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Home My WebLink AboutEnvironmental_Compliance_Specialist_Proposal_Diamond_Bar_NPDES_20230519Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net RFP On-Call Municipal NPDES Professional Services for the City of Diamond Bar California Proposal for Services Contact Information Environmental Compliance Specialist, LLC Douglas Dowden 310 South Twin Oaks Valley Road, Suite 107-355; San Marcos, CA 92078 (805) 237-9938 / Stormwaterca@att.net Submittal Date May 19, 2022 Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page i of iv May 18, 2023 Mr. Nicholas Delgado City of Diamond Bar Department of Public Works 21810 Copley Drive Diamond Bar, California 91765 Subject: RFP “On-Call Municipal NPDES Professional Services” (Electronic Submission via email at: via Vendorline / Planetbids) Dear Mr. Delgado: Environmental Compliance Specialist, LLC, (ECS) hereinafter referred to as “Respondent” is pleased to provide the attached proposal to assist the City of Diamond Bar (herein after, “Client”) in meeting its “On-Call Municipal NPDES Professional Services”. ECS was founded by Doug Dowden in 2008 in order to fill the need for qualified consultants to assist private and public sector clients with Stormwater Programmatic Regulatory Compliance Services. We are based in Southern and Central California. Respondent’s Team is very familiar with the City of Diamond Bar (Client) and local requirements. Individually and collectively we have provided various Stormwater Programmatic Regulatory Compliance Services to numerous Phase I and II communities / agencies statewide (e.g. Carmel-by-the- Sea, County of Monterey, King City, Marina, Salinas, San Luis Obispo, San Marcos, MRSWMP and others) and private sector firms for over a decade. Thus, we have the knowledge and experience with local regulations to hit the ground running upon award of contract. ECS is a Limited Liability Corporation with approximately ten employees with numerous long-standing collaborative partnerships within the environmental services industry enabling Respondent to more than meet Client’s program goals and needs. Respondent’s proposed approach to the project is simple. At ECS we view ourselves as an extension of and resource to our Clients. Our Team conducts itself with the utmost professional decorum and we treat everyone that we encounter in business (i.e. SWRCB, RWQCB, MS4 representatives, members of the business community and general public) with respect at all times. Our goal is to provide cost effective, reliable and efficient environmental program, GIS and engineering services. We focus on integrating new program objectives and goals into existing processes and systems where needed and when feasible upon Client approval. As directed, Respondent will enlist the input from all stakeholders (i.e. Client personnel, the public, potentially impacted Client service providers and of course RWQCB representatives ) to not only ensure buy-in, but to guarantee that the proposed methodology chosen will achieve regulatory compliance. In short, we continuously strive to not only meet client expectations, but also exceed them at every juncture. This approach is only successful with a continuous open line of communication between Respondent and our Clients’. OUR COMMITMENT: Our primary goal is to provide competent, reliable consulting services to ensure that our Clients’ meet regulatory compliance to the Maximum Extent Practical and to the Maximum Extent Economically Feasible. As noted previously, we view ourselves as an extension of our Client’s staff and as such continuously strive to develop long lasting relationships with all regulatory partners (SWRCB, RWQCB, and other MS4 representatives) that we work with. We are so confident that you will be pleased with our services and products, that if after the completion of a given project (i.e. a training session, informational handout, day of inspections) you are not satisfied with the level of service there will be no charge for that task, provided all materials are returned promptly. Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page ii of iv Our focus is to work with our clients in achieving compliance with the six minimum control measures outlined within California’s Phase I and II MS4 General Permits; the Industrial General Permit; Pretreatment Regulations and Programs; the Construction General Permit; the new Statewide Trash Policy, associated Solid Waste and Recycling Regulations (AB 939, AB 341, AB 827, AB 1826, SB 605, SB 1383, etal); Water Quality Monitoring and Sampling and Assessment requirements; Wastewater Programmatic Services; and Program Management. We pride ourselves on providing high quality professional services with a personal approach. In 2012 ECS, LLC began working closely with Save the Whales in Monterey County, JL StormWater Consultants, Inc. in San Diego County in 2012, MVM Environmental (formerly WaterLogged) in 2015 in San Diego County, GeoInovo GIS services in 2018 and Value Engineering in 2019 to bring the unique expertise of each organization under one umbrella, collectively hereinafter referred to as the “Team”. Respondent’s Team has been providing: (1) MS4 Stormwater Programmatic Services; (2) All forms of media for Stormwater Public Education and Outreach services; (3) Exten sive Public Involvement and Participation Program services; (4) Comprehensive Illicit Discharge Detection and Elimination services; (5) Complete Post Construction Stormwater Management services; (6) Comprehensive Pollution Prevention / Good Housekeeping for Municipal Operations, including staff training and guidance; (7) Construction and Construction General Permit compliance services; (8) Industrial General Permit Compliance Services; (9) Statewide Trash Plan development and implementation services; (10) A complete array of Field Inspection Services [Construction, commercial, industrial (major and minor), municipal, pretreatment and FOG (e.g. food service facilities)]; (11) Technical Support related to Municipal Stormwater and Wastewater Programs; (12) Water Quality Monitoring and Sampling services; (13) Additional services in GIS, MS4 staff training in stormwater regulations, odor control management for wastewater systems, solid waste and recycling management consultative services (AB 939, AB 341, AB 827, AB 1826, SB 605, SB 1383, etal), civil engineering and other services as necessary to various regulatory MS4s throughout the State for over a decade. Personnel have provided MS4 Stormwater Program Management and related services to Calexico (2014-2020), Carmel-by-the-Sea (2016-present), Coronado (2014-2018), Gonzales (2014-present), Greenfield (2020-present), King City (2014-present), Marina (2012-present), the Monterey Regional Storm Water Program Management Group (8 MS4 entities; 2008 to present), Salinas (2015-present), San Luis Obispo (2007-2012), San Marcos (2014-2020), Soledad (2014-present), Stockton (As needed), the County of Monterey (2008 to present), the City of Santa Cruz (2010-present), various MS4s in New Mexico and for San Diego State University (2010-2018), Sonoma State University (2012 – present, on-call) and UCSD (2018-present). These agencies range from Phase I to Phase II MS4 Permittees and the services performed cover all those required in Client’s MS4 Permit and those specified within the RFP. For the City of Marina, these services include NPDES compliance for the City’s Municipal Airport. Many of these services include Areas of Special Biological Significance, thus we are extremely familiar with the special needs and requirements associated with this designation. In addition, Respondent’s personnel have been providing private sector commercial, industrial facility, food service establishment, IGP and CGP, construction site regulatory compliance services (including all inspection services), solid waste management and recycling consulting services, and hazardous waste management consulting services for over a decade statewide. Lastly, we provide sound recommendations based upon observations made, a review of water quality laboratory data, applying industry acceptable standards in accordance with applicable regulations using Best Professional Judgement with budgets in mind as directed by Clients. The Proposal is based upon the specifications detailed within the RFP and Respondent’s experience assisting various MS4s, including those with municipal airports in achieving regulatory compliance cost effectively. The enclosed Proposal and fee schedule shall remain valid Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page iii of iv for a period of one-hundred and eighty (180) days from the submittal date (4/19/23). The Proposal is provided as a menu of services that Client can choose from. This cover letter constitutes certification by Respondent under penalty of perjury, that Respondent complies with nondiscrimination requirements of the State and Federal Government, carries all requisite insurance and can meet the terms as specified in the Client’s Standard Professional Agreement. Key to this proposal:  Respondent anticipates to furnish all materials, labor, supervision, software, and equipment necessary to perform all work required for the stormwater services, including mailings, field equipment, and other supplies.  