Request for Tender No. 1542

Caustic Soda Removal & Disposal from US Filter Emergency Vapour Scrubber RJ-2000

Issue date: June 20, 2014

Closing Location Purchasing Department

2020 Labieux Road Nanaimo, BC V9T 6J9

City Contact Scott Pamminger

Water Resource Specialist Telephone: (250)756-5338

Email: scott.pamminger@nanaimo.ca

Closing date and time Responses must be received at the Purchasing Department before

3:00 PM Pacific Time on July 4, 2014

Site Visit An optional site visit is scheduled for 1:00 p.m., June 26, 2014 at 1050

Nanaimo Lakes Road, Nanaimo, B.C. to view the site and ask any questions

Tenders will be opened privately

INSTRUCTIONS TO BIDDERS 1. Project Overview

Tenders are invited from qualified and experienced firms to remove and legally dispose of approximately 8,000 litres of caustic soda from a US Filter Emergency Vapour Scrubber System RJ-2000. Contents are approximately 18% - 20% NaOH. The City is requesting unit pricing per litre and will pay on actual litres removed and disposed. The location of the equipment is at 1050 Nanaimo Lakes Road, Nanaimo, B.C.

Completion of the work is desired on, or before July 25, 2014, as the City wishes to sell the equipment. Tenders must be received prior to 3:00 PM, Pacific Time, July 4, 2014 at the Purchasing Department, 2020 Labieux Road, Nanaimo, BC, V9T 6J9 and will be opened privately. Tenders received after the noted due time will not be considered. It is the sole responsibility of the person(s) submitting to deliver the Bid to the Purchasing Department before the closing time.

2. Site Meeting

An optional site visit is scheduled for 1:00 p.m., June 26, 2014 at 1050 Nanaimo Lakes Road, Nanaimo, B.C. to view the site and ask any questions.

3. Bid Submissions

Submission methods (use one of the methods below to submit your tender):

a) Via email at the only acceptable email address: purchasinginfo@nanaimo.ca All email submissions must be less than 8MB b) Via hard copy: One (1) hard copy and one (1) electronic version in MS Word/PDF

format submitted in the form of a CD/DVD or flash drive in a sealed envelope delivered to the Purchasing Department, 2020 Labieux Road, Nanaimo, B.C., V9T 6J9

c) Via facsimile at the only acceptable facsimile number: (250)756-5327 Bidders are strongly encouraged to call the Purchasing Department to ensure receipt prior to

the posted closing date and time. Tenders must be signed by an officer of the company in a position to legally bind the

company to the statements contained herein. Signing the tender form is a mandatory requirement. Unsigned tenders will result in disqualification.

The wall clock in the Purchasing Department is the official time piece.

4. Form of Contract

The form of contract for this project will be the City’s tender, Bidder’s tender, and any other pertinent written information encapsulated with a City of Nanaimo Purchase Order.

5. Bidder’s Responsibilities Before submitting a bid, it is the Bidder’s responsibility to:

1) Examine and read the Bid Documents thoroughly. 2) Examine the site and ascertain the extent and nature of all conditions, limitations,

or regulations affecting the performance of the Work. 3) Immediately notify the City of all perceived omissions and discovered conflicts,

errors and discrepancies in the Bid Documents. 4) To provide all labour, material, equipment and supervision to complete the work

taking into account all site conditions, restrictions, protection requirements, o perform the work in a turnkey manner. No extras will be entertained for inconveniences after award of this Contract.

5) Addenda: a) Direct all questions in writing to the City. b) Answers to queries are only binding when confirmed by written Addenda,

issued by the City’s Purchasing Department. c) All Addenda become part of the Bid and Contract Documents and costs

arising from any Addenda are to be included in the Bid Price. d) Complete and return the “Receipt Confirmation Form” for addenda to be sent

directly. It is the contractor’s sole responsibility to check with the City to determine whether there have been addenda issued prior to submitting their tender.

