• ••

Hill's Pet Nutrition Sales VENOOR(S):

CClN'IR1'.\CI'#: 6~2018

A'IT/\CHMENI'S: ------May 2, 2018 DATE:

INITIAL(S): ___;,__,,1ra/.... ------LEITER: v Addendum le_tter PRICEOJAN:;E:

,, '

VENDOR(S): Hill's Pet Nutrition Sales

CONTRACT: 06A.:._2018

ATTACHMENTS: Award List

DATE: February 13, 2018

INITIAL(S): GJF:np:ep

LETTER: AWARD

PRICECHANGE:

f - • Page 1 of 1 Ela'ine Peterson - Contract#0GA-2018-Dog/Cat Food and Supplies

From: Elaine Peterson To: Michael Pastore; Mildred Menendez; Nancy Pratt; Paul Loraso; Annie C ... Subject: Contract#06A-2018-Dog/Cat Food and Supplies

The above contract has been awarded to: Hill's Pet Nutrition Sales

Click to add a signature

11111111 Page 1 of 1

•" - • Recipients: 5 Response Pending: 5 Annie Curry Response Pending Michael Pastore Response Pending Mildred Menendez Response Pending Nancy Pratt Response Pending Paul Loraso Response Pending

Attachments: User: 1, System: 2

Send Options:

1111111 ~. ~Q~. ~~-: I -0 ~ . PORCH.ASING DIVISION - BIDDERS LIST AND TABULATIONS W~~ . . CQN-ni.t'cT NO.: l.oA- - c,LJUf 2? . · OPENINGDATE: ~~( 7 8 ~ !). Ii ,- J NO CONCLUSION SHOULD BE DRAWN UPON REVIEWING THIS DOCUMENT · ~ -liJ=·., · SUBJECT: L>.' r= (1 mk- r11a · · · · · REQUISITION NO,: · o2 - .(2l} f 'f: I

BIDDERS --,-,. _ I DAT}i:_SE~T I VIA I INITIAL ·.. 1 RE~ElVED j'($) TOTAL and DISCOUNT DESCRIPTION, DEPOSIT, ETC. 1 NAME \:\:, ,Ss Pia:t: & ½-%,.\.-roN d, ::...J~f..,? ; ,~ ~r,." ADDRESS4-0C) .~ ~ ;:S---L ~·/' ea/, M ~ ,.,, ·, .? •. :, ·. , o 0Xcc.. c\<'s ~k?,o ( . )/~; · E-Mail- ______MBR ___ "· ,~ ,::::::- /) .P _/ ( of TELE.# PU ~br r . FAX# ------C E<.'.J ~ ,9 ·- :n~ss,e-~ ~:)a.~ t£7;~ M

MBR /I)/; E-MAIL ~\°""e..$-..~:-r ~\}j._)~ l{S TELE,.# PU FAX#

=RESS Sf~~';r!~ a~ MBR E-MAIL TELE.# .:...______PU t)b FAX# -

NAME ,~~ ~ M ADDRESS /")\?)~n,~ 1¾(f"9' = MBR E-MAIL ~/-) TELE.# ______PU FAX# CONTACT PERSON PURCHASING DIVISION - BIDDERS LIST AND TABULATIONS CONTRACT NO.: ~~~018 OPENING DATE: ~ '~', NO CONCLUSION SHOULD BE DRAWN UPON REVIEWING THIS DOCUMENT · SUBJECT: ______:__ REQUISI;ION NO(~if= -~-:2-0[~

INITIAL I RECEIVED I ($) TOTAL and DISCOUNT I DESCRIPTION1 DEPOSIT, ETC.

I MBR TELE.# 7/#-- 737-~~/ ~/4/giPU Af5 FAX# -----,--,.--,----,,.....---,,~~-#,..,..,..__ ~ CONTACT PERSON e) NAME .ADDRESS M

MBR E-MAIL TELE~.# PU FAX# ------CONTACT PERSON NAME .ADDRESS M

MBR E-MAIL TELE.# PU FAX# ------CONTACT PERSON NAME .ADDRESS M

.MBR E-MAIL TELE.# PU FAX# ------CONTACT PERSON • Pagel of 1 Recipients: 4 Acknowledged: 2, Response Pending: 2 Michael Pastore Response Pending Mildred Menendez Read Nancy Pratt Response Pending Paul Loraso Read

Attachments: User: 1, System: o

Send Options:

file:///C:/Users/annicur/AppData/Local/Temp/XPgrpwise/5AEC4990TOH_DOMTHALL_P... 5/4/2018 • •

