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BID ADDENDUM STATE OF CONNECTICUT Bid Number:
UCHC-18 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
PURCHASING DEPARTMENT 4-1599
Jennifer Kelley Administrative Services Building 1st Floor Bid Due Date:
Purchasing Services Officer 263 Farmington Avenue October 13, 2006
Farmington CT 06032
860-679-2408
Telephone Number
Bid Addendum #1
DESCRIPTION: Backflow Device Testing for the University of Connecticut Health Center
Bidders Note:
Please include the following response to bidders’ questions in your bid specifications:
Questions:
A. Is it possible to find out what the previous contractor was charging for its contract
B. Can you provide a list of all Backflow Preventers to be tested by size, make, model number and
location?
Response:
A:
Device Size Testing Unit Price Repair Unit Price
½” $27.50 $209.84
¾” $27.50 $214.11
1” $27.50 $214.11
1¼” $27.50 $261.93
1½” $27.50 $261.93
2” $27.50 $261.93
3” $27.50 $526.19
4” $27.50 $546.18
6” $27.50 $695.87
B: Please see attached list of devices. There may be a small number of additional devices to be tested at
the 16 Munson Road, Farmington location and at the Medical Arts & Research Building on the Main
Campus. These will be priced the same as similar devices on the list.
All other terms and conditions remain unchanged.
This Addendum must be Signed & Returned with your bid.
________________________________ ______________________________
Authorized Signature of Bidder Company Name
Approved ______________________________________
Jennifer K. Kelley
Purchasing Services Officer
(Original Signature on file in UCHC Purchasing Department)
Dated Issued: October 4, 2006
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
1 C-SUB BASEMENT HOT WATER HEATER 1&2 100 909 155780 3.00
2 C-SUB BASEMENT HOT WATER HEATER 1&2 BYPASS 101 909 MIQT 330358 2.00
3 C-SUB BASEMENT ORAL SUCTION UNIT 102 909MIQT 33226 1.25
4 L- PENTHOUSE BEHIND BL - 23 103 909 QT 466731 0.75
5 L- PENTHOUSE SEC.1 COPMRESSOR 104 909 QT 465690 0.75
6 L- PENTHOUSE SEC. 1 CHILLER 105 909 QT 465716 0.75
7 C-PENTHOUSE SEC. 1 HWH 106 909 153340 3.00
8 L- PENTHOUSE SEC. 1 HWH BYPASS 107 909 331627 2.00
9 L- PENTHOUSE TANK MAKE UP WATER ACROSS FROMSNET 108 909 QT 465698 0.75
10 L- PENTHOUSE FAST FILL TANK ACROSS FROM SNET 109 909 MIQT 332916 1.50
11 L- PENTHOUSE SEC. 2 HWH #2 110 909 155053 3.00
12 L- PENTHOUSE SEC.2 HWH # 2 BYPASS 111 909 331825 2.00
13 L- PENTHOUSE SEC.2 HWH # 3 112 909 155052 3.00
14 L- PENTHOUSE SEC.2 HWH # 3 BYPASS 113 909 327456 2.00
15 L- PENTHOUSE SEC. 2 CHILLER 114 009 QT 99197 0.50
16 L- PENTHOUSE SEC.2 WATER CHILLER 1 OF 2 115 009 QT 99132 0.50
17 L- PENTHOUSE SEC.2 BLAZER TOWER # 8 116 909 QT 465700 0.75
18 L- PENTHOUSE SEC.2 BLAZER TOWER # 7 117 909 QT 460189 0.75
19 L- PENTHOUSE SEC. 3 BEHIND TANK 4 HWH 118 009 QT 99146 0.50
20 L- PENTHOUSE SEC. 2 ACROSS FROM CLEAVER BROOKS ROOM 119 009 99115 0.50
21 L- PENTHOUSE HWH # 4 BYPASS 120 909 332239 2.00
22 L- PENTHOUSE HWH # 4 121 909 154843 3.00
23 L- PENTHOUSE SEC. 2 HW FEED TO CLEAVER BROOKS ROOM 122 909 QT 468136 0.75
24 L- PENTHOUSE SEC. 3 NEXT TO BAC TOWERS 123 909 465709 0.75
25 H-PENTHOUSE NEAR AIR STATION # 2 124 909 465682 0.75
26 H-PENTHOUSE RIGHT OF EXH 63 NEXT TO EYEWASH 125 909 466354 0.75
27 H-PENTHOUSE FRONT SIDE OF BL 47 126 909 466304 0.75
28 H-PENTHOUSE BLOWER 70 127 909 465686 0.75
29 H-PENTHOUSE NEXT TO BL 46 128 909 466355 0.75
30 H-PENTHOUSE BL 48 HUMIDIFICATION 129 909 465695 0.75
31 L-7097A 130 009 96589 0.50
32 H-M028 131 009 86274 0.50
33 A-M048 132 909 464571 0.75
34 A-M048 133 009 86252 0.75
35 A-M048 134 009 94715 0.50
36 A-M048 135 009 99210 0.50
37 L-7031A 136 009 99167 0.50
38 L-7031A 137 009 95110 0.50
39 L- PENTHOUSE PERCHLORIC HOOD SCRUBBERS 140 909 465683 0.75
40 L- PENTHOUSE SEC. 3 141 009 99206 0.50
41 L- PENTHOUSE SEC. 3 142 909 466364 0.75
42 L- PENTHOUSE R.O. SYSTEM 143 909 337182 1.50
43 L- PENTHOUSE SEC. 2 CLEAVER BROOKS ROOM MAKE UP WATER 144 909 466295 0.75
44 H-PENTHOUSE HWH BYPASS 145 909 330360 2.00
45 H-PENTHOUSE HWH 146 909 191952 4.00
46 H-SUB BASEMENT BL 42 147 909 465708 0.75
47 C-SUBBASEMENT COLUMN NEXT TO BL 57 148 909 465691 0.75
48 C-SUBBASEMENT COLUMN NEXT TO EXH 87 149 909 466357 0.75
49 C-PENTHOUSE EXH 88 150 909 464572 0.75
50 C-PENTHOUSE LAB AIR 151 009 86260 0.50
51 C-PENTHOUSE LAB AIR 152 009 79046 0.50
52 L-4088 HOT WATER ABOVE HOOD 153 009 78000 0.50
53 L-4088 COLD WATER ABOVE HOOD 154 009 96604 0.50
54 H- 7TH FLOOR SOILED UTILITY ROOM 155 009 99118 0.50
55 H - 6TH FLOOR SOILED UTILITY ROOM 156 009 99209 0.50
56 H - 5TH FLOOR SOILED UTILITY ROOM 157 009 99188 0.50
57 H - 4TH FLOOR SOILED UTILITY ROOM 158 009 99136 0.50
58 H - 3RD FLOOR SOILED UTILITY ROOM 159 009 96613 0.50
59 H - 2ND FLOOR SOILED UTILITY ROOM 160 009 96618 0.50
60 H - 1ST FLOOR SOILED UTILITY ROOM 161 009 96608 0.50
61 L-B003 162 009 99155 0.50
62 B-3007 163 009 96576 0.50
63 B-2010 164 009 95116 0.50
64 B-4008 165 009 105746 0.50
65 B-5006 166 009 105736 0.50
66 L-B005 167 009 94637 0.50
4-1599 List of Devices.xls 1 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
67 L-B002 168 009 105899 0.50
68 L-5093 BELOW CEILING HOOD WALL 169 009 105729 0.50
69 L-5093 HOT WATER - CENTER ISLAND 170 009 105759 0.50
70 L-5093 COLD WATER - CENTER ISLAND 171 009 105775 0.50
71 B-5008 COLD WATER 172 009 105751 0.50
72 B-6010 COLD WATER 173 009 105910 0.50
73 B-6007 COLD WATER 174 009 105728 0.50
74 B-1007 COLD WATER 175 009 94608 0.50
75 B-4009 COLD WATER 176 009 95122 0.50
76 L-5096 HOT 177 009 94606 0.50
77 L-5096 COLD 178 009 99212 0.50
78 B-4011 COLD WATER 179 009 105752 0.50
79 B-4006 COLD WATER 180 009 105783 0.50
80 B-3011 COLD WATER 181 009 105797 0.50
81 B-3008 COLD WATER 182 009 105723 0.50
82 B-3010 COLD WATER 183 009 105750 0.50
83 L-5081 COLD WATER 184 009 105787 0.50
84 L-5081 HOT WATER 185 009 105773 0.50
85 B-4010 COLD WATER 186 009 105758 0.50
86 L-2085A 187 009 105918 0.50
87 L-2085 COLD WATER 188 009 105961 0.50
88 L-2085 HOT WATER 189 009 105799 0.50
89 L-2092 HOT IN CEILING ABOVE SMALL SINK 190 909 466362 0.75
90 L-2092 COLD IN CEILING ABOVE SMALL SINK 191 909 465715 0.75
91 L-2087 RIGHT SIDE WALL 192 009 105903 0.50
92 L-2092 COLD WATER RIGHT SIDE WALL 193 009 105794 0.50
93 L-2092 HOT WATER RIGHT SIDE WALL 194 009 105767 0.50
94 L-2087A ON WALL SMALL OFFICE 195 009 105931 0.50
95 L-2087 COLD WATER 196 009 105740 0.50
96 L-2087 HOT WATER 197 009 105780 0.50
97 L-7007 HOT WATER HOOD WALL 198 009 105747 0.50
98 L-7007 COLD WATER HOOD WALL 199 009 105754 0.50
99 L-4091 COLD WATER 231 009 105772 0.50
100 L-4091 HOT WATER POTABLE WALL 232 009 105698 0.50
101 L-1091 COLD WATER LEFT WALL 233 009 105959 0.50
102 L-4091 HOOD WALL (ALSO L-4097 SOUTH WALL) 234 009 105928 0.50
103 L-5074 235 009 105902 0.50
104 L-5074 LEFT WALL 236 009 105913 0.50
105 L-5074 COLD WATER (POTABLE WALL) 237 009 105656 0.50
106 L-3031A 239 009 105777 0.50
106 L-5074 HOT WATER (POTABLE WALL) 238 009 105907 0.50
107 L-3031A GLASS WASHER 240 909 474389 0.75
108 L-3051A AUTOCLAVE 241 009 105933 0.50
109 L-6087A BOTTLE WASHER 242 909 474391 0.75
110 L-6087A AUTOCLAVE 243 009 105904 0.50
111 L-1031A BOTTLE WASHER 244 909 474388 0.75
112 L-1031A AUTOCLAVE 245 009 105943 0.50
113 L-1031A AUTOCLAVE 246 009 105932 0.50
114 L-7031A BOTTLE WASHER 247 909 474396 0.75
115 L-2031C ELECTRIC STEAM BOILER 248 009 105939 0.50
116 L-2031C AUTOCLAVE 249 909 465702 0.75
117 L-2031C 250 909 466741 0.75
118 L-5021A 251 009 105769 0.50
119 L-5021A 252 009 105779 0.50
120 L-5021A 253 909 466305 0.75
121 L-4018A 254 009 105781 0.50
122 L-4018A 255 009 105768 0.50
123 L-4018A 256 909 466344 0.75
124 L-5079A 257 009 105935 0.50
125 L-5079A 258 009 105946 0.50
126 L-5079A 259 909 466358 0.75
127 L-7097A 260 909 474413 0.75
128 C-2104 DIRTY UTILITY RM NEXT TO C2096 261 009 106170 0.50
129 B-3006 262 009 106172 0.50
130 B-1011 263 009 105940 0.50
131 L-2019A 264 009 105595 0.50
4-1599 List of Devices.xls 2 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
132 L-2019A 265 909 474416 0.75
133 L-3082A 266 909 474214 0.75
134 L-2019A AUTOCLAVE 267 009 105936 0.50
135 L-3082A 268 009 106268 0.50
136 L-3082A 269 009 106175 0.50
137 L-3082A COLD WATER PROTECTS L-3081 270 009 105937 0.50
138 L-3082 HOT WATER PROTECTS L-3081 271 009 105952 0.50
139 B-1010 272 009 105929 0.50
140 B-2007 273 009 105753 0.50
141 A-M0274 AUTOCLAVE 274 009 106173 0.50
142 A-M0274 AUTOCLAVE 275 009 106264 0.50
143 A-M0274 GLASS WASHER 276 909 474439 0.75
144 D-1000 BOILER ROOM 226 909 01572 1.25
144 L-1079A AUTOCLAVE 277 009 106269 0.50
145 E-1000 BOILER ROOM MAKE UP WATER BOILERS 009 07951 3.00
145 L-1079A AUTOCLAVE 278 009 106153 0.50
146 A-SUB BASEMENT DOMESTIC WATER BYPASS 009 05129 3.00
146 C-AMTU SOILED LINEN RM IN CEILING 219 009 105332 0.50
146 L-1079A GLASS WASHER 279 909 474222 0.75
147 C-AMTU FEEDS FISH TANK 221 009 106476 0.50
147 C-2036 BEHIND AUTOCLAVES 280 909 474011 0.75
148 H-M049 OVER SINK 009 110665 0.50
149 L-4038 COLD WATER 282 009 105927 0.50
149 K-SUB BASEMENT TAF SUBBASEMENT WATER TO LABS 009 112129 2.00
150 E-7053 HOT WATER TO 7053 & 7052 IN CEILING 514 009 136368 0.75
150 L-4038 HOT WATER 283 009 105792 0.50
151 E-1009 COLD WATER IN CEILING 074 009 136369 0.75
151 L-4015 HOT WATER 284 009 105955 0.50
152 E-4053 COLD WATER TO 4052 & 4053 IN CEILING 260 009 136371 0.75
152 L-4015 COLD WATER 285 009 99173 0.50
153 E-7009 COLD WATER IN CEILING 586 009 136372 0.75
154 E-2009 HOT WATER IN CEILING 159 009 136374 0.75
155 E-1030 COLD WATER TO 1029 & 1030 IN CEILING 067 009 136376 0.75
156 E-6009 HOT WATER IN CEILING 504 009 136379 0.75
157 E-6053 COLD WATER TO 6052 & 6053 IN CEILING 433 009 136382 0.75
158 E-6030 COLD WATER TO 6029 & 6030 IN CEILING 466 009 136385 0.75
159 E-1038 COLD WATER TO 1037 & 1038 IN CEILING 009 136388 0.75
160 E-HUM5 & K-SB 009 136389 0.75