Respondent’s Team has appropriate Quality Assurance and Quality Control (Technical Assurance) processes and procedures in place to ensure high quality deliverables free from errors.  Respondent’s Team is extremely familiar with and has extensive experience with the NPDES Phase I and II MS4 Permits.  Respondent’s Team is extremely familiar with the local watershed, local creeks, identified local water quality impairments, the topography in Diamond Bar.  Respondent’s Team has and continues to provide similar services as specified in the RFP to numerous communities Statewide as reflected herein.  Respondent’s Team consist of QISP and ToR, QSD/P and ToR, CMS4S and ToR, CPMSM and ToR, CPESC and ToR, CESSWI, CISEC, PE, PC 832 certified staff and much more per the RFP.  To meet the requirements and needs of Client, Respondent has put together a team of seasoned professionals within the Stormwater / NPDES Programmatic Management, GIS and Civil Engineering fields, specifically in regards to the “On-Call Municipal NPDES Professional Services” specified within the RFP. The Team includes local personnel to address IDDE and other service needs of Client.  All terms and conditions outlined in the consulting services agreement provided are acceptable.  Respondent has more than adequate personnel available to provide the required services. We hope this information is satisfactory for review needs. Should you need additional information please contact us at your earliest possible convenience. Also, we truly appreciate the opportunity to submit this proposal to the City of Diamond Bar California and look forward to the opportunity to work with the City and its personnel. Sincerely, Douglas Dowden QSD/QSP, CPESC (ToR), CPMSM (ToR), QISP, Certified EPA Permit Writer, Certified Nutrient Management Specialist, CAP, DTSC / EPA Trained Field Investigator, PC832, … Environmental Compliance Specialist, LLC Attachments: Original Proposal with Appendix 1 (Resumes) and Appendix 2 (Fee Proposal) submitted electronically via Planet Bids. Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net RFP On-Call Municipal NPDES Professional Services for the City of Diamond Bar California Proposal for Services Contact Information Environmental Compliance Specialist, LLC Douglas Dowden 310 South Twin Oaks Valley Road, Suite 107-355; San Marcos, CA 92078 (805) 237-9938 / Stormwaterca@att.net Submittal Date May 19, 2022 Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 1 of 15 PROPOSAL CONTENTS Section Page No. COVER LETTER i A. PROJECT TEAM 1  Organizational chart indicating principles and key project team members 1  Appendix 1: Resumes of the Key Personnel 2  Table 1: Key Project Team Roles 2  Table 2: Specialized Credentials held by Team 2  Table 3: Core Team Experience Providing Similar Work / References 3 B. FIRM’S EXPERIENCE/REFERENCES 4  Table 3: Core Team Experience Providing Similar Work / References 3  Table 4: Summary of Municipal NPDES Services Recently or Currently Provided 4  Overview of Services Provided to Comparable Agencies 5 C. PROJECT UNDERSTANDING 5  Project Understanding 5  Project Approach 6 D. CONDITIONS 8  Statement that all terms and conditions outlined in agreement are acceptable 8  Statement regarding the availability of staff to provide the required services 8 E. RATE SCHEDULE / FEE PROPOSAL 8  Table 5: Rate Schedule 8  Appendix 2: Fee Proposal Included Separately with Contact Information 15 F. W-9 (CONFIDENTIAL) 8  Appendix 3: W-9 – Confidential 16 G. APPENDICES – RESUMES OF KEY PERSONNEL 8  Appendix 1: Respondent’s Key Team Resumes 9 A. PROJECT TEAM - Organizational Chart Respondent’s Organizational Chart reflects the City of Diamond Bar shall serve as the project manager for all services. The Chart indicates principles and key project team members. If personnel changes are required during the contract period, consultant shall notify the City. Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 2 of 15 Appendix 1: Resumes of Key Personnel. Because of page limits resumes are limited to key personnel only. Information provided includes: description of consultant team, names, resumes and qualifications of principals and other key project team members to be assigned. Table 1 provides an overview of “Key Project Team Roles”. Table 2 provides details of Specialized Credentials held by Team. Table 3 provides an overview of “Core Team Experience Providing Similar Work” covering all services sought and “Client Contact Information”. Project Title Name Doug Dowden, JD, QSD/P, CPESC (ToR), QISP, CMS4S (ToR), CPMSM (ToR), CEPAW, CNMS, PC832, … All Program Services Point-of-contact, project delivery, project development, QA, QC Name Tadd Blanchard, QSD/P, CPESC, CESSWI Roles All Services. Focus Field services and Field QA/QC Name Amir Adaryani, PhD, PE, QSD/P & QISP Pending Roles All Services. Focus: Engineering, Plan Updates, Development, QA/QC Name Alberto Sandoval, PE, QSD/P Name Sergei Chernikov, PhD, PE; QSD/P & QISP Pending Roles Engineering, Plan Updates, Development, QA/QC and Field Services Name Heather Clark, MS, QSD/P, Certified Plant Operator Name Jason Gonzalez, QSP, CESSWI Name Nina Salinas, CISEC, QSP, QISP Name Ralph Vasquez, MBA, BBA; QISP, QISP (ToR) Public Education/Outreach Name Maris Sidenstecker, OWOW Advocate / ToR GIS Services Name Luciane Musa, BA, GSIP; & Alex Sainz BA Office Support, QA/QC Name Gina Durante, BA OtherStaff available as-needed w/ agency approval: Dennis Than, PhD's; Jane Ledford, QSD/P, QISP; Miguel Darensbourg, QISP. Field Inspection Engineering Extended TeamTable 1: Key Project Team Roles Team Member Information Principal, Director Roles Core TeamProject Manager (Alternate) Project Manager (Alternate) Credentialed Staff Assigned CEPAPW Certified EPA Permit Writer Yes CNMS Certified Nutrient Management Specialist Yes CMS4S Certified Municipal Separate Storm Sewer System Specialist and ToR Yes CPMSM Certified Professional Municipal Stormwater Management and ToR Yes CPSWQ Certified Professional in Stormwater Quality Yes CPESC Certified Professional in Erosion and Sediment Control and ToR Yes CESSWI Certified Erosion, Sediment and Stormwater Inspector Yes QSD/P and ToR Qualified SWPPP Developer (Construction) and Trainer of Record Yes QISP & ToR Qualified Industrial Stormwater Practitioner and Trainer of Record Yes 2NA 2nd Nature Stormwater Software Administrator (All platforms )Yes DTSC Licensed by DTSC Yes REH&SS Registered Environmental Health & Safety Specialist and OSHA trained Yes PC 832 Police Officers Standardized Training, 832 Yes CIA Certified Irrigation Auditor Yes CFI Trained criminal field investigator DTSC / EPA Yes 24/40 Trained 24 and 40 hour OSHA and HAZWOPER Yes PhD's Agronomy, Bio-Chemistry, Chemistry, Environmental Engineering, Natural Resource Management, Physics Yes JD's Juris Doctorate Yes PE Professional Engineer Yes GISP Geographic Information System Professional Yes CPMPA Project Management Professional Academy Yes OSHA Occupational Safety and Health Administration (OSHA-30)Yes ToR ToR = Trainer of Record Yes Certification / Specialized Degrees Table 2: Specialized Credentials held by Team Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 3 of 15 Client Contact Information ConstructionIDDEInspections - AllIndustrial / CommercialMunicipal Operations / Good HousekeepingPublic Education & OutreachCommunity Based Social MarketingPublic Participation & InvolvementPost Construction / LIDTrash Policy ComplianceGround Water Mngmt PlanWatershed PlanWater Quality Monitoring & SamplingSpecial StudiesTMDL ComplianceCIMP ~SWCP ~GrantsProgram Management / SupportReportingTrainingCGP ComplianceIGP / MSGP ComplianceAmir AdaryaniTadd BlanchardSergei ChernikovHeather ClarkDoug DowdenGina DuranteJason GonzalezLuciane MusaNina SalinasAlberto SandovalMaris SidensteckerRalph VasquezContact Name, Title, Agency Name, Telephone No, email address and mailing address Carmel-by- the-Sea, City of x x x x x x x x x x x x x x x x x x x x x x x x x x x Rob A. Mullane, Director of Public