TENDER 1542 Caustic Soda Removal & Disposal

TENDER FORM Page 1 of 2

The undersigned has examined Tender 1542 and having full knowledge of the requirements of the City, do hereby agree to be bound by the Terms, Conditions, Statements and Representations contained herein. I, the Tenderer, have read and understood this agreement and safework procedures relating to this project. By signing this document, I am stating I have the necessary qualifications and accept the responsibilities as the Prime Contractor for this project as defined in the WorkSafeBC Occupational Health and Safety Regulations, Notice of projects, section 20.2, and Coordination of multiple employer workplaces, section 20.3; and in the Workers Compensation Act, Coordination at multiple-employer workplaces, sections 118, subsections (1) and (2). I also acknowledge I understand the duties of the City as defined in the Workers Compensation Act, General duties of City, section 119. UNIT PRICING

1. Caustic Soda Removal & Disposal estimated at 8,000 litres. City will pay on final number of litres disposed.

Price per litre $ ______________________________________________

GST $ ______________________________________________ Total Price per litre $ ______________________________________________

COMPLETION The City would prefer the work to be completed on, or before July 25, 2014. Please advise anticipated completion date if allowed access to the site July 9, 2014 : ______________________________________________________________________________

TENDER 1542 Caustic Soda Removal & Disposal

TENDER FORM Page 2 of 2

ACCEPTANCE Company Name & Mailing Address: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Authorized Signature: ___________________________________________________________ Printed Name: _________________________________________________________________ Email Address: ________________________________________________________________ Date: ________________________________________________________________________

TERMS AND CONDITIONS Insurance & Indemnity The Contractor will indemnify and save harmless the Owner, its employees and agents, from and against any and all losses, claims, damages, actions, causes of action, costs and expenses that the Owner may sustain, incur, suffer or be put to at any time either before or after the expiration or termination of this Contract, where the same or any of them are based upon, arise out of or occur, directly or indirectly, by reason of any act or omission of the Contractor or of any agent, employee, officer, director or subcontractor of the Contractor pursuant to this Contract, excepting always liability arising out of the independent negligent acts of the owner.

1. The Contractor shall, without limiting its obligations or liabilities herein and at its own expense, provide and maintain the following insurances with insurers licensed in British Columbia and in forms and amounts acceptable to the Owner:

a. Comprehensive General Liability in an amount not less than Two Million Dollars ($2,000,000.00) inclusive per occurrence against bodily injury and property damage. The Owner is to be added as an additional insured under this policy. Such insurance shall include, but not be limited to:

.01 Products or Completed Operations Liability;

.02 Owner’s and Contractor’s Protective Liability;

.03 Blanket Written Contractual Liability;

.04 Contingent employer’s Liability;

.05 Personal Injury Liability;

.06 Non-Owned Automobile Liability;

.07 Cross Liability;

.08 Employees as additional Insureds;

.09 Broad Form Property Damage;

.10 Broad Form Completed Operations; and where such further risk exists: .11 Shoring Blasting, Excavating, Underpinning, Demolition, Piledriving and

Caisson Work, Work Below Ground Surface, Tunneling and Grading, as applicable;

.12 Elevator and Hoist Liability; and

.13 Operation of Attached Machinery.

b. Automobile Liability on all owned or leased vehicles in an amount not less than Two Million Dollars ($2,000,000.00)

c. Aircraft and/or Watercraft Liability, where applicable, for all owned or non-owned craft operating or used in the performance of the Work by the Contractor, in an amount not less than Two Million Dollars ($2,000,000.00) per occurrence and including aircraft passenger hazard liability, where applicable.

d. Property insurance which shall cover all property, of every description, to be used in the construction of the Work, against “All Risks” of physical loss or damage, while such property

is being transported to the site, and thereafter throughout erection, installation and testing and such insurance shall be maintained until Substantial Performance of the Work. Such policy of insurance shall extend to protect the interest of the Owner, and shall contain a waiver of subrogation against the Owner.

2. All the foregoing insurance shall be primary and not require the sharing of any loss by any insurer of the Owner.

3. The Contractor shall provide the Owner with evidence of all required insurance prior to the commencement of the Work or services. Such evidence shall be in a form acceptable to the Owner. When requested by the Owner, the Contractor shall provide certified copies of required insurance policies.

4. All required insurance shall be endorsed to provide the Owner with thirty days (30) advance written notice of cancellation or material change.

5. The Contractor hereby waives all rights of recourse against the Owner with regard to damage to the Contractor’s property.

6. The Contractor shall require and ensure that each subcontractor maintain liability insurance comparable to that required above.

7. Unless specified otherwise, the duration of each insurance policy shall be from the date of commencement of the Work until the date of the final certificate for payment.