161 E-7038 COLD WATER TO 7037 & 7038 IN CEILING 537 009 136390 0.75
162 E-PENTHOUSE ALONGSIDE ELEVATORS 009 136397 0.75
163 E-7023 DOORWAY 565 009 136400 0.75
164 E-PENTHOUSE OPPISITE ELEVATOR ON BACK SIDE 626 009 136401 0.75
165 E-7009 HOT WATER TO AUTOCLAVE, SINK ETC. 585 009 136409 0.75
166 E-7053 COLD WATER TO 7052 & 7053 515 009 136411 0.75
167 K-SUB BASEMENT FEEDS HUMIDIFIER SOUTH WALL 642 009 136413 0.75
168 E-7014 HOT WATER TO ROOMS 7013 & 7014 573 009 136420 0.75
169 E-PENTHOUSE OPPISITE ELEVATOR IN CEILING 009 136421 0.75
170 E-6014 COLD WATER TO ROOMS 6013 & 6014 490 009 136422 0.75
171 E-3030 COLD WATER TO ROOMS 3029 & 3030 180 009 136423 0.75
172 E-4014 COLD WATER TO ROOMS 4013 & 4014 276 009 136424 0.75
173 K-SUB BASEMENT FEEDS HUMIDIFIER WEST END 009 136426 0.75
174 E-6009 COLD WATER 503 009 136433 0.75
175 E-5038 COLD WATER TO ROOMS 5037 & 5038 372 009 136619 0.75
176 E-4038 COLD WATER TO ROOMS 4037 & 4038 302 009 136621 0.75
177 E-4030 COLD WATER TO ROOMS 4029 & 4030 314 009 136622 0.75
178 E-3014 HALLWAY IN CEILING 223 009 136625 0.75
179 E-4009 HOT WATER TO ROOM 4009 328 009 136626 0.75
180 E-5030 COLD WATER TO ROOMS 5029 & 5030 383 009 136628 0.75
181 E-5009 COLD WATER TO ROOM 5009 416 009 136630 0.75
182 E-3038 COLD WATER TOROOMS 3037 & 3038 188 009 136631 0.75
183 E-SECOND FLOOR DARK ROOM IN CEILING 165 009 136632 0.75
184 E-5009 HOT WATER TO ROOM 5009 417 009 136633 0.75
185 E-3009 COLD WATER TO ROOM 3009 248 009 136634 0.75
186 E-2009 COLD WATER TO ROOM 2009 158 009 136635 0.75
187 E-2053 COLD WATER TO ROOMS 2052 & 2053 148 009 136637 0.75
188 E-SECOND FLOOR COLD WATER TO DARK ROOM 164 009 136644 0.75
4-1599 List of Devices.xls 3 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
189 E-5014 COLD WATER TO ROOMS 5013 & 5014 406 009 136648 0.75
190 E-FOURTH FLOOR DARK ROOM HOT WATER IN CEILING 336 009 136654 0.75
191 E-FOURTH FLOOR DARK ROOM COLD WATER IN CEILING 335 009 136663 0.75
192 E-3053 COLD WATER TO ROOMS 3052 & 3053 241 009 136682 0.50
193 E-3009 HOT WATER IN CEILING 249 009 136684 0.75
194 E-4009 COLD WATER IN CEILING 329 009 136699 0.75
195 E-7014 COLD WATER TO ROOMS 7013 & 7014 567 009 136747 0.75
196 E-1009 HOT WATER TO ROOM 1009 073 009 136757 0.75
197 E-1014 COLD WATER TO ROOMS 1013 & 1014 no tag 009 136767 0.75
198 E-7030 COLD WATER TO ROOMS 7029 & 7030 548 009 136770 0.75
199 E-2014 COLD WATER TO ROOMS 2013 & 2014 132 009 136776 0.75
200 E-2038 COLD WATER TO ROOMS 2037 & 2038 103 009 136794 0.75
201 E-1053 COLD WATER TO ROOMS 1052 & 1053 003 009 136802 0.75
202 E-2030 COLD WATER IN ROOMS 2029 & 2030 090 009 136803 0.75
203 E-6038 COLD WATER IN ROOMS 6037 & 6038 454 009 136806 0.75
204 E-5053 COLD WATER TO ROOMS 5052 & 5053 352 009 136808 0.75
205 E-1038 OUTSIDE ROOM IN HALLWAY 009 13688 0.75
206 E-PENTHOUSE ALONGSIDE AHU-3 009 13688 0.75
207 C-BASEMENT RMW ROOM 909 144216 3.00
208 C-BASEMENT ROOM CB009 (CONTAINMENT) 909 144217 3.00
209 E-SUB BASEMENT MECHANICAL ROOM SOUTH WALL 909 153549 3.00
210 K-SUB BASEMENT MECHANICAL ROOM SOUTH WALL 909 153818 3.00
211 L- PENTHOUSE BY CLEAVER BROOKS ROOM 909 154843 3.00
212 C-SUB BASEMENT ACROSS FROM BL# 51 909 155780 3.00
213 C-SUB BASEMENT COOLING FOR DENTAL COMPRESSOR B-214 909 166618 1.50
214 J-WAREHOUSE SUPPLY BUILDING EAST WALL 909 174189 4.00
215 7 MACHINE ROOM 909 177537 2.00
216 3 JANITOR CLOSET 1002A 223 909 182666 2.00
217 4 JANITOR CLOSET 228 909 182673 2.00
218 D-1000 BOILER ROOM 909 221917 1.00
219 1 WOMANS ROOM 224 909 237442 2.00
220 D-1000 BOILER ROOM FIRE SYSTEM 909 242678 6.00
221 A-BASEMENT EAST END CHILLER ROOM 909 242811 6.00
222 27 WHITE ROOM FIRST FLOOR 222 909 247130 1.50
223 C-BASEMENT RMW ROOM C-B002 909 248299 6.00
224 C-BASEMENT CB009 NEAR CCS SWITCH GEAR ROOM 909 248304 6.00
225 A-SUB BASEMENT WEST STAIRWELL 909 249638 6.00
226 E-SUB BASEMENT MECHANICAL ROOM SOUTH WALL 909 251683 6.00
227 L- PENTHOUSE CLEAVER BROOKS ROOM WEST WALL 909 273887 1.25
228 A-BASEMENT CHILLER ROOM SOUTHEAST CORNER 909 284032 1.50
229 2 ROOM 21005A D.I. WATER ROOM 009 29714 2.00
230 E-SUB BASEMENT HOT WATER TO R.O. SYSTEM 009 30039 1.50
231 1 BOILER ROOM NORTH WALL 225 909 305152 1.00
232 H-PENTHOUSE CHILLED WATER MAKEUP AT PUMPS 909 306425 0.75
233 C-SUB BASEMENT ORAL SUCTION UNIT 909 332267 1.25
234 H-M047 WEST WALL 909 350958 1.00
235 H-PENTHOUSE MAKEUP TO CHILLED WATER SYSTEM 208 909 396872 0.75
236 L- PENTHOUSE EXHAUSTER # 54 & 56 WASH DOWN SYSTEM 909 460186 0.75
237 L- PENTHOUSE EXHAUSTER # 54 & 56 WASH DOWN SYSTEM 909 466367 0.75
238 E-5038 HOT WATER TO ROOMS 5037 & 5038 371 009 82960 0.50
239 E-6045 HOT WATER TO ROOM 6048 444 009 82969 0.50
240 E-1027 HOT WATER TO ROOM 1025 042 009 82994 0.50
241 E-2014 HOT WATER TO ROOMS 2013 & 2014 133 009 82998 0.50
242 E-3027 HOT WATER TO ROOM 3025 201 009 83004 0.50
243 E-SIXTH FLOOR DARK ROOM 508 009 83005 0.50
244 E-5023 ABOVE DOOR AT ENTRANCE 399 009 83008 0.50
245 E-6027 HALLWAY IN FRONT OF 6027 IN CEILING 477 009 83009 0.50
246 E-5027 HALLWAY IN FRONT OF 5027 IN CEILING 395 009 83011 0.50
247 E-6027 HALLWAY IN FRONT OF 6027 IN CEILING 476 009 83014 0.50
248 E-4038 HALLWAY IN FRONT OF 4038 IN CEILING 303 009 83015 0.50
249 E-2022 ABOVE DOOR AT ENTRANCE 124 009 83020 0.50
250 E-6053 HALLWAY IN FRONT OF 6053 IN CEILING 432 009 83022 0.50
251 E-5053 HALLWAY IN FRONT OF 5053 IN CEILING 351 009 83023 0.50
252 E-3030 HALLWAY IN FRONT OF 3030 IN CEILING 009 883025 0.50
253 E-3027 HALLWAY IN FRONT OF 3027 IN CEILING 200 009 83026 0.50
254 E-2045 ABOVE DOOR AT ENTRANCE 400 009 83027 0.50
4-1599 List of Devices.xls 4 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
255 E-4053 HALLWAY IN FRONT OF 4053 IN CEILING 261 009 83028 0.50
256 E-2022 ABOVE DOOR AT ENTRANCE 123 009 83030 0.50
257 E-2045 HALLWAY IN FRONT OF 2045 IN CEILING 113 009 83032 0.50
258 E-2027 HALLWAY IN FRONT OF 2027 IN CEILING 116 009 83033 0.50
259 E-7027 HALLWAY IN FRONT OF 7027 IN CEILING 559 009 83034 0.50
260 E-5030 HALLWAY IN FRONT OF 5030 IN CEILING 384 009 83036 0.50
261 E-2038 HALLWAY IN FRONT OF 2038 IN CEILING 104 009 83037 0.50
262 E-7045 HALLWAY IN FRONT OF 7045 IN CEILING 525 009 83039 0.50
263 E-3053 HALLWAY IN FRONT OF 3053 IN CEILING 240 009 83040 0.50
264 E-7027 HALLWAY IN FRONT OF 7027 IN CEILING 560 009 83041 0.50
265 E-2027 HALLWAY IN FRONT OF 2027 IN CEILING 115 009 83042 0.50
266 E-1027 HALLWAY IN FRONT OF 1027 IN CEILING 043 009 83043 0.50
267 E-6038 HALLWAY IN FRONT OF 6038 IN CEILING 453 009 83044 0.50
268 E-4030 HALLWAY IN FRONT OF 4030 IN CEILING 313 009 83045 0.50
269 E-1038 HALLWAY IN FRONT OF 1038 IN CEILING 050 009 83048 0.50
270 E-1030 HALLWAY IN FRONT OF 1030 IN CEILING 066 009 83049 0.50
271 E-3038 HALLWAY IN FRONT OF 3038 IN CEILING 189 009 83050 0.50
272 E-6030 HALLWAY IN FRONT OF 6030 IN CEILING 465 009 83051 0.50
273 E-4027 HALLWAY IN FRONT OF 4027 IN CEILING 298 009 83052 0.50
274 E-6045 HALLWAY IN FRONT OF 6045 IN CEILING 445 009 83053 0.50
275 E-1053 HALLWAY IN FRONT OF 1053 IN CEILING 002 009 83055 0.50
277 E-2045 ABOVE DOOR AT ENTRANCE 114 009 83057 0.50
278 E-1045 HALLWAY IN FRONT OF 1045 IN CEILING 037 009 83058 0.50
279 E-3045 HALLWAY IN FRONT OF 3045 IN CEILING 208 009 83059 0.50
280 E-1045 HALLWAY IN FRONT OF 1045 IN CEILING 036 009 83060 0.50
281 E-7045 HALLWAY IN FRONT OF 7045 IN CEILING 526 009 83061 0.50
282 E-5045 HALLWAY IN FRONT OF 5045 IN CEILING 362 009 83062 0.50
283 E-7038 HALLWAY IN FRONT OF 7038 IN CEILING 536 009 83063 0.50
284 E-5045 HALLWAY IN FRONT OF 5045 IN CEILING 361 009 83064 0.50
285 E-4014 HALLWAY IN FRONT OF 4014 IN CEILING 277 009 83065 0.50
286 E-4045 HALLWAY IN FRONT OF 4045 IN CEILING 296 009 83066 0.50
287 E-6014 HALLWAY IN FRONT OF 6014 IN CEILING 489 009 83067 0.50
288 E-5027 HALLWAY IN FRONT OF 5027 IN CEILING 393 009 83068 0.50
289 E-SIXTH FLOOR DARKROOM IN CEILING 507 009 83070 0.50
290 E-7030 HALLWAY IN FRONT OF 7030 IN CEILING 547 009 83071 0.50
291 E-2030 HALLWAY IN FRONT OF 2030 INCEILING 091 009 83073 0.50
292 E-5014 HALLWAY IN FRONT OF 5014 IN CEILING 407 009 83074 0.50
293 E-4023 ABOVE DOOR AT ENTRANCE 287 009 83076 0.50
294 E-4027 HALLWAY IN FRONT OF 4027 IN CEILING 299 009 83077 0.50
295 E-4045 HALLWAY IN FRONT OF 4045 IN CEILING 295 009 83078 0.50
296 E-1014 HALLWAY IN FRONT OF 1014 IN CEILING 014 009 83079 0.50
297 E-3045 HALLWAY IN FRONT OF 3045 IN CEILING 207 009 83080 0.50
298 E-3014 HALLWAY IN FRONT OF 3014 IN CEILING 222 009 83081 0.50
299 E-2053 HALLWAY IN FRONT OF 2053 IN CEILING 149 009 83082 0.50
300 C-MAIN FLOOR AMTU SOILED LINEN ROOM SLOP SINK 218 009 85885 1.00
301 C-2036 AUTOCLAVE 281 009 97705 0.50
302 L- PENTHOUSE ACROSS FROM CLEAVER BROOKS ROOM 009 95115 0.50
303 L-4015 COLD WATER 286 009 106179 0.50
304 L-4015 HOT WATER 287 009 106176 0.50
305 L-4090 COLD WATER 288 009 105949 0.50
306 L-4090 HOT WATER 289 009 105770 0.50
307 L-7004 COLD WATER 290 009 105942 0.50
308 L-7004 HOT WATER 291 009 106178 0.50
309 L-7004 COLD WATER 292 009 106174 0.50
310 L-7004 HOT WATER 293 009 106185 0.50
311 L-7007 HOT WATER 297 009 105744 0.50
312 L-7007 COLD WATER 298 009 105762 0.50
313 L-7012 299 009 106183 0.50
314 L-7012 HOT WATER 300 009 106169 0.50
315 L-71012 COLD WATER 301 009 105023 0.50
316 L-7008 COLD WATER 302 009 99145 0.50
317 L-7008 HOT WATER 303 009 105941 0.50
318 L-7008 COLD WATER 304 009 106177 0.50
319 L-7008 HOT WATER 305 009 105024 0.50
320 L-7011 COLD WATER 306 009 106182 0.50
321 L-7011 COLD WATER 307 009 106267 0.50
4-1599 List of Devices.xls 5 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
322 L-7011 HOT WATER 308 009 105789 0.50
323 L-7013 COLD WATER 309 009 105774 0.50
324 L-7013 HOT WATER 310 009 106171 0.50
325 L-7019 COLD WATER 311 009 105690 0.50
326 L-7019 HOT WATER 312 009 105930 0.50
327 L-7019 COLD WATER 313 009 106265 0.50
328 L-7021 COLD WATER 314 009 105917 0.50
329 L-7021 HOT WATER 315 009 105796 0.50
330 L-7020 COLD WATER 316 009 106166 0.50
331 L-7031 COLD WATER 317 009 105938 0.50
