Residential Weatherization Installation Services

1 FISCAL SERVICES DEPARTMENT PURCHASING DIVISION Kent County Administration Building, 300 Monroe Avenue N.W., Grand Rapids, Michigan 49503-2289 Phone: (616) 632-7720 Fax: (616) 632 -7715 Email: purchasing@kentcountymi.gov SOLICITATION Solicitation Type Request for Qualifications (RFQ) Solicitation Number 5093 Description Residential Weatherization Installation Services Date of Issuance 7/3/2023 Buyer Name Vander Tuin INTRODUCTION The Kent County Purchasing Division is soliciting proposals for Weatherization Services. Kent County Community Action (the Agency) is a public government organization that operates/administers a Weatherization (Wx) program in Kent County. The U.S. Department of Energys (DOE) Weatherization Assistance Program (WAP) will reduce energy consumption for households of low-income by increasing the energy efficiency of their homes, while ensuring their health and safety. The certified Energy Auditors

will use computerized energy audits and advanced diagnostic equipment to determine the most cost-effective measures appropriate for each home. The certified Weatherization and Mechanical Contractors will install the designated measures. The certified Quality Control Inspectors will use diagnostic equipment to inspect the contracted work for quality workmanship and completeness; and will administer customer satisfaction surveys. The Bid Opportunities solicitation date/time is for informational purpose only. Kent County will begin to evaluate proposals one week after solicitation issuance. After that time, all subsequent proposals will be evaluated at time submitted. The Specification is provided as general application guidelines. Kent County reserves the right to request additional information after proposals are received. Overview of Program Activities Kent County residents who are homeowners or renters may apply for the program on a first-come, first- served basis. Renters must have the written permission from the Landlord/Homeowner in the form of a Landlord Contract when applying for the program, which is administered by the Agency. Customers must apply for assistance and qualify according to program guidelines. Once eligibility is determined the customer will be placed in line for the energy audit. An energy audit is completed using the National Energy Audit Tool (NEAT) to determine any existing energy measures and to propose energy measures to be installed. All measures must meet a Savings to Investment Ratio (SIR). Weatherization work begins once an Energy Audit is performed (excluding deferrals). A work order for measures will be issued based on the results of the NEAT audit. All Health & Safety issues must be Updated 7/3/2023 to include updated price sheets. Oa i KENT Wwe https://www.accesskent.com/RFPWorkbench/LoadPublicTableAction.action rnvander Highlight 2 corrected before other measures of Weatherization work can be started. All work must be performed to meet local, state, and federal Weatherization standards, following the: 1. National Renewable Energy Laboratory Standard Work Specifications (NREL) found HERE or https://sws.nrel.gov/ 2. Community Services Policy Manual 618, 618.1, and 618.2 found HERE or https://www.michigan.gov/documents/dhs/CSPM_600_Series_215133_7.pdf 3. Job Task Analysis (JTA) Retrofit Installer found HERE or https://www1.eere.energy.gov/wip/pdfs/retrofit_installer_jta_04112012.pdf 4. Job Task Analysis (JTA) Crew Leader found HERE or https://www1.eere.energy.gov/wip/pdfs/51673.pdf 5. Michigan Weatherization Field Guide found HERE or https://wxfieldguide.com/mi/#t=MIWxFG%2FTitle%2FTitle.htm All completed weatherization work must receive an approved Quality Control Inspection administered by a Weatherization Quality Control Inspector before payment is issued. The Quality Control Inspector will not be involved in the prior work of the unit either as an Energy Auditor or part of the work crew. The Quality Control Inspector will review the work to verify all work has been performed to Department of Energy, Michigan Field Guide, and the (NREL) Standard Work Specifications. The average job cost per unit is $7,954.28. (PY 2022) The above is an overview and is not an all-inclusive list of the activities involved in the program. SCOPE NREL Specifications for the installation of measures can be found in the Michigan Field Guide. Typical weatherization measures may include: Air sealing of openings in the homes envelope to reduce air infiltration, attic/sidewall insulation installation, attic vent installation, determination of venting requirements, floor/foundation/Band Joist (BJ) insulation installation, Light Emitting Diode (LED) replacements, door and window replacements, smoke detector installation, duct sealing/repair, duct insulation installation, manufactured home belly insulation installation, and furnace and/or refrigerator replacement. Typical mechanical measure may include: Clean, tune, and repair for furnace and replace/install furnace filter. All measures are installed according to the specifications in the (NREL) Standard Work Specifications, and the Michigan Field Guide. The above mentioned is not an all-inclusive list of the measures that can be installed. MAJOR OBJECTIVES OF THIS REQUEST FOR PROPOSAL 1. Identify licensed Weatherization and Mechanical Contractors that will provide quality weatherization materials/services for the Agency. 2. To ensure that all materials and/or services meet the Agencys and the DOE standards and requirements. 3. To ensure that all materials and/or services are provided in the time frame established by the Agency. Oversight Oversight of the Agreement will be exercised by the Agencys Director. Liaison The Weatherization and Housing Project Supervisor, Roger Strickfaden (or his designee) will serve as the liaison for the Energy Auditor or the Quality Control Inspector. The liaison will coordinate the services http://sws.nrel.gov/ file://///vm-fadmin/dept$/purchasing/BID-RFP-RFQ%20Originals/2022/4812%20Weatherization/HERE https://sws.nrel.gov/ https://www.michigan.gov/documents/dhs/CSPM_600_Series_215133_7.pdf https://www.michigan.gov/documents/dhs/CSPM_600_Series_215133_7.pdf https://www1.eere.energy.gov/wip/pdfs/retrofit_installer_jta_04112012.pdf https://www1.eere.energy.gov/wip/pdfs/retrofit_installer_jta_04112012.pdf https://www1.eere.energy.gov/wip/pdfs/51673.pdf https://www1.eere.energy.gov/wip/pdfs/51673.pdf https://wxfieldguide.com/mi/#t=MIWxFG%2FTitle%2FTitle.htm https://wxfieldguide.com/mi/#t=MIWxFG%2FTitle%2FTitle.htm 3 and serve as the communication link between the Agency and the Energy Auditor or the Quality Control Inspector. TYPE OF AGREEMENT AND PAYMENT SCHEDULE This agreement will be based on Worst Case Scenario NREL bid prices using the following; the Standards for Weatherization Materials, the Community Services Policy Manual (CSPM), the Job Task Analysis (JTA), and the Retrofitting Michigan SWS Field Guide as listed in the Technical Weatherization Policy manual (TWP). Links provided above. Attached are the Weatherization Contractor (Attachment A) and Mechanical Contractor (Attachment B) bid sheets that are to be completed and submitted with the bid. The agreement will be for a two-year period; however, a one-year extension may be granted in accordance with state, federal, and/or local laws and regulations. Payments will be made after satisfactory completion of work and/or delivery of services, and a Quality Control Inspection. A W-9 must be submitted to receive payment. The Contractor must submit a request for payment on their standard invoice. The invoice must include the unit address, completed measures, and the job number. There will be no mileage, equipment, telephone, internet, space, automobile, insurance or staff expenses incurred during work on units, preparation for work on units, response to complaints, or services as a resource person shall be reimbursed under this contract. The contractor shall agree that work performed will be guaranteed for a period of eighteen (18) months from the date of final acceptance. The Agency will assign work on a rotation-type schedule. The Agency will make no guarantee of work or production and will issue work on an as-needed basis. The Agency further reserves the right to terminate the working relationship with a contractor for reasons including, but not limited to the following: failure to provide proof of insurances/ licenses, failure to perform work in a timely manner, and failure to perform work of the quality expected by Department of Health & Human Services (DHHS) and the Agency. Dimensions, if furnished, are for general reference only and should be verified by Respondents. The Kent County Standard Submission Terms posted on the Bid Opportunities page of the Kent County Purchasing Division website are incorporated by reference into the solicitation. PRE-SUBMISSION ON-SITE INSPECTION A pre-submission conference will not be held for this solicitation. If additional information is needed, please utilize the Inquiries link posted with the Solicitation. FUNDING SOURCE Funding is provided in part through a Federal Community Development Block Grant (CDBG) from the US Department of Housing and Urban Development (HUD). The Respondent shall warrant and certify that, in the performance of the resultant agreement, it has complied with or will comply with all applicable statutes, rules, regulations and orders of the United