ADDENDUM NO. 2 REQUEST FOR TENDER NO CONTRACT NO. MCP-14-07

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1 Michael Pacholok Director Purchasing and Materials Management Division City Hall, 18 th Floor, West Tower 100 Queen Street West Toronto, Ontario M5H 2N2 Joanne Kehoe Manager Professional Services August 15, 2016 Posted via PDF: (4 page + 4 attachments) ADDENDUM NO. 2 REQUEST FOR TENDER NO CONTRACT NO. MCP For: Construction Services for the replacement of aging "Electrical Substation West" at Humber Wastewater Treatment Plant CLOSING DATE: 12:00 NOON (LOCAL TIME); SEPTEMBER 07, (REVISED) Please refer to the above Request for Tender (RFT) document in your possession and be advised of the following: I. MANDATORY SITE MEETING The following had representation on August 09, 2016, mandatory site meeting: Ainsworth Inc. Beacon UtilityContractors Limited Industrial Electrical Contractors Limited Plan Group Sutherland-Schultz WS Nicholls Construction Inc. Alberici Constructors Cymi Canada Inc. Morgado Construction Ltd. Quantech Electrical Contractors Ltd Trade Mark Industrial Inc. II. LIST OF ATTACHMENTS Attachment 1 Revised Pricing Table Attachment 2: UPS System drawings Attachment 3: Semi-Auto Transfer Scheme complete with associated drawings Attachment 4: Shutdown Request/ Notification (SRN) form III. ADDITIONS & REVISIONS ADDITIONS A) Uninterrupted Power Supply (UPS) System: Based on the scope of work mentioned below provide price for item-21 (UPS Replacement) in Section 3, the Schedule of Price (Page 3-14). 1) Refer to the specification and drawing of Uninterrupted Power Supply (UPS) and battery and provide the following: i. UPS system in Digester 7-10 electrical room ii. UPS system in the basement of blower/administration-building 2) Provide all the required labour, material, tools and accessories for the installation, testing and commissioning of UPS system. Addendum-2 Tender #

2 3) UPS-6493 System (Located in the basement of Blower/Administration Building): i. Remove the existing UPS, battery-bank and all its accessories. ii. Provide a new UPS at the same location where the old UPS is located. The UPS shall be rated as per the following: 30 kva UPS, 3-Phase, 60Hz Incoming power supply: 208V, 3-phase, 60 Hz UPS output power supply: 208/120V, 3-phase, 60 Hz, 4-Wire iii. Provide battery-bank in an enclosure, shall provide an uninterrupted power supply to full load (30kVA) for 30 minutes in case incoming normal power supply fails iv. Provide new transformer, disconnect switch, manual transfer switch and all the required cables and required accessories. These equipment shall be mounted minimum one (1) meter above ground. Refer to the drawing for details. v. Before proceeding for the installation provide a written sequence of construction to the plant staff for their approval. The power interruption to the connected loads shall be minimized. vi. Relocate all the items stored in the UPS room to a different location in the plant, as directed by the plant staff; and clean the room. 4) UPS-9563 System (Located in Digester # 7-10 Electrical-Room): i. Provide a new circuit breaker in the existing Motor Control Centre (MCC) located in the room. ii. Provide new transformer, manual transfer switch, distribution panel, junction box (with proper terminal connector), all the required cables/wires and accessories. Mount the transformer on the wall. Refer to the drawing for details. iii. Before proceeding for the installation provide a written sequence of construction to the plant staff for their approval. The power interruption to the connected loads shall be minimized. iv. Remove the existing UPS, battery-bank and all its accessories v. Provide a new UPS at the same location where the old UPS is located. The UPS shall be rated as per the following: 20 kva UPS, 3-Phase, 60Hz Incoming power supply: 208V, 3-phase, 60 Hz UPS output power supply: 208/120V, 3-phase, 60 Hz, 4-Wire vi. Provide battery-bank in an enclosure, shall provide an uninterrupted power supply to full load (20kVA) for 30 minutes in case incoming normal power supply fails. B) SEMI-AUTOMATIC TRANSFER SCHEME: Based on the scope of work mentioned below provide price for item-22 (Semi Auto Transfer Scheme) in Section 3, the Schedule of Price (Page 3-14). A semi-automatic transfer scheme will be implemented at the Humber Treatment Plant - Main Substation: 1) In Mimic Panel THR-ELS-CP-0001 replace Semi- Auto three position switch with a two position, maintained, ON/OFF selector switch with a contact in both positions. Modify the selector switch label to Semi-Auto On-Off. Addendum-2 Tender #