Works (805) 350-3282; or Sharon Friedrichsen, Director of Budgets/Contracts (831) 620-2070 /sfriedrichsen@ci.carmel.ca.us; P.O. Box CC; Carmel-by-the-Sea, CA 93921 Marina, City of x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x Edrie Delos Santos, P.E., Senior Engineer; (831) 884-1205 / edrie@cityofmarina.org; 211 Hillcrest Avenue; Marina, CA 93933 San Diego State University x x x x x x x x x x x x x x x x x x x x x x x x x x x Erica Ryan, WRC Engineer (619) 521-8051 / Erica.Ryan@waterboards.ca.gov / ericamryan65@aol.com; 2375 Northside Drive, Suite 100; San Diego, CA 92108-2700 San Luis Obispo, City of x x x x x x x x x x x x x x x x x x x x x x x Mark Sadowski Assistant Chief Building Official, now with CSG Consultants; 5151 North Palm Ave, Ste 530; Fresno, CA 93704: mark.sadowski@csgengr.com; msadowski0816@gmail.com; 806 9th Street, Ste 2A; Paso Robles, CA 93446 San Marcos, City of x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x Matt Little, Deputy City Manager / Director of Public Works. Now at the City of Chula Vista - (619) 397-6000; 276 Fourth Avenue; Chula Vista, CA 91910 Others x x x x x x x x x x x x x x x x x x x x x x x x x x x Upon request Watershed General Services Table 3: Core Team Experience Providing Similar Work / References Municipal NPDES Programs Client Core Team Member Providing Service Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 4 of 15 B. FIRM’S EXPERIENCE/REFERENCES Table 4 is an overview of similar services provided to agencies Statewide. Table 3 includes Client contact information. An overview of Respondents qualifications can be found in the Cover Letter. Respondent’s Team brings the following experience and qualifications that include services performed to MS4 Phase I and II agencies. Client Service PeriodYears of serviceASBSConstructionIDDEIndustrial / CommercialMunicipal Operations / Good HousekeepingPublic Education & OutreachCommunity Based Social MarketingPublic Participation & InvolvementPost ConstructionTrash Policy ComplianceGround Water Mngmt PlanWatershed PlanWater Quality Monitoring & SamplingSpecial StudiesTMDL ComplianceGrantsProgram Management / SupportReportingTrainingCGP ComplianceIGP/MSGP ComplianceCarmel-by-the-Sea, City of 2008-Present 5 x x x x x x x x x x x x x x x x x x x x x Coronado, City of 2014-2018 5 x x x x x x x x x x x x x x x x x x x Espanola, City of 2014-Present 10 x x x x x x x x x x x x x x x x x Gonzalez, City of 2014-Present 10 x x x x x x x x x Greenfield, City of 2020-Present 4 x x x x x x x x x King City, City of 2014-Present 10 x x x x x x x x x Marina Coast School District 2008-Present 16 x x x x x x x x x Marina, City of 2012-Present 12 x x x x x x x x x x x x x x x x x x x x MRSWMP Group 2008-Present 16 x x x x x x x x x x x x x x x Salinas, City of 2015-Present 9 x x x x x x x San Diego State University 2014-2018 5 x x x x x x x x x x x x x x x x x x San Luis Obispo, City of 2007-2012 6 x x x x x x x x x x x x x x x x x x San Marcos, City of 2014-2021 8 x x x x x x x x x x x x x x x x x x x x Santa Cruz, City of 2010-Present 14 x x x x x x x Soledad, City of 2014-Present 10 x x x x x x x x Sonoma State University 2012-Present 12 x x x x x x x x x x x x x x x x Stockton, City of 2013-2022 11 x x x x x x x x x x x x x x x x x x University Ca San Diego 2018-Present 6 x x x x x x x x x x x x x x x x x x x Private Sector Co's 2012-Present 12 x x x x x x x x x x x x x x x General Services Table 4: Summary of Municipal NPDES Services Recently or Currently Provided (Development, Implementation and Management of All Services) WatershedMunicipal NPDES ProgramsService Period Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 5 of 15 Overview of Services Provided to Comparable Agencies Simply put Respondent has performed all the services requested / sought in the RFP and more to over a dozen agencies Statewide. We provide sound recommendations based upon observations made, a review of water quality laboratory data, applying industry acce ptable standards in accordance with applicable regulations using Best Professional Judgement with budgets in mind as directed by Clients. C. PROJECT UNDERSTANDING Respondent’s approach and proposed methods to meet the “On-Call Municipal NPDES Professional Services” listed in the City of Diamond Bar’s RFP is provided below; however, the approach and proposed methods can be adjusted to meet Client’s needs. Based upon a review of the RFP, the City’s stormwater website, past reports and much more Respondent at this time does not have any concerns about the potential contract. Respondent’s Team brings a wealth of knowledge and experience directly related to providing MS4 Phase I and II Stormwater Programmatic Management assistance to numerous agencies as noted herein. The Team has been providing: (1) MS4 Stormwater Programmatic Services; (2) All forms of media for Stormwater Public Education and Outreach services; (3) Extensive Public Involvement and Participation Program services; (4) Comprehensive Illicit Discharge Detection and Elimination services; (5) Complete Post Construction Stormwater Management services; (6) Comprehensive Pollution Prevention / Good Housekeeping for Municipal Operations, including staff training and guidance; (7) Construction and Construction General Permit compliance services; (8) Industrial General Permit Compliance Services; (9) Statewide Trash Plan development and implementation services; (10) A complete array of Field Inspection Services [Construction, commercial, industrial (major and minor), municipal, pretreatment and FOG (e.g. food service facilities)]; (11) Technical Support related to Municipal Stormwater and Wastewater Programs; (12) Water Quality Monitoring and Sampling services; (13) Additional services in GIS, MS4 staff training in stormwater regulations, odor control management for wastewater systems, solid waste and recycling management consultative services (AB 939, AB 341, AB 827, AB 1826, SB 605, SB 1383, etal), civil engineering and other services as necessary to various regulatory MS4s Statewide for over a decade. The Team has extensive experience providing these services Statewide as noted in the cover letter. Key to this experience, our qualifications and expertise includes MS4 Stormwater Program Management and related services provided to: Carmel-by-the-Sea (2016-present), Coronado (2014- 2018), Marina (2012-present), the Monterey Regional Storm Water Program Management Group (8 MS4 entities; 2008 to present), Salinas (2015-present), San Luis Obispo (2007-2012), San Marcos (2014-2020) and other agencies as noted previously. These agencies range from Phase I to II MS4 Permittees and the services performed cover all those required in Client’s MS4 Permit and those specified within the RFP. For the City of Marina, these services include NPDES compliance for the City’s Municipal Airport. Many of these services include Area of Special Biological Significance, thus we are extremely familiar with the special needs and requirement s associated with this designation. Collectively, we have long-term relationships with the communities that we are so fortunate to serve. These relationships enable us to draw upon past experiences throughout the state to provide Clients with proven cost effective approaches to not only Permit compliance, but also improved water quality. We have established systems in place to not only document the great work of our Clients, but demonstrate improvement using Key Performance Metrics. Thus, we provide sound recommendations based upon observations made, a review of water quality laboratory data, applying industry acceptable standards in accordance with applicable regulations using Best Professional Judgement with budgets in mind as directed by Clients. Lastly we have a reputation of delivering deliverables on time and within budget. Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 6 of 15 PROJECT APPROACH As noted previously we view ourselves as an extension and resource for our Clients. With that said, Respondent makes the following tentative recommendations to the service approach. These recommendations will be modified based upon Client direction and input. 1. Step 1 – Initial Project Kick-Off Meeting: Meet with Client to refine goals, expectations and direction. This will help refine the workload anticipated and refine the proposed budget. 2. Step 2 – Response to Call for Service: Since the project is based upon an “on-call” service approach Respondent shall receive all requests from Client. All request for services shall immediately be discussed with relevant staff internally, a proposal pursuant to Client’s format shall be provided to Client within 72-hours. All Task Authorizations shall be fully executed and returned to Client within 72-hours. This is how all services shall be managed to ensure Client satisfaction. 