States, including laws and regulations pertaining to labor, wages, hours and other conditions of employment. All materials, equipment, and supplies provided to the members must comply fully with all safety requirements, rules of the Industrial Commission on Safety, and all applicable OSHA Standards. The Respondent shall certify that it is registered with SAM.gov and has a valid Unique Entity Identifier (UEI). Contract requirements include, but are not limited to, the following: https://www.accesskent.com/Departments/Purchasing/pdfs/Federal-Funded-Contract- Requirements.pdf https://www.accesskent.com/RFPWorkbench/LoadPublicTableAction.action https://www.accesskent.com/Departments/Purchasing/pdfs/Federal-Funded-Contract-Requirements.pdf https://www.accesskent.com/Departments/Purchasing/pdfs/Federal-Funded-Contract-Requirements.pdf 4 REQUEST FOR QUALIFICATIONS SUBMISSION All information provided in response to this RFQ is subject to verification. Misleading and/or inaccurate information shall be grounds for disqualification at any stage in the procurement process. The following must be completed and signed by the Offeror/Bidder: Signed Proposal Letter (including the following contact information: Business Name, Owner/Representative Name, Business Address, Mailing Address, Office/Cell/Fax numbers, and email) KCCA Weatherization Contractor or Mechanical Contractor Bid Sheet County of Kent Authorization and Release Form Central Registry Clearance Request Form DHHS-1929 for all employees KCCA Certification Regarding Debarment, Suspension, and other Responsibility Matters KCCA Non-Collusion Affidavit KCCA Certification of Compliance Iran Economic Sanctions Act W-9 Request for Taxpayer Identification Number and Certification In addition, the following items, if applicable, should be submitted by the Offeror/Bidder upon award of the contract. Clear copy of Drivers License Residential Builders License or Mechanical Contractor License Environmental Protection Agency (EPA) Lead-Safe Certified Firm certification Environmental Protection Agency (EPA) Renovation, Repair, & Painting (RRP) certification Lead Safe Work Practices (LSW) certification Indoor Air Quality (IAQ) certification COVID-19 Exposure Prevention, Preparedness, and Response Plan Documentation of Workers Compensation Insurance Documentation of Employers Liability Insurance Documentation of Comprehensive General Liability Insurance Documentation of Motor Vehicle Liability Insurance MINIMUM OFFER QUALIFICATIONS The Offeror/Bidder shall have a minimum of or be able to obtain with training: A. 3 years of experience performing weatherization work or equivalent experience in the building industry. B. Residential Builders license or Mechanical license C. Appropriate Insurances D. Lead Safe Work Practices (LSW), Indoor Air Quality (IAQ), Renovation, Repair, & Painting (RRP) certification Offeror/Bidder must have the certifications as specified in the Community Services Policy Manual Item 618 or be able to obtain the certifications within 180 days of being awarded the bid E. Lead-Safe Certified Firm certification F. Other Required training The offeror, as well as any employees or crew members of the contractor, who will be performing any work for the Agency, will be required to attend appropriate training upon the discretion of the Agency, at no additional cost to KCCA. G. Required equipment for installation of weatherization measures H. COVID-19 Exposure Prevention, Preparedness, and Response Plan. 5 LICENSES Offerors/Bidders shall maintain in status all federal, state, and local licenses and permits required for the operation of business conducted by the Offeror/Bidder throughout the terms of the contract. PREFERENCES Preference will be given to each of the following (see, also, II.16 Selection Criteria): Minority-owned firms; Women Business Enterprises; and Labor Surplus Area Firms. Bid Prices Contractors who are Lead Safe Work Practices Certified RRP Firms (Mandatory) Contractors with Indoor Air Quality (IAQ) training Previous experience as an insulation contractor Previous experience performing work for a CAA Wx program Contractors that own specialized weatherization equipment Contractors that have at least a satisfactory record of past performance completing quality work for a CAA Wx program Contractors that can file documents electronically Contractors that have proven capacity DOCUMENTATION OF INSURANCE The Offeror shall provide Kent County Community Action with documentation evidencing the following insurances with the submission of the Proposal or prior to the signing of the contract. Workers Compensation Statutory requirements for the State of Michigan. Employers Liability: o Bodily injury by accident $500,000 each accident o Bodily injury by disease $500,000 policy limit o Bodily injury by disease $500,000 each employee Comprehensive General Liability o Split Limits Bodily Injury and Property Damage - $1,000,000 each occurrence Products/Completed Operations Coverage - $2,000,000 per annual aggregate Auto Insurance (Motor Vehicle Liability Insurance including Michigan No-Fault Coverage) Combined Single Limit: Bodily Injury and Property Damage - $1,000,000 for all vehicles, owned and non-owned, leased and hired used in the performance of this contract. The Offeror shall name Kent County Community Action as an additional insured party on all policies (excluding Workers Compensation), and the underwriters will have no right of recovery or subrogation against KCCA or the Agency including its agents, employees, board members, and/or funding sources. In addition, the insurance company or companies issuing the policy or policies shall have no recourse against KCCA for payment of any premiums or for assessments under any form of policy. The Contractor will assume any and all deductibles in the above-described insurance policies. RFP PRICE LISTS 6 Bidding contractors must be able to provide all measures - labor and materials - specified in the Weatherization Measure Unit Price list in accordance with all applicable federal, state, county and local standards and specifications. All prices are for weatherization measures installed according to industry and program standards and include labor, material, permits, job site cleanup, overhead, and all other costs. Prices should reflect all costs associated with the contractor's delivery, installation, and administration of the weatherization program. All materials used in the weatherization program must meet the specifications of the various funding authorities. All prices for cellulose insulation materials shall meet federal recycled materials specifications. Applicants must indicate a price for each item on the list. If any required items are left blank, the proposal will be considered incomplete and the proposal may be rejected. These prices will be considered bid prices and will be used to determine the total bid price on a project. All work is bid, awarded, and contracted on a per-job basis or by bid bundle. Each job consists of measures identified by a certified Energy Auditor through a complete State of Michigan (SOM) approved Weatherization Audit. Bids are based on unit price lists provided to KCCA by each contractor. The contractor submits an initial price list when applying for the Roster. Thereafter, the contractor may adjust its price list by the process outlined herein. Chosen contractors may adjust their price list on an annual basis. Any changes made must be submitted to KCCA 45 days prior to the start of the new program year as changes will have to be approved by the State of Michigan (SOM). This will allow KCCA time to send to State for approval, and to make any changes in NEAT to accommodate new pricing. All jobs in progress will be completed under the agreed- upon price list at the time of job award and acceptance. NOTE: Other materials of the same or better quality may be substituted on a case-by-case basis with the Agencys prior approval. All prices submitted by awardees of this RFP will be averaged. Contractors submitting RFPs must agree to averaging prices. Further, all weatherization measures not specified on the price list will be negotiated with the contractor on a job-by- job basis (e.g., time and materials) or prices will be requested through a supplemental bid. The Agency reserves the right to delete any such measure if the price is deemed to be inappropriate. CERTIFICATION OF INDEPENDENCE PRICE DETERMINATION By submission of a response to this RFP, the Offeror certifies that in connection with this procurement: Prices in the proposal have been arrived at independently, without consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any competitor. Each person signing the proposal certifies either that: 1. He or she is the person in the Offerors organization responsible for the decision as to any prices being offered herein, and that he or she has not participated in, and shall not participate in, any action contrary to the requirements of this document. 2. He or she is not the person in the Offerors organization responsible for the decision as to any prices being offered herein, but that he or she has been authorized to act as agent for the persons responsible for such decision. Furthermore, those persons have not participated in, and shall not participate in, any action contrary to the requirements of this document. 