Business Licence The successful Contractor must have a current City of Nanaimo Business Licence or Nanaimo Inter-Community Business Licence prior to the commencement of any work. WorkSafe BC The successful Contractor shall provide WorkSafeBC coverage for all workers on their payroll and provide the City with a satisfactory Letter of Clearance prior to the commencement of any work. Prime Contractor Designation The Tenderer is to be designated as the Prime Contractor for this project per WorkSafe BC OH&S Regulations Sections 20.2 Notice of Project and 20.3 Coordination of Multiple Employer Workplaces and Workers’ Compensation Act, Section 118 Coordination of Multiple-Employer Workplaces (1) and (2). The Tenderer should also understand the general duties of the City as defined in the Workers’ Compensation Act, Section 119 General Duties of City. The Tenderer should have the necessary qualifications and be willing to accept the responsibilities as Prime Contractor for the project. Refer to Prime Contractor samples in Appendix A & B. Competency and Qualifications The successful contractor must have the necessary competence, experience, qualified personnel and equipment to carry out all aspects of the work of the Contract. The successful Contractor will employ properly licensed, trained and unimpaired workers throughout the duration of the contract. Failure to do so could result in termination. Copies of certifications may be requested by the City.

Cancellation The entire process is subject to final award approval by the City of Nanaimo whom retains the ability to cancel the process for any reason whatsoever without any compensation to anyone.

Ownership of Submissions All documents, including proposals, submitted to the City become the property of the City. They will be received and held in confidence by the City, subject to the provisions of the Province of British Columbia’s Freedom of Information and Protection of Privacy Act. Governing Law This agreement shall be governed by the laws of the Province of British Columbia.

Correspondence Both parties shall designate one person from their respective organizations to be primarily responsible for coordinating contractual and financial matters.

Invoicing The Contractor will be solely responsible for invoicing the City ensuring to include the City’s Purchase Order number on all invoices to assure timely payment. All invoices are subject to prior review and approval by the City and approved invoices will be paid on a net 30 day basis unless otherwise negotiated and agreed to in writing. If the City does not approve of the services or part of them which are the subject of the invoice, the City shall advise the Contractor in writing of the reasons for non-approval and the Contractor shall remedy at no additional cost to the City before the City shall be obliged to pay the invoice or any part of it, as the case may be.

Force Majeure (Act of God) Neither party shall be responsible for any delay or failure to perform its obligations under this Agreement where such delay or failure is due to fire, flood, explosion, war, embargo, governmental action, Act of Public Authority, Act of God or to any other cause beyond its control, except labour disruption. In the event Force Majeure occurs, the party who is delayed or fails to perform shall give prompt notice to the other party and shall take all reasonable steps to eliminate the cause. Should the Force Majeure event last longer than 30 calendar days, the City may terminate this Agreement immediately by written notice to the Contractor without further liability, expense, or cost of any kind. Dispute Resolution In the event of a dispute arising between the City and the Contractor as to their respective rights and obligations under the Agreement, both parties agree to resolve the dispute by:

a. Frank and open negotiations whereby both parties use their best efforts to resolve the dispute by mutual agreement including the most Senior Management of both parties.

b. If, after 30 calendar days, the dispute is not resolved, both parties agree to appoint a mediator to resolve the dispute. All costs to be split equally.

c. If, after the mediation process is complete and the dispute is not resolved, the parties shall proceed to arbitrations following the rules of procedures as per the British Columbia International Commercial Arbitration Centre located in Vancouver, B.C.. All costs, with the exception of legal fees, shall be borne equally.

Conflict of Interest The contractor declares that it has no financial interest, directly or indirectly in the business of any third party that would be or be seen to be a conflict of interest in carrying out the services. It warrants that neither it nor any of its officers or directors, or any employee with authority to bind the Bidder, has any financial or personal relationship or affiliation with any elected official or employee of the City or their immediate families which might in any way be seen by the City to create a conflict. Local Preference Preference shall be given to suppliers located within the Regional District of Nanaimo where quality, service, and price are equivalent. Contractors’ Expense Contractors are solely responsible for their own expenses in preparing a tender. If the City elects to reject all tenders, the City will not be liable to any Contractor for any claims, whether for costs or damages incurred by the Contractor in preparing the Proposal, loss of anticipated profit or any other matter whatsoever. Independent Contractor The Contractor shall be, and in all respects be deemed to be, an independent contractor and nothing in this Agreement shall be construed to mean that the Contractor is an employee of the City or that any agency, joint venture or partnership exists between the Contractor and the City. The Contractor shall be responsible for providing own employment insurance, WorkSafe BC coverage, business licence, income tax remittance and complying with any other applicable laws and regulations applicable to an independent contractor. Non-solicitation Contractors and their agents are cautioned that solicitations of City staff, other than the identified City contact person, or members of the City Council or any Committee or Commission formed by or associated with the City during the tender period, or, anytime prior to award, may be cause for rejection of the Tender, as this will be viewed as one Contractor seeking an unfair advantage over other Contractor. Irrevocability Tenders will be irrevocable and remain open for acceptance by the City for a period of thirty (30)

calendar days, after the closing time.