3 REVISIONS 2) In 5kV Switchgear, modify the logic of JRT-0103 and JRT-0203 associated with the main 4.16kV breakers SWG-0103 and SWG-0203 to trip on undervoltage. Modify relay R4 logic to close on undervoltage. 3) In 5kV Switchgear, modify logic of JRT-0002 associated with the tie 4.16kV breaker SWG-0002 to provide a syncrocheck between Bus 1 and Bus 2. Syncrocheck to confirm one bus is dead or both buses are synchronized before a transfer is allowed. 4) In 5kV Switchgear SWG-0002, modify the semi auto selector switch test mode label to semi auto. The semi auto transfer switch shall be modified to be a two position ON/Off switch rather than Bus 1 test/bus 2 test. The pilot light is to rewired such that the light is activated/on when the semi auto transfer switch is in off position. The pilot light label to indicate Off. 5) The semi auto transfer switch is to be rewired such that in On position of the selector switch, the semi-auto transfer scheme operation shall be allowed. 6) Remove syncrocheck connection on Relay JRT Only one voltage input so synchronization is not possible 7) Test transfer scheme through actual conditions not simulation. Details of settings and wiring schematics have been included in the Semi-Auto Transfer Scheme package, as an attachment to the Addendum. A. Tender Document: 1) Replace item 1.1/.9 of Section (Summary of Work) with the following: "Provide a temporary generator 2000kW, 600V, 3-phase power to the West substation during construction stage. Two sources of power should be maintained for the loads at all the times". 2) Replace "Shut-down Notification Form" provided under Section (Use of owner's site during construction), with the new "Shutdown Request/Notification (SRN)" form provided as an attachment with the addendum. 3) Replace item 1.16/.5 Section (Use of owner's site during construction), with the following: "The contractor will fill the "Shutdown Request/Notification (SRN)" form and submit it to the Contract Administrator. The operations lead of the plant will review the SRN form and coordination with all the affected operations and maintenance staff for the proposed shutdown, and identify any extraordinary activities required to accommodate the shutdown. Operations lead will approve/issue the shutdown notification." B. Drawing: 1) Drawing I8 Notes 5: The fibre optic cable is to be routed through existing duct bank and then through the fibre duct in the Primary Sludge Building-2. The Fibre Optic Cable shall be terminated in the Primary Sludge Pumping 2 access closet (THR-SPC-COM-1200). See drawing E39 for cable schedule. Additional Note (Note 7): The Enervista cable is to be routed through existing duct bank (in a 25mm flex. PVC conduit) and then through the existing fibre duct in the Primary Sludge Building -2. The Enervista Cable shall be terminated in the Primary Sludge Pumping 2 Multilink Panel (THR-SPC-1210). Addendum-2 Tender #

4 IV. QUESTIONS AND ANSWERS Q.1 Is it possible to have a 2 week extension on the closing date? Manufacturers are on vacation and is difficult to get the pricing by 24 August. A1. Please refer to the first page of the Addendum for the revised closing date. Q2. Tender clause 6.2.A.1 in Section 2 Information for Bidders, be amended to remove Ontario and read (2) similar projects of comparable nature, size and scope within Canada in the last ten (10) years with a minimum value of $2,000,000 Canadian Dollars.:. A2. Due to the specialized nature of the work, the Bidder shall meet the qualification and experience requirements mentioned in the Tender document. Tender clause 6.2.A.1 in Section 2 Information for Bidders will not be amended, and will remain as in the Tender. Q3. Can the tender document be send electronically? A3. Unfortunately the tender document is not provided electronically, only the drawings. Q4. In section 3 page 13 schedule of pricing the item numbers seem to skip#3. A4. See revised pricing table in attachement. Should you have any questions regarding this addendum contact Candida Charles at ccharle@toronto.ca or Please attach this addendum to your Tender document and be governed accordingly. Bidders must acknowledge receipt of all addenda in their Tender in the space provided on the Tender Submission Form as per Appendix A, Section 4 - Addenda of the Tender document or your response will be declared noncompliant and will not be considered. All other aspects of the Tender remain the same. Yours truly, Robert Nichols Acting Supervisor Professional Services Addendum-2 Tender #