332 L-7031 HOT WATER 318 009 105925 0.50
333 L-5078 COLD WATER 319 009 105950 0.50
334 L-5078 HOT WATER 320 009 105916 0.50
335 L-5086 COLD WATER 321 009 105923 0.50
336 H-PENTHOUSE ABOVE SURGAL VACUUM PUMPS B-211 909 166606 1.50
337 C-BASEMENT HEAT EXCHANGER B-216 909 166625 1.50
338 C-BASEMENT HEAT EXCHANGER B-215 909 166609 1.50
339 H-PENTHOUSE HOT WATER HEATERS B-210 909 166608 1.50
340 H-PENTHOUSE HOS HOT WATER HEATER B-209 909 166613 1.50
341 H-PENTHOUSE NEAR LOW PRESSURE STEAM GENERATOR 6 009 01293 1.25
342 I-DOWLING SOUTH MACHINE ROOM 228 009 25702 0.75
343 5 BEHIND AUTOCLAVE 975XL 24178 0.50
344 I-DOWLING SOUTH MACHINE ROOM ABOVE WATER HEATER 229 009 23335 0.75
346 4 MACHINE ROOM 009 45730 1.25
348 A-SUB BASEMENT FIRE PUMP 909 622566 8.00
349 A-SUB BASEMENT CHILLER ROOM FIRE PUMP 909 242979 6.00
350 L-SUB BASEMENT 003 FIRE LINE 909 242886 6.00
351 I-DOWLING SOUTH LOWER SHOP OFFICE 909 248037 6.00
352 20 G023 FIRE SYSTEM FEBCO 825 4780 6.00
353 G-DOWLING NORTH G1E1 MACHINE ROOM FIRE LINE 009 14595 3.00
354 G-DOWLING NORTH C1E1 MACHINE ROOM FIRE LINE 909 249303 6.00
355 I-DOWLING SOUTH MECH ROOM FOR COOLING TOWER 229 009 25111 0.75
356 L- PENTHOUSE NEAR FLASH TANK FOR CLEAVER BROOKS 206-B 825Y AH1389 1.25
357 L- PENTHOUSE HEAT EXCHANGER DHW SECT 3 B-207 909 166610 1.50
358 L- PENTHOUSE SECT 2 BEHIND RO WATER SYSTEM B-204 909 166621 1.50
359 L- PENTHOUSE SECT 2 HEAT EXCHANGER B-203 909 179291 2.00
360 L- PENTHOUSE SECT 2 HEAT EXCHANGER - HOT WATER HTR B-202 909 179286 2.00
361 L- PENTHOUSE SECT 1 FULTON BOILER 201-B 909 284602 1.00
362 L- PENTHOUSE SECT 1 ABOVE HOT WATER HEATER B-200 909 166612 1.50
363 E-3030 ABOVE DOOR AT ENTRANCE 181 009 83025 0.50
364 E-4023 ABOVE DOOR AT ENTRANCE 286 009 83000 0.50
365 E-7023 ABOVE DOOR AT ENTRANCE 566 009 83072 0.50
366 E-6023 ABOVE DOOR AT ENTRANCE 483 009 83075 0.50
367 E-6023 ABOVE DOOR AT ENTRANCE 482 009 83002 0.50
369 A-SUB BASEMENT CHILLER ROOM NEXT TO CAGE 009 60053 1.00
370 E-BASEMENT HALLWAY 20' FROM ELEV ON RIGHT 621 009 83029 0.50
371 E-PENTHOUSE ALONG SIDE AHU-3 627 009 136399 0.75
372 E-1023 OUTSIDE ROOM IN HALLWAY 030 009 83046 0.50
373 E-1023 OUTSIDE ROOM IN HALLWAY 031 009 83038 0.50
374 L-7003 COLD WATER CUP SINK 296 009 106168 0.50
375 L-7003 HOT WATER 295 009 106167 0.50
376 L-7003 COLD WATER 294 009 105922 0.50
377 L-7041 322 009 105945 0.50
378 L-7041 323 009 105953 0.50
379 L-7044 324 009 105657 0.50
380 L-7044 COLD WATER 325 009 105944 0.50
381 L-7044 HOT WATER 326 009 105947 0.50
382 L-7045 HOT WATER 329 009 94680 0.50
383 L-7045 COLD WATER 330 009 105915 0.50
384 L-7045 COLD WATER 331 009 105911 0.50
385 L-7052 HOT WATER 332 009 105908 0.50
386 L-7052 COLD WATER 333 009 105951 0.50
387 L-7051 COLD WATER 334 009 105795 0.50
388 L-7051 COLD WATER 335 009 105948 0.50
389 L-7051 HOT WATER 336 009 105680 0.50
390 L-7051 COLD WATER 337 009 105255 0.50
4-1599 List of Devices.xls 6 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
391 L-7016 COLD WATER 338 009 99114 0.50
392 L-7016 HOT WATER 339 009 99123 0.50
393 L-7059 COLD WATER 340 009 105765 0.50
394 L-7059 HOT WATER 341 009 105771 0.50
395 L-7059 COLD WATER 342 009 105904 0.50
396 L-7058 COLD WATER 343 009 105957 0.50
397 L-7058 HOT WATER 344 009 99170 0.50
398 L-7039 COLD WATER 346 009 99153 0.50
399 L-7039 HOT WATER 347 009 99158 0.50
400 L-7074 COLD WATER 348 009 105960 0.50
401 L-7074 HOT WATER 349 009 105912 0.50
402 L-7074 COLD WATER 350 009 105905 0.50
403 L-7078 HOT WATER 351 009 105906 0.50
404 L-7078 COLD WATER 352 009 105791 0.50
405 L-7078 HOT WATER 353 009 105924 0.50
406 L-7078 COLD WATER 354 009 105901 0.50
407 L-7082 COLD WATER 355 009 105739 0.50
408 L-7082 HOT WATER 356 009 105782 0.50
409 L-7082 COLD WATER 357 009 94609 0.50
410 L-7029 FOR SINK IN RADIATION ROOM 327 009 105675 0.50
411 L-7029 FOR SINK IN RADIATION ROOM 328 009 105934 0.50
412 L-7060 COLD WATER 358 009 105909 0.50
413 L-7060 HOT WATER 359 009 96571 0.50
414 L-7087 HOT WATER 361 009 105920 0.50
415 L-7087 COLD WATER 362 009 105748 0.50
416 L-7087 COLD WATER 363 009 105778 0.50
417 L-7087A HOT WATER 364 009 105742 0.50
418 L-7087A COLD WATER 365 009 105749 0.50
419 L-7099 COLD WATER 366 009 105669 0.50
420 L-7099 HOT WATER 367 009 105741 0.50
421 L-7090 HOT WATER 368 009 105760 0.50
422 L-7090 COLD WATER 369 009 99139 0.50
423 L-7090 COLD WATER 370 009 105725 0.50
424 L-7091 COLD WATER 371 009 99179 0.50
425 L-6056 COLD WATER 372 009 94619 0.50
427 L-6056 COLD WATER 373 009 99156 0.50
428 L-6056 HOT WATER 374 009 99184 0.50
429 C-2056 COLD WATER 375 009 105788 0.50
430 L-7035 HOT WATER 376 009 105766 0.50
431 L-7035 COLD WATER 377 009 99131 0.50
432 L-7089 PROTECTS DARKROOM MIXING VALVE 378 009 99180 0.50
433 L-7089 PROTECTS DARKROOM MIXING VALVE 379 009 105735 0.50
434 L-7089 380 009 96559 0.50
435 L-7089 381 009 99147 0.50
436 L-6010 COLD WATER 382 009 105757 0.50
437 L-6010 HOT WATER 383 009 105784 0.50
438 L-6010 COLD WATER 384 009 99130 0.50
439 L-6010 HOT WATER 385 009 96617 0.50
440 L-7098 COLD WATER 386 009 99143 0.50
441 L-7098 HOT WATER 387 009 96570 0.50
442 L-7098 COLD WATER 388 009 88466 0.50
443 L-7102 HOT WATER 389 009 99177 0.50
444 L-7102 COLD WATER 390 009 99157 0.50
445 L-7102 COLD WATER 391 009 96596 0.50
446 L-7107 COLD WATER 392 009 96607 0.50
447 L-7107 HOT WATER 393 009 105919 0.50
448 L-7107 COLD WATER 394 009 99164 0.50
449 L-7121 HOT WATER 395 009 96541 0.50
450 L-7121 COLD WATER 396 009 95103 0.50
451 L-6004 HOT WATER 397 009 105745 0.50
452 L-6004 COLD WATER 398 009 105743 0.50
453 L-6004 COLD WATER (HOOD) 399 009 96609 0.50
454 L-6012 COLD WATER 400 009 99150 0.50
455 L-6012 HOT WATER 401 009 99127 0.50
456 L-6012 COLD WATER ( LASER COOLING) 402 909 471043 0.75
457 L-6011 COLD WATER 403 009 99198 0.50
4-1599 List of Devices.xls 7 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
458 L-6011 HOT WATER 404 009 99168 0.50
459 F-B021 COLD WATER FOR F-B020 405 009 99121 0.50
460 F-B021 FEED FOR F-B020 406 009 105898 0.50
461 L-4037 COLD WATER 407 009 99187 0.50
462 L-4037 HOT WATER 408 009 99199 0.50
463 L-4037 COLD WATER 409 009 99140 0.50
464 L-4039 410 009 105764 0.50
465 L-4039 COLD WATER 411 009 105790 0.50
466 L-4039 HOTWATER 412 009 99196 0.50
467 L-6014 COLD WATER 413 009 105800 0.50
468 L-6014 HOT WATER 414 009 105727 0.50
469 L-4056 HOT WATER 415 009 105734 0.50
470 L-4056 COLD WATER 416 009 105763 0.50
471 L-4056 WINDOW WALL CUP SINK 417 009 105755 0.50
472 L-2004 COLD WATER 418 009 99122 0.50
473 L-2004 HOT WATER 419 009 99189 0.50
474 L-2004 420 009 99190 0.50
475 L-5086 421 009 105921 0.50
476 L-5086 422 009 105798 0.50
477 L-5088 423 009 105926 0.50
478 L-5088 424 009 99154 0.50
479 L-7058 COLD WATER 345 009 105785 0.50
480 L-2002 COLD WATER 425 009 99126 0.50
481 L-2002 HOT WATER 426 009 105761 0.50
482 L-2002 427 009 105737 0.50
483 L-6014 COLD WATER 428 009 99172 0.50
484 L-6014 HOT WATER 429 009 94625 0.50
485 D BLDG. OUTSIDE SEASONAL BY CHILLER 430 909 332265 1.25
486 L-2004A 431 009 99135 0.50
487 L-6002 COLD WATER 432 009 99208 0.50
488 L-6002 HOT WATER 433 009 99125 0.50
489 L-7043 COLD WATER 434 009 105954 0.50
490 L-7043 HOT WATER 435 009 99138 0.50
491 L-7043 HOT WATER 436 009 99143 0.50
492 L-7043 COLD WATER 437 009 99192 0.50
493 L-7042 COLD WATER 438 009 105756 0.50
494 L-7042 HOT WATER 439 009 99152 0.50
495 L-6037 COLD WATER 440 009 99124 0.50
496 L-6037 HOT WATER 441 009 99525 0.50
497 L-6037 COLD WATER 442 009 80581 0.50
498 L-6016 HOT WATER 443 009 99165 0.50
499 L-6016 COLD WATER 444 009 95125 0.50
500 L-2004 COLD WATER 445 009 99149 0.50
501 L-2004 HOT WATER 446 009 99203 0.50
502 L-6035 COLD WATER 447 009 99119 0.50
503 L-6035 HOT WATER 448 009 99186 0.50
504 L-7034 COLD WATER 449 009 79687 0.50
505 L-7034 HOT WATER 450 009 105900 0.50
506 L-7027 X-OMAT 451 009 99169 0.50
507 L-7018 COLD WATER 452 009 99185 0.50
508 L-7018 HOT WATER 453 009 95101 0.50
509 L-6020 COLD WATER 454 009 96586 0.50
510 L-6020 HOT WATER 455 009 105863 0.50
511 L-3052 456 009 99207 0.50
512 L-3052 COLD WATER 457 009 99183 0.50
513 L-3052 HOT WATER 458 009 95105 0.50
514 L-3015 459 009 99128 0.50
515 L-3015 COLD WATER 460 009 96575 0.50
516 L-3015 HOT WATER 461 009 99193 0.50
517 L-3015 462 009 99213 0.50
518 L-3015 463 009 99181 0.50
519 L-7012 HOT WATER 464 009 99141 0.50
520 L-7012 COLD WATER 465 009 99175 0.50
521 L-6019 COLD WATER 468 009 105869 0.50
522 L-6019 HOT WATER 469 009 99163 0.50
523 L-6019 470 009 105975 0.50
4-1599 List of Devices.xls 8 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
524 L-6046 COLD WATER 471 009 99178 0.50
525 L-6046 HOT WATER 472 009 99211 0.50
526 L-6032 COLD WATER 466 009 105897 0.50
527 L-6032 HOT WATER 467 009 105893 0.50
528 L-7049 COLD WATER 473 009 105733 0.50
529 L-7049 HOT WATER 474 009 94639 0.50
530 L-6032 COLD WATER 475 009 106099 0.50
531 L-6032 HOT WATER 476 009 99117 0.50
532 B-7005 COLD WATER 477 009 99160 0.50
533 B-7005 HOT WATER 478 009 105252 0.50
534 L-6073 COLD WATER north sink 480 009 106184 0.50
535 L-6073 HOT WATER north sink 481 009 106263 0.50
536 L-6032 482 009 106271 0.50
537 L-4040 COLD WATER 483 009 99182 0.50
538 L-4040 HOT WATER 484 009 99116 0.50
539 L-6063 COLD WATER south sink and hood 485 009 105014 0.50
540 L-6063 HOT WATER south sink 486 009 106262 0.50
541 L-6076 HOT WATER 487 009 106270 0.50
542 L-6076 COLD WATER 488 009 106164 0.50
543 L-6076 489 009 106152 0.50
544 L-6031 COLD BOX - COLD WATER 490 009 99120 0.50
545 L-6031 HOT WATER 491 009 99205 0.50
546 L-6047 COLD WATER 492 009 106180 0.50
547 L-6047 HOT WATER 493 009 106156 0.50
548 L-6047 COLD WATER 494 009 106151 0.50
549 L-6078 COLD WATER 495 009 106157 0.50
550 L-6078 HOT WATER 496 009 106161 0.50
551 L-6078 COLD WATER 497 009 106048 0.50
552 L-6120 COLD WATER 498 009 106010 0.50
553 L-6120 HOT WATER 499 009 106027 0.50
554 L-6106 COLD WATER 500 009 106049 0.50
555 L-6106 HOT WATER 501 009 106034 0.50