Withdrawal of Tenders Tenders may be withdrawn only by written notice, provided such notice is received at the Purchasing Department prior to the posted “closing date and time”. Permits, Regulations and Building Codes The Contractor shall at his own expense, obtain all permits, certificates and licences required by law for the conduct of the work and shall comply with all Federal, Provincial and City Laws, Regulations, Building Codes and Ordinances affecting the execution of the work. Site Maintenance and Clean up The working area shall be maintained in an orderly manner and shall not be encumbered with equipment, materials or debris. Minimum Rate of Pay “Minimum rate of pay for work performed under this Contract or under Sub-contract shall be as classified in the current Agreement between the City of Nanaimo and Canadian Union of Public Employees, Local 401.” Change Orders All change orders must be in writing and signed off by both parties prior to the commencement of such work. Litigation Clause The City may, in its absolute discretion, reject a Submission submitted by Company, if the Company, or any officer or director of the Company is or has been engaged either directly or indirectly through another corporation in legal action against the City, its elected or appointed officers and employees in relation to: (a) any other contract for works or services; or (b) any matter arising from the City’s exercise of its powers, duties, or functions under the Local

Government Act, Community Charter or another enactment within five years of the date of this Call for Submissions. Taxes Unit and/or lump sum prices shall include provincial sales tax payable on all applicable materials and equipment incorporated in the work. GST is not to be included in the unit and/or lump sum prices. GST shall be shown separately. Any changes in taxes shall be passed onto the City. Utilities & Washroom Facilities The City will supply any utilities (power, water, etc.) and access to existing washroom facilities within reason.

Bids Over Budget If the lowest Bid does not fall within the project budget, the Owner reserves the right to enter into negotiations with the lowest qualified Bidder on any and all aspects of the Bid, in order to secure a reduction in the Bid Price. If such negotiations do not produce a price acceptable to the Owner, or if the difference between the lowest calculated tender and the project budget makes negotiations impracticable, all Bids may be rejected and all bidders so notified. Assignment The Contractor shall not assign any part of the Contract without first obtaining the written consent of the Owner, which consent may be withheld at the sole discretion of the Owner. Bankruptcy The Owner reserves the right to stop the work, or, terminate the contract if the contractor commits an act of bankruptcy, threatens to commit an act of bankruptcy. Collusion The bidder shall not engage in collusion of any sort and shall ensure that no person or other legal entity, other than the bidder has an interest in the bidder’s tender and prepare the tender without any knowledge of, comparison of figures with, or arrangement with any other person or firm preparing a Tender for the same work. Tender Irregularities The Owner, at its sole discretion reserves the right to waive any minor tender irregularities.

Prime Contractor General Information Form

APPENDIX “D”

This document does not replace the Workers Compensation Act or OH&S Regulations

Sections 118 of the Workers Compensation Act: “multiple employer workplace” means a workplace where workers of 2 or more employers are working at the same time. Note:

• Workers of one employer do not necessarily have to come in contact with workers of the other • They do not have to be in the same place at the same time • Workers’ activities could affect the health and safety of another employer’s workers. This is true

even if the workers at the workplace are workers of the owner or contractor. “prime contractor” means, in relation to a multiple-employer workplace,

(a) the directing contractor, employer or other person who enters into a written agreement with the owner of that workplace to be the prime contractor for the purposes of this Part, or

(b) if there is no agreement referred to in paragraph (a), the owner of the workplace. The prime contractor of a multiple employer workplace must

• Ensure that the activities of all employers, workers (including the owners), and other persons at the workplace relating to occupational health and safety are coordinated and

• Do everything that is reasonably practicable to establish and maintain a system or process that will ensure compliance with the WC Act and the Regulation in respect of the workplace

Each employer of workers at a multiple employer workplace must give to the prime contractor the name of the person the employer has designated to supervise the employer’s workers at that workplace. For the sake of clarity, the following apply in determining whether there is a “multiple-employer” workplace:

• Two or more adjacent workplaces do not constitute a “multiple-employer workplace”, even though the activities at one place might affect the health and safety of workers at an adjacent workplace.