3. Step 3 - Authorized Tasks: All Authorized Task(s) shall be performed per industry acceptable standards pursuant to Client approval / direction. 4. Step 4 – Weekly Progress / Update Reports: Respondent anticipates that weekly progress / update reports will be provided to Client to ensure that Client is well informed and kept up to date on all key items that may require Client input and / or direction. For example, Regional Copermittee Meetings routinely require quick responses and/or a vote and thus it is the intent of Respondent to keep Client well informed of key items that may require input and / or direction. Weekly Reports are simply a summary of the past week’s activities, details on various program aspects that may require Client direction and/or approval and an overview of anticipated work tasks for the up-coming week. Weekly Reports have been a useful tool to ensure Client satisfaction and to meet Permit requirements. Weekly reports typically include an overview of all inspection activities, water quality monitoring and sampling activities, a summary of all outreach / training activities and other services performed during the past week and those anticipated to be performed during the next week. The content, format and need for these reports shall be based upon Client approval and direction. 5. Step 6 – Monthly Reports – Respondent anticipates monthly summary reports will be provided to Client to ensure that Client is well informed and kept up to date on all key items that may require Client input and / or direction. These reports have been a useful tool to ensure Client satisfaction and to meet Permit requirements. Reports typically include a summary of all weekly reports and an overview of all activities to be performed during the next month. The content, format and need for these reports shall be based upon Client approval and direction. 6. Step 6 – Monthly Client Meetings: Respondent anticipates monthly progress meetings with Client’s Representative to ensure Client satisfaction. These meetings will be a structured format agreed upon by Client to ensure that Client’s needs and objectives are being met at all times. We believe a constant line of communication enables program / project success. a) As needed Meetings: Other meetings will be conducted as needed based upon project and Client needs. 7. Step 7 – Work Task Schedule and Sequencing: Develop activity and site inspection schedule that not only meets regulatory requirements, but the needs of Cli ent. Inspection scheduling and sequencing should be based upon the following factors: Individual facility / location specifics, historical data, IGP / CGP compliance status, geographical risk factors, including a review of historical water quality results. 8. Step 8 – Inspections: It is recommended that prior to conducting inspections that pre- inspection notices should be issued. This notice shall provide an overview of what the facility / activity operator can expect during the pending regulatory compliance inspection, including program goals / objectives. It is recommended that reminder notices will be issued to operators Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 7 of 15 roughly 72-hours prior to the date of inspection. Respondent’s Team will conduct inspections of all targeted sites / activities specified by Client. Inspectors will wear appropriate safety attire (e.g. steel toed work boots, protective clothing, protective eyewear) and a shirt identifying the company name and contact information. Inspections will be performed to ensure compliance with local, regional and state requirements using Client approved or provided form. The following inspection procedures are recommended, but will be modified per Client input and direction: a) Pre-Inspection Photographs: Upon arrival the inspector shall take a photograph of the front of the site to be inspected. If side streets, alleyways exist the inspector will also take photographs of those locations. All photographs will be date and time stamped electronically. All photographic documentation will be saved using a file naming convention pre-approved by Client. b) Inspection Introductions: Upon entering the site the inspector will introduce themselves, provide the operator with a business card and identify the purpose of the inspection and denote that the inspection includes taking photographs. The site inspector will request that a representative accompany the inspector during the inspection. c) Inspection: During the inspection the inspector will identify areas of compliance, areas of concern and of course areas of non-compliance. d) Inspection Recap / Education: Following the inspection the inspector will go over observations made, provide verbal recommended changes (e.g. education), provide appropriate educational handouts and request the representative’s signature on the inspection form. A copy of the inspection form shall be provided to the individual upon Client review and approval on a weekly basis. e) Post Inspection Photographs: Upon leaving the inspector will take a picture of the front of the site with the date and time. The post inspection photograph serves many purposes and will aid in quality assurance and quality control review. f) Documentation Review: After leaving the site inspector will conduct a quick review of inspection documentation to ensure completeness. g) Inspection Data: At the close of the standard workweek the site inspector will upload summaries, including downloading all inspection photographs with an approved file naming convention to a shared folder with Client access. 9. Step 9 - Post Inspection: Following data upload the following are recommended: a) QA/QC: Senior level personnel will review the materials uploaded weekly to ensure that Client, Permit and regulatory requirements are being met to the Maximum Extent Practical and to the Maximum Extent Economically Feasible. Now for active sites and/or areas of need of significant changes (e.g. wherein prohibited discharges are and/or may occur) the inspector will recommend immediate changes to the site representative. Situations requiring immediate attention will be forwarded to Client daily to ensure timeliness of response. b) Weekly Summary Reports: Senior Team members will compile and provide weekly updates to Client personnel regarding inspections, inspection results and recommendations, including potential issuance of corrective action notices. This will be in a format pre- approved by Client Representatives, including file naming convention. c) Post Inspection Follow-Up: Following the inspection, as directed corrective action notices will be issued, follow-up corrective action inspections will be conducted following the procedures noted previously. Our Team has the legal authority (PC 832 Certified) to issue correction and enforcement notices on-behalf of our Clients. 10. Step 10 – All other Tasks identified in the RFP will be performed in similar fashion to Steps noted above to ensure that Client’s needs and goals are met at all times. Written reports and plans will always be provided to Client initially in an outline form for approval, then a final draft Environmental Compliance Specialist, LLC Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 8 of 15 for final approval. Edits, changes and adjustments will be implemented accordingly to ensure Client satisfaction and regulatory compliance. 11. Step 11 - Quarterly BMP Debriefs: Respondent recommends that Client authorize the issuance of quarterly site BMP education and outreach notices to all site operators. These notices will be seasonally appropriate and help reinforce the importance of stormwater regulatory compliance. Like all materials developed for the Client, Client input and direction will be adhered to. 12. Step 12 – Annual Reports: Respondent shall prepare all reports pursuant to industry standards, Permit requirements and Client direction. The goal is to reflect Client progress towards meeting improved program performance / compliance. 13. Monthly Invoicing / Billings: Invoicing for Authorized services shall be completed on a monthly basis and issued to Client in a format and prescribed manner approved by Client in advance. Respondent has found that the above approach for all stormwater programmatic services has been extremely effective. However, Respondent is open to changes and alterations based upon the needs and desires of Client. The outline provided above is only tentative until Client approval is obtained. D. CONDITIONS As specified in the RFP Respondent agrees to the following conditions:  All terms and conditions outlined in the consulting services agreement provided are acceptable.  