5 psi max. D-323 &D-6378-08 Sulfur,ppmw D-5453-93 21 Benzene,Vol. %Max D-5580-02 1.22 Aromatic HC, Vol. %Max D-5580-02 38.7 Olefins,Vol. %Max D-6550-10 11.1 MTBE, Vol%Max D-7754-11 0.05 Oxygen,(Combined)Wt. %, Max D-7754-11 0.06 (Total,from combined Oxygenates other Than MTBE or Ethanol) Distillation, deg. F. D-86-99ael T50, Max 237 T90, Max 335 End Point, Max 437 Workmanship Clear and Bright Lead,Max. gm/gal. D-3237 0.030 Phosphorus,Max gm/gal D-3231 0.005 (1) In addition to above KM specifications,product must meet latest revision of ASTM D4814. (2) This CARBOB certified for 3.3-3.7 wt% oxygen range with 10 vol%ethanol. (3) This product does not comply with the standards for California gasoline without the addition of ethanol. (4) Product suppliers assume all liability for consequences of this product not meeting required specifications according to the test methods prescribed above. 11/28/2023 Section 6.2 Sec6-2.doc Page 3 KINDER 11� OROAN SPECIFICATIONS FOR CARBOB REGULAR Product Code A4 (1) (2) (3) (4) ASTM CARB 3 Specification Points Method(2) *Octane (R+M)/2 D-2699 87.0 D-2700 *Octane specification is post blending with 10 vol%Fuel Ethanol per ASTM D4806 Vapor Pressure 13 CCR§ 2297 14.0 psi max. D-323 &D-6378-08 Sulfur,ppmw D-5453-93 21 Benzene,Vol. %Max D-5580-02 1.22 Aromatic HC, Vol. %Max D-5580-10 38.7 Olefins, Vol. %Max D-6550-10 11.1 MTBE, Vol%Max D-7754-11 0.05 Oxygen,(Combined) Wt. %, Max D-7754-11 0.06 (Total,from combined Oxygenates other Than MTBE or Ethanol) Distillation, deg.F. D-86-99ael T50, Max 237 T90, Max 335 End Point,Max 437 Workmanship Clear and Bright Lead,Max. gm/gal. D-3237 0.030 Phosphorus,Max gm/gal D-3231 0.005 (1) In addition to above KM specifications,product must meet latest revision of ASTM D4814. (2) This CARBOB certified for 3.3-3.7 wt% oxygen range with 10 vol%ethanol. (3) This product does not comply with the standards for California gasoline without the addition of ethanol. (4) Product suppliers assume all liability for consequences of this product not meeting required specifications according to the test methods prescribed above. 11/28/2023 Section 6.2 Sec6-2.doc Page 4 KINDER t ORGAN SPECIFICATIONS FOR B-5 (EPA ULTRA LOW SULFUR 5%BIODIESEL BLEND) Product Code D5 (1) (2) (3) (4) (5) (6) (Shipped on Oregon Line ONLY) Specification Points ASTM Method Shipments Min. Max. Gravity,deg. API D-287 30.0 Flash,Pensky-Martens, deg. F. D-93 130 FAME,vol% D-7371 5 (2) Sulfur,ppm max D-5453,D-7039 11.0 (3) Aromatic% D-1319 35.0 (4) Color D-1500 4.0 Cetane Number D-613 40.0 OR Cetane Index D-976 40.0(4) Cloud Point deg. F. D-2500 ASTM(5) Pour point deg. F. D-97 ASTM(5) Distillation D-86 540 640 90% Recovered deg. F. (1) In addition to above KM specifications,product must meet ASTM D-975 latest revision,with exception to conductivity requirement;this product may require treatment with a conductivity improver in order to be fully compliant with the latest revision of ASTM D-975 prior to terminal distribution. (2) Biodiesel Direct Supplier or certifying laboratory must be BQ9000/1S09000 certified. (3) At pipeline input;terminal delivery/distribution not to exceed 15. (4) EPA Ultra Low Sulfur on-highway diesel requires a Cetane Index of 40 or maximum Aromatics of 35%. (5) Due to fungible specifications, the cloud/pour point for diesel products must comply with the ASTM specifications for the region in which the diesel is produced. It should be noted that diesel products distributed into colder climates may require cloud and/or pour point suppressors, i.e.,winterization. (6) Product may contain up to 5 vol%renewable diesel content. (see renewable definition in section 6.1) 11/28/2023 Section 6.3 Sec6-3.doc Page 1 Quotation No. 24-074 Page 23 CHECK LIST This Checklist is provided to assist the vendors in the preparation of their bid response. Included in this list, are important requirements and is the responsibility of the bidder to submit with the bid package in order to make the bid compliant. Because this checklist is just a guideline, the bidder must read and comply with the bid in its entirety. Check off/each of the following: 1. / The Request for Quotation (RFQ) has been signed and completed. 2. Addenda, if any, have been signed and included in the bid package. 3. The completed Reference List as provided with this RFQ. 4. The completed Comply/Not Comply page as provided with this RFQ. 5. The Quotation Schedule as provided with this RFQ has been completed, price reviewed for accuracy and any corrections initialed. 6. The Fleet Compliance Certification (located in Exhibit D.) 7. 1114 Indicate all of bidder exceptions to the County's requirements, conditions and specifications as stated within this RFQ. 8. The Participation page as provided within this RFQ has been signed and included 9. The Local Vendor Bid Preference and Disabled Veteran Business Enterprise Bid Preference section (if applicable) has been signed and included. 10. Bidder to Complete page as provided with this RFQ. 11. 11//,4 Verification of Department of Industrial Relations Contractor Registration. 12. t/la Verification of Contractor's License and the Department of Consumer Affairs—Contractors' State License Board. 13. Return checklist with RFQ response. 14. Completed RFQ in pdf format, electronically submitted to the Bid Page on Public Purchase. 24-074 Bulk Fuel and Delivery