5 Section 3 Tender Submission Package Schedule of Prices to cover alterations, extras or deductions Tender Call No Contract No. MCP Addendum No 2 SCHEDULE OF PRICES TO COVER ALTERATIONS, EXTRAS OR DEDUCTIONS Item No 1 Description Estimated Provisional Quantity Unit Addition/Deleti on Unit Price Total Price Weekly Work Stoppage for potential Asbestos Abatement. 6 weeks $ /week $ Concrete Repair for damaged concrete areas with non-shrink grout. (removal, disposal, supply & install) Supply and install additional firestopping over and above that required as part of base scope for the following opening ranges I. 0.25m 2 opening or smaller II. 0.25m 2 to 0.5m 2 opening III. 0.5m 2 to 1.05m 2 opening Labour and material to supply & install new 1000mm wide by 100mm high Aluminum Cable Tray Labour and Material for additional concrete coring, including all requirements as per Section (assume 8 diameter and 8 width/depth). Replacement of Feeder Cables for Gas Compressor Building from PDP or PDP-0602 (CB-1511 or CB- 1512) to Gas Compressor MCC-1501 or MCC-1502 including all labour and materials to remove existing feeder cables and replace with new complete with termination of both ends. Replacement of Feeder Cables for Admin Building from PDP-0501 or PDP-0602 (CB-2501 or CB-2602) to Admin Building PDP-2501 or PDP including all labour and materials to remove existing feeder cables and replace with new complete with termination of both ends. Replacement of Feeder Cables for North Grit Building from PDP-0501 or PDP-0602 (CB-3201 or CB-3202) to North Grit MCC-3201 or MCC-3202 including all labour and materials to remove existing feeder cables and 100 m 2 $ /m 2 $ 10 units $ unit $ 10 units $ unit $ 10 units $ unit $ 50 M $ /m $ 20 each $ /ea $ LS $ $ LS $ $ LS $ $ PMMD V Page 3-13

6 Section 3 Tender Submission Package Schedule of Prices to cover alterations, extras or deductions Tender Call No Contract No. MCP Addendum No 2 replace with new complete with termination of both ends. 9 Replacement of Feeder Cables for Digester 1-6 Building from PDP-0501 or PDP-0602 (CB-1411 or CB-1412) to Digester 1-6 MCC-1401 or MCC including all labour and LS $ $ materials to remove existing feeder cables and replace with new complete with termination of both ends. 10 Replacement of Feeder Cables for Head House Building from PDP-0501 or PDP-0602 (CB-2922 or CB-2922) to Head House MCC-2922 or MCC including all labour and LS $ $ materials to remove existing feeder cables and replace with new complete with termination of both ends. 11 Daily rate for additional assistance: 1. Licensed electrician 60 Days $ / day $ 12 Additional Standby Generator 2000 kw, 600 V, 3 Phase, 60 Hz Provide a weekly rate (supply, installation and 8 weeks $ / week $ removal). 13 Allowance for removal and disposal of Designated Substance Materials. - - $50, Changes to Control System wiring including labour & material for the - - $50,000 investigation, supply and installation 15 Spare Parts and Special Tool Allowance - - $40,000 Labour and Material to supply and 16 install additional Source of Power 50 each $ $ /ea Tags (Lamacoid Tag Type F). Labour and Material to supply and 17 install additional tags (Lamacoid Tag 50 each $ $ /ea Type D). Labour and Material to supply and 18 install additional Aluminum Equipment Tags (Teflon coated 50 each $ /ea $ Aluminum). 19 Changes to electrical system from the results of the Arc Flash study - - $25, Smog Alert Response Allowance - - $20, UPS Replacement LS $ 22 Semi Auto Transfer Scheme Provide programming and support for the implementation of the Semi-Auto LS $ Transfer Scheme. 23 Additional Labour for Programming (OIT/PLC/SCADA) by $25,000 PMMD V Page 3-14