Respondent has more than adequate personnel available to provide the required services. E. RATE SCHEDULE / FEE PROPOSAL 1. Table 5: Rate Schedule. Hourly rates of assigned personnel are provided below in Table 5. The information may be used by Client to negotiate any additional work required. Rates shall be kept the same for the first three (3) years of the contract and rate increase w ill be ONLY considered in year four (4) and year five (5). 2. Per the RFP the “Fee Proposal” is submitted separately via Planetbids in Appendix 2. F. W-9 (CONFIDENTIAL) Per the RFP a filled out “W-9” is submitted separately via Planetbids in Appendix 3. G. APPENDICES – RESUMES OF KEY PERSONNEL Key Team Member resumes are provided herein in Appendix 1. Only a few have been provided based upon the proposal limit of 15 pages. Position Title Typical Team Member Rate Principal, Director Doug Dowden 125.00$ Staff Engineer Work Sergei Chernikov, Amir Adaryani, Alberto Sandoval 165.00 Project Manager Tadd Blanchard, Amir Adaryani 125.00 GIS Support Services as needed Luciane Musa, Alex Sainz 125.00 Field Inspection Personnel All Personnel 125.00 Public Education and Outreach Maris Sidenstecker, Doug Dowden 105.00 Administrative Gina Durante 95.00 Legal Consultation, Court Appearances/Document review, etc.As needed 250.00$ State Certified Laboratory Analysis Cost To be determined Cost + %5 Subcontracted equipment As needed Cost + %5 Table 5: Rate Schedule Environmental Compliance Specialist, LLC Appendix 2 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net RFP On-Call Municipal NPDES Professional Services for the City of Diamond Bar California Key Personnel Resumes Contact Information Environmental Compliance Specialist, LLC Douglas Dowden 310 South Twin Oaks Valley Road, Suite 107-355; San Marcos, CA 92078 (805) 237-9938 / Stormwaterca@att.net Submittal Date May 19, 2022 Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 9 of 15 Douglas W. Dowden EDUCATION  BA Social Ecology / Environmental Sciences, UC Irvine 1988  Juris Doctorate Western State School of Law 1993 CERTIFICATIONS  Certified Municipal Separate Storm Sewer System Specialist # 00182  Certified Professional Municipal Stormwater Management # 00182  Qualified Stormwater Pollution Prevention Plan Developer & Practitioner, # 00279  Certified Professional in Erosion & Sediment Control, # 5924  Qualified Industrial Stormwater Practitioner, #01160  Certified EPA Permit Writer  Certified Nutrient Management Specialist  2nd Nature Stormwater Software Administrator (All platforms)  Licensed Agricultural Chemical Applicator, PA 40-21199  Certified Police Officers Standardized Training, # 832  Trained criminal field investigator DTSC / EPA  Certified Hazardous Materials Manager (CHMM)  Certified Irrigation Auditor OTHER  Western Chapter International Erosion Control Association, Board President & Director (2008 – 2015)  Editor in Chief WCIECA Newsletter (2008 – 2015)  Board Member, Vice President and President numerous Chambers of Commerce  Published author - Solid Waste, Water Conservation, Stormwater, CEQA and Environmental Public Policy  Member in good standing - CASQA, APWA, WEF and CWEA DOUG DOWDEN, QSD/P, CPESC, CMS4S, CPMSM, QISP, PC 832, REH&S SPECIALIST, CEPAPW, CNMS; PRESIDENT Mr. Dowden has a BA from UC Irvine and a JD from Western State School of Law. He also is a QISP, QSD/P and has PC 832 Certification. He has over 30 years of environmental program management experience, including direct experience in develop, implement and manage regulatory compliant MS4 Phase I and II programs; conduct site inspections and conduct water quality monitoring and sampling. He has experience in all areas of MS4 Stormwater Program Administration and coordination as a public sector employee and as a consultant to the public and private sectors. MS4 services provided in California to the Cities of: Calexico, Gonzales, Greenfield, King, Marina, Salinas, San Luis Obispo, San Marcos, and Soledad; San Diego State and Sonoma State Universities. Private sector industrial experience includes: Alcoa, Bio-Clean Environmental / Forterra; Dupont, Eastgate / Republic Services; Mt. Olive Pickle Company, Moncure Holdings, Noble Corporation, Signal Oil Corporation, Solag Diposal / Coast Waste Management and many more RELEVANT ACCOMPLISHMENTS / EXPERIENCE  Accomplished project/program manager with 30 years of environmental program design, implementation and management; including MS4, CGP and IGP Stormwater Program Management experience. Services based upon observations made, review of water quality laboratory data, industry acceptable standards, applicable regulations and client input using Best Professional Judgement include: o Develop, implement and manage MS4 (Phase I and II) programs. o Working knowledge of all aspects of MS4 programs; including, LID, WMP, CIMP, SCWP, TMDL and much more. o Conduct pre-inspection records and data search to become current on facility history, with special focus on previous and current compliance issues, including IGP compliance. o Conduct regulatory compliant inspections and related services for commercial, industrial and restaurant facilities on behalf of MS4s. o Conduct regulatory enforcement actions on behalf of various MS4s. o Experience establishing and prioritizing sites risk to water quality in order to establish inspection frequencies. o Assist facility owner(s)/representative(s) to achieve and maintain compliance regarding State, County, and local ordinances and regulations, Permit requirements, BMP implementation, and etcetera. o Conduct water quality monitoring and sampling on behalf of various MS4s. o Interpret laboratory analyses and results making sound professional recommendations. o Recommend operational changes based upon observations made, review of water quality laboratory data, industry acceptable standards, applicable regulations and input from Client. o Recommend Best Management Practices for site compliance.  Extensive experience with Solid Waste and Recycling, including knowledge of AB 939, SB 1883, AB 341, AB 1826 and etcetera.  Working relationships with staff at State and Federal Agencies, such as RWQCB and SWRCB. Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 10 of 15  . Amirhossein R. Adaryani EDUCATION  PhD Environmental Engineering University of North Carolina at Charlotte.  Masters in Civil Engineering University of North Carolina at Charlotte.  Bachelors of Science in Civil Engineering University of Tehran Iran.  Specialized course work in solid waste and water quality. CERTIFICATIONS  Pending CPESC  Pending QSD/P  Pending QISP OTHER  Experience with Phase I and II Permits.  Experience with Industrial NPDES Effluent Permits  Experience in Solid Waste Management and Educational programs.  Experience with Water Quality Modeling, Analyze and Interpret Water Quality Data, Dilution Studies and Basin Delineations.  Interpret regulatory requirements {i.e. Federal Clean Water Act, Porter- Cologne Act, CSO & SSO Policies, Statewide Sanitary Sewer System Order, Title V, 17, 22, 23, Industrial Waste Permitting (i.e. Pretreatment), CGP, NPDES Phase I & II), and analyze impacts to agency processes, operations, and services resulting in proposed changes to programs and services.  Extensive knowledge of the California Trash Policy.  Federal and State Regulations – working knowledge of the Clean Water Act, Porter Cologne Act and much more. AMIRHOSSEIN R. ADARYANI; SENIOR SCIENTIST Dr. Adaryani holds a Bachelor Degree in Civil Engineering from the University of Tehran in Iran, a Masters in Civil Engineering from the University of North Carolina at Charlotte and a PhD in Environmental Engineering from the University of North Carolina at Charlotte. He has over a decade of environmental engineering and water quality program management experience. Dr. Adaryani has extensive experience: analyze data, engineering and sizing of water quality treatment devices (e.g. trash capture devices both public and private) conduct field studies, analyze and delineate drainage areas, including trash / litter management and much more. He has an extensive array of experience with construction, industrial SWPPP and California’s Trash Policy compliance services. RELEVANT ACCOMPLISHMENTS / EXPERIENCE  Extensive experience with NPDES program administration, compliance planning, and compliance reporting experience.  Develop, implement and manage MS4 (Phase I and II) programs.  Working knowledge of all aspects of MS4 programs; including, LID, WMP, CIMP, SCWP, TMDL and much more.  