May 2, 2018 HILL'S PET NUTRITION SALES ATTN: KATHY REEVES 400 W. 8TH STREET TOPEKA, KS 66601

CONTRACT # 06A-2018 A-D-D-E-N-D-U-M DOG/CAT FOOD TERMS: 02/13/2018 - 12/31/2018 EXTEND THRU: 12/31/2018

To Whom It May Concern:

Please add the following items to the above referenced Contract, effective immediately:

Item #8439 PD z/d Ultra Allergen Free Canine 25Ib. Bag ...... $65.51 Ea. Item #8599 PD r/d Canine 27.5Ib. Bag ...... $53.10 Ea. Item #2566 HA Pup 28Ib. Bag ...... $42.96 Ea. Item #2091 SD Pup HG 40lb. Bag ...... $36.37 Ea.

This correspondence is to be made part of original Award letter and it is understood that all other specifications and conditions remain unchanged. Thank you in advance for your anticipated cooperation. '

Very truly yours,

GORDON J. FOX PURCHASING DIVISION GJF:PL Cc: M. Pastore, Director, Animal Shelter & Control Division M. Menendez, Administrative Ass't N. Pratt, Buyer P. LoRaso, Ass't to the Director of Purchasing Contract #06A-2018 COUNCIL MEMBERS DOROTHY L. GOOSBY TOWN- OF HEMPSTEAD- EDWARD A. AMBROSINO BRUCE A. BLAKEMAN ERIN KING SWEENEY ANTHONY P. D'ESPOSITO Office of the Comptroller DENNIS DUNNE, SR.

SYLVIA A. CABANA PURCHASING DIVISION . LAURA A. GILLEN . TOWNCLERK 350 FRONT STREET, HEMPSTEAD, N. Y. 11550 SUPERVISOR DONALD X. CLAVIN, JR. (516) 489-5000 Fax (516) 483-6353 RECEIVER OFTAXES

KEVIN R. CONROY, CPA TOWN COMPTROLLER

GORDON J. Fox PURCHASING DIVISION May 2, 2018 HILL'S PET NUTRITION SALES ATTN: KATHY REEVES 400 W. 8TH STREET TOPEKA, KS 66601-

CONTRACT # 06A-2018 A-D-D-E-N-D~U-M DOG/CAT FOOD TERMS: 02/13/2018 - 12/31/2018 EXTEND THRU: 12/31/2018

To Whom It May Concern:

Please add the following items to the above referenced Contract, effective immediately: ·

Item #8439 PD z/d Ultra Allergen Free Canine 25Ib. Bag ...... $65.51 Ea. Item #8599 PD r/d Canine 27.5Ib. Bag ...... : ...... $53.10 Ea. Item #2566 HA Pup 28Ib. Bag ...... $42.96 Ea . . Item #2091 SD Pup HG 40lb. Bag ...... $36.37 Ea.

This correspondence is to be made part of original Award letter and it is · understood that all other specifications and conditions remain unchanged. Thank you in advance for your anticipated cooperation.

GJF:PL • - Page 1 of 1 Paul Loraso - SKU Information ...... l

From: Kathy Reeves To: Paul Loraso Date: 5/1/2018 3:30 PM Subject: SKU Information

HI Paul

SKU #8439 PD z/d Ultra AllergnFreeCanine 251b bg Cost per bag $65.51 SKU #8599 PD r/d Canine 27.51b bg Cost per bag $53.10 SKU #2566 HA Pup 281b bg Cost per bag $42.96 SKU #2091 SD Pup HG 401b bg Cost per bag #36.37.

We appreciate your business.

Kathy

Kathy Reeves Corporate Sales/Specialty Accounts 866 660 1052 x4902

file:///C:/Users/PAULLOR/AppData/Local/Temp/XPgrpwise/5AE887FCTOH_DOMTHAL. .. 5/2/2018 • Page 1 of 1 Paul Loraso - Re: Fwd: SKU Information Hills Pet

From: Caprice Ambroise To: Paul Loraso Date: 5/1/2018 3:49 PM Subject: Re: Fwd: SKU Information Hills Pet

I say OK.

> > > Paul Loraso 5/1/2018 3:34 PM > > > 1 Hi, Just spoke to Kathy Reeves. Here is the info on the items that are not on contract. Please approve and send back with an ok.

Thanks

...... - ...... _ ...... - ---

> > > Kathy Reeves 5/1/2018 3:29 PM > > > HI Paul

SKU #8439 PD z/d Ultra AllergnFreeCanine 25Ib bg Cost per bag $65.51 SKU #8599 PD r/d Canine 27.Slb bg Cost per bag $53.10 SKU #2566 HA Pup 28Ib bg Cost per bag $42.96 SKU #2091 SD Pup HG 40Ib bg Cost per bag #36.37.