• In contrast, the workplace will generally be a “multiple-employer” workplace in the following situations:

-Workers of different employers are present at the same time working on the different projects; or -Workers of different employers are present at the same time working on the same project.

In either case the workplace would be considered a “multiple-employer” worksite.

Prime Contractor General Information Form

Page 2 of 3

• In determining whether “workers of 2 or more employers are working at the same time”, the phrase “at the same time” will be given such fair, large and liberal construction as may best attain the objectives of section 118. “At the same time” does not mean that, at any precise point in time, there are workers of 2 or more employers present in the workplace. Rather, it means that, over an appropriate interval, there are workers of 2 or more employers present in the workplace, whether or not the 2 or more groups of workers are actually present together in the workplace at any precise point in time at all. The duration of the interval of time to be considered will depend upon the circumstances of the individual workplace.

• Whether the workers of the one employer come into actual contact with the workers of the other employer does not generally affect the determination of whether the workplace is a “multiple-employer workplace”. An employer, the employer’s workers and their activities could well affect the health and safety of another employer’s workers who come into the workplace later in the day or on another day, even though there may be no actual contact between the two groups of workers. However, the degree to which the activities of the first employer and its workers affect the health and safety of the second employer’s workers will generally affect the determination of the responsibilities of the prime contractor and of the two employers under Part 3 and the regulations

• Virtually all workplaces will be visited by workers of other employers. For

example, workers may deliver or pick up mail, goods or materials or enter to inspect the premises. Short term visits of this type, even if regular, do not make the workplace a “multiple-employer workplace” for purposes of section 118(1).

The written agreement referred to in section 118(1) of the Act must be made available within a reasonable time if requested by a Board officer. There can be only one "prime contractor" at a workplace at any point in time. If an owner enters into more than one agreement purporting to create a "prime contractor" for the same period of time, the owner is considered to be the prime contractor.

Prime Contractor General Information Form

Page 3 of 3 Section 119 of the Workers Compensation Act: Every owner of a workplace must

(a) provide and maintain the owner's land and premises that are being used

as a workplace in a manner that ensures the health and safety of persons at

or near the workplace,

(b) give to the employer or prime contractor at the workplace the information

known to the owner that is necessary to identify and eliminate or control

hazards to the health or safety of persons at the workplace, and

(c) comply with this Part, the regulations and any applicable orders. Prime Contractor Qualified Coordinator OH&S Regulations 20.3: If a work location has overlapping or adjoining work activities of 2 or more employers that create a hazard to workers, and the combined workforce at the workplace is more than 5,

(a) the owner, or if the owner engages another person to be the prime contractor, then that person must

(i) appoint a qualified coordinator for the purpose of ensuring the coordination of health and safety activities for the location, and

(ii) provide up-to-date information as specified in subsection (4), readily available on site, and

(b) each employer must give the coordinator appointed under paragraph (a)(i) the name of a qualified person designated to be responsible for that employer's site health and safety activities.

(3) The duties of the qualified coordinator appointed under paragraph (2)(a)(i) include

(a) informing employers and workers of the hazards created, and

(b) ensuring that the hazards are addressed throughout the duration of the work activities.

(4) The information required by subsection (2)(a)(ii) includes

(a) the name of the qualified coordinator appointed under subsection (2)(a)(i),

(b) a site drawing, which must be posted, showing project layout, first aid location, emergency transportation provisions, and the evacuation marshalling station, and

(c) a set of construction procedures designed to protect the health and safety of workers at the workplace, developed in accordance with the requirements of this Regulation.

RFT 1086 Issued October 26/2010

Prime Contractor

Preconstruction Meeting Form APPENDIX “B”

Date: Meeting Location: Firm Name: Contract #: Prime Contractor: Prime Contractor’s Superintendent: City’s Contract Representative: AGREEMENT The Prime Contractor:

Acknowledges appointment as Prime Contractor defined by WorkSafe BC OH&S Regulations Sections 20.2 and 20.3, and in the Workers’ Compensation Act, Sections 118 Clauses 1 and 2.