NPDES technical knowledge and experience; including MS4 Stormwater, WMP, CIMP, SCWP, TMDL and Statewide Trash Program development, implementation and management. Work includes: database management, QA/QC oversight, secure and manage grant funding, post construction / LID programs, development and submittal of annual reports, work plans and staff training.  Vast array of experience conduct inspections both complaint driven (e.g. illicit discharges) and routine at public and private construction, commercial, industrial sites and at post construction / LID systems; including, regulatory compliance actions.  Extensive knowledge and experience review plans (e.g. AtCs, ESCP, WPCP, SWPPPs) ensuring regulatory compliance.  Conduct an array of water quality related commercial, construction, industrial and MS4 program assessments and inspections.  Provide sound recommendations for an array of water quality programs that successfully meet regional and state program requirements.  Report and negotiate with RWQCB and other regulatory entities.  Work and meet deadlines under constrained time restrictions.  Work with various community stakeholders in achieve trash reduction and management policies and goals.  Develop, implement and manage cost effective regulatory compliant water quality programs.  Develop and implement Public Education and Public Outreach programs.  Conduct regulatory compliance actions on-behalf of MS4s.  Field Inspection Service Experience o Conduct routine and complaint driven investigations and coordinate issuance of violation notices and corrective actions.  Working relationships with staff at State and Federal Agencies, such as RWQCB and SWRCB. Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 11 of 15 Maris A. Sidenstecker EDUCATION  B.A. Marine Biology, Humboldt State University  B.A. Zoology, Humboldt State University  Minor, Scientific Illustration, Humboldt State University CERTIFICATIONS  OWOW Advocate / Trainer of Record ACCOMPLISHMENTS  1992 Nominated for Genesis award for Save the Whales interview on “Hard Copy”.  2000 Gold Addy award for bilingual “Dirty Word” radio ad series on stormwater pollution.  2005 Nominated for Paula B. Wainright award by Carmel Valley Women’s NetworkNet.  2007 Educator of the Year Award by Monterey Bay National Marine Sanctuary.  2008-2009 Member of the Year Award by Madison’s Who’s Who.  2014 IPM Advocate Award by Dept. of Pesticide Regulation. MARIS A. SIDENSTECKER, BA, OWOW ADVOCATE, FOUNDER, PROGRAM DIRECTOR SAVE THE WHALES Maris Sidenstecker is an environmental professional with over 30 years of experience in environmental public education and outreach, and public participation and involvement services. She also has extensive experience in water quality monitoring and sampling, and in conducting stormwater related inspection services. RELEVANT ACCOMPLISHMENTS / EXPERIENCE  She manages various contracts for the County of Monterey, Cities of Carmel, Del Rey Oaks, Marina, Monterey, Pacific Grove, Sand City, Santa Cruz and Seaside. Maris implements Stormwater Public Education & Outreach component (Bilingual) of Phase II NPDES permits for the above entities. Duties include: school outreach programs, business outreach, food services establishment outreach, community storm drain stenciling, public events, all media outreach (social media, radio, print, TV and movie theatre ads), community based social marketing, manage budgets, conduct Our Water Our World store events to educate public about non-toxic pesticide alternatives, grant writing, water quality monitoring and sampling, inspection services, writing radio ads, press releases, and PSA’s for media outreach.  She manages for the City of Marina public education/outreach (bilingual), and public participation and involvement program coordination for the City’s NPDES program. Duties include: school outreach programs, business outreach (restaurants), community storm drain stenciling, public events, all media outreach (social media, radio, print, TV and movie theatre ads) community based social marketing, manage budgets, conduct Our Water Our World store events to educate public about non-toxic pesticide alternatives, grant writing, writing radio ads, press releases, and PSA’s for media outreach. In addition, implements and manages the City’s GIS mapping services.  She is the Co-Founder, Program Director and Executive Director. Develop for Save the Whales and implements “Hands-on Whales On Wheels” (WOW) program with presentations to students in multiple counties. WOW program brings marine environment to schools using marine mammal skeletal parts, baleen, whale vocalizations and visual aids. WOW traveled with marine artist Wyland, on the West Coast tour in 1994, and Mid-West tour in 1997, educating thousands of people about whales and the marine environment. In 1998, WOW was invited by National Geographic to give presentations to several elementary schools in Virginia. Other duties: grant writing, supervising instructor and volunteers, developing educational programs, media representative and write press releases.  Water Quality Educator for Monterey Bay National Marine Sanctuary where she worked with Sanctuary’s Program Director, committees, the cities of Monterey, Pacific Grove and Santa Cruz, Monterey Bay Regional Storm Water Task Force, municipalities, and the California Coastal Commission to develop and carry out a regional education program focused on urban runoff, watershed issues and Sanctuary water quality. Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 12 of 15 Alberto Sandoval, PE EDUCATION  BS Civil Engineering, San Diego State University, May 2006 PROFESSIONAL LICENSES  Professional Engineer, RCE # 89041  Qualified SWPPP Practitioner # 27976  Qualified SWPPP Developer # 27976  Notary Public, Commission # 2286708 APPLICABLE SKILLS  Knowledge and experience with SD Regional Stormwater Permit, all apsects.  Proficient in AutoCAD  Civil 3d and MicroStation / Inroads”  Knowledgeable with Advanced Engineering Software (Hydrology Software), Civil D (Hydrology Software), Water Surface Pressure Gradient for Windows (WSPGW) hydraulic software and EPA Storm Water Management Model (SWMM)  Familiar with ArcGIS Software  Fluent in Spanish ALBERTO SANDOVAL, PE, QSD/P; PRESIDENT OF VALUE ENGINEERING Mr. Sandoval is a Civil Engineer and Professional Engineer with extensive experience in stormwater, water quality and capital improvement related projects. He has direct experience and knowledge with the San Diego Regional Stormwater Permit Order No. R9-2013-0001, as amended by Order No’s. R9-2015-0001 AND R9-2015-0100 NPDES No. CAS0109266. RELEVANT ACCOMPLISHMENTS / EXPERIENCE  Direct experience prepare preliminary and final engineering Drainage Studies, Storm Water Quality Management Plans (SQWMP’s), Water Pollution Control Plans (WPCP’s) and Storm Water Pollution Prevention Plans (SWPPP’s).  Collaborate with clients, government agencies and contractors to meet or exceed design timelines and budget expectations.  Redesign waterline replacement projects previously designed by Districts consultants after performing value engineering and constructability review.  Perform plan checks on water, sewer, flood control and stormwater improvement plans, easement plats and legals.  Engineering project and budget management experience.  Quality Assurance and Control Experience: Responsible for reviewing plans to detect errors and omissions prior to Agency approvals.  Perform hydraulic calculations using WSPGW software.  Complete earthwork calculations with planimeter, AutoCAD Civil 3d and MicroStation Inroads software.  Prepare sewer, hydrology/hydraulic and stormwater management studies for projects throughout southern California.  Ensured projects progressed according to schedule while being vigilant of the budget.  Extensive public sector experience as both a consultant and public sector employee.  Extensive experience with California’s Trash Policy. Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 13 of 15 Tadd Blanchard EDUCATION  B.A. in Communications, Cal State University, Chico 2002 CERTIFICATIONS  Qualified SWPPP Developer (QSD)  Qualified SWPPP Practitioner (QSP)  Certified Erosion Sediment Control Professional (CPESC)  Certified Stormwater Sediment Control Inspector (CESSWI)  24 Hour Cal Trans Certified OTHER  MVM Environmental Consulting LLC – Owner 3/1/2017 - Present.  