We appreciate your business.

Kathy

Kathy Reeves Corporate Sales/Specialty Accounts 866 660 1052 x4902

file:///C:/Users/PAULLOR/AppData/Local/Temp/XPgrpwise/5AE88C84TOH DOMTHAL... 5/2/2018 COUNCIL MEl\fBERS DOROTHY L. GOOSBY - - EDWARD A. AMcr:osINO TOWN OF HEMPSTEAD BRUCE A. BLAKEMAN ERIN KJN(',SWEENEY. ANTHONY F.O'ESPOSITO 'Office of the Comptroller . DENNIS DUNNE, SR.

SYLVIA A. CABANA PURCHASING DIVISION LAURA A. GILLEN TOWN CLERK 350 FRONT STREET, HEMPSTEAD, N.Y. 11550 SllPERVISOR DONALD X. CLAVIN, JR. (516) 489-5000 Fax (516) 483-6353 RECEIVER OF TAXES

KEVIN R. CONROY, CPA TOWN COMPTROLLER

GORDON J. Fox DIRECTOR OF FINANCE February 13, 2018

Hill's Pet Nutrition Sales . Attn: Kathy Reeves, Sales Rep. 400 W. 8th Street Topeka, KS 66601.

Contract#06A-2018 Term: February 13, 2018 to December JI, 20 I 8 Yearly Requirements for: Dog/Cat Food and Supplies Tel. #785-368-4902 Fax #877-473-8384 . E-Mail NIA Fed. LO. #742855767

To Whom It May Concern:

Your Contract proposal for the above is hereby accepted in accordance with all the specifications and conditions contained therein. ·

No cash discount is offered. f

Delivery will be made within ten (10) days upon receipt of signed Purchase Order.

Prices shall remain firm for the entire Contract period.

Deliveries will be made upon the issuance of Purchase Orders, signed by the Director of Finance. The Town will not be liable for payment unless a signed Purchase Order ·is issued. •' ' Orders must be delivered in full within specified time. No partial deliveries will be accepted.

The price bid will remain firm for one (1) year after starting date of Contract. After this period; if the price should increase or decrease it is required that you give notice, in writing, to the Director of Finance if any change in price with proper documentation. · AWARDLIST \. HILL'S PET NUTRITioN-sALES GROup·r - ANIMAL FOOD Estimated . / · Annual Utl I T . Code Description Form Size Quantity Price .. PRESCRIPTION DIET " . . '$ 1...1 • ~7 . \ . :-.· . A ~ 5670 aid® Canine/Feline Ur.gent Gare · Can 24 x5_ 1/2 oz cans ..; cases l."I. . . ;;J.'-f )(. S-.,S- o--?: c.~"'s s 10012 cld® Multicare Oanine Urinary Care Chicken Flavor: Dry 27,5 pound bag 3 bags f. SS _1'1 .p!!<' bo..~ c 7003 did® Canin~ Skin/Food Sensitivities Duck Formula Can 12 x 13 oz cans 3 c;:ases ~ ~'1 _s0 o 7004 d/d® Canir,e Skin/Food Sensitivities S~lmon Formula Can 12 x 13 oz cans .3 cases :It 9'l .30 19 E • 7005 d/d® Canine Skin/Food Sensitivities Venison Formula Can 12 x 13 oz cans 3 cases JJ;·::i.i. 1

_F 5343 . did® Canine Skin/Food Sensitivities Potato & Duck Formula Dry. . · 17.6 pound bag 3 bags ~55";1'7_. G 53413-· did® Canine Skin/Food_ Sensitivities Potato & Salmon Formula Ory 17.6 pound bag ,3 bags '¢5'5. 1'7 y 5"3'-f~ did® Canine Skin/Food Sensitiyities Potato &Veniion Forrm,ila Dry 17 .6 pound bag 3"bags · 1:5'5'; 17 S346 did® Canine Skin/Food Sensitivities~& ~~rm~la · f7~/S,.!a,on Dry 1~~'$11:. 3 bags :ta.,'7.',f J 7007 h/d® Canine Heart Care Can 12 x 13 oz cans 3cases s~s.~· K 8617 hid® Canine Heatt Care Dry 17.6 pound.bag 3 bags 9 t+t.f,12. L 3389 ild® Canine Digestive Care Chicken & Veg Stew Can ·12 x 12 112 oz cans 3 cases 8 ~.t:::4 M.·-,oo'i "iJJfft .ild® Can·ine Digestive Care with Turkey Can 12 x 13 oz-cans 3 cases $ 'J;;>,44 - N\<>o\'~ ~ ild® Canine- 0i9.esti_ve Care Chicken Flavor Dry ·. 35 poiMd pa€);l'1,!;"Jlt)_ 3 bags i'SC\. t11£i'"' 0 . 3391 i/d® Low Fat Canine Digestive Cate Rice, Veg & Chicl:a,:;. ncr Q ·3395 kid® CaAir1e Kidney C~re Chicken & Veg Stew Can 12 X 12 1/2 oz caos 3 cases ft o!,t.l.8~ R 3398 kid® Canine_ Kidney Care Beef & V~g Stew Cari 12 x 12 1/2 oz qans 3 cases. 1 ~4 _g~