556 L-6106 COLD WATER 502 009 106162 0.50
557 L-6103 COLD WATER 503 009 106045 0.50
558 L-6103 HOT WATER 504 009 106050 0.50
559 L-6099 COLD WATER 505 009 106159 0.50
560 L-6099 HOT WATER 506 009 106043 0.50
561 L-6099 COLD WATER 507 009 106165 0.50
562 L-6093 COLD WATER 508 009 106047 0.50
563 L-6093 HOT WATER 509 009 106160 0.50
564 L-6083 COLD WATER 510 009 106052 0.50
565 L-6083 HOT WATER 511 009 106046 0.50
566 L-6083 COLD WATER 512 009 106154 0.50
567 L-6083 HOT WATER 513 009 106053 0.50
568 L-6052 COLD WATER dark room 514 009 106036 0.50
569 L-6052 HOT WATER dark room 515 009 106041 0.50
570 L-6088 COLD WATER 517 009 106007 0.50
571 L-6088 HOT WATER 518 009 106026 0.50
572 L-6087 CUP SINK 519 009 106039 0.50
573 L-6087 COLD WATER 520 009 105964 0.50
574 L-6087 HOT WATER 521 009 106030 0.50
575 L-6055 COLD CUP SINK 522 009 106158 0.50
576 L-6055 COLD WATER 523 009 106150 0.50
577 L-6055 HOT WATER 524 009 106163 0.50
578 L-4052 CUP SINK 525 009 106028 0.50
579 L-4052 COLD WATER 526 009 106040 0.50
580 L-4052 HOT WATER 527 009 106035 0.50
581 L-4056 LAB HOOD 4056 & CUP SINK 4052 528 009 106031 0.50
582 L-6096 COLD WATER 529 009 106033 0.50
583 L-6096 HOT WATER 530 009 106018 0.50
584 L-6096 CUP SINK 531 009 106004 0.50
585 L-5002 COLD WATER 578 009 105859 0.50
586 L-5002 HOT WATER 579 009 106054 0.50
587 L-5004 COLD WATER 580 009 105886 0.50
588 L-5004 HOT WATER 581 009 105865 0.50
589 L-5011 COLD WATER ALSO DOES L-5006 582 009 105864 0.50
4-1599 List of Devices.xls 9 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
590 L-5011 HOT WATER ALSO DOES L-5006 583 009 105892 0.50
591 L-5012 HOOD WALL 584 009 105896 0.50
592 L-5012 HOT WATER CENTER ISLAND 585 009 105726 0.50
593 L-5012 COLD WATER CENTER ISLAND 586 009 106300 0.50
594 L-5011 HOT WATER CENTER ISLAND 587 009 106303 0.50
595 L-5011 COLD WATER CENTER ISLAND 588 009 105731 0.50
596 L-5018 COLD WATER 589 009 105641 0.50
597 L-5018 HOT WATER 590 009 106305 0.50
598 L-5018 COLD WATER CENTER WALL 591 009 105836 0.50
599 L-5018 HOT WATER CENTER WALL 592 009 105851 0.50
600 L-5015 HOT WATER 594 009 105615 0.50
601 L-5015 COLD WATER 595 009 105730 0.50
602 L-5038 COLD WATER 596 009 105847 0.50
603 L-5038 HOT WATER 597 009 105852 0.50
604 L-5053 COLD WATER 598 009 106057 0.50
605 L-5053 HOT WATER 599 009 106056 0.50
606 L-5053 COLD WATER 601 009 105840 0.50
607 L-5052 HOT WATER 602 009 105878 0.50
608 L-5052 COLD WATER 603 009 106065 0.50
609 L-5051 HOT WATER 604 009 105832 0.50
610 L-5051 COLD WATER 605 009 105833 0.50
611 L-5051 CUP SINK 606 009 105011 0.50
612 L-5050 COLD WATER 607 009 105866 0.50
613 L-5050 HOT WATER 608 009 105849 0.50
614 L-5050 COLD WATER 609 009 105025 0.50
615 L-5054 HOT WATER 610 009 106062 0.50
616 L-5054 COLD WATER 611 009 105839 0.50
617 L-5054 COLD WATER 612 009 105875 0.50
618 L-5054 HOT WATER 613 009 106086 0.50
619 L-5043 HOT WATER 614 009 105801 0.50
620 L-5043 COLD WATER 615 009 105835 0.50
621 L-5047 COLD WATER 616 009 106084 0.50
622 L-5047 COLD WATER 617 009 105810 0.50
623 L-5047 HOT WATER 618 009 105834 0.50
624 L-5044 COLD WATER 619 009 105802 0.50
625 L-5044 HOT WATER 620 009 105873 0.50
626 L-5040 HOT WATER 621 009 105805 0.50
627 L-5040 COLD WATER 622 009 105844 0.50
628 L-5040 HOT WATER AND CUP SINK 623 009 105857 0.50
629 L-5049 COLD WATER 624 009 105803 0.50
630 L-5049 HOT WATER 625 009 105850 0.50
631 L-5049 COLD WATER 626 009 105804 0.50
632 L-5049 HOT WATER 627 009 106075 0.50
633 L-5034 COLD WATER 628 009 105855 0.50
634 L-5034 HOT WATER 629 009 105843 0.50
635 L-5020 HOT WATER 630 009 105877 0.50
636 L-5020 COLD WATER 631 009 105870 0.50
637 L-5019 COLD WATER 632 009 105882 0.50
638 L-5019 HOT WATER 633 009 105874 0.50
639 L-5019 COLD WATER 634 009 105867 0.50
640 L-5019 HOT WATER 635 009 106085 0.50
641 L-5019 COLD WATER AND CUP SINK 636 009 105853 0.50
642 L-5007 COLD WATER 637 009 105841 0.50
643 L-5007 HOT WATER 638 009 106181 0.50
644 L-5085 COLD WATER 639 009 106082 0.50
645 L-5085 HOT WATER 640 009 106293 0.50
646 L-5085 HOOD WALL 641 009 106308 0.50
647 L-5083 COLD WATER 642 009 106291 0.50
648 L-5083 HOT WATER 643 009 106266 0.50
649 L-5079 COLD WATER 644 009 106306 0.50
650 L-5079 HOT WATER 645 009 106292 0.50
651 L-5041 646 009 106074 0.50
652 L-4000 COLD WATER 648 009 106287 0.50
653 L-4000 HOT WATER 649 009 105655 0.50
654 L-4000 650 009 106307 0.50
655 L-4000 652 009 106304 0.50
4-1599 List of Devices.xls 10 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
656 L-4097 COLD WATER 653 009 106285 0.50
657 L-4097 HOT WATER 654 009 106282 0.50
658 L-4097 COLD WATER 655 009 106286 0.50
659 L-4097 HOT WATER 656 009 106274 0.50
660 H-SB02 ABOVE BLOWER # 42 657 909 332264 1.25
661 L-5056 HOT WATER 660 009 106290 0.50
662 L-5056 COLD WATER 661 009 106298 0.50
663 L-5057 HOT WATER 662 009 105808 0.50
664 L-5057 COLD WATER 663 009 105806 0.50
665 L-5072 HOT WATER 664 009 106296 0.50
666 L-5072 COLD WATE ALSO L-5076 CUP SINK 665 009 106301 0.50
667 L-4063 COLD WATER 666 009 105974 0.50
668 L-4063 HOT WATER 667 009 105988 0.50
669 L-4060 COLD WATER 668 009 105724 0.50
670 L-4060 HOT WATER 669 009 106297 0.50
671 L-4046 COLD WATE DARK ROOM 670 009 106288 0.50
672 L-4046 HOT WATER DARK ROOM 671 009 106299 0.50
673 L-4046 672 009 106281 0.50
674 L-4050 COLD WATER 673 009 106277 0.50
675 L-4050 HOT WATER 674 009 106279 0.50
676 L-4045 HOT WATER ALSO L-4049 675 009 106284 0.50
677 L-4045 COLD WATER ALSO L-4049 676 009 106114 0.50
678 B-6004 HOT WATER 677 009 106272 0.50
679 B-6004 COLD WATER 678 009 106261 0.50
680 L-3013 COLD WATER 679 009 105998 0.50
681 L-3013 HOT WATER 680 009 106077 0.50
682 L-3013 COLD WATER 681 009 105984 0.50
683 L-3013 HOT WATER 682 009 106067 0.50
684 L-3010 COLD WATER 683 009 106110 0.50
685 L-3010 HOT WATER 684 009 105982 0.50
686 L-3014 COLD WATER 685 009 105980 0.50
687 L-3014 HOT WATER 686 009 106103 0.50
688 L-6073 479 009 106155 0.50
689 C-G054 MIXING VALVE 516 009 105969 0.50
690 L-6074 COLD WATER COLD BOX 532 009 106029 0.50
691 L-6074 HOT WATER COLD BOX 533 009 106013 0.50
692 L-4018 534 009 106042 0.50
693 L-4018 535 009 106002 0.50
694 L-5006 COLD WATER 536 009 105966 0.50
695 L-5006 HOT WATER 537 009 106024 0.50
696 L-4020 COLD WATER 538 009 106017 0.50
697 L-4020 HOT WATER 539 009 105968 0.50
698 L-4019 COLD WATER 540 009 106037 0.50
699 L-4061 541 009 105972 0.50
700 L-4061 542 009 105971 0.50
701 L-4061 543 009 106008 0.50
702 L-5005 COLD WATER 544 009 106011 0.50
703 L-5005 HOT WATER 545 009 106012 0.50
704 L-4016 COLD WATER 547 009 106032 0.50
704 L-5005 546 009 106003 0.50
705 L-4016 HOTWATER 548 009 106015 0.50
706 L-4012 HOT WATER 549 009 106005 0.50
707 L-4012 COLD WATER 550 009 105963 0.50
708 L-4012 CUP SINK 551 009 106022 0.50
709 L-4012 HOOD 552 009 106021 0.50
710 L-4009 COLD WATER CENTER ISLAND 553 009 106044 0.50
711 L-4009 HOT WATER CENTER ISLAND 554 009 106025 0.50
712 L-5021 563 009 106014 0.50
712 L-4009 555 009 106016 0.50
713 L-5021 564 009 106019 0.50
713 L-4009 556 009 106051 0.50
714 L-1062 HOT WATER 565 009 105884 0.50
714 F-M012 BEHIND ENTRANCE ON LEFT 557 009 105887 0.50
715 L-1062 COLD WATER 566 009 106059 0.50
715 L-4006 COLD WATER 558 009 105965 0.50
716 L-1062 567 009 105889 0.50
4-1599 List of Devices.xls 11 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
716 L-4006 HOT WATER 559 009 106020 0.50
717 L-1062 568 009 105858 0.50
717 L-4006 COLD WATER 560 009 106009 0.50
718 L-4021 HOT WATER 569 009 105970 0.50
718 L-4006 HOT WATER 561 009 105967 0.50
719 L-4021 COLD WATER 570 009 106023 0.50
719 L-4006 COLD WATER 562 009 106006 0.50
720 L-4076 HOT WATER CENTER ISLAND 571 009 105838 0.50
721 L-4076 COLD WATER CENTER ISLAND 572 009 105879 0.50
722 L-4076 573 009 106073 0.50
723 L-6039 COLD WATER COLD BOX 574 009 99202 0.50
724 L-6039 HOT WATER COLD BOX 575 009 99144 0.50
725 L-6038 HOT WATER 576 009 96610 0.50
726 L-6038 COLD WATER 577 009 99134 0.50
727 L-3009 COLD WATER 687 009 106259 0.50
728 L-3009 HOT WATER 688 009 106250 0.50
729 L-3009 CUP SINK 689 009 99200 0.50
730 L-1091 COLD WATER 690 009 99161 0.50
731 L-1091 HOT WATER 691 009 99171 0.50
732 L-1091 CUP SINK 692 009 99151 0.50
733 L-1075 COLD WATER 693 009 106258 0.50
734 L-1075 HOT WATER 694 009 106255 0.50
735 A-M028 HOT WATER 695 009 105842 0.50
736 A-M028 COLD WATER 696 009 105846 0.50
737 A-M032 COLD WATER 697 009 105861 0.50
738 A-M032 HOT WATER 698 009 105860 0.50
739 A-M032 CUP SINK 699 009 105876 0.50
740 L-1081 HOT WATER 700 009 99174 0.50
741 L-1081 COLD WATER 701 009 106243 0.50
742 L-1081 COLD WATER 702 009 106283 0.50
743 L-2008 COLD WATER 703 009 106249 0.50
744 L-2008 HOT WATER 704 009 106234 0.50
745 L-2008 COLD WATER 705 009 106232 0.50
746 L-2083 HOT WATER 706 009 106273 0.50
747 L-2083 COLD WATER 707 009 106276 0.50
748 L-3057 COLD WATER 708 009 106253 0.50
749 L-3057 HOT WATER 709 009 105809 0.50
750 L-3057 COLD WATER 710 009 105807 0.50
751 L-3057 COLD WATER 711 009 106275 0.50
752 L-3054 712 009 105837 0.50
753 L-3054 713 009 105831 0.50
754 L-3002 HOT WATER 714 009 106280 0.50
755 L-3002 COLD WATER 715 009 106257 0.50
756 L-3002 COLD WATER 716 009 106251 0.50
757 L-3002 HOT WATER 717 009 106256 0.50
758 L-3008 COLD WATER 718 009 105848 0.50
759 L-3008 HOT WATER 719 009 99162 0.50
760 L-3009 HOT WATER 720 009 95127 0.50
761 L-3009 COLD WATER 721 009 99148 0.50
762 L-3010 COLD WATER 722 009 105981 0.50
763 L-3010 COLD WATER 723 009 105894 0.50
764 L-3010 HOT WATER 724 009 106058 0.50
765 L-3031 COLD WATER 725 009 105845 0.50
766 L-3031 HOT WATER 726 009 105830 0.50
767 L-3031 HOT WATER 727 009 106289 0.50
768 L-3031 COLD WATER 728 009 106278 0.50
769 L-5056 729 009 106197 0.50
770 L-3004 COLD WATER 730 009 106205 0.50
771 L-3004 HOT WATER 731 009 106258 0.50
772 L-3004 COLD WATER 732 009 106212 0.50
773 L-3004 HOT WATER 733 009 106226 0.50
774 L-3011 COLD WATER (COLD BOX) 734 009 99176 0.50
775 L-3011 HOT WATER (COLD BOX) 735 009 99191 0.50