Waterlogged, LLC – Principal 1/1/2011 – 3/1/2017  Storm Water Compliance Specialists 2/1/2001 – 12/31/2010 TADD BLANCHARD, QSD/P, CPESC, CESSWI; PRESIDENT Mr. Blanchard has a B.A. in communications from California State University at Chico. He is a certified QSD/P, CPESC, CESSWI and has 20 years of experience in developing, implementing, managing and inspecting commercial, industrial, food service facilities, and SWPPP (CGP and IGP) compliant sites. He is fluent in English and Spanish. Tadd has an extensive array of experience with construction and industrial SWPPP and food service establishment compliance services. His commercial, food service establishment and industrial general permit experience includes: conducting routine inspections; performing water quality monitoring and sampling; reviewing and analyzing water quality data, preparing water quality reports; conducting facility staff training and maintaining SMARTS. RELEVANT ACCOMPLISHMENTS / EXPERIENCE  Accomplished commercial and industrial stormwater program manager. He is adept and experienced at: o Storm Water Pollution Prevention Plans – Developing, implementing and managing SWPPP’s. o Site Inspections and Monitoring – Developing, implementing and managing cost effective and compliant site inspection and monitoring programs. o Erosion and Sediment Control Plans – Developing, implementing and managing ESCP. o Sampling and Analysis – Extensive experience conducting water quality sampling, analysis and assessments. o Corporate and Field Trainings – Experience in developing and implementing effective staff and management training programs. o Experience reviewing SWPPPs, ESCP, WPCP, & SWQMPs for regulatory compliance and effectiveness.  PEPO program development and implementation.  IDDE program educational outreach services development and implementation.  Construction and commercial program educational outreach services development and implementation.  Post Construction program educational outreach services development and implementation.  MO/GH Program educational outreach services development and implementation.  Extensive experience in conducting commercial, industrial and food service facility regulatory compliant inspections.  Experience in developing and reviewing Storm Water Pollution Prevention Plans (both, CGP & IGP) and ESCPs for completeness and regulatory compliance.  Working relationship with the SWRCB and RWQCB personnel. Environmental Compliance Specialist, LLC Appendix 1 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 14 of 15 Nina Salinas EDUCATION  BS, Public Health National University  MHA, Healthcare Administration, National University CERTIFICATIONS  Certified Inspector of Sediment and Erosion Control (CISEC) Certification Number: 2059  Qualified SWPPP Practitioner (QSP) Certification Number: 26332  Qualified Industrial Stormwater Practitioner (QISP) Certification Number: 00682 TRAINING  Visual Trash Observation Training 2018  MTS Worker Safety Trained 2018 QSD/QSP Training Course May 2013  IECA Conference 2013 Erosion Control Training  CASQA Conference 2012 Construction Storm Water Training OTHER  Western Chapter International Erosion Control Association  California Stormwater Quality Association (CASQA) – Member AWARDS/RECOGNITION:  JL StormWater Consultants, Inc. Outstanding Employee 2013 NINA SALINAS, CISEC, QSP, QISP; V.P. OF OPERATIONS AND CHIEF FINANCIAL OFFICER Ms. Salinas is the Vice President of Operations and Chief Financial Officer of JL StormWater Consultants, Inc. Ms. Salinas has 15 years of stormwater experience managing projects and implementing Storm Water Pollution Prevention Plans. She has a BS in Public Health and Masters in Healthcare Administration. Ms. Salinas is a Certified Inspector of Sediment and Erosion Control, Qualified SWPPP Practitioner and Qualified Industrial Stormwater Practitioner. She has an extensive array of experience with both construction and industrial SWPPP compliance services. Her experience includes all compliance: conducting routine inspections; performing water quality monitoring and sampling; reviewing and analyzing water quality data, preparing water quality reports; conducting facility staff training, preparing technical reports, preparing annual reports and maintaining SMARTS. RELEVANT ACCOMPLISHMENTS / EXPERIENCE City of Coronado MS4 Commercial, Food Service and Industrial Facility Inspection Services: Ms. Salinas has provided commercial, food service and industrial facility inspection services for the City of Coronado for over five years. This work included preparing enforcement notices and conducting follow-up corrective action inspections. Grossmont Healthcare District Prop G Projects: JL StormWater Consultants prepared the SWPPP for the 4 -year project which is an expansion of facilities at the site. Ms. Salinas provides SWPPP monitoring services, collects and tests storm water discharges, prepares SWPPP amendments, and assists with contractor SWPPP training. She manages the overall contract and keeps track of all budgets during the performance year. Williams Ranch Lot 6–Poway, CA: JL StormWater Consultants prepared the Risk Level 2 SWPPP for the 3.37 acre lot. Upon SWPPP approval Ms. Salinas conducted SWPPP implementation; which included: performing all site inspections, preparing Rain Event Action Plans, site training, developing storm water sampling and analysis program including sample collection and analyses. Industrial General Permit Compliance: JL Stormwater provides Industrial General Permit compliance to as host of industrial facilities throughout Southern California which include: Quiroz Recycling in Chula Vista, Certified Metal Craft Inc. in El Cajon, TTX Company in Mira Loma, Decco Casting in El Cajon, Safran Cabin Inc. in Garden Grove and Saint Gobain Solar Gard LLC in San Diego. These services include all IGP compliance: conducting routine inspections; performing water quality monitoring and sampling; reviewing and analyzing water quality data, preparing water quality reports; conducting facility staff training, preparing technical reports, preparing annual reports and maintaining SMARTS. Environmental Compliance Specialist, LLC Appendix 2 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net RFP On-Call Municipal NPDES Professional Services for the City of Diamond Bar California Fee Proposal Contact Information Environmental Compliance Specialist, LLC Douglas Dowden 310 South Twin Oaks Valley Road, Suite 107-355; San Marcos, CA 92078 (805) 237-9938 / Stormwaterca@att.net Submittal Date May 19, 2022 Environmental Compliance Specialist, LLC Appendix 2 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net Page 15 of 15 No.Mandated Tasks Rate Hours Cost 1 Per Q&A responses issued 5/18/23 "there are not any estimates for Tasks# 1-2" 2 Per Q&A responses issued 5/18/23 "there are not any estimates for Tasks# 1-2" 3 a Review & approve LID plans for 3 private & 1 City projects per year within 2 weeks.165 34 5,610$ b Verify LID BMPs are properly installed for 3 private & 1 City projects per year.165 16 2,640 Track inspections 95 4 380 c Verify existing LID BMPs are properly maintained at 2 City projects per year.125 10 1,250 d Update LID BMP records with available program information.95 10 950 e As needed: Assist in implementing NPDES capital projects and programs.125 TBD Subtotal 10,830$ 4 a Review & approve SWPPPs for 2 private & 1 City projects per year.165 12 1,980 b Inspect for construction BMP compliance at 5 private & 1 City projects per month.125 144 18,000 c Track inspections 95 10 950 d Conduct 3 follow-ups at noncompliant construction projects per month.125 48 6,000 e Update site records with available program inventory information.125 12 1,500 Subtotal 28,430$ 5 a Prepare 10 enforcement actions for construction sites per year.95 24 2,280 Subtotal 2,280$ 6 a Conduct 20 follow-ups at noncompliant industrial/commercial facilities per year.125 40 5,000 b Educate, & inspect for BMP compliance at 100 industrial/commercial facilities / year.125 200 25,000 c Track inspections 95 7 665 d Update industrial/commercial facility records using available data sources.95 3 285 e Distribute, develop, & purchase educational material.95 1 95 f Schedule & conduct BMP inspections, follow-up, & issue enforcement.95 50 4,750 g Illicit Discharge Investigations h Conduct field investigations within 2 hours of notification by the City. Per RFP 2/ year 125 6 750 i Follow-up and assist in issuing enforcement.95 4 380 Subtotal 36,925$ 7 a Prepare 10 enforcement actions for industrial/commercial facilities per year.95 24 2,280 Subtotal 2,280$ 8 No task item 8 provided in RFP Subtotal 9 a Assume $1,000 per year to purchase and print educational materials.1,000 Subtotal 1,000$ Total 81,745$ Program Administration, Compliance Planning, and Compliance Reporting Public Agency Activities Post Construction (LID) Program Activities City of Diamond Bar Estimated Fee Proposal MS4 NPDES Professional Services (Menu of Services) Tasks / RFP #'s Estimate Construction SWPPP (Private projects disturb ≥ 1 acre, and as needed for smaller projects) Construction Enforcement / Compliance Program Activities Commercial and Industrial Program Activities Commercial and Industrial Enforcement / Compliance Program Activities Public Education and Outreach Program Activities Environmental Compliance Specialist, LLC Appendix 3 Atascadero & San Marcos California; (805) 237-9938 – stormwaterca@att.net RFP On-Call Municipal NPDES Professional Services for the City of Diamond Bar California W-9 (Confidential) Contact Information Environmental Compliance Specialist, LLC Douglas Dowden 310 South Twin Oaks Valley Road, Suite 107-355; San Marcos, CA 92078 (805) 237-9938 / Stormwaterca@att.net Submittal Date May 19, 2022 .",, llU'9 (Rev. October 2018) Department of the Treasury lnternal Revenue Service Request for Taxpayer ldentification Number and Gertification ) Go to www.irzgovlFormlU9 for insEuctions and t{te latest informaton. Give Form to the requester, Do,not send to the lRS. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code Qfany) Exernption from FATCA reporting code (ifarry) (, oo) rSo- Co.,oogCLObE ot 14iA ro '6 o CLo ooa I Name (as shown on your income tax return). Name is reguired on this line; do not leave this line blank. E 2 Business name/disregarded entity name, if different from above 7 List account number(s) here (optiona0 ldentification Number 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 l, later. For other entities, it is your employer identification number (ElN). lf you do not have a number, see How to get a I/N, later. Note: lf the account is in more than one name, se the instructions for line 1. Also see Vrlhat fitame and NumberTo Give fhe Requesterfor guidelines on whose number to enter. Requester's name and address (optionaD or Certification Under penalties of perjury, I certify that: '1. The number shown on this form is my conect taxpayer identification number (or I am waiting for a number to h 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 lntemal Revenue Service (lRS) 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 conect. Certification instnrcdions. You must cross out item 2 above if you have been notified by the IRS that you are cunently subject to backup withholding because you have failed to report all interest and dMdends on your tax retum. For real state transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured Section references are to the lntemal Flevenue 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.lrs.govlFormW. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information retum with the IRS must obtain your conect taxpayer identification number (IlN) which may be your social security number (S.SN), individual taxpayer identifcation number (lTlN), adoption taxpayer identification number (AnN), or employer identification number EN,IA report on an information retum the amount paid to you, or oths.amount reportable on an information retum. Examples of information returns include, but are not limited to, the following. o Form 1@9-lNT (interet eamed or paid) o Form 1099-DlV (dividends, incltding those ftom stocks or mutual tunds) o Form 1099-MISC (various type of incorne, prizes, awards, or gross proceeds) o Form 1099-8 {stock or mutual fund sale and certain other transactions by brokers) o Form 1099-5 @roceeds from real estate transactions) . Form 1099-K (merchant card and third party network transactions) o Form 1098 (horne mortgage interest), 1098-E (student loan interest), 1098-T (tuition) o Fonn 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 (ncluding a resident. alien), to provide your conect TlN. lf you do not rcfum Form W-9 to the regu*ter with a TlN, you might be subject to ba;ktp withholding. See What is backup withholding, later. 3 Check appropriate box for federal tax classification of the person whose name is entered on lirrc 1. Check only one of the following seven boxes. I tndividuat/sole proprietor or f] c corporation E] S corporation n prrtn"or,ip I TrusVestate single-m€mbcr LLC I UmteO liability company. Enter lhe tax classitication (C=C corporation, S=S corporation, P=Partnorship) > Note: Check the appropriate box in the line above for the Ex classification of the single-rnember owner. Do not ctEck LLC if the LLC is classilied as a single-member LLC that is disregarded lrom the owner unl€ss the owner ot the LLC is another LLC that is not disregarded from the owner for U,S. federal tax purposes. Otherwise, a single-member LLC is disregarded from the owner should check the appropriate box for the tax classification of ib owner. O(her (see instructions) > 5 Address (number, street, and apt. or suite no.) See instructions. 6 City, state, and ZIP code Cat, No. 10231X Form W-91Rev. 10-2018) Form W-9 (Rev. 10-2018)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 requester’s 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 24% 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. 10-2018)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. 1—An 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) 2—The United States or any of its agencies or instrumentalities 3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession 7—A futures commission merchant registered with the Commodity Futures Trading Commission 8—A real estate investment trust 9—An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial institution 12—A middleman known in the investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described in section 4947 Form W-9 (Rev. 10-2018)Page 4 The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for . . .THEN the payment is exempt for . . . Interest and dividend payments All exempt payees except for 7 Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Barter exchange transactions and patronage dividends Exempt payees 1 through 4 Payments over $600 required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 52 Payments made in settlement of payment card or third party network transactions Exempt payees 1 through 4 1 See Form 1099-MISC, Miscellaneous Income, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) B—The United States or any of its agencies or instrumentalities C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i) E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i) F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state G—A real estate investment trust H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 I—A common trust fund as defined in section 584(a) J—A bank as defined in section 581 K—A broker L—A trust exempt from tax under section 664 or described in section 4947(a)(1) M—A tax exempt trust under a section 403(b) plan or section 457(g) plan Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. Form W-9 (Rev. 10-2018)Page 5 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account:Give name and SSN of: 1. Individual The individual 2. Two or more individuals (joint account) other than an account maintained by an FFI The actual owner of the account or, if combined funds, the first individual on the account1 3. Two or more U.S. persons (joint account maintained by an FFI) Each holder of the account 4. Custodial account of a minor (Uniform Gift to Minors Act) The minor2 5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law The grantor-trustee1 The actual owner1 6. Sole proprietorship or disregarded entity owned by an individual The owner3 7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) (A)) The grantor* For this type of account:Give name and EIN of: 8. Disregarded entity not owned by an individual The owner 9. A valid trust, estate, or pension trust Legal entity4 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 The corporation 11. Association, club, religious, charitable, educational, or other tax- exempt organization The organization 12. Partnership or multi-member LLC The partnership 13. A broker or registered nominee The broker or nominee For this type of account:Give name and EIN of: 14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments The public entity 15. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B)) The trust 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. 2 Circle the minor’s name and furnish the minor’s SSN. 3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier. *Note: The grantor also must provide a Form W-9 to trustee of trust. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers. Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. Form W-9 (Rev. 10-2018)Page 6 The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.