s 70.10 kid® Cani!1e Kidney (?.are Can · 12 x 13 oz cans. ~cases ti\ ~'-\ Y~ r 2697 kid® Canine l

-Z: "ll/0').. 886S" w/d® Canine Lo_w·Fat - Glucose Mgmt - Gastrointestlnal_w/ chicken Dry 27.5 pound bag 3 bags· · «'5"4-. 4:f! 7018 z/d® Canine Skin/food Sensitivities . Can 12 x 13 oz cans 3 .cases :IJ·31. o S M . . . BB 3~86 cld® Feline Urinary .Care Chicken & Veg Stew Can 24 x 2:9 o~ cans 3 cases t i't. \3. --- cc . 3385 c/d® F.eline Urinary Care Tuna & Veg Stew: Can 24 x 2.9 oz- cans 3 cases: 2l ai--1:• 1-S 10 . DD 6238 c/d® Multicare Feli!)e Urinary Care with Ctiicken Can 24 x 5 1/2:oz cans 3 cases it 2?3. . EE 5364 did® Feline Skin/Food Sensitivities Duck F.ormula Can 24 x 5 1/2 oz cans 3 ca.ses fft.fS. 51 FF 5365 did® Feline Skin/t= ood Sensitivities Venisbn Formula Cari . 24 x 5 1/2 oz can15. 3 cases· $.£,14-~ 1 GG ::S392 iiri® Feii11~Dige:;livt1 Ca_.-~Chfcksii & Ve::gStew r.;::in · 24 x 2.9 oi cans . · · 3 cases $ 2ft, 3 HH 4628 . i/d® Feline Digestive.· Care Can 24 x 5 1/2 oz cans 3 cases .ii gIT! . II . 3393 k/d®Feline Kidney Car~ Chicken &Veg Stew. Can 24 x 2.9 oz cans 3 cases $ as~S. i JJ .339~ kid® Feline Kidney Care Veg, Tuna & Rice Stew Can . 24 x 2:9. oz cans 3 cases· S B5.';I • ,;. ,. 1 r.J.'17 3 cases ll>.3:':i... o KK. 9453 · kid® Feline Kidney-Care with_ Chicken Can 24 x 5 1/2 oz cans , 3 cases 3 14f, · LL 2698 kid® Feline. Kid Rey Care with Ocean fish Can 24 x 5 112 oz cans 34, 3 bags :MM 8696 kid® Feline Kidney Care with Chickti3n · ; · · Dry 8.5 pound bag S ;:!;a, ,.$

PAGE 1 of ·2 AWARDLIST - cont~nued HILL'S: PET NUTRITlONSALES

NN ~ r/d®,F~line Weight Los::, - Low Calorie with.Chicke~ Dry 8.5 pound bag 3 bags f :t(l ,"5~ · S45_5 w/d® Feline Dlge~tive/Weight Mana·gement with Chicken· 24 x 5 oz ~ans· : oo c.an ~i2 · . 3 cases .:f pl, O .. pp£%~ w/d® Feli~e Low.Fat - Glucose Mgmnt - Gastrointestinal w/chicken Dry 8.5-pound bag 3 bag·s '9 @1'1.• $°8 " QQ · 5238 z/d® Feline Skin/Food Sensitivities · . Can 24 X 5 1/2 OZ cans 3 cases ~if:'+.,iJ; ,, RR -6735 Science ·Diel® Mui~ Advanced· Fitness Original f?r _Dogs- Pro P~ck Dry 40 pound bag 1320oags ::$4-f ·SS 4045 Science Diet® Sensitive Stomact\ & Skin for Dogs - Pro Pack ·ory 40 p9and bag 5 bags· ~. I

n 6801 S~ience Diel® Adult Optimal Gare® Ori'ghial for C~ts - Pro Pack qry 