7 Section 3 Tender Submission Package Schedule of Prices to cover alterations, extras or deductions Tender Call No Contract No. MCP Addendum No 2 24 System Integrator Allowance for electrical system upgrades over and above those identified in the Contract Documents. $50,000 TOTAL ALLOWANCE FOR SCHEDULE OF PRICES $ (Carry forward to Page 3-7) The prices listed herein shall be used by the City of Toronto to determine payments for alterations, extras and deductions to the original Contract quantities and are excluding HST, but inclusive all other taxes as well as the Contractor's overheads and profits. The contingency allowance is for potential extra work which may be required beyond the scope of this Contract and is subject to approval of the General Manager. Payments from the contingency allowance will be made only following issuance of an Extra Work Orde r approved by the General Manager. Any unused portion of the contingency allowance shall be deduct ed from the Total Lump Sum Price. The unit prices inserted above for provisional quantities shall be applicable to extras or deductions even if actual quantities are found to vary considerably from them. The Bidder agrees that no part of the Total Allowance for Schedule of Prices aforementioned shall be expended without written direction from the General Manager. In addition, all unused portions of the Schedule of Prices shall be deducted from the Total Lump Sum Tender Price. In the event of o bvious mathematical errors in the Schedule of Prices, the unit prices tendered shall be considered correct and arithmetic extensions and totals shall be corrected accordingly. Any such corrections resulting in adjustment to the total for the Schedule of Prices will be similarly applied as an adjustment to the Total Lump Sum Price tendered for the project. Amounts for extras or deductions based on the Schedule of Prices will be added or deducted from the Total Lump Sum Price. Payment for deductions or additions of items not listed will be made in accordance with the General Conditions and specific condition. Harmonized Sales Tax (HST) is to b e applied to the prices submitted as specified in the relevant sections of the call document or in the Price Schedule provided in the call. HST for the supply and delivery of materials/goods are to be shown as additional separate line items on the Price Schedule and any subsequent invoices. PMMD V Page 3-15

8 C2 Cable # C1: 1X3C #4 AWG + #6 AWG GND EXISTING MCC-1002 (Length: 20 Meters) 600V, 3Ph, 60Hz Cable # C2: 1X4C 1/O AWG + #6 AWG GND (Length: 50 Meters) EXISTING C.B. 60A C.B. EXISTING CABLE 100A, 3-Pole 600V BATTERY BANK INVERTER RECTIFIER STATIC SW ITCH AUTOM ATIC M AINTENANCE BYPASS C1 30KVA UPS C.B. 45 KVA TR 600V, 3Ph, 60Hz (Primery) 208/120V, 3Ph, 60Hz (Sec.) 208/120V, 3Ph, 60Hz FEED FROM PDP-2101 EXISTING CABLE BATTERIES WITH CABINET RATED FOR 30KVA, 208/120V, 3-Phase Load 30 MINUTE POWER BACK-UP AT FULL LOAD C2 MANUAL TRANSFER SWITCH 200A, 4-Pole, 600 VAC C2 EXISTING DISTRIBUTION PANEL 208/120V, 3Ph, 4W SINGLE LINE DIAGRAM UPS (Location: Basement of Blower/Admin. Building) Water TORONTO WATER Operational Support Capital Works Delivery HUMBER TREATMENT PLANT UPS-6493 LOCATION SINGLE LINE DIAGRAM(SLD) DESIGN: DRAFTING: CHECK: CONTRACT No. MCP NO. DATE REVISIONS INITIAL SIGNED SCALE: DATE: N.T.S. AUGUST 5, 2016 DRAWING NUMBER: UPS-6493