7 Any offer made in the submitted proposals and any clarifications to the proposals shall be signed by an officer of the offering firm or a designated agent empowered to bind the firm in an agreement. PROPOSAL EVALUATION AND AWARD(S) SELECTION CRITERIA The selection of awardees will be based on a point system, encompassing the areas listed above, pricing, and the following: II.16. PROPOSAL EVALUATION AND AWARD(S) (CONT.) 10 Points for prior experience with performing work for a CAA Weatherization Program 0-30 Points for number of Findings incurred in prior experience with performing work for CAA (i.e., based on past performance during the previous contract period) (0-5 findings = 30 points; 6-10 findings = 20 points; 11-15 findings = 10 points; more than 15 findings = 0 points) 10 Points for Pricing 5 Points for experience as an insulation contractor-if applicable 5 Points for receiving Lead Trainings Certificates required and included with RFP-and renewal of RRP. 5 Points for receiving Indoor Air Quality (IAQ) Training 5 Points for all previous paperwork requirements having been satisfied during the previous contract period 0-12 Points Ownership of specialized Wx Equipment (3 points for ownership of an infrared camera; 3 points for ownership of a blower door; 3 points for ownership of a hopper capable of dense packing at 3.5 pounds per cubic foot; 3 points for HEPA Vac ownership) 0-6 Points Proven Capacity (3 points for ability to file documents electronically; 3 points for financial resources and/or credit worthiness) 2 Points Minority-owned Firms 2 Points Women Businesses Enterprises 2 Points Labor Surplus Area Firms A committee of Agency staff will convene to determine the eligibility of the contactors based upon the criteria stated above and in the best interest of Kent County Community Action. A minimum of three (3) contractors will be chosen for weatherization work, two (2) for mechanical work, and one (1) for electrical work. However, Kent County Community Action reserves the right to select an alternate or increase these numbers at its discretion. Once the selection process has been completed, approved contractors will be contacted by mail within seven (7) business days of selection, notifying them that they have been put on a Roster as eligible contractors. In the event that a contactor declines selection as an approved contractor, the contractor with the next highest total score will be notified of his or her selection as an approved contractor. APPEALS PROCESS A Weatherization Contractor who has submitted a proposal in response to this RFP may appeal the decision of the Agency Selection Committee by submitting a KCCA Appeals Procedure for DHHS-Funded Programs form (Attachment P) that must be received by the agency or postmarked within ten (10) days 8 of the formal notification of the selection decision. If the selection decision has been mailed to the address indicated on the Proposal, it shall be presumed to have been received on the next day after mailing upon which mail is regularly delivered. Upon receipt of a Request to Appeal, the Selection Committee will reconvene to hear the appeal within five (5) business days of receipt of the request. If the matter is not resolved at the meeting with the Agency Selection Committee, the request for review shall be submitted to the Appeals Committee for consideration. A request for review to the Appeals Committee shall be submitted in writing within ten (10) days of the formal notification of the initial appeal hearing decision to KCCA, ATTN: Contact Person, Fiscal Services, 300 Monroe Ave NE, Grand Rapids, MI 49504. Appeals to the Agency Selection Committee and to the Appeals Committee must be signed by the person who signed the proposal. The appellant must also list their name, address, and telephone number and briefly describe the reason why they believe their proposal should be accepted. The Appeals Committee will hear the appeal within thirty (30) days after receipt of the request for review. PROPOSAL SELECTION COMMITTEE The Proposal Selection Committee will open, verify compliance, and score all proposals. The selection committee shall consist of the following (or alternates chosen by the Executive Director): 1. KCCA Director 2. KCCA Program Manager 3. KCCA Energy Services Project Supervisor References A. Standards for Weatherization Materials, 10 CFR 440 Appendix A B. CSPM 618.1 Energy Auditor/Quality Control Inspector (QC) Inspector Certification and Decertification C. National Renewable Energy Laboratory (NREL) Job Task Analysis: Crew Leader D. National Renewable Energy Laboratory (NREL) Job Task Analysis: Retrofit Installer Technician E. County of Kent Authorization and Release Form F. Central Registry Clearance Request Form DHHS-1929 G. KCCA Certification Regarding Debarment, Suspension, and other Responsibility Matters H. KCCA Non-Collusion Affidavit I. KCCA Certification of Compliance Iran Economic Sanctions Act J. W-9 Request for Taxpayer Identification Number and Certification K. KCCA Agreement for Services Template L. KCCA Appeals Procedure for DHHS-Funded Programs Form Submissions may only be withdrawn by written request if the request is received before the due date/time. Withdrawals subsequent to opening shall be subject to Kent County Fiscal Policy Centralized Purchasing 5(i)(2). NO BID Please provide feedback if you are electing not to participate in this solicitation. https://www.accesskent.com/Departments/Purchasing/vendor.htm https://www.accesskent.com/Departments/Purchasing/vendor.htm https://kentcounty.sjc1.qualtrics.com/jfe/form/SV_23HnX1uQN1GSr9H Measure To include: Unit Price Cellulose insulation - r-11 - open blow sq ft. $2.06 Cellulose insulation - r-19 - open blow sq ft. $2.25 Cellulose insulation - r-30 - open blow sq ft. $2.49 Cellulose insulation - r-38 - open blow sq ft. $2.96 Cellulose insulation - r-49 - open blow sq ft. $3.15 Fiberglass insulation - r-11 - open blow sq ft. $2.46 Fiberglass insulation - r-19 - open blow sq ft. $2.55 Fiberglass insulation - r-30 - open blow sq ft. $3.06 Fiberglass insulation - r-38 - open blow sq ft. $3.31 Fiberglass insulation - r-49 - open blow sq ft. $3.63 Batt Insulation - r-13 sq ft. $2.17 Batt Insulation - r-19 sq ft. $2.60 Batt Insulation - r-30 sq ft. $2.96 Batt Insulation - r-38 sq ft. $3.26 Fill ceiling cavities - dense fill only Dense Fill Attic Insulation - SWS 4.100 Series Cellulose insulation - r-11 - dense fill sq ft. $2.82 Cellulose insulation - r-19 - dense fill sq ft. $3.22 Cellulose insulation - r-25 - dense fill sq ft. $3.40 Cellulose insulation - r-30 - dense fill sq ft. $3.78 Cellulose insulation - r-38 - dense fill sq ft. $3.90 Cellulose insulation - r-49 - dense fill sq ft. $4.21 Sill box insulation Band -Rim Joist - SWS 4.1400 Series Vinyl Backed Fiberglass Vinyl backed fiberglass cut to fit to exterior rim joist no compression and then foam sealed completely for air sealing to top of foundation wall sq ft. $6.94 1 Inch of closed cell foam to top of foundation wall 1 INCH CLOSED CELL FOAM to seal cavity to R7 and to cover to top of foundation wall sq ft. $7.25 Perimeter Insulation Foundation - Perimeter Insulation - SWS 4.1402 Series Ecocell or Rockwool Panels sq ft. 7.44 Sealing of bypasses, ground moisture barrier (no less than 6mil.), mechanically fastened, adhered with proper adhesive, sealed at joints, proper sealant to seal at windows and doors, to be installed from bottom of floor joist to the floor Work must meet SWS, and Michigan Field Guide minimum standards. Sealing of all bypasses, Work must meet SWS, and the Michigan Field Guide minimum standards. NEAT Measures - Weatherization Sealing of all bypasses, including balloon framing, Kneewall floors, prepping of can lights, prep and installation of all required ventilation needs, barriers 4" above settled insulation (to include hots and K & T), insulation markers every 300 sqft., attic access complete, Flagging Junction boxes. Work must meet SWS, and the Michigan Field Guide minimum standards. Attachment A Measure To include: Unit Price Skim Coat Closed Cell Spray Foam SKIM COAT TO SEAL ENTIRE FOUNDATION WALL sq ft. $7.26 sq ft. $7.72 Rigid foam board r-12 - flat wall only Sealing of bypasses, ground moisture barrier (no less than 6mil.), mechanically fastened, adhered with proper adhesive, sealed at joints, proper sealant to seal at windows and doors, to be installed from bottom of floor joist to the floor. Work must meet SWS, and Michigan Field Guide minimum standards. Measure To include: Unit Price Floor Insulation Floor Insulation - SWS 4.1301 Series Fiberglass batt - r-13 sq ft. $2.42 Fiberglass batt - r-19 sq ft. $2.65 Fiberglass batt - r-25 sq ft. $3.09 Fiberglass batt - r-30 sq ft. $3.49 Rigid foam board - r-12 sq ft. $7.41 Blown Cellulose r-11 sq ft. $2.35 Blown Fiberglass r-11 sq ft. $3.07 Spray Foam r-11 sq ft. $7.27 Blown Cellulose r-19 sq ft. $2.64 Blown Fiberglass r-19 sq ft. $3.86 Spray Foam r-19 sq ft. $8.13 Blown Cellulose r-25 sq ft. $3.41 Blown Fiberglass r-25 sq ft. $3.92 Blown Cellulose r-30 sq ft. $3.52 Blown Fiberglass r-30 sq ft. $3.81 Spray Foam r-30 sq ft. $9.18 Blown Cellulose r-38 sq ft. $4.07 Blown Fiberglass r-38 sq ft. $4.67 Spray Foam r-38 sq ft. $10.04 Fiberglass Batts-r 38 sq ft. $4.45 Wall Insulation Wall Insulation - SWS 4.1101 Series Cellulose - 2x4 - dense filled sq ft. $3.48 Cellulose - 2x6 - dense filled sq ft. $4.34 Open wall fiberglass batts - r-13 sq ft. $2.30 Open wall fiberglass batts - r-19 sq ft. $2.58 Fiberglass- 2x4 dense filled