Understands the Owners duties as defined in the Workers’ Compensation Act, Section 119. Understands for any discrepancy establishing health and safety protocol, WorkSafe BC OH&S

Regulation and/or the Workers’ Compensation Act (Part 3) shall prevail. Acknowledges being informed of any known workplace hazards by the owner or owner’s

delegate, by signing attached “Existing Known Hazard Assessment” form. Shall communicate known hazards to any persons who may be affected and ensure

appropriate measures are taken to effectively control or eliminate the hazards. Shall ensure all workers are suitably trained and qualified to perform the duties for which they

have been assigned. Shall ensure or coordinate first aid equipment and services as required by WorkSafe BC OH&S

Regulation. Shall coordinate the occupational health and safety activities for the project. Assumes responsibility for the health and safety of all workers and for ensuring compliance by

all workers with the Workers Compensation Act (Part 3) and WorkSafe BC OH&S Regulation. Understands any WorkSafe BC violation by the Prime Contractor may be considered a breach

of contract resulting in possible termination or suspension of the contract and/or any other actions deemed appropriate at the discretion of the City.

Understands any penalties, sanctions or additional costs levied against the Prime Contractor will be the responsibility of the Prime Contractor.

Accepts the following required documents shall be maintained and made available upon request from the City and/or WorkSafe BC Prevention officer at the workplace.

RFT 1086 Issued October 26/2010

The documents required to be maintained and available by the Prime Contractor will include, but not be limited to: All notices which the Prime Contractor is required to provide to WorkSafe BC as per

WorkSafe BC OH&S Regulation. Any written summaries of remedial action taken to reduce occupational health and safety

hazards within the area of responsibility. All directives and inspection reports issued by WorkSafe BC. Records of any incidents and accidents occurring within the Prime Contractor’s area of

responsibility. Completed accident investigations for any incidents and accidents occurring within the

Prime Contractor’s area of responsibility.

On a construction workplace, these additional documents are required to be maintained and available by the Prime Contractor: • Records of all orientation and regular safety meetings held between contractors and their

workers, including topics discussed, worker names and companies in attendance. • Written evidence of regular inspections within the workplace. • Occupational first aid records. • Worker training records. • Current list of the name of a qualified person designated to be responsible for each

subcontractor (employer’s) site health and safety activities. • Diagram of the emergency route to the hospital.

The following information must be provided to the City Contract Representative:

WorkSafe BC Notice of Project WorkSafe BC Clearance Letter Prime Contractor’s OH&S Safety Program Prime Contractor’s OH&S Safety Program Document

First Aid Attendants:

Safety Supervisor:

Location of First Aid Station:

Signature of Prime Contractor:

RFT 1086 Issued October 26/2010

Signature of City Contract Representative:

EXISTING KNOWN HAZARD ASSESSMENT Discussion between the Prime Contractor and the City Contract Representative Date: Meeting Location: Prime Contractor: Prime Contractor Representative: • City Contract Representative to make the Prime Contractor aware of any known extraordinary

pre-existing hazards peculiar to the contract. • It is recognized the known pre-existing hazards identified may not be a comprehensive list and

due caution is always required. • Use additional pages if necessary.

Identified Extraordinary Hazards Action required to eliminate or control hazards and ensure worker safety

Comment:

Comment:

Comment:

Prime Contractor Representative (signature) City Contract Representative (signature)

RFT 1086 Issued October 26/2010

Prime Contractor Representative (printed) City Contract Representative (printed)

RECEIPT CONFIRMATION FORM

Request for Tender No. 1542

CAUSTIC SODA REMOVAL & DISPOSAL

Closing date and time: 3:00 PM, Pacific Standard Time, July 4, 2014

As receipt of this document, and to receive any further information about this Request for Tender please return this form to:

Attention: Kurtis Felker

Manager, Purchasing & Stores City of Nanaimo

2020 Labieux Road, Nanaimo, BC, V2T 4M7 Fax: 250.756.5327

Email: purchasinginfo@nanaimo.ca

COMPANY NAME: ________________________________________________

STREET ADDRESS: _______________________________________________

CITY/PROVINCE: _________________________________________________

POSTAL CODE: __________________________________________________

PHONE NUMBER: ________________________________________________

FAX NUMBER: ___________________________________________________

CONTACT PERSON: ______________________________________________

EMAIL ADDRESS: ________________________________________________

SIGNATURE: ___________________________________________________________