9 EXISTING MCC-3402A C2 600V, 3Ph, 60Hz MANUAL TRANSFER SWITCH Non-Fusible 100A, 4-Pole, 600V NEW C.B. 60AT (Adjustable) C1 C2 30 KVA TR 600/208/120V C.B. 20KVA UPS Cable # C1: 1X3C #4 AWG + #6 AWG GND (Length: 40 Meters) Cable # C2: 1X4C #2 AWG + #6 AWG GND C2 BATTERY BANK INVERTER RECTIFIER STATIC SW ITCH AUTOM ATIC M AINTENANCE BYPASS (Length: 60 Meters) C.B. Branch Circuits # C3: 24 Circuits 2X1C #12 AWG + #12 AWG GND (Each Circuit Length: 25 Meters) BATTERIES WITH CABINET RATED FOR 20KVA, 208/120V, 3-Phase Load 30 MINUTE POWER BACK-UP AT FULL LOAD C2 DISTRIBUTION PANEL 208/120V, 3Ph, 4W 100A, 3P Main C.B. 24 BRANCH C.B.: 15A, 1P EACH C3 JUNCTION BOX EXISTING CONDUIT & BRANCH CIRCUITS SINGLE LINE DIAGRAM UPS (Location: Digester 7-10 Electrical Room) Water TORONTO WATER Operational Support Capital Works Delivery HUMBER TREATMENT PLANT UPS 9563 SINGLE LINE DIAGRAM(SLD) DESIGN: DRAFTING: CHECK: CONTRACT No. CONTRACT No. NO. DATE REVISIONS INITIAL SIGNED SCALE: DATE: N.T.S. AUGUST 5, 2016 DRAWING NUMBER: UPS-9563

10 Semi- Automatic Transfer Scheme The 4.16kV main breakers SWG-0103 and SWG-0203 are presently set to trip on a long or short time overcurrent (51) and to trip and lock out on an instantaneous current. The main breakers will also trip on a bus fault (B90) or a fault on the associated 27.6kV breaker SWG-0101 or SWG-0201 ahead of the transformer supplying the 4.16kV switchgear. Presently, the semi-automatic transfer scheme is initiated from the two R4 auxiliary relays of the GE 750 Multilin Relay (JRT-0103/JRT-0203) of SWG-0103 and SWG They are set to change state on overcurrent (50 and 51) of the incoming feeder. This will cause the tie breaker SWG-0002 to close only if one of the main breakers is open. It does not allow for a transfer if there is a bus fault and this should be maintained as transferring into a fault would be disastrous. The transferring into a faulted bus is prevented by the B90 relays (JRT-0001/A/B/C AND JRT- 0002/A/B/C) on the 4.16kV busesbus-0001 and BUS If either bus is faulted the tie breaker will trip and lock out. In addition, the synchrocheck component of the GE750 can prevent transfer onto a live bus where synchronism is not possible. For the Semi- Automatic Transfer scheme between BUS-0201 and BUS-0202, the transfer should be initiated based on undervoltage on the incoming line. This would entail changing the programming of the SWG-0103 and SWG-0203 GE 750 Multilin relay to trip and to have the auxiliary relay R4 close on undervoltage. Voltage to BUS-0201 and BUS-0202 can also be supplied from co-generators and from emergency generators. In order, for the tie breaker to be allowed to close on undervoltage (on the loss of a main incoming source), confirmation that the bus is not powered or will not be powered from an alternative source must be achieved. From discussions with GHD, the co-generator system will be configured to trip the co-generators if there is a trip on the main 27.6kV breaker, the transformer feeder 27.6kV breakers or the 4.16kV main breakers. Confirmation that the emergency generator is not powering the bus at the same time as the utility is confirmed by a key interlock scheme preventing the main breakers and the emergency generator breakers from being closed at the same time. Voltage to BUS-0201 and BUS-0202 can also be supplied from one utility source Manby or Horner and confirmation that the bus that will be providing power is not in an undervoltage condition as well is required. This can be achieved by the use of the synchrocheck condition on the JRT-0002 of the tie breaker SWG-0002 this wiring is already present. The two main breakers SWG-0103 and SWG-0203 and the tie breaker SWG-0002 of the 4.16kV switchgear are hard-wired interlocked such that only two of the three breakers can be closed at any one time. This provides the required safety of this transfer scheme. The addition of the breaker trip on undervoltage is required as there are switching operations and there may be faults that will not open the main 4.16kV breaker that is seeing an undervoltage. The breaker would have to be tripped to allow the close of the tie breaker. It should be noted that, with this change the transformer breakers on the 27.6kV switchgear SWG-0101 and SWG-0201 would have to be closed to provide voltage to the main 4.16kV switchgear SWG-0103 and SWG-0203, otherwise the trip coil on the breakers will remain energized. The main incoming breakers (SWG-0100 and SWG-0200) have overvoltage and undervoltage protection settings. These protection settings will assist in protecting the plant from a voltage issue from Toronto Hydro. The Co-Generation System should provide protection from undervoltage and overvoltage either through the Co-Generation Breakers or the generator controls.