776 L-3032 HOT WATER 736 009 105265 0.50
777 L-3032 COLD WATER 737 009 105290 0.50
778 L-3032 COLD WATER 738 909 474441 0.75
4-1599 List of Devices.xls 12 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
779 L-3049 COLD WATER 739 009 99159 0.50
780 L-3049 HOT WATER 740 009 99137 0.50
781 L-3049 HOT WATER 741 009 99133 0.50
782 L-3049 COLD WATER 742 009 99129 0.50
783 L-3049 COLD WATER 743 009 106218 0.50
784 L-3053 HOT WATER 744 009 106247 0.50
785 L-3053 COLD WATER 745 009 106144 0.50
786 L-3053 COLD WATER 746 009 106148 0.50
787 L-3056 COLD WATER 747 009 95107 0.50
788 L-3056 HOT WATER 748 009 94611 0.50
789 L-3056 COLD WATER 749 009 99201 0.50
790 L-3059 COLD WATER COLD BOX 750 009 106216 0.50
791 L-3059 HOT WATER COLD BOX 751 009 106717 0.50
792 L-3060 COLD WATER 752 009 106240 0.50
793 L-3060 HOT WATER 753 009 106228 0.50
794 L-3062 HOT WATER 754 009 106199 0.50
795 L-3062 COLD WATER 755 009 106202 0.50
796 L-3062 COLD WATER 756 009 106215 0.50
797 L-3062 COLD WATER 757 009 106223 0.50
798 L-3075 COLD WATER 758 009 106227 0.50
799 L-3075 HOT WATER 759 009 106214 0.50
800 L-3080 COLD WATER 760 009 106192 0.50
801 L-3080 HOT WATER 761 009 106195 0.50
802 L-3085 COLD WATER 762 009 106230 0.50
803 L-3085 HOT WATER 763 009 106117 0.50
804 L-3089 COLD WATER 764 009 106191 0.50
805 L-3089 HOT WATER 765 009 106198 0.50
806 L-3091 COLD WATER 766 009 105263 0.50
807 L-3091 HOT WATER 767 009 105253 0.50
808 L-3091 COLD WATER 768 009 106210 0.50
809 L-3091 HOT WATER 769 009 99166 0.50
810 L-3091 COLD WATER 770 009 99194 0.50
811 L-3087 COLD WATER 771 009 106145 0.50
812 L-3087 HOT WATER 772 009 106138 0.50
813 L-3086 HOT WATER 773 009 99204 0.50
814 L-3086 COLD WATER 774 009 99195 0.50
815 L-2053 COLD WATER 775 009 106142 0.50
816 L-2053 HOT WATER 776 009 106141 0.50
817 L-1005 HOT WATER 777 009 106206 0.50
818 L-1005 COLD WATER 778 009 106203 0.50
819 L-1009 HOT WATER 779 009 106211 0.50
820 L-1009 COLD WATER 780 009 106189 0.50
821 L-3007 COLD WATER 781 009 106222 0.50
822 L-3007 HOT WATER 782 009 106207 0.50
823 L-3018 COLD WATER 783 009 106220 0.50
824 L-3018 HOT WATER 784 009 106229 0.50
825 L-3018 COLD WATER 785 009 106221 0.50
826 L-3018 HOT WATER 786 009 106225 0.50
827 L-3038 COLD WATER COLD BOX 787 009 106236 0.50
828 L-3038 HOT WATER COLD BOX 788 009 106224 0.50
829 L-3041 COLD WATER 789 009 106246 0.50
830 L-3041 HOT WATER 790 009 106252 0.50
831 L-3042 COLD WATER 791 009 106241 0.50
832 L-3042 HOT WATER 792 009 106245 0.50
833 L-3042 COLD WATER 793 009 106219 0.50
834 L-3042 HOT WATER 794 009 106237 0.50
835 L-3048 COLD WATER 795 009 106231 0.50
836 L-3048 HOT WATER 796 009 106213 0.50
837 L-3040 COLD WATER 797 009 106108 0.50
838 L-3040 COLD WATER 798 009 106204 0.50
839 L-3040 HOT WATER 799 009 106209 0.50
840 L-3040 COLD WATER 800 009 106208 0.50
841 L-3040 HOT WATER 801 009 106235 0.50
842 L-3084 COLD WATER COLD BOX 804 009 106066 0.50
843 L-3084 HOT WATER COLD BOX 805 009 106089 0.50
844 L-3078 COLD WATER COLD BOX 806 009 106090 0.50
4-1599 List of Devices.xls 13 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
845 L-3078 HOT WATER COLD BOX 807 009 105872 0.50
846 L-3074 COLD WATER 808 009 105880 0.50
847 L-3074 HOT WATER 809 009 106109 0.50
848 L-3074 COLD WATER 810 009 105989 0.50
849 L-3034 COLD WATER COLD BOX 811 009 106115 0.50
850 L-3034 HOT WATER COLD BOX 812 009 106096 0.50
851 L-3072 COLD WATER 813 009 106076 0.50
852 L-3072 HOT WATER 814 009 106113 0.50
853 L-3072 COLD WATER 815 009 106097 0.50
854 L-2096 HOT WATER 818 009 106080 0.50
855 L-2096 COLD WATER 819 009 106106 0.50
856 L-2096 COLD WATER 820 009 106088 0.50
857 L-3043 COLD WATER 802 009 106140 0.50
858 L-3043 HOT WATER 803 009 106147 0.50
859 C-1147A HOT WATER 816 009 105986 0.50
860 C-1147A COLD WATER 817 009 105995 0.50
861 L-2088 HOT WATER 821 009 105993 0.50
862 L-2088 COLD WATER 822 009 105997 0.50
863 L-2086 COLD WATER 823 009 106068 0.50
864 L-2086 HOT WATER 824 009 106064 0.50
865 L-2040 HOT WATER 827 009 105996 0.50
866 L-2040 COLD WATER 828 009 106055 0.50
867 L-2052 COLD WATER 829 009 106071 0.50
868 L-2052 COLD WATER 830 009 105978 0.50
869 L-2052 HOT WATER 831 009 105958 0.50
870 L-2075 COLD WATER 835 009 106101 0.50
871 L-2075 HOT WATER 836 009 106104 0.50
872 L-2073 COLD WATER 837 009 105890 0.50
873 L-2073 HOT WATER 838 009 105979 0.50
874 L-2076 COLD WATER 839 009 106070 0.50
875 L-2076 HOT WATER 840 009 105985 0.50
876 L-2076 COLD WATER 841 009 106079 0.50
877 L-2076 HOT WATER 842 009 105885 0.50
878 L-2077 COLD WATER 843 009 106083 0.50
879 L-2077 HOT WATER 844 009 105994 0.50
880 L-2078 COLD WATER 845 009 106112 0.50
881 L-2078 HOT WATER 846 009 106001 0.50
882 L-2013 COLD WATER 847 009 105871 0.50
883 L-2013 HOT WATER 848 009 106060 0.50
884 L-2062 COLD WATER 849 009 105987 0.50
885 L-2062 HOT WATER 850 009 105976 0.50
886 L-2062 COLD WATER 851 009 106093 0.50
887 L-2062 HOT WATER 852 009 106072 0.50
888 L-3027 COLD WATER 853 009 106098 0.50
889 L-2038 COLD WATER 854 009 105862 0.50
890 L-2038 COLD WATER 855 009 106092 0.50
891 L-2038 HOT WATER 856 009 105722 0.50
892 L-2042 COLD WATER 857 009 105992 0.50
893 L-2042 HOT WATER 858 009 105991 0.50
894 L-2044 COLD WATER 859 009 106111 0.50
895 L-2044 HOT WATER 860 009 106105 0.50
896 L-2043 HOT WATER 861 009 106078 0.50
897 L-2043 COLD WATER 862 009 106095 0.50
898 L-2044 COLD WATER 863 009 105977 0.50
899 L-2044 HOT WATER 864 009 105983 0.50
900 L-2036 COLD WATER 865 009 106128 0.50
901 L-2036 HOT WATER 866 009 106124 0.50
902 L-2035 COLD WATER 867 009 105881 0.50
903 L-2019 COLD WATER 868 009 106130 0.50
904 L-2019 HOT WATER 869 009 106132 0.50
905 L-1072 COLD WATER 870 009 106260 0.50
906 L-1072 HOT WATER 871 009 106254 0.50
907 L-1072 COLD WATER 872 009 106233 0.50
908 L-2012 COLD WATER 873 009 106100 0.50
909 L-2012 COLD WATER 874 009 102484 0.50
910 L-2012 HOT WATER 875 009 106094 0.50
4-1599 List of Devices.xls 14 of 15 10/4/2006 D.SCRANTON
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
BACKFLOW PREVENTION DEVICE
INSPECTION AND MAINTENANCE REPORT FARMINGTON CONNECTICUT
NEW
BLDG/LOCATION DEVICE/LOCATION DATE TAG WATTS SERIAL SIZE
TESTED # MODEL # (INCHES)
911 L-2021 COLD WATER 876 009 106087 0.50
912 L-2021 HOT WATER 877 009 105891 0.50
913 L-2018 COLD WATER 878 009 106069 0.50
914 L-2018 HOT WATER 879 009 105895 0.50
915 L-2014 COLD WATER 880 009 106137 0.50
916 L-2010 COLD WATER 882 009 106118 0.50
917 L-2010 HOT WATER 883 009 106116 0.50
918 L-2014 COLD WATER 884 009 106091 0.50
919 L-2010 COLD WATER 885 009 106120 0.50
920 L-2010 COLD WATER 886 009 106133 0.50
921 L-2010 HOT WATER 887 009 106122 0.50
922 L-1003 HOT WATER 888 009 106128 0.50
923 L-1003 COLD WATER 889 009 106146 0.50
924 L-1041 HOT WATER 890 009 106136 0.50
925 L-1041 COLD WATER 892 009 106149 0.50
926 L-1057 HOT WATER 893 009 106194 0.50
927 L-1057 COLD WATER 894 009 105264 0.50
928 L-1100 COLD WATER 895 009 105010 0.50
929 L-1100 COLD WATER 896 009 105281 0.50
930 L-1100 HOT WATER 897 009 105013 0.50
931 L-1079 COLD WATER 898 009 106242 0.50
932 L-1079 HOT WATER 899 009 106244 0.50
933 L-2014 COLD WATER 900 009 106155 0.50
934 L-2014 HOT WATER 901 009 106127 0.50
935 L-2030 COLD WATER 902 009 106193 0.50
936 L-2030 HOT WATER 903 009 106131 0.50
937 L-2045 HOT WATER 904 009 106188 0.50
938 L-2045 COLD WATER 905 009 106125 0.50
939 L-2049 COLD WATER 906 009 105251 0.50
940 L-2049 HOT WATER 907 009 105256 0.50
941 L-2049 COLD WATER 908 009 105284 0.50
942 L-2056 COLD WATER 909 009 106000 0.50
943 L-2056 HOT WATER 910 009 106186 0.50
944 L-2056 COLD WATER 911 009 106134 0.50
945 L-2059 HOT WATER 912 009 105776 0.50
946 L-2060 COLD WATER 913 009 106143 0.50
947 L-2060 HOT WATER 914 009 106201 0.50
948 L-2060 COLD WATER 915 009 106200 0.50
949 L-1098 918 009 105856 0.50
950 L-1098 919 009 105257 0.50
951 L-1082 COLDBOX 920 009 106196 0.50
952 L-1090 COLD WATER 921 009 105285 0.50
953 L-1090 HOT WATER 922 009 105276 0.50
954 L-1089 COLD WATER 923 009 105026 0.50
955 L-1089 HOT WATER 924 009 105288 0.50
956 A-B008A 009 188171 0.50
957 EG047 HOT WATER 909 QT 474399 0.75
958 EG047 COLD WATER 909 QT 474494 0.75
959 L5018 COLD WATER 009 106063 0.50
4-1599 List of Devices.xls 15 of 15 10/4/2006 D.SCRANTON
INVITATION TO BID
UCHC-11 Rev. 12/04 STATE OF CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Jennifer K. Kelley PURCHASING DEPARTMENT
Purchasing Services Officer Munson Road Offices
263 Farmington Avenue
jkk1011@adp.uchc.edu Farmington CT 06032
Email address 860-679-2408
Invitation to Bid
Specifications & Bid Documents Attached
Bid Number Issue Date Due Date & Time
4-1599 September 28, 2006 October 13, 2006 at 3:30 PM
Bid Title: Backflow Device Testing & Repair
Acknowledgment: Receipt of Bid Documents
FAX to 860-679-2508
Please take a moment to acknowledge receipt of the attached bid documents. Your compliance with this request will help
us to maintain proper follow-up procedures while insuring that all vendors have the opportunity to submit a proposal.
Print or type the following information:
Company name:
Address:
City or Town:
Phone:
Fax:
Received by:
email:
NOTE: Use the label below when submitting sealed bids. Bids may be hand-delivered. Late bids will not be
accepted under any circumstances.
SEALED BID NO: 4-1599
NOT TO BE OPENED UNTIL: October 13, 2006 at 3:30 PM
RETURN BID TO:
University of Connecticut Health Center
Purchasing Department, Munson Road Offices, MC4036
263 Farmington Avenue
Farmington, CT 06032
THIS FORM NEED NOT BE RETURNED WITH YOUR BID.
BIDDER’S CHECKLIST
UCHC-20 REV. 05/06 State of Connecticut
University of Connecticut Health Center
BID NUMBER:
4-1599
BIDDER’S CHECKLIST – READ CAREFULLY
IT IS SUGGESTED THAT YOU REVIEW AND CHECK OFF EACH ACTION AS YOU COMPLETE IT.
1. The Bid Proposal (UCHC-26) must be signed by a duly authorized representative of the
company. Unsigned bids automatically rejected.