sq ft. $3.99 Fiberglass-2x6- dense filled sq ft. $4.75 Spray/Injection Foam 2x4 -Filled sq ft. $8.56 Spray/Injection Foam 2x6 Filled sq ft. $10.90 Kneewall Insulation Wall Insulation - SWS 4.1101 Series Fiberglass batts - r-13 sqft. $3.00 Fiberglass batts - r-19 sqft. $3.49 Cellulose - 2x4 - dense filled sqft. $3.95 Cellulose - 2x6 - dense filled sqft. $4.62 Foam board rigid - r-12 sqft. $5.96 Spray/Injection Foam 2x4 -Filled sqft. $8.44 Spray/Injection foam 2x6- Filled sqft. $10.86 Vinyl Backed Fiberglass Sealing of bypasses, proper adhesive at joints, ground moisture barrier ( no less than 6 mil. ), Work must meet SWS, and Michigan Field Guide minimum standards, no compression of insulation. sq ft. $6.90 Sealing bypasses, properly attached and supported, ground moisture barrier ( to be no less than 6mil.), properly cut and installed around plumbing, mechanical, electrical, gas, etc., Work must meet SWS, and the Michigan Field Guide minimum standards. Sealing of all bypasses/infiltration points, including balloon framing, sealing of all installation accesses, proper plug color match with homeowner signed documentation, Verification of airsealing properties will be performed by 50 pascal de/pressurization and smoke testing in home, Documentation to be provided to client detailing R-value and installed amounts,Work must meet SWS,and the Michigan Field Guide minimum standards. Sealing of all bypasses/infiltration points, proper support and attachment, proper vapor barrier, proper installation around elec., plbg., mech., etc., Documentation to be provided to client detailing R-value and installed amounts. Work must meet SWS, and the Michigan Field Guide minimum standards. Measure To include: Unit Price Duct Sealing Duct Sealing - SWS 3.1602 Series Sealing of gaps and joints all duct types of all supply and returns Using mastic, ducts are to be sealed to promote proper distribution. Where required fiberglass mesh tape backer shall be used to support mastic.Work must meet SWS, and the MIchigan Field Guide minimum standards. default 1Hour Labor Plus $40.00 Materials $113.00 Duct Insulation Duct Insulation - SWS 4.1601 Series Insulation of ducting - minimum r-8 proper duct insulation Using mastic ducts are to be sealed to promote proper distribution. Where required fiberglass mesh tape backer shall be used to support mastic.Work must meet SWS, and the Michigan Field Guide minimum standards. sq ft. $4.71 Window sealing Air Sealing - SWS 3.1001 Series Window sealing To include all caulking, window glazing, as needed or called for by Auditor default $30.00 $30.00 Storm Windows Installation of storm windows Includes installation of stops/trims, includes removal of any existing and installation surface prep, sealing of installation, Work must meet SWS,and the Michigan Field Guide minimum standards. sq ft. $28.03 Window replacement Air Sealing - SWS 3.1001 Series Installation of new vinyl replacement window *windows to be energy star rated Installation of new Low vinyl replacement window *windows to be energy star rated Lighting retrofits CFLS - SWS 7.8003.1 Series Installation of properly sized LED Bulb Have to be Minimum of 18,000 hour bulbs, To include all labor and materials to install replacement bulbs as called for by NEAT/MHEA EA. $16.00 LED Recessed Light Retrofit To include all Labor And Material to Install EA. $37.00 Measure To include: Unit Price Wall insulation - open cavity Wall Ins. - SWS 4.1101 Series Open wall fiberglass batts - r-13 sq ft. $2.76 Open wall fiberglass batts - r-19 sq ft. $3.15 Wall insulation-Dense fill Wall Ins. - SWS 4.1101 Series Cellulose - 2x4 and 2x6- dense filled bag $145.00 Blown fiberglass-2x4 and 2x6 bag $190.00 Removal of existing unit, installation of needed trims/jambs/stops, surface prep, proper sealing, Work must meet SWS, and Michigan Field Guide minimum standards. $41.00 $41.00 Sealing of all bypasses , sealing of all installation accesses, single hole method tubed , proper plug color match with homeowner signed documentation, Work must meet SWS,and Michigan Field Guide minimum standards. Sealing of all bypasses, proper support and attachment, proper vapor barrier, proper installation around elec., plbg., mech., etc. Work must meet SWS,and Michigan Field Guide minimum standards. sq ft. sq ft. Measure To include: Unit Price Floor fiberglass - loose fill Floor Insulation - SWS 4.1301 Series Installation of loose fiberglass in underbellies and wings bag $190.00 Fiberglass Batts r-19 sq ft. $4.20 Fiberglass Batts r-30 sq ft. $4.84 Roof insulation - blown fiberglass Attic Insulation - SWS 4.100 Series Installation of fiberglass insulation in mobile home application Sealing of all bypasses, reinforce weak areas in ceiling, prepping of can lights, prep and installation of all required ventilation needs, barriers 4" above settled insultion (to include hots and K&T), insulation markers every 300 sqft., attic access complete. Flagging Junction boxes. Work must meet SWS, and Michigan Field Guide minimum standards. Bag $185.00 Window Sealing Air Sealing - SWS 3.1001 Series Window sealing To include all caulking and air sealing as called for by NEAT/MHEA or Auditor default $30.00 $30.00 Replacement window single pane Air Sealing - SWS 3.1001 Series Standard mobile home window (aluminum frame) ui. $3.59 Installation of new vinyl replacement window ui. $6.00 *windows to be energy star rated Installation of new Low e vinyl replacement window ui. $6.04 *windows to be energy star rated Glass Storm Window - Self Storing Air Sealing - SWS 3.1001 Series For single pane sliding prime window sq ft. $32.50 To accomodate crank out exterior windows sq ft. $30.50 Plastic storm window replacement for crank out sq ft. $22.50 Removal of existing unit, sealing of bypasses, installation of needed trims/jambs/stops, surface prep, proper sealing, includes locksets, Work must meet SWS, and Michigan Field Guide minimum standards. Includes sealing of bypasses, installation of stops/trims, includes removal of any existing and installation surface prep, sealing of installation, Work must meet SWS, and Michigan Field Guide minimum standards. Sealing of all accessible bypasses, proper sealing of access areas for installation, proper installation around elec., plbg., mech., etc. Work must meet SWS, and Michigan Field Guide minimum standards. Measure To include: Unit Price Mobile Home Door Replacement Air Sealing - SWS 3.1001 Series Replace Door with combo ea. $1,323.00 Replace Door with standard mobile home door ea. $1,052.00 Installation of water heater door ea. $465.00 Additional Measures Measure To include: Unit Price Attic venting Attic Insulation - SWS 4.100 Series Roof can Installation and sealing of installation of roof can, Work must meet SWS, and Michigan Field Guide minimum standards. ea. $87.00 Gable vents 8"x8" ea. $78.00 12"x12" ea. $81.00 12"x14" ea. $88.00 14"x14" ea. $97.00 14"x18" ea. $103.00 14"x24" ea. $111.00 18"x24" ea. $117.00 Soffit vent with baffles ea. $85.00 Baffles Proper sizing and top plate insulation/installation, Work must meet SWS, and Michigan Field Guide minimum standards. ea. $13.00 Ridge vent To include cut in, nailers/framing/trims, installation sealing, Work must meet SWS, and Michigan Field Guide minimum standards. Ln.Ft. $32.00 Floored attic insulation Attic Insulation - SWS 4.100 Series Blown cellulose r-11 sq ft. $3.00 Blown cellulose r-19 sq ft. $4.14 Blown cellulose r-25 sq ft. $4.37 Blown cellulose r-30 sq ft. $4.49 Blown cellulose r-38 sq ft. $4.64 Blown cellulose r-49 sq ft. $4.91 Attic access Attic Insulation - SWS 4.100 Series Attic access door treatment Seal all bypasses, Rigid Foam Board to meet the R Value of Attic Insulation. Fiberglass with Tyvec wrap acceptable where foam will not work, 1/2" plywood door NO OSB, handle, w/s, barrier around access (specific to situation), Work must meet SWS, and Michigan Field Guide minimum standards. ea. $215.00 Seal all bypasses, insulate areas below floor "deck" by removing flooring and reinstalling preferred, hole/tube acceptable install. Work must meet SWS, and Michigan Field Guide minimum standards. To include cut in, nailers/framing/trims, installation sealing, Work must meet SWS, and Michigan Field Guide minimum standards. Removal of existing unit, remove and re-install storm doors, sealing of bypasses, installation of needed trims/jambs/stops, surface prep, proper sealing, includes locksets. Work must meet SWS, and Michigan Field Guide minimum standards. Measure To include: Unit Price Create New Kneewall Access Complete Cut opening to required size per Code. Seal all bypasses, Rigid Foam Board to meet the R Value of Attic Insulation. Fiberglass with Tyvec wrap acceptable where foam will not work, 1/2" plywood door NO OSB, handle, w/s, barrier around access(specific to situation), Work must meet SWS, and Michigan Field Guide minimum standards. ea. $276.00 Treat Pulldown Attic Access Seal all bypasses. Build or install new (Coffin Style Cover) . Close off as needed to make smaller access at top. (Specific to situation) Insulate and barrier as needed. W/S. Work must meet SWS, and Michigan Field Guide minimum standards. $400.00 Kneewall access Treatment Complete Seal all bypasses, Rigid Foam Board to meet the R Value of Attic Insulation, 1/2" plywood door NO OSB, handle, w/s, barrier around access (specific to situation), Proper latching, Work must meet SWS, and Michigan Field Guide minimum standards. ea. $228.00 Ceate New