11 The function of the undervoltage relays on SWG-0103 and SWG-0203 is to initiate the transfer to a live bus on loss of power to either BUS-0201 or BUS The following settings are recommended for the Line Undervoltage settings of JRT-0103 and JRT-0203 of the SWG-0103 and SWG-0203, respectively. This causes a trip and lockout of the breaker in undervoltage conditions. Line Undervoltage: Trip Line Undervoltage Relays:4 Line Undervoltage PickUp = 0.8 x VT Line Undervoltage Curve=Definite Time Time Delay= 10s Line Undervoltage Minimum Voltage = 0.1 x VT to be confirmed at Site For JRT-0002 of SWG-0002 (the tie breaker on the 4.16kV switchgear), the synchrocheck setting can be incorporated to block transfer to a bus when one bus is not dead or in synchronism with the other bus. Without the Co-generators, there will be no source that will allow for synchronism across the bus. The two Toronto Hydro sources from Manby and Horner cannot be synchronized. The synchrocheck settings are recommended for JRT-0002: Synchrocheck Function: Alarm Synchrocheck Relays: 4 Dead Source Permissive: DLxDB (Dead Line or Dead Bus) Dead Bus Max: = 0.10 xvt to be confirmed at site Dead Line Max: = 0.10 xvt to be confirmed at site Live Bus Min = 0.80 x VT Live Line Min = 0.80 x VT Maximum Voltage Difference = 416V Maximum Angle Difference = 0 degree Maximum Frequency Difference = 0Hz 80% Voltage level was selected for trip on the undervoltage on the main 4.16kV breakers so the breaker should trip and transfer on 80%. Manual transfers can still be made on the 4.16kV by opening one of the main breakers and closing the tie. It is only at the 4.16kV level that an electronic transfer scheme can be incorporated. At the 27.6kV level there is only an open and close pushbutton on the remote panel for the breakers. The breakers are kirk interlocked so any transfer would have to be made manually. The only changes required to implement this automatic transfer system are: The switch on the Mimic panel must be changed to a two position switch with Semi-Automatic Transfer System On and Off as the positions Programming on the two 4.16kV Main Breakers relays JRT-0103 and JRT-0203 on SWG-0103 and SWG-0203 must be programmed to trip on undervoltage through Auxiliary Relay 4. As noted above. This is already wired up. Programming on JRT-0002 must be configured to provide a synchrocheck on Auxiliary Relay 4 as noted above. This will be more of a function to determine that the bus being transferred into is dead then a synchrocheck. This is already wired up in this matter.

12 Breaker Logic 4.16KV Tie Breakers JRT-0002 GE 750 Relay Output Contacts Function Trip Close Aux3 Aux4 Aux5 Aux6 Aux7 50 x x 51 x x Synch x Input Logic Input 8 Breaker Closed. Relay Indication. Input 9 Breaker Open. Relay Indication. Input 10 Breaker Tripped and Locked Out. Relay Indication. Combine with Aux 3. Input 14 Maintenance Mode. Disable OC1 Settings and Enable OC2 Settings. Analog B1-B2 -Average rms Voltage Output mA See Semi Automatic Transfer Scheme for Synch Setting