2. The Proposal Schedule (UCHC-16) must be included with your bid and contain the following:
a. VENDORS NAME MUST BE IN THE UPPER RIGHT CORNER OF ALL PROPOSAL SCHEDULE
PAGES.
b. The bid prices you have offered have been reviewed and verified.
c. The price extensions and totals have been checked. (In case of discrepancy between unit prices and total
prices, the unit price will govern the bid evaluation).
d. Any errors, alterations, corrections or erasures to unit prices, total prices, etc. must be initialed by the
person who signs the proposal or his designee. Such changes made and not initialed mean automatic
rejection of proposal.
e. The payment terms are Net 30 Days (You may offer cash discounts for prompt payment). Cash
Discounts for Net Terms less than 30 days may be considered when evaluating bid pricing. Exception:
State of CT Small Business Set-Aside bids payment terms shall be in accordance with CGS 4a-60j.
f. The delivery information block has been completed. Be specific: In most cases, “as ordered” or “as
required” is not complete information.
3. AFFIDAVITS: The following must be signed, notarized, and returned with bid. Failure to do so may result in
bid rejection. (If submitting electronically, rub or trace the Notary Seal with a soft pencil so it will show in the
scan.)
a. “Form 1 Gift Certification”
b. “Form 2 Campaign Contribution Certification”
c. “Form 5 Consulting Agreement Affidavit”
d. “Form 6A Affirmation of Receipt of Summary Of State Ethics Laws (Bid or Proposal)” must be signed
and returned with bid for bids over $500,000.00. Failure to do so may result in bid rejection
4. Any technical or descriptive literature, drawing or bid samples that are required have been included with the bid.
5. If required the amount of bid surety has been checked and the surety has been included.
6. Form UCHC-45 (as applicable) must be completed entirely regardless of the number of employees, even if the
company is family owned and/or operated and must be submitted with each bid or bid may be rejected.
7. Any addenda (UCHC-18) to the bid have been signed and included.
8. MAKE SURE TO INCLUDE THE ORIGINAL PROPOSAL SCHEDULE PAGES (UCHC-16) ALONG WITH
ONE COPY (unless more copies are requested within the bid specifications).
9. The bid number on the pre-addressed mailing label or on your hand marked return envelope exactly matches the bid
number inside the envelope.
10. The pre-addressed mailing label has been used on your bid envelope or the bid envelope has been addressed as
follows:
SEALED BID NO: 4-1599
NOT TO BE OPENED UNTIL: October 13, 2006 at 3:30 PM
RETURN BID TO:
University of Connecticut Health Center
Purchasing Department, Munson Road Offices, MC4036
263 Farmington Avenue
Farmington, CT 06032
11. The bid is mailed or hand-delivered in-time to be received no later than the designated opening date and time.
Late bids are not accepted under any circumstances. Please allow enough time if mailing in your bid. Hand-
delivered bids must be delivered to 16 Munson Road, Farmington, CT 06032.
BID PROPOSAL
UCHC 26 REV 12/04 STATE OF
CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH
CENTER
Jennifer K Kelley PURCHASING DEPARTMENT MC4036
THIS FORM AND
REQUIRED PROPOSAL
SCHEDULE FORMS
MUST BE RETURNED
Purchasing Services Officer MUNSON ROAD OFFICES
263 Farmington Avenue
860-679-2408 Farmington, CT 06032
Read & Complete
Carefully
Telephone Number Page 1 of 5
BID NO: BID DUE DATE: BID DUE TIME: BID SURETY: DATE ISSUED:
4-1599 October 13, 2006 3:30 PM See proposal schedule September 28, 2006
DESCRIPTION: Backflow Device Testing & Repair
TERM OF CONTRACT: Date of Award through June 30, 2007, with option to renew for two
additional 1-year periods
Invitation to Bid: Pursuant to the provisions of Section 10a-151b of the General Statutes of Connecticut as amended, sealed
proposals will be received by the Purchasing Department of the University of Connecticut Health Center, at the address above for
furnishing the commodities and/or services.
IMPORTANT: ALL pages of this form, Sections 1 through 4 must be completed, signed and returned by the bidder as
part of the bid package. Failure to submit all pages of this form constitutes grounds for rejection of your bid.
SECTION 1 of 5: BIDDER INFORMATION
Complete Bidder Legal Business Name: Taxpayer ID # (TIN): SSN FEIN
Write/Type SSN/FEIN Number Above
Business Name, Trade Name, Doing Business as (If different from above):
Business Entity: Corporation LLC Corporation LLC Partnership LLC Single Member
Non-Profit Partnership Individual/Sole Proprietorship
Note: If Individual/Sole Proprietor, Individual’s Name (As Owner) Must Appear in the Legal Business Name Block above.
Business
Type: A. Sale Commodities B. Medical Services C. Attorneys Fees D. Rental of Property
(REAL ESTATE & EQUIPMENT)
E. Other (Describe in detail)
Under this TIN, what is the primary type of business you provide to the State? Enter Letter from above:
Under this TIN, what other types of business might you provide to the State? Enter Letter from above:
Note: If your business is a Partnership, you must attach the names and titles of all Partners to your Bid submission.
Note: If your business is a Corporation, in which state are you incorporated?
Written signature of Person Authorized to sign Bids on behalf of the above named Bidder: Date Executed
SIGN HERE
Type or Print Name of Authorized Person Title of Authorized Person
Is your business currently a DAS Certified Small Business
Enterprise? Yes (Attach a copy of Certificate) No
If you are a State Employee, indicate your position, agency, and agency address:
BID PROPOSAL
UCHC 26 REV 12/04 STATE OF CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Jennifer K Kelley PURCHASING DEPARTMENT MC4036
THIS FORM AND
REQUIRED
PROPOSAL
SCHEDULE FORMS
MUST BE RETURNED
Purchasing Services Officer MUNSON ROAD OFFICES
263 Farmington Avenue
860-679-2408 Farmington, CT 06032
Read & Complete
Carefully
Telephone Number
Page 2 of 5
Bidder Address Remittance Address
(Same as Bidder Address YES)
No. & Street:
City:
State:
Zip Code:
Email Address:
Web Address:
Contact Name:
Phone:
Cell Phone:
Fax:
SECTION 2 of 5: AFFIRMATION OF BIDDER
The above signed bidder affirms and declares:
1. That this proposal is executed and signed by said bidder with full knowledge and acceptance of the provisions of Form UCHC-19
of current issue and in effect on the date of bid issue. Form UCHC-19, entitled Standard Bid and Contract Terms and Conditions
are made a part of the contract.
2. That this proposal is executed and signed by said bidder with full knowledge and acceptance of the provisions of all Special Bid
Terms and Conditions attached hereto.
3. That should any part of this proposal be accepted in writing by Director of Purchasing within ninety (90) calendar days from the
date of bid opening unless an earlier date for acceptance is specified by bidder in proposal schedule, said bidder will furnish and
deliver the commodities and/or services for which this proposal is made, in the quantities and at the prices bid, and in compliance
with the provisions of the STANDARD BID AND CONTRACT TERMS AND CONDITIONS, COMMODITY
SPECIFICATION, PROPOSAL SCHEDULE AND SPECIAL BID AND CONTRACT TERMS AND CONDITIONS. Should
award of any part of this proposal be delayed beyond the period of ninety (90) days or an earlier date specified by bidder in
proposal schedule, such award shall be conditioned upon bidder’s acceptance.
4. Acceptance of the conditions set forth herein, agreement in strict accordance therewith, and will furnish and deliver the
commodities and/or services to the state agency or agencies named in the PROPOSAL SCHEDULE at the prices bid therein.
BID PROPOSAL
UCHC 26 REV 12/04 STATE OF CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Jennifer K Kelley PURCHASING DEPARTMENT MC4036
THIS FORM AND
REQUIRED PROPOSAL
SCHEDULE FORMS
MUST BE RETURNED
Purchasing Services Officer MUNSON ROAD OFFICES
263 Farmington Avenue
860-679-2408 Farmington, CT 06032
Read & Complete
Carefully
Telephone Number
Page 3 of 5
SECTION 3 of 5: BIDDER DEBARMENT AND/OR SUSPENSION
The above signed bidder further affirms and declares that neither the bidder and/or any company official nor any subcontractor to the bidder and/or
any company official has received any notices of debarment and/or suspension from contracting with the State of Connecticut. Should Purchasing
Department determine that bidder has not completed Section 2 - Bidder Debarment and/or Suspension included as part of this document, and then
such determination may be just cause for disqualification from the evaluation of this bid.
YES NO
The above signed bidder further affirms and declares that neither the bidder and/or any company official nor any subcontractor to the bidder and/or
any company official has received any notices of debarment and/or suspension from contracting with other states within the United States.
YES NO
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions.
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR part 3017, Section
3017.510, Participants' responsibilities. The regulations were published as Part IV of the January 30, 1989, Federal Register (pages 4722-4733).
Instructions for Certification
1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall
attach an explanation to this proposal.
3. By submitting this form, the prospective lower tier participant is providing the certification set forth below in accordance with these instructions.
a. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it
is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies
available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
b. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the
prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed
circumstances.
c. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary
covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions
and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for
assistance in obtaining a copy of those regulations.
d. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not
knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded
from participation in this covered transaction, unless authorized by the University of Connecticut Health Center.
e. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transaction," without modification, in all lower tier
covered transactions and in all solicitations for lower tier covered transactions.
f. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not
debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A
participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not
required to, check the Nonprocurement List.
g. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the
certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed
by a prudent person in the ordinary course of business dealings.
h. Except for transactions authorized under paragraph3.(a ) of these instructions, if a participant in a covered transaction knowingly enters into a
lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated
may pursue available remedies, including suspension and/or debarment
YES NO
If the above signed bidder and/or any company official or any subcontractor to the bidder and/or any company official has received notices of
debarment and/or suspension from contracting with the State of Connecticut, other states within the United States or Federal Government, said
notices must be attached this document when submitted this proposal.
Number of notices attached:
BID PROPOSAL
UCHC 26 REV 12/04 STATE OF CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Jennifer K Kelley PURCHASING DEPARTMENT MC4036
THIS FORM AND
REQUIRED PROPOSAL
SCHEDULE FORMS
MUST BE RETURNED
Purchasing Services Officer MUNSON ROAD OFFICES
263 Farmington Avenue
860-679-2408 Farmington, CT 06032
Read & Complete
Carefully
Telephone Number
Page 4 of 5
SECTION 4 of 5 : HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
Contractors’ Compliance Certification Regarding Confidentiality and Disclosure of Patient Healthcare Information
Contractor, its agents and employees (collectively, “Contractor”) acknowledge that it may have access to confidential protected health
information (“PHI”), including, but not limited to, patient identifying information. References to PHI include electronic protected health
information (“ePHI”).
Contractor agrees that it:
(a) will not use or further disclose PHI other than as permitted by this Agreement or required by law as defined in 45 C.F.R. ∫
164.501;
(b) will protect and safeguard from any oral and written disclosure all confidential information regardless of the type of media on
which it is stored (e.g., paper, fiche, electronic, etc.) with which it may come into contact;
(c) will use appropriate safeguards to prevent use or disclosure of PHI other than as permitted by this Agreement or required by
law. These safeguards shall include the implementation of administrative, technical and physical safeguards that reasonably
and appropriately protect the confidentiality, integrity, and availability of the ePHI that it creates, receives, maintains or
transmits on behalf of the covered entity;
(d) will ensure that all of its subcontractors and agents to which it provides PHI pursuant to the terms of this Agreement shall
agree to all of the same restrictions and conditions to which Contractor is bound;
(e) as soon as the business associate becomes aware it shall report to UCHC any use or disclosure not provided for in by this
Agreement immediately upon becoming aware of it and take prompt corrective action including mitigation and sanction
procedures to cure such unauthorized use or disclosure and execute incident response and reporting procedures;
(f) will mitigate, to the maximum extent practicable, any harmful effect of a use or disclosure in violation of the requirements of
this Agreement;
(g) will indemnify and hold UCHC harmless from all liabilities, costs, and damages arising out of or in any manner connected
with the disclosure by Contractor of any PHI;
(h) will make available PHI in accordance with 45 C.F.R. ∫ 164.524;
(i) will make available PHI for amendment and incorporate any amendments to PHI in accordance with 45 C.F.R. ∫ 164.526;
(j) will document disclosures and make available the information required to provide an accounting of disclosure in accordance
with 45 C.F.R. ∫ 164.528;
(k) will make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or
received by one party on behalf of the other available to the Secretary of Health and Human Services, governmental officers
and agencies for purposes of determining compliance with 45 C.F.R. ∫ 164.500-534;
(l) upon termination of this Agreement, for whatever reason, will return or destroy all PHI, if feasible, received from, or created
or received by it on behalf of UCHC, which Contractor maintains in any form, and retain no copies of such information, or if
such return or destruction is not feasible, will inform UCHC of the conditions that make return or destruction infeasible and
extend the precautions of this Agreement to the information and limit further uses and disclosures to those purposes that make
the return or destruction of the information infeasible;
(m) will have a system of sanctions for any employee, subcontractor or agent who violates this Agreement; and
(n) will comply with all applicable laws and regulations, specifically including the privacy and security standards of the Health
Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended from time to time.
Contractor recognizes that PHI shall be and remain the property of UCHC and agrees that it acquires no title or rights to PHI, including any
de-identified information, as a result of this Agreement. Contractor further recognizes and agrees that any breach of confidentiality or
misuse of information found in and/or obtained from records may result in the termination of this Agreement and/or legal action, including
reporting to the Secretary of Health and Human Services.
YES (Applicable) NO (Non-Applicable)
BID PROPOSAL
UCHC 26 REV 12/04 STATE OF CONNECTICUT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Jennifer K Kelley PURCHASING DEPARTMENT MC4036
THIS FORM AND
REQUIRED
PROPOSAL
SCHEDULE FORMS
MUST BE RETURNED
Purchasing Services Officer MUNSON ROAD OFFICES
263 Farmington Avenue
860-679-2408 Farmington, CT 06032
Read & Complete
Carefully
Telephone Number
Page 5 of 5
Section 5 of 5: Notification to Bidders:
Commission on Human Rights and Opportunities Contract Compliance Regulations
The contract to be awarded is subject to contract compliance requirements mandated by Sections 4a-60 and 4a-60a of the Connecticut General Statutes;
and, when the awarding agency is the State, Sections 46a-71 and 46a-81i of the Connecticut General Statutes. There are Contract Compliance
Regulations codified at Section 46a-68j-21 through 43 of the Regulations of Connecticut State Agencies, which establish a procedure for awarding all
contracts covered by Sections 4a-60 and 46a-71 of the Connecticut General Statutes.