Attic Scuttle Access COMPLETE Cut opening to required size per Code. Seal all bypasses, Rigid Foam Board to meet the R Value of Attic Insulation. Fiberglass with Tyvec wrap acceptable where foam will not work, 1/2" plywood door NO OSB, handle, w/s, barrier around access (specific to situation), Work must meet SWS, and Michigan Field Guide minimum standards. ea. $261.00 Walk up attic access treatment Seal all bypasses, any latches or hardware needed, trims/stops/framing, w/s, rigid foam pillow to equal r- value of attic, barrier around access (specific to situation). Work must meet SWS, and Michigan Field Guide minimum standards. ea. $297.00 Bath/kitchen fan Apppliance Venting - SWS 6.6005 Series Ducting only Installation of R8 insulated ducting materials, proper supports every 4 FT to code and proper roof or gable end termination. Work must meet SWS, and Michigan Field Guide minimum standards. ea. $241.00 Install new bath fan MUST BE ENERGY STAR RATED Install new bath fan properly sized, Energy Star Rated, installation of R8 insulated ducting materials proper supports every 4 ft to code and proper roof or gable end termination. Work must meet SWS, and Michigan Field Guide minimum standards. ea. $594.00 Measure To include: Unit Price Install new Kitchen Range Hood MUST BE ENERGY STAR RATED install new range hood properly sized, Energy Star Rated ,installation of ducting to code with R8 Insulation, proper support every 4 ft and proper termination. Work must meet SWS, and Michigan Field Guide Minimum standards. ea. $761.00 Insulation Protective Membrane Kneewall&Floor Insulation - SWS 4.1301 Series Tyvek Kneewall Insulation/Floor insulation protective covering (Mobile and Stick Built) Use of belly membrane material, Tyvek or like, tape seal joints with membrane tape. Work must meet SWS, and Michigan Field Guide minimum standards. sq ft. $4.14 Mobile Home Belly Repairs Fiberglass Batts and belly membrane materials or like, tape joints with membrane tape. Work must meet SWS, and Michigan Field Guide minimum standards. sq ft. $6.28 Crawl space venting/access Foundation Venting - 3.1404 Series Thermal vent Properly sized and installed to code and specification, properly sealed. Must meet SWS, and Michigan Field Guide minimum standards. ea. $77.00 Whole House Fan Treatment (SEE MICHIGAN FIELD GUIDE)Install new insulated cover, either magnetic or mechanically fastened so that it is easily removed. Cover must be installed so it has an air seal. Build proper dam around fan in attic per SWS and Michigan Field Guide. ea. $382.00 Create New Crawlspace Access Seal all bypasses, needed trims/stops/framing, 1/2" treated plywood door NO OSB,or weather sealed-Paint or Lacquer, handle, hardware, w/s, pillow to equal r-value of floor/box sill insulation. Must meet SWS, and Michigan Field Guide minimum standards. ea. $353.00 Treat existing Seal all bypasses, pillow to equal r-value of floor/box sill/perimeter, handle, w/s. Must meet SWS, and Michigan Field Guide minimum standards. ea. $200.00 Major Bypass/Infiltration Air Seal - SWS 3.1001 Series Weather-strip door Installation of flap style weather strip (NO SUBSTITUTES UNLESS AGENCY APPROVED). Screws 1" from all ends, caulked at seams and jamb. Work must meet SWS and Michigan Field Guide minimum standards ea. $103.00 Door Sweep Flap style or track style bulb sweep,screws 1" from all ends. Caulked at seams. Work must meet SWS standards ea. $50.00 Door threshold Including bump style, fastened to specification, caulked at all joints to seal from elements. Work must meet SWS, and Michigan Field Guide minimum standards. ea. $85.00 FIRE RATED CAULK Remove old, apply new, joint tooled, clean appearance. Work must meet SWS, and Michigan Field Guide minimum standards. Ln. Ft $4.86 Measure To include: Unit Price Caulk Remove old, apply new, joint tooled, clean appearance. Work must meet SWS, and Michigan Field Guide minimum standards. Ln.Ft. $1.59 Glass replacement Glass pricing to be set to one price up to 2 Square Feet. Removal of existing, install new pane, glaze, points, caulk. Must meet SWS,and Michigan Field Guide minimum standards. Each $100.00 Glass replacement Over 2 SQ. FT. Each $150.00 Glass replacement Over 3 SQ,FT. Each $200.00 Glass replacement Over 4 SQ.FT. Each $250.00 Reglazing Includes removal/reinstall of storms if present, remove existing, install new points, glaze. Work must meet SWS, and Michigan Field Guide minimum standards. Ln.Ft. $2.75 Window Pulley Covers Install set of pulley covers over pulleys, attach and seal properly. Work must meet SWS and Michigan Field Guide minimum standards. set $17.00 Door exterior - Metal door Removal of existing unit, remove and re-install storm doors, sealing of bypasses, installation of needed trims/jambs/stops, surface prep, proper sealing, includes locksets. Work must meet SWS, and Michigan Field Guide minimum standards. ea. $872.00 Drywall repair - all areas Wall/ceiling, installation of proper thickness drywall, framing/nailers, glued/screwed, taped and mudded seams. Work must meet SWS, and Michigan Field Guide minimum standards. sq ft. $45.67 Tape and mud joints Tape and mud joints in existing drywall or like surfaces. Work must meet SWS and Michigan Field Guide minimum standards. Ln.Ft. $6.15 Seal Balloon, Slopes, Floor Bypasses as Needed Seal any and all Balloon, Slopes, Walls and Floor bypasses in Attics, Kneewall Attics , and such. using foam and proper backer. Work must meet SWS, and Michigan Field Guide minimum standards. Ln.Ft. $4.83 Duct Sealing Mobile Homes Duct Seal - SWS 3.1602 Series Tape and Mastic register boots Mobile Home Using ASTM rated foil tape and or fibered mesh tape when needed to support and mastic seal register boots, includes @ subfloor (allow to dry before installing diffusers). Must meet SWS, and Michigan Field Guide minimum standards. ea. $42.00 Close off ends of heat runs Mobile Home Block and seal 1 foot past the end register at end of heat run using proper materials to block, Rigid ( NO ROLLED UP INSULATION) Seal with Foil tape and mastic. Must meet SWS and Michigan Field Guide Minimum Standards ea. $42.00 Measure To include: Unit Price Register covers Remove existing, install new properly sized and rigidly attached (screwed panhead). Must meet SWS, and Michigan Field Guide minimum standards. ea. $36.00 Measure To include: Unit Price Additional Works must meet SWS minimum standards Lockset Removal of existing, includes mod kit, strike accessories, all proper adjustments, exterior grade. ea. $71.00 Basement window/coal shute close off Install 3/4" treated ply ext., insulate, seal exterior, seal interior, seal all bypasses. ea. $81.00 Sash locks Removal of existing, install new cam action, nylon shims, rigidly attached. ea. $21.00 Close off fireplace Temporary stuff and seal, pillowed f/g bag or manufacturered inflatable pillow, string with warning flag. ea. $84.00 Foam sealant Fire rated installed as called for. can $36.00 Furnace or Water Heater Flue Collar Repair/Sealing Fire rated Caulk or Mastic along with fire rated material to bridge large gaps ea. $41.00 Window Stops Removal of existing and installation of new, exterior grade. ea. $49.00 Trims -casing, base, jamb, extension, etc. Removal of existing if needed, installation of new, caulked and sealed, sealed if exterior or exterior grade. Ln.Ft. $5.72 6 mil Visquene for ground cover To be installed as additional cost as H&S measure for ground cover in crawlspaces and under mobile homes. Must be insatalled per SWS and Michigan Field Guide Standards. Sq.Ft. $2.13 Water heater Insulation and pipe foam 12 ft. Install ASTM rated water heater wrap and pipe foam on supplies. R11 For Wather Heater wrap and R8 For Pipe Insulation ea. $81.00 Low Flow Shower heads Install where called for by Auditor to manufacturer specs ea. $77.00 Bath and Kitchen Faucet Aerators. Install where called for by Auditor to manufacturer specs ea. $69.00 Pipe insulation Install in areas called for, R8 Minimum properly attached and secured. Ln.Ft. $4.63 Water heater Pressure Relief Valve *PRV* Drop leg Install rigid galv. or copper tubing to code. ea. $46.00 Smoke detectors Install to specification of product. Need to install with 10 Year Batteries. ea. $79.00 Carbon Monoxide Detector Install to specification of product. Must meet NFPA720 Standards/10 year batteries. ea. $93.00 Smoke/Carbon Monoxide Detector Combo Install to specification of product. Must meet NFPA720 Standards/10 year batteries. $132.00 Labor charge Miscellaneous labor. hrly $79.00 Dryer vent - cap only Removal of existing, installation of flapper style (no screen), seals and rigidly attached. ea. $47.00 Standard dryer kit -( Rigid pipe only), Removal of existing, Flex transition, Rigid trunk. Must be insulated in unconditioned areas, properly clamped,sealed , supported every 4 feet, flapper hood. UL Listed Semi-Rigid Acceptable when Needed. No Aluminum Foil or Plastic Coil/Slinky Style. ea. $157.00 Furnace filter Removal of existing, installation of new properly sized. ea. $30.00 Furnace Filter slot cover Installation of (Magnetic Reccomended) or mechanical slot cover as needed. ea. $43.00 Measure To include: Unit Price Lead Safe Work Set Up And Disposal Proper set up and disposal of all materials per EPA and LSW. Contractor to Supply agency with proper documentation of all set up such as pictures. Contractor to supply proof of existing lead or lack of per swab test. lft. $4.23 Blower Door Driven Air