13 Breaker Logic 4.16KV Main Breakers JRT-0103 and JRT-0203 GE 750 Relay Output Contacts Function Trip Close Aux3 Aux4 Aux5 Aux6 Aux7 50 x x 51 x x 27 Line x x Input Logic Input 8 Breaker Closed. Relay Indication. Input 9 Breaker Open. Relay Indication. Input 10 Breaker Tripped and Locked Out. Relay Indication. Combine with Aux 3. Input 14 Maintenance Mode. Disable OC1 Settings and Enable OC2 Settings. Analog B1-B2 -Average rms Voltage Output mA See Semi Automatic Transfer Scheme for Undervoltage Setting. Although shown on the breaker schematics from Eaton the Auxiliary 5 Relay cannot act on synchrocheck as there is only one voltage input to the relay. Any connections to Aux 5 should be removed

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35 QMS quality environment health & safety SHUTDOWN REQUEST / NOTIFICATION QMS REFERENCE: FM-WWT-6202 DOCS#: REVISION DATE: JUNE 13, 2014 Contractor Reference No. City Reference No. Section 1 Contractor Information to be completed by the contractor 1.1 General Information Project Name Contract/Order No. Request Date Click here to enter a date. Contact Information Name & Title Company/Division Telephone # (Direct) Contractor/Vendor Click here to enter Primary Contact text. Contractor/Vendor Click here to enter Secondary Contact text. Contract Administrator Click here to enter text. City Project Manager Click here to enter text. 1.2 Overall Objective 1.3 Shutdown Request Information Equipment/Service to be Shutdown Start Date Click here to enter a date. Time Click here to enter text. End Date Click here to enter a date. Time Click here to enter text. Duration Click here to enter text. 1.4 Location Information Specific Location 1.5 Detailed Description Description Attachments Page 1 of 3

36 QMS quality environment health & safety SHUTDOWN REQUEST / NOTIFICATION QMS REFERENCE: FM-WWT-6202 DOCS#: REVISION DATE: JUNE 13, 2014 Section 2 City Information To be completed by the City 2.1 General Information Contact Information Name Title Telephone # (Direct) Shutdown Coordinator Click here to enter text. Secondary Shutdown Click here to enter Coordinator text. Plant Project Lead Click here to enter text. 2.2 Approval Approved Name: Approved as noted Name: Rejected Name: 2.3 Shutdown Location Plant TAB/HTP/THC TAB Only TNT Work Area(s) WA1 WA2 WA3 WA4 WA5 WA6 WA7 WA8 TNT Equipment/Service to be Shut Down 2.4 Shutdown Directive Start Date Click here to enter a date. Refer to Section 1.5 Detailed Description Lockouts Required Attachments Time Click here to enter text. End Date Click here to enter a date. Time Click here to enter text. Duration Click here to enter text. 2.5 Prerequisites and Conditions Conditions for Approval Check if Sign Off is Required in Section Notification and Distribution TAB/HTP/THC EHS Construction Rep WA1 ASPOM WA2 ASPOM WA3 ASPOM WA4 ASPOM Plant Manager Plant Engineers EI Specialist PCS Support All Contractors Additional Recipients TAB Only Info Action Info Action WA5 ASPOM WA6 ASPOM WA7 ASPOM WA8 ASPOM TNT ASPOM District Operations Page 2 of 3

37 QMS quality environment health & safety SHUTDOWN REQUEST / NOTIFICATION QMS REFERENCE: FM-WWT-6202 DOCS#: REVISION DATE: JUNE 13, 2014 Section 3 Sign Off 3.1 City Sign Off - Must be signed prior to starting the work Name Title Signature Additional Comments By signing above the City is indicating that the equipment listed in the shutdown directive has been shut down and locked out. The contractor may proceed with the work. Please add any last minute comments if necessary (i.e.: changes to lockouts, timing, etc). 3.2 Prerequisites and Conditions Sign off - Must be signed prior to starting the work (only if indicated in section 2.6) Name Title Signature Date Contractor Contract Administrator By signing above the Contractor and Contractor Administrator are acknowledging that they have read, understood and any tasks outlined in section 2.5: Prerequisites and Conditions have been completed (if required), and that to the best of their knowledge, work may now proceed. 3.3 Completed Work Sign Off - Must be signed on completion of the work Name Title Signature Date Contractor Contract Administrator By signing above the Contractor and Contractor Administrator are indicating that the work is complete, that the work/equipment has been tested (as required), contractor locks have been removed, and that the equipment is ready to be returned to service (if applicable). Page 3 of 3