According to Section 46a-68j-30(9) of the Contract Compliance Regulations, every agency awarding a contract subject to the contract compliance
requirements has an obligation to “aggressively solicit the participation of legitimate minority business enterprises as bidders, contractors,
subcontractors and suppliers of materials.” “Minority business enterprise” is defined in Section 4a-60 of the Connecticut General Statutes as a business
wherein fifty-one percent or more of the capital stock, or assets belong to a person or persons: “(1) Who are active in daily affairs of the enterprise; (2)
who have the power to direct the management and policies of the enterprise; and (3) who are members of a minority, as such term is defined in
subsection (a) of Section 32-9n.” “Minority” groups are defined in Section 32-9n of the Connecticut General Statutes as “(1) Black Americans . . . (2)
Hispanic Americans . . . (3) persons who have origins in the Iberian Peninsula . . . (4) Women . . . (5) Asian Pacific Americans and Pacific Islanders; (6)
American Indians . . .” An individual with a disability is also a minority business enterprise as provided by Section 4a-60g of the Connecticut General
Statutes. The above definitions apply to the contract compliance requirements by virtue of Section 46a-68j-21(11) of the Contract Compliance
Regulations.
The awarding agency will consider the following factors when reviewing the bidder’s qualifications under the contract compliance requirements:
(a) the bidder’s success in implementing an affirmative action plan;
(b) the bidder’s success in developing an apprenticeship program complying with Sections 46a-68-1 to 46a-68-17 of the Administrative
Regulations of Connecticut State Agencies, inclusive;
(c) the bidder’s promise to develop and implement a successful affirmative action plan;
(d) the bidder’s submission of employment statistics contained in the “Employment Information Form”, indicating that the composition of its
workforce is at or near parity when compared to the racial and sexual composition of the workforce in the relevant labor market area;
(e) and the bidder’s promise to set aside a portion of the contract for legitimate minority business enterprises. See Section 46a-68j-30(10)(E) of the
Contract Compliance Regulations.
The above-signed individual acknowledges reading the above Notification to Bidders.
Employment Information Form STATE OF CONNECTICUT
COMMISSION ON HUMAN RIGHTS & OPPORTUNITIES
WORKFORCE ANALYSIS AFFIRMATIVE ACTION REPORT
BIDDER/CONTRACTOR
CONTACT PERSON: DATE:
ADDRESS
PHONE NUMBER
CONTRACT AWARD NUMBER
4-1599
Report all permanent full-time or part-time employees, including apprentice and on-the-job trainees. Enter the numbers on all lines and in all columns.
A
WHITE (NOT OF
HISPANIC ORIGIN)
B
BLACK (NOT OF
HISPANIC ORIGIN)
C
HISPANIC
D
ASIAN OR
PACIFIC ISLANDER
E
AMER. INDIAN OR
ALASKAN NATIVE
JOB
CATEGORIES
OVERALL TOTALS
(Sum of all Columns,
A thru F
Male and Female) MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Officials and
Managers
Professionals
Technicians
Sale Workers
Office and
Clerical
Craft Workers
(Skilled)
Operatives
(Semi-skilled)
Laborers
(Unskilled)
Service
Workers
TOTALS
ABOVE
Do you use minority businesses as subcontractors or suppliers? YES NO Explain:
If CT based, do you post all employment openings with the State of Connecticut
Employment Service? YES NO Explain:
Do you implement a written Affirmative Action Plan? YES NO Explain:
DESCRIBE YOUR RECRUITMENT, HIRING, TRAINING AND PROMOTION ANTI DISCRIMINATION PRACTICES
UCHC-45 Rev. 12/04
INVITATION TO BID STATE OF CONNECTICUT Bid Number:
UCHC-19 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
PURCHASING DEPARTMENT 4-1599
Jennifer K Kelley Administrative Services Building 1st Floor
Purchasing Services Officer 263 Farmington Avenue
Farmington CT 06032
860-679-2408
Telephone Number Page 1 of 3
All Invitations to Bid issued by the University of Connecticut Health
Center Purchasing Department will bind Bidders to the terms and
conditions listed below, unless specified otherwise in any individual
Invitations to Bid.
Incorporated by reference into this contract are applicable
provisions of the Connecticut General Statutes including but not
limited to Sections 10a-151b, 4a-50 through 4a-80, and applicable
provisions of the Regulations of Connecticut State Agencies
including but not limited to Sections 4a-52-1 through 4a-52-22.
The contractor agrees to comply with the statutes and
regulations as they exist on the date of this contract and as they may
be adopted or amended from time to time during the term of this
contract and any amendments thereto.
Submission of Bids
1. Bids must be submitted on forms supplied by Purchasing
Department. Telephone or facsimile bids will not be accepted in
response to an Invitation to Bid.
2. The time and date bids are to be opened is given in each bid issued.
Bids received after the specified time and date of bid opening given in
each bid proposal shall not be considered. Bid envelopes must clearly
indicate the bid number as well as the date and time of the opening of
the bid. The name and address of the Bidder should appear in the upper
left hand corner of the envelope.
3. Incomplete bid forms may result in the rejection of the bid.
Amendments to bids received by Purchasing Department after the time
specified for opening of bids, shall not be considered. An original and
one copy of the proposal schedule shall be returned to Purchasing
Department. Bids shall be computer prepared, typewritten or
handwritten in ink. Bids submitted in pencil shall be rejected. All bids
shall be signed by a person duly authorized to sign bids on behalf of the
bidder. Unsigned bids shall be rejected. Errors, alterations or corrections
on both the original and copy of the proposal schedule to be returned
must be initialed by the person signing the bid proposal or their
authorized designee. In the event an authorized designee initials the
correction, there must be written authorization from the person signing
the bid proposal to the person initialing the erasure, alterations, or
correction. Failure to do so shall result in rejection of bid for those items
erased, altered or corrected and not initialed.
4. Conditional bids are subject to rejection in whole or in part. A
conditional bid is defined as one, which limits, modifies, expands or
supplements any of the terms and conditions and/or specifications of the
Invitations to Bid.
5. Alternate bids will not be considered. An alternate bid is defined as
one, which is submitted in addition to the bidder’s primary response to
the Invitations to Bid.
6. Prices should be extended in decimal, not fraction, to be net, and
shall include transportation and delivery charges fully prepaid by the
Contractor to the destination specified in the bid, and subject only to
cash discount.
7. Pursuant to Section 12-412 of the Connecticut General Statutes,
the State of Connecticut is exempt from the payment of excise,
transportation and sales taxes imposed by the Federal Government
and/or the State. Such taxes must not be included in bid prices.
8. In the event of a discrepancy between the unit price and the
extension, the unit price shall govern.
9. By its submission the Bidder represents that the bid is not made in
connection with any other Bidder submitting a bid for the same
commodity or commodities and is in all respects fair and without
collusion or fraud.
10. All bids will be opened and read publicly and upon award are
subject to public inspection.
Guaranty or Surety
11. Bid and or performance bonds may be required. Bonds must meet
the following requirements: Corporation - must be signed by an official
of the corporation above their official title and the corporate seal must be
affixed over the signature; Firm or Partnership - must be signed by all
the partners and indicate they are “doing business as”; Individual - must
be signed by the owner and indicated as “Owner”. The surety company
executing the bond or countersigning must be licensed in Connecticut
and the bond must be signed by an official of the surety company with
the corporate seal affixed over their signature. Signatures of two
witnesses for both the principal and the surety must appear on the bond.
Power of attorney for the official signing the bond for the surety
company must be submitted with the bond.
Samples
12. Accepted bid samples do not supersede specifications for quality
unless sample is superior in quality. All deliveries shall have at least the
same quality as the accepted bid sample.
13. Samples are furnished free of charge. Bidder must indicate if their
return is desired, provided they have not been made useless by test.
Samples may be held for comparison with deliveries.
Award
14. Award will be based on quality of the articles or services to be
supplied, their conformance with specifications, delivery terms, price,
administrative costs, past performance, and financial responsibility.
15. Purchasing Department may reject any bidder in default of any
prior contract or guilty of misrepresentation or any bidder with a
member of its firm in default or guilty of misrepresentation.
16. Purchasing Department may correct inaccurate awards resulting
from clerical or administrative errors.
Contract
17. The existence of the contract shall be determined in accordance
with the requirements set forth above. However, the award of the
contract is not an order to ship.
18. The Contractor shall not assign or otherwise dispose of their
contract or their right, title or interest, or their power to execute such
contract to any other person, firm or corporation without the prior written
consent of the Purchasing Department.
19. Bidders have ten days after notice of award to refuse acceptance of
the award; after ten days the award will be binding on the Contractor. If
the Contractor refuses to accept the award within the ten-day period, the
award will be made to the next lowest responsible qualified bidder.
20. Failure of a Contractor to deliver commodities or perform services
as specified will constitute authority for Purchasing Department to
purchase these commodities or services on the open market. The
Contractor agrees to promptly reimburse the State for excess cost of
INVITATION TO BID STATE OF CONNECTICUT Bid Number:
UCHC-19 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
PURCHASING DEPARTMENT 4-1599
Jennifer K Kelley Administrative Services Building 1st Floor
Purchasing Services Officer 263 Farmington Avenue
Farmington CT 06032
860-679-2408
Telephone Number Page 2 of 3
these purchases. The purchases will be deducted from the contracted
quantities. Rejected commodities must be removed by the Contractor
from State premises within 48 hours. Immediate removal may be
required when safety or health issues are present
21. Contractor agrees to: hold the State harmless from liability of any
kind for the use of any copyright or uncopyrighted composition, secret
process, patented or unpatented invention furnished or used in the
performance of the contract; guarantee their products against defective
material or workmanship; repair damages of any kind, for which they
are responsible to the premises or equipment, to their own work or to the
work of other contractors; obtain and pay for all licenses, permits, fees
etc. and to give all notices and comply with all requirements of city or
town in which the service is to be provided and to the State of
Connecticut; to carry proper insurance to protect the State from loss.
22. Notwithstanding any provision or language in this contract to the
contrary, the Commissioner may terminate this contract whenever he/she
determines in his/her sole discretion that such termination is in the best
interests of the State. Any such termination shall be effected by delivery
to the Contractor of a written notice of termination. The notice of
termination shall be sent by registered mail to the Contractor address
furnished to the State for purposes of correspondence or by hand
delivery. Upon receipt of such notice, the Contractor shall both
immediately discontinue all services affected (unless the notice directs
otherwise) and deliver to the State all data, drawings, specifications,
reports, estimates, summaries, and such other information and materials
as may have been accumulated by the Contractor in performing his
duties under this contract, whether completed or in progress. All such
documents, information, and materials shall become the property of the
State. In the event of such termination, the Contractor shall be entitled to
reasonable compensation as determined by the Commissioner of the
Department of Administrative Services; however, no compensation for
lost profits shall be allowed.
Delivery
23. All products and equipment delivered must be new unless
otherwise stated in the bid specifications.
24. Delivery will be onto the specified State loading docks by the
Contractor unless otherwise stated in the bid specifications.
25. Deliveries are subject to re-weighing on State sealed scales.
26. Payment terms are net 30 days after receipt of goods or invoice,
whichever is later, unless otherwise specified.
27. Charges against a Contractor shall be deducted from current
obligations. Money paid to the State by the Contractor shall be payable
to the Treasurer, State of Connecticut.
Saving Clause
28. The Contractor shall not be liable for losses or delays in the
fulfillment of the terms of the contract due to wars, acts of public
enemies, strikes, fires, floods, acts of God or any other acts not within
the control of or reasonably prevented by the Contractor. The Contractor
will give written notice of the cause and probable duration of any such
delay.
Advertising
29. Contractors may not reference sales to the State for advertising and
promotional purposes without the prior approval of Purchasing
Department.
Rights
30. The State has sole and exclusive right and title to all printed
material produced for the State and the contractor shall not copyright the
printed matter produced under the contract.
31. The Contractor assigns to the State all rights title and interests in
and to all causes of action it may have under Section 4 of the Clayton
Act, 15 USC 15, or under Chapter 624 of the general statutes. This
assignment occurs when the Contractor is awarded the contract.
32. Contractor agrees that it is in compliance with all applicable
federal, state and local laws and regulations, including but not limited to
Connecticut General Statutes Sections 4a-60 and 4a-60a. The Contractor
also agrees that it will hold the State harmless and indemnify the State
from any action which may arise out of any act by the contractor
concerning lack of compliance with these laws and regulations.
33. All purchases will be in compliance with Section 22a-194 to
Section 22a-194g of the Connecticut General Statutes related to product
packaging. This contract is subject to the provisions of the following
executive orders:
Executive Order No. Three of Governor Thomas J. Meskill promulgated
June 16, 1971 requires nondiscrimination clauses in state contracts.
Executive Order No. Seventeen of Governor Thomas J. Meskill
promulgated February 15, 1973 requires contractors and subcontractors
having a contract with the state or any business entity having business
with the state or which seeks to do business with the state, and every
bidder or prospective bidder who submits a bid or replies to an invitation
to bid on any state contract shall list all employment openings with the
office of the Connecticut State Employment Service..
Executive Order No. Sixteen of Governor John G. Rowland promulgated
August 4, 1999 regarding Violence in the Workplace Prevention Policy
Executive Order No. 7B of Governor M. Jodi Rell promulgated January
1, 2006 establishes the State Contracting Standards Board to address the
state’s vulnerabilities in the selection and procurement processes to
avoid improprieties, favoritism, unfair practices or ethical lapses in state
contracting.
Records, Files, and Information
34. Incorporated by reference into this contract and Pursuant to Public
Act No. 01-169, each contract in excess of two million five hundred
thousand dollars between a public agency and a person for the
performance of a governmental function shall (1) provide that the public
agency is entitled to receive a copy of records and files related to the
performance of the governmental function, and (2) indicate that such
records and files are subject to the Freedom of Information Act and may
be disclosed by the public agency pursuant to the Freedom of
Information Act.
35. Incorporated by reference into this contract is Section 4-61dd(g)(1)
and 4-61dd(3) and (f) of the Connecticut General Statutes which
prohibits contractors from taking adverse action against employees who
disclosed information to the Auditors of Public Accounts or the Attorney
General.
Dispute Resolution
36. Contractor may bring claims against Customer for any loss, claim,
damage, or liability of whatsoever kind or nature, which may arise from
or in connection with this Agreement in accordance with Chapter 53 of
the Connecticut General Statutes. Contractor shall have recourse through
INVITATION TO BID STATE OF CONNECTICUT Bid Number:
UCHC-19 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
PURCHASING DEPARTMENT 4-1599
Jennifer K Kelley Administrative Services Building 1st Floor
Purchasing Services Officer 263 Farmington Avenue
Farmington CT 06032
860-679-2408
Telephone Number Page 3 of 3
the State of Connecticut Claims Commission as provided under Chapter
53 of the Connecticut General Statutes in which all claims against the
State of Connecticut and the University of Connecticut Health Center
will be filed with Connecticut's Claims Commissioner. The parties agree
that if such claim is not resolved by the State of Connecticut Claims
Commission, then the venue for any the litigation resulting out of any
controversy or claim against Customer arising out of or relating to this
Agreement, or the breach thereof, shall be the state courts of Connecticut
or the federal courts sitting in Connecticut. Each party hereby
irrevocably waives the right to trial by jury in any federal or state
judicial proceeding. Each party hereby waives any right to seek punitive,
exemplary, multiplied or consequential damages, prejudgment interest or
attorneys' fees or costs.
John Dempsey Hospital Policies and Procedures
37. Contractor will comply with John Dempsey Hospital policies and
procedures, as well as all applicable laws, ordinances, rules regulations,
standards, and orders of governmental, regulatory and accrediting
bodies, including but not limited to the Joint Commission on the
Accreditation of Health Care Organizations (JCAHO), having
jurisdiction in the premises that are applicable to the conduct of
physicians.
INVITATION TO BID STATE OF CONNECTICUT BID Number:
UCHC-14 Rev. 10/03 UNIVERSITY OF CONNECTICUT HEALTH CENTER
4-1599
Jennifer K Kelley
Purchasing Services Officer BIDDERS STATEMENT OF QUALIFICATIONS
860-679-2408
Telephone Number Page 1 of 2
This form will be used in assessing a bidder’s qualifications and to determine if the bid submitted is from a responsible
bidder. State law designates that contracts be awarded to the lowest responsible qualified bidder. Factors such as past
performance, integrity of the bidder, conformity to the specifications, etc. Will be used in evaluating bids. Attach additional
sheets if necessary.
COMPANY NAME:
ADDRESS:
Number of years company has been engaged in business under this name: Years
List other names your company goes by:
1. 2.
List previous company name (s):
1. 2.
Size of Company, Firm, or Corporation
Number of Employees: Full Time: Part-Time:
Company Value: Equipment Assets: Total Assets:
Is your company registered with the Office of the Connecticut Secretary of State? Yes No
If requested, would your company provide a “Good Standing” certificate issued by the Connecticut Secretary of State?
Yes No
List any relevant certifications, licenses, registrations, etc., which qualify your company to meet the requirements of this bid:
List of Equipment to be used for this service (include model, year, and manufacturer):
Model Year Manufacturer
INVITATION TO BID STATE OF CONNECTICUT BID Number:
UCHC-14 Rev. 10/03 UNIVERSITY OF CONNECTICUT HEALTH CENTER
4-1599
Jennifer K Kelley
Purchasing Services Officer BIDDERS STATEMENT OF QUALIFICATIONS
860-679-2408
Telephone Number Page 2 of 2
List any contract awards to your company within the last three years. Indicate which State agency, and provide contract
name and number, and the Purchasing Agent administering the contract:
Contract No.: Contract No.:
Contract Name:
Contract Name:
State Agency:
State Agency:
Purchasing Agent:
Purchasing Agent:
Tel. No.:
Tel. No.:
Effective Dates: Effective Dates:
Contract No.: Contract No.:
Contract Name:
Contract Name:
State Agency:
State Agency:
Purchasing Agent:
Purchasing Agent:
Tel. No.:
Tel. No.:
Effective Dates: Effective Dates:
List any criminal convictions against your company and any of your company’s officers, principal shareholders, directors, partners, LLC
members and LLC managers:
(Attach additional sheets, if necessary )
List any administrative actions either pending review by the state or determinations that the state has made regarding your company or any
of your company’s officers, principal shareholders, directors, partners, LLC members or LLC managers. This would include court
judgments, actions, suits, claims, demands, investigations and legal, administrative or arbitration proceedings pending in any forum.
Include a listing of OSHA violations and any actions or orders pending or resolved with any state agency such as the department of
consumer protection, the department of environmental protection, etc. Detail this information on a separate sheet of paper. Such
information should be for the last three (3) years.
(Attach additional sheets, if necessary )
I hereby certify under penalty of false statement that all the information supplied is complete and true.
Signature Date
Title
REQUEST FOR PROPOSAL STATE OF CONNECTICUT Bid/RFP Number:
UCHC-30 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
PURCHASING DEPARTMENT 4-1599
Jennifer K. Kelley Munson Road Offices
Purchasing Agent 263 Farmington Avenue
Farmington CT 06032
860-679-1988
Telephone Number
Certification Requirements for State Contracts
The University of Connecticut adheres to the State of Connecticut Office of Policy
and Management policies and guidelines regarding Certification Requirements for
State Contracts.
State contracts
with a value* less
than $50,000
State contracts with
a value* of $50,000
or more
State contracts with a cost* to the
State greater than $500,000
Gift Certification No Form 1 Form 1
Campaign Contribution
Certification No Form 2 Form 2
Agency Certification No Form 3 Form 3
Annual Contract
Certification No Form 4 Form 4
Consulting Agreement
Affidavit No
Form 5
(Only to be used
with contracts for
the purchase of
goods and services)
Form 5
(Only to be used with contracts
for the purchase of goods and
services)
Affirmation of Receipt
of Summary of State
Ethics Laws
No No
Form 6 (A, B, C)
(Only to be used with large state
construction or procurement
contracts as defined in §32 of
Public Act 05-287)
Grant awards are not:
● ‘large state contracts’ as defined by Conn. Gen. Stat. § 4-250;
● ‘State Contract’ as defined by Executive Order 7C, para 2; or
● ‘contracts for the purchase of goods and services’ as used in Conn. Gen. Stat. § 4a-81.
* The “value of the contract” means the dollar amount or equivalent benefit expended or received by
the State in accordance with the contract; whereas, the “cost to the State for a contract” means the
dollar amount or equivalent benefit expended by the State in accordance with the contract.
FORM 1
Revised 7/01/06 STATE OF CONNECTICUT
OFFICE OF POLICY AND MANAGEMENT
Policies and Guidelines
GIFT CERTIFICATION
Gift certification to accompany State Contracts with a value of $50,000 or more in a calendar or fiscal
year, pursuant Conn. Gen. Stat. §§ 4-250 and 4-252, and Governor M. Jodi Rell’s Executive Order No.
7C, para. 10.
I
, ________________________________________________(Type/Print Name, Title and
Name of Firm or Corporation), am authorized to execute the attached contract on behalf of
______________________________________(the Name of Firm or Corporation) (the “Contractor”).
I hereby certify that between ___________ (mm/dd/yy) (planning date) and __________ (mm/dd/yy)
(date of the execution of the attached contract) that neither I, myself, the Contractor, nor any of its
principals or key personnel who participated directly, extensively and substantially in the preparation
of the bid or proposal (if applicable) or in the negotiation of this contract, nor any agent of the above,
gave a gift, as defined in Conn. Gen. Stat. § 1-79(e), including a life event gift as defined in Conn.
Gen. Stat. § 1-79(e)(12), to (1) any public official or state employee of the contracting state agency or
quasi-public agency who participated directly, extensively, and substantially in the preparation of the
bid solicitation or request for proposals for the contract (if applicable) or in the negotiation or award of
this contract; or (2) any public official or state employee of any other state agency who has
supervisory or appointing authority over the state agency or quasi-public agency executing this
contract, except the gifts listed below:
Name of Benefactor Name of recipient Gift Description Value Date of Gift
List information here
Further, neither I nor any principals or key personnel of the Contractor, nor any agent of the
above, knows of any action by Contractor to circumvent such prohibition on gifts by providing for any
other principals, key personnel, officials, employees of Contractor, nor any agent of the above, to
provide a gift to any such public official or state employee.
Further, the Contractor made its bid or proposal without fraud or collusion with any person.
Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.
_________________________________ _____________________________________
Signature Date
Sworn and subscribed before me on this_____________ day of ________________, 200__
________________________________________
Commissioner of the Superior Court
Notary Public
FORM 2
STATE OF CONNECTICUT
OFFICE OF POLICY AND MANAGEMENT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Policies and Guidelines
Campaign Contribution Certification
Campaign contribution certification to State Contracts with a value of $50,000 or more
in a calendar or fiscal year, pursuant to Conn. Gen. Stat. § 4-250 and Governor M. Jodi
Rell’s Executive Order No. 1, para 8. and No. 7C, para 10.
I, _____________________________________________ (Type/Print Name, Title and Name of Firm
or Corporation), hereby certify that during the two-year period preceding the execution of the attached contract,
neither myself nor any principals or key personnel of the _______________________________ (Name of Firm
or Corporation) who participated directly, extensively and substantially in the preparation of the bid or proposal
(if applicable) or in the negotiation or award of this contract, nor any agent of the above, gave a contribution to
a candidate for statewide public office or the General Assembly, as defined in Conn. Gen. Stat. §9-333b, except
as listed below:
Contributor Recipient Amount/Value Date of Contribution Contribution Description
List information here
Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.
Signature Date
Sworn and subscribed before me on this day of 200
Commissioner of the Superior Court
Notary Public
Form 5 STATE OF CONNECTICUT
OFFICE OF POLICY AND MANAGEMENT
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Policies and Guidelines
Consulting Agreement Affidavit
Consulting agreement affidavit to accompany state contracts for the purchase of goods and
services with a value of $50,000 or more in a calendar or fiscal year, pursuant to Section
51 of Public Act 05-287.
This affidavit is required if a bidder or vendor has entered into any consulting agreements whereby the duties of the
consultant include communications concerning business of such state agency, whether or not direct contact with a state
agency, state or public official or state employee was expected or made. Pursuant to Section 51 of P.A. 05-287, "consulting
agreement" means any written or oral agreement to retain the services, for a fee, of a consultant for the purposes of (A)
providing counsel to a contractor, vendor, consultant or other entity seeking to conduct, or conducting, business with the
State, (B) contacting, whether in writing or orally, any executive, judicial, or administrative office of the State, including any
department, institution, bureau, board, commission, authority, official or employee for the purpose of solicitation, dispute
resolution, introduction, requests for information or (C) any other similar activity related to such contract. Consulting
agreement does not include any agreements entered into with a consultant who is registered under the provisions of chapter
10 of the general statutes as of the date such affidavit is submitted in accordance with the provisions of this section.
I, __________________________________________, hereby swear that I am the chief official of the
bidder or vendor of the Contract or authorized to execute such Contract. I further swear that I have not entered
into any consulting agreement in connection with such contract, except the agreements listed below:
Contractor’s Name, Title and Firm or Corporation: ____________________________________
_____________________________________________________________________________
Terms of Consulting Agreement (Date of Execution, Amount, Expiration Date): ____________
Brief Description of Services Provided (Purpose, Scope, Activities, Outcomes): _____________
_____________________________________________________________________________
Yes No Is the Consultant a former state employee or public official?
If yes, provide the following information about the former state employee or public official:
• Former Agency: ____________________________________________________
• Date Such Employment Terminated: __________________
Attach additional sheets if necessary. This affidavit must be amended if Contractor
enters into any new consulting agreements during the term of this Contract
Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.
Signature Date
Sworn and subscribed before me on this day of 2006
Commissioner of the Superior Court/or
Notary Public
State of Connecticut BID Number:
UCHC-16 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
4-1599
Jennifer K Kelley Delivery:
Purchasing Services Officer Proposal Schedule
Terms: Cash Discount:
860-679-2408 IMPORTANT!
Telephone Number RETURN ORIGINAL AND ONE COPY % # Days
Bidder Name:
Payment terms are net 30 days after receipt of invoice. Any deviation may result in bid
rejection. Bid prices shall include all transportation charges FOB UConn Health Center. SSN or FEIN #:
Proposal Schedule Page 1 of 2
ITEM
NO.
DESCRIPTION OF COMMODITIES AND/OR SERVICES
QUAN.
UNIT
UNIT PRICE
TOTAL PRICE
Provide Backflow Device Testing & Repair for
the period through June 30, 2007, with the
option to renew for two additional 1-year
periods at the discretion of the UCHC.
This bid is for the testing of domestic hot and
cold water backflow devices as required by
MDC. Backflow preventers are located at the
University of Connecticut Health Center Main
Campus at 263 Farmington Avenue or Campus
C at 16 Munson Road, Farmington, CT. The
1¼” and larger backflow devices are located in
mechanical rooms while the 1” and smaller
backflow devices are located in corridors and
laboratories. Contractors with experience in
repairs should have a good idea of the
problems and costs associated with each repair
for each size backflow. Contractor should have
a full repair kit available for each size backflow
when he performs the testing for that size. An
electronic file of all backflows by size, location,
date of installation, past records, and model
numbers can be provided to the contractor. All
backflows are "Watts" and most of them are
model 909 or 009. Testing can be done during
normal working hours
Below is a listing of the approximate number of
each size backflow preventer. Please provide a
price for testing of each size backflow preventer
and the repair of same if repair is required.
Size Number of Units Testing Unit
Price Repair Unit
Price
1 6” 12 $________ $________
2 4” 4
$________ $________
State of Connecticut BID Number:
UCHC-16 Rev. 12/04 UNIVERSITY OF CONNECTICUT HEALTH CENTER
4-1599
Jennifer K Kelley Delivery:
Purchasing Services Officer Proposal Schedule
Terms: Cash Discount:
860-679-2408 IMPORTANT!
Telephone Number RETURN ORIGINAL AND ONE COPY % # Days
Bidder Name:
Payment terms are net 30 days after receipt of invoice. Any deviation may result in bid
rejection. Bid prices shall include all transportation charges FOB UConn Health Center. SSN or FEIN #:
Proposal Schedule Page 2 of 2
ITEM
NO.
DESCRIPTION OF COMMODITIES AND/OR SERVICES
QUAN.
UNIT
UNIT PRICE
TOTAL PRICE
3 3” 15 $________ $________
4 2” 14 $________ $________
5 1½” 15 $________ $________
6 1¼” 10 $________ $________
7 1” 10 $________ $________
8 ¾” 120 $________ $________
9 ½” 900 $________ $________
Notes:
1. To schedule a site visit if desired, please
contact Dennis Scranton at 860-679-2333.
2. Preference will be given to State of
Connecticut Certified Small or Minority
Businesses. Please include a copy of your
certificate with your bid if you fall into this
category. If no responses are received from
set-aside businesses, award will be made to
the lowest responsive and responsible
bidder.
3. All testers must be certified by the State of
Connecticut. Please provide evidence of
certification with your bid.
Direct all questions via email to:
Jennifer Kelley
Purchasing Services Officer
email: jkk1011@adp.uchc.edu
Phone: 860-679-1988