Sealing Use of Blower Door to find and seal infiltration and bypass areas. Must include blower door numbers after each hour of air sealing to charge for air sealing. Price to include all Labor and Materials. hrly $172.00 Air King Range Hood Fan For ASHRAE Compliance Air King is an ASHRAE compliance Range Hood fan. It is to be installed per manufacturer specs and to meet ASHRAE compliance ASHRAE, the SWS and Michigan Field Guide Standards. ea. $1,108.00 Solar Screen Installation Install per Auditor instructions All labor and materials included Sq.Ft. $7.20 Mold Remediation/Clean Up Clean mold using proper PPE and solutions. All labor and materials included Sq.Ft. $14.33 Knob and Tube Wiring Damming Use non combustionable and non conductable materials where possible. All labor and materials included Ln.Ft. $20.02 Grading Repair grading around home as directed by auditor Sq.Ft. $15.73 Roof Repair (MINOR REPAIRS ONLY) Per auditor directions. All labor and materials included Sq.Ft. $72.33 Downspouts Installl necessary downspouts to direct water from home. All labor and materials included Ln.Ft. $14.33 Gutters Install gutters as called for All labor and materials included Ln.Ft. $15.01 Measure To include: Unit Price Sump Pump Installation Install Sump Pump. All labor and materials included ea. $1,045.00 Air Conditioner Window Unit Replacemet Includes all labor and materials, client education. Install to manufacturer specifications. 10,000 BTU or greater Each $802.00 Air Conditioner Portable Unit Installation Includes all labor and materials, client education. Install to manufacturer specifications. 10,000 BTU or greater Each $856.00 Measure To include: Unit Price Inspect and Estimate Inspect needs of auditor specified appliance for repairs or replacement. Issue written analysis and itemized bid for addressing issues. Job $220.00 Clean and tune Furnace Filter -SWS 5.3003 Series Natural gas/ LP furnace Adjust fuel supply control valve, adjust burner and gas input, adjust pilot light/combustible blower, replace filter, install filter slot cover as needed, clean blower housing and motor, clean combustion chamber, clean cabinet, clean and inspect heat exchanger, clean burner ports or fire tubes, check and or repair fan or limit controls, replace or adjust belts, new thermocouple, DO COMBUSTION ANALYSIS AND PROVIDE RESULTS ( FYRITE OR SIMILAR) Work must meet SWS minimum standards. Job $230.00 Oil furnace Check tank, Clean Cabinet, Clean blower housing and motor, replace air filter, replace nozzle, check and address electrode setting, check and address oil pump pressure, perform smoke test, check and address barometric damper, DO COMBUSTION ANALYSIS AND PROVIDE RESULTS ( FYRITE OR SIMILAR) Work must meet SWS minimum standards. Job $320.00 Water heater Clean combustion chamber, clean burner port or fire tube, new thermocouple, check temperature pressure valve, check thermostat operation, DO COMBUSTION ANALYSIS AND PROVIDE RESULTS ( FYRITE OR SIMILAR) . Work must meet SWS minimum standards. Job $160.00 Boiler Systems Clean combustion chamber, clean burner port or fire tube, new thermocouple, check fan belts and blowers, check safety controls, check for proper venting, inspect and replace filters, lubricate all motors. DO COMBUSTION ANALYSIS AND PROVIDE RESULTS ( FYRITE OR SIMILAR) Work must meet SWS minimum standards. Job $260.00 Replacement of furnace Furnace Filter-SWS 5.3003 Series NEAT/MHEA Measures - Mechanical Attachment B Measure To include: Unit Price 96% efficient Nat. Gas or LP furnace systems **Provide warranty information for client and Agency p p application and estimated final inspection date 96% efficient Nat. Gas or LP furnace systems WITH ASHRAE CAPABILITIES **Provide warranty information for client and Agency p p application and estimated final inspection date 96% efficient Nat. Gas or LP furnace systems - Mobile home **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date To be installed within written bid provided by licensed professional contractor within specifications of products and governing codes. Furnaces to be sized properly via manual j. Include input/output of new. **these are to be worst case prices** ** Complete installation of new** **includes removal and disposal of existing, all needed connections to ductwork, all electrical necessary****Includes need for Condensation pump** Filter slot cover, Duct sealing with mesh tape & or Mastic. If complete electrical upgrade is needed, will be bid and added to cost. To be installed within written bid provided by licensed professional contractor to SWS minimum standards. Job $5,800.00 To be installed within written bid provided by licensed professional contractor within specifications of products and governing codes. Furnaces to be sized properly via manual j. Include input/output of new. **these are to be worst case prices** ** Complete installation of new** **includes removal and disposal of existing, all needed connections to ductwork, all electrical necessary****Includes need for Condensation pump** Filter slot cover, Duct sealing with mesh tape & or Mastic. If complete electrical upgrade is needed, will be bid and added to cost. To be installed within written bid provided by licensed professional contractor to SWS minimum standards. Job $5,300.00 To be installed within written bid provided by licensed professional contractor within specifications of products and governing codes. Furnaces to be sized properly via manual j. Include input/output of new. **these are to be worst case prices** ** Complete installation of new** **includes removal and disposal of existing, all needed connections to ductwork, all electrical necessary****Includes need for Condensation pump** Filter slot cover, Duct sealing with mesh tape & or Mastic. If complete electrical upgrade is needed, will be bid and added to cost. To be installed within written bid provided by licensed professional contractor to SWS minimum standards. Job $6,550.00 Measure To include: Unit Price 96% efficiancy Nat. Gas or LP furnace systems - When replacing Gravity Type Furnaces **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date High efficiency oil furnace **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date To be installed within written bid provided by licensed professional contractor within specifications of products and governing codes. Furnaces to be sized properly via manual j. Include input/output of new. **these are to be worst case prices** ** Complete installation of new** **includes removal and disposal of existing, all needed connections to ductwork, all electrical necessary****Includes need for Condensation pump** Filter slot cover, Duct sealing with mesh tape & or Mastic. If complete electrical upgrade is needed, will be bid and added to cost. To be installed within written bid provided by licensed professional contractor to SWS minimum standards. Job $7,800.00 Job $10,600.00 To be installed within written bid provided by licensed professional contractor. All work to be done within specifications of products and governing codes. Furnaces to be sized properly via manual j. Include input/output of new. **these are to be worst case prices** ** Complete installation of new** **includes removal and disposal of existing, all needed connections to ductwork, all electrical necessary** **Includes need for Condensation pump** If complete electrical upgrade is needed, will be bid and added to cost. To be installed within written bid provided by licensed professional contractor. Work must meet SWS minimum standards. Measure To include: Unit Price Replacement of water heater Water Heater - SWS 7.8102 Series 40 gal. electric **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date 40 gal Nat gas / LP natural draft unit **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date 40 gal Nat gas / LP natural power vent unit **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date 40 gal Nat gas / LP natural mobile home unit **Provide warranty information for client and Agency *** Provide copies of permit application and estimated final inspection date Removal and disposal of existing, complete installation of new. Installation to meet all product specifications and governing codes. All connections to be made to water and fuel lines. Includes needed items for proper draft and venting. **these are to be worst case prices** Work must meet SWS minimum standards. Job $2,580.00 Removal and disposal of existing, complete installation of new. Installation to meet all product specifications and governing codes. All connections to be made to water and fuel lines. Includes needed items for proper draft and venting. **these are to be worst case prices** Work must meet SWS minimum standards. Job $3,430.00 Removal and disposal of existing, complete installation of new. Installation to meet all product specifications and governing codes. All connections to be made to water and fuel lines. Includes needed items for proper draft and venting. Includes needs for bringing water heater cabinet to code. **these are to be worst case prices** Work must meet SWS minimum standards. Job $2,420.00 Removal and disposal of existing, complete installation of new. Installation to meet all product specifications and governing codes. All connections to be made to water and fuel lines **these are to be worst case prices** Work must meet SWS minimum standards. Job $1,850.00 Measure To include: Unit Price Chimney liners/Misc. Repairs Single story *** Provide copies of permit application and estimated final inspection date Two story *** Provide copies of permit application and estimated final inspection date ASHRAE 62-2 Bath exhaust fan (PANASONIC OR SIMILAR) Not to be regular bath fan. Must Meet all ASHRAE Standards Installation to include all ducting and electrical necessary including all timers, Motion Detector, Moisture Sensor CFM Control. Fan must exhaust either through roof or sidewall of attic. Venting must be properly insulated and supported.Work must meet SWS and ASHRAE minimum standards for Sones, CFM, Run Time . Also to include client education for operating. **these are to be worst case prices** ** Set to Required CFM Continous** Job $1,450.00 ASHRAE 62-2 Bath exhaust fan WITH LIGHT (PANASONIC OR SIMILAR) Not to be regular bath fan. Must Meet all ASHRAE Standards Installation to include all ducting and electrical necessary including all timers, Motion Detector, Moisture Sensor CFM Control. Fan must exhaust either through roof or sidewall of attic. Venting must be properly insulated and supported.Work must meet SWS and ASHRAE minimum standards for Sones, CFM, Run Time . Also to include client education for operating. **these are to be worst case prices** ** Set to Required CFM Continous** Job $1,550.00 Job $950.00 To be installed within written bid provided by licensed professional contractor. All work to be done within specifications of products and governing codes. Includes all connections and trims. **these are to be worst case prices** Work must meet SWS minimum standards. Job $1,100.00 To be installed within written bid provided by licensed professional contractor. All work to be done within specifications of products and governing codes. Includes all connections and trims. **these are to be worst case prices** Work must meet SWS minimum standards. Measure To include: Unit Price ASHRAE 62-2 Bath exhaust fan (WITHOUT LIGHT) (PANASONIC OR SIMILAR) Not to be regular bath fan. Must Meet all ASHRAE Standards WITHOUT THE NEED FOR NEW WIRING Installation to include all ducting WITHOUT THE NEED FOR NEW WIRING. including all timers, Motion Detector, Moisture Sensor CFM Control. Fan must exhaust either through roof or sidewall of attic. Venting must be properly insulated and supported.Work must meet SWS and ASHRAE minimum standards for Sones, CFM, Run Time . Also to include client education for operating. **these are to be worst case prices** ** Set to Required CFM Continous** Job $1,140.00 ASHRAE 62-2 Bath exhaust fan (WITH LIGHT) (PANASONIC OR SIMILAR) Not to be regular bath fan. Must Meet all ASHRAE Standards WITHOUT THE NEED FOR NEW WIRING Installation to include all ducting WITHOUT THE NEED FOR NEW WIRING. including all timers, Motion Detector, Moisture Sensor CFM Control. Fan must exhaust either through roof or sidewall of attic. Venting must be properly insulated and supported.Work must meet SWS and ASHRAE minimum standards for Sones, CFM, Run Time . Also to include client education for operating. **these are to be worst case prices** ** Set to Required CFM Continous** Job $1,240.00 ASHRAE 62-2 Furnace Retrofit (Inline System) Labor and Materials to include all ducting and electrical necessary . **these are to be worst case prices** ** Set to Required CFM Continous** Work must meet SWS and ASHRAE minimum standards for Sones, CFm and Run Time. Also to include client education for operating. Job $1,020.00 Install New Flue For Water Heater or Furnace Complete installation of new flue of proper size. All connections to chimney or liner. ***Worst case Prices*** Job $450.00 Install new supply and return air ducts as necessary ***Worst case Prices*** Complete supply and or return as necessary. Job $5,800.00 Replace Gas Line to Dryer When replacing copper or other inproper gas lines. ***Worst case Prices*** includes all labor and materials, Shut off valve as needed Each $320.00 Repair of gas leaks ***Worst case Prices*** includes all labor and materials Each $500.00 Measure To include: Unit Price Replace Condensation Pump for all high efficiancy furnaces ***Worst case Prices*** includes all labor and materials Each $456.56 Repair of all supply and return ducting for existing ducting ***Worst case Prices*** includes all labor and materials Job $5,800.00 Replace Gas Shut Off Valves ***Worst case Prices*** includes all labor and materials Each $230.00 Measure To include: Unit Price Thermostats/ AC Repair-Replacements Programmable Includes installation and connection, client education, Work must meet SWS minimum standards. Job $395.00 Air Conditioning System Repair Includes all labor and materials, client education. Install to manufacturer specifications Job $560.00 Central air unit complete Includes all labor and materials, client education. Install to manufacturer specifications. 10,000 BTU or greater Each $5,900.00 HRV Unit Installation Includes all labor and materials, client education. Install to manufacturer specifications. Must meet all SWS Job $2,940.00 ERV Unit Installation Includes all labor and materials, client education. Install to manufacturer specifications. Must meet all SWS Job $2,030.00 NEAT/MHEA Measures - Mechanical COUNTY OF KENT AUTHORIZATION AND RELEASE FORM I, the undersigned, understand that if I am offered a contractor opportunity it is contingent upon satisfactorily passing a background investigation. I therefore authorize the County of Kent to conduct a background investigation that may include a criminal history record check and/or a motor vehicle violation check. I understand that any omission or misrepresentation of information may be sufficient cause for rejection of my volunteer/internship application or, if volunteering/interning has commenced, grounds for immediate dismissal. I understand that if I need to amend my application in any way I must make such changes prior to signing this release. I hereby release the County of Kent from any and all actions and claims that may be sustained by me from the release and use of the information. The following information is required for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes. CONTRACTOR: Please complete the shaded section only. Please print. Name: Last_____________________First________________Middle_______________ Address:________________________________________________________________ City/State/Zip: ___________________________________________________________ Telephone Number: _________________________________________________ Drivers License Number: ___________________________________ State:__________ Signature: Date: If a contractor opportunity is extended, you will be contacted by a representative of the County of Kent and will be asked to provide your date of birth to facilitate the conducting of a criminal history record check and/or a motor vehicle violation check. For Human Resources Use Only: To be filled out after a contractor opportunity has been extended: Date of Birth: ____________________________________________________________ Name(s) other than above:__________________________________________________ DHS-1929 (Rev. 12-13) Previous edition obsolete. MS Word 1 CENTRAL REGISTRY CLEARANCE REQUEST COPY PHOTO ID HERE AND RETAIN A COPY FOR YOUR RECORDS OR ATTACH A CLEAR COPY OF YOUR ID ON A SEPARATE PAGE Michigan Department of Human Services An enlarged and clear copy of individuals photo identification must be attached. For Michigan employers, individuals and volunteer agencies, submit this request to the local County Department of Human Services. To obtain the address and fax number of your local county DHS, access www.michigan.gov/dhs->Inside DHS. For individuals seeking clearance on themselves, the results will be sent to the address on the picture identification provided. Outstate Childrens Protective Services workers, law-enforcement, and court officials fax request to 517-241-7047 (Outstate only) on agency letterhead with cover sheet. All fields must be completed for processing. SECTION 1 INFORMATION ON PERSON BEING CLEARED Name First, Middle, Last AKA (Also Known As) (Maiden Name) Social Security Number Signature Required for individual being cleared Address Phone Number Date Of Birth SECTION 2 REQUESTOR INFORMATION Please Check Appropriate Box Child Welfare Agency Employer Individual I would like to pick up my results in county Volunteer Agency Law-Enforcement/Dept of Corrections Out-of-State Adoption and Foster Home Screening Prosecuting Attorney/Court (please provide docket number if available) MI Other Gov't: Req. per DOE/DHHS Weatherization Contract Name of CPS/Law-Enforcement or Court Name of Employer/Volunteer Agency/Individual Kent County Community Action N/A Title Name Roger Strickfaden Weatherization/Housing Project Supervisor Address City State Zip Code 121 Franklin ST. SE Suite 110 Grand Rapids MI 49507 Date Phone 616-632-7964 Fax 616-632-7955 E-mail roger.strickfaden@kentcountymi.gov Employers/volunteer agencies will ONLY receive responses of NO central registry if the name being cleared has approved this request with their signature. Employers/volunteer agencies will NOT receive notification if the name submitted has any central registry history hits per CPL 722.627. For questions about completing this form, please contact the local Michigan Department of Human Services, Childrens Protective Services or CPS Program office at 517-373-6028. Mail questions to PO Box 30037, 235 S. Grand Avenue, Suite 510, Lansing, Michigan 48909 This clearance does not identify individuals who may have child abuse/neglect history in other states, territories or tribal trust land. The confidentiality of central registry information is protected by Sections 7 through 7j of the Michigan Child Protection Law (MCL 722.627-722.627j). Anyone who violates this protection is guilty of a misdemeanor and is civilly liable for damages. Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. INSTRUCTIONS: Kent County Community Action 121 Franklin St SE Suite 110 | Grand Rapids, MI 49507 Phone: (616) 632-7650 | Fax: (616) 632-7955 Kent County Community Action Certification Regarding, Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS BELOW CERTIFICATION INSTRUCTIONS 1. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or Agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. 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 the rules implementing Executive Order 12549. You may contact the Department or Agency to which this proposal is submitted for assistance in obtaining a copy of those regulations. KENT COUNTY Community ction Opportniy Weatherization Works: Kent County Community Action 121 Franklin St SE Suite 110 | Grand Rapids, MI 49507 Phone: (616) 632-7650 | Fax: (616) 632-7955 6. The prospective primary participant agrees by submitting this proposal 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 Department or Agency entering into this transaction. 7. The prospective primary participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions," provided by the Department or Agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it 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 ineligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded From Procurement or Non- procurement Programs. 9. 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. 10. Except for transactions authorized under paragraph 6 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 may terminate this transaction for cause or default. KENT COUNTY Community ction Opportniy Weatherization Works: Kent County Community Action 121 Franklin St SE Suite 110 | Grand Rapids, MI 49507 Phone: (616) 632-7650 | Fax: (616) 632-7955 Kent County Community Action Certification Regarding, Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions 1. The prospective contractor certifies to the best of its knowledge and belief, that it and its principals: a. Are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; b. Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and d. Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default. 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this proposal. Offeror/Bidder Signature Authorized Representative & Title Signature Date Date KENT COUNTY Community ction Opportniy Weatherization Works: Attachment D Kent County Community Action 121 Franklin St SE Suite 110 | Grand Rapids, MI 49507 Phone: (616) 632-7950 | Fax: (616) 632-7955 Kent County Community Action Non-Collusion Affidavit STATE OF MICHIGAN COUNTY OF ____________ _______________________________, being first duly sworn, deposes and says that they are authorized on behalf of ________________________________ who is making the foregoing proposal(s) that: 1) Such proposals are genuine and not collusive or a sham. 2) This Bidder has not colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder or person to submit a proposal which is a sham. 3) This Bidder has not in any manner agreed with any other persons or businesses to fix the proposed price, overhead, profit, or any cost element of the submitted proposal. 4) This Bidder has not attempted to secure any advantage against any other Bidders through collusion with any other Bidder or employees or representative of Kent County Community Action. 5) That the proposals submitted are true and accurate to the best of my knowledge and belief and are made in good faith. 6) This Bidder has not directly or indirectly submitted or disclosed its proposal or its contents or divulged information or data relative thereto to any association or to any member or agent of any other Bidder to this proposal. Further, Affiant sayeth not. __________________________________________ Subscribed and sworn to before me this ____________ day of ____________________, 20_______ ________________________________________ _______________ County, Michigan My Commission Expires: ___________ ______ _______ Offeror/Bidder first & last printed name Offeror/Bidder printed company name Offeror/Bidder signature Notary Public Signature Month Day Year Embossing Area Residing County Weatherization Works: & BKENT COUNTY (Community ction Developing Con sncing oportiy Attachment E Kent County Community Action 121 Franklin St SE Suite 110 | Grand Rapids, MI 49507 Phone: (616) 632-7950 | Fax (616) 632-7955 Kent County Community Action Certification of Compliance-Iran Economic Sanctions Act This certification is required by the regulations implementing Michigan Public Act No. 517 of 2012; MCL 129.311 et seq. effective April 1, 2013. The undersigned, the owner or authorized officer of the below-named Offeror/Bidder, _________________________________, herby certifies, represents and warrants that the Offeror/Bidder (including its officers, directors and employees) is not an Iran linked business within the meaning of Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the Iran Economic Sanctions Act), and that in the event the Offeror/Bidder is awarded the contract, the Offeror/Bidder will not become an Iran linked business at any time during the course of performing any services under the contract. Offeror/Bidder Printed Name Offeror/Bidder Signature Authorized Representative & Title Signature Date Date Weatherization Works: & BKENT COUNTY (Community ction Developing Con sncing oportiy Form W-9 (Rev. November 2017) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. P ri n t o r ty p e . S ee S p e c if ic I n s tr u c ti o n s o n p ag e 3. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. 6 City, state, and ZIP code Requesters name and address (optional) 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Employer identification number Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. Form 1099-INT (interest earned or paid) Form 1099-DIV (dividends, including those from stocks or mutual funds) Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) Form 1099-S (proceeds from real estate transactions) Form 1099-K (merchant card and third party network transactions) Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) Form 1099-C (canceled debt) Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) Form W-9 (Rev. 11-2017) Page 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requesters form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: An individual who is a U.S. citizen or U.S. resident alien; A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; An estate (other than a foreign estate); or A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States. In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called backup withholding. Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester, 2. You do not certify your TIN when required (see the instructions for Part II for details), 3. The IRS tells the requester that you furnished an incorrect TIN, 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or 5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only). Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships, earlier. What is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Form W-9 (Rev. 11-2017) Page 3 Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or doing business as (DBA) name on line 2. c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2. d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2. e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a disregarded entity. See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, Business name/disregarded entity name. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2. Line 3 Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3. IF the entity/person on line 1 is a(n) . . . THEN check the box for . . . Corporation Corporation Individual Sole proprietorship, or Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes. Individual/sole proprietor or single- member LLC LLC treated as a partnership for U.S. federal tax purposes, LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes. Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation) Partnership Partnership Trust/estate Trust/estate Line 4, Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. Generally, individuals (including sole proprietors) are not exempt from backup withholding. Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. Corporations are not exempt from backup withholding with respect to attorneys fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4. 1An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2) 2The United States or any of its agencies or instrumentalities 3A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 4A foreign government or any of its political subdivisions, agencies, or instrumentalities 5A corporation 6A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession 7A futures commission merchant registered with the Commodity Futures Trading Commission 8A real estate investment trust 9An entity registered at all times during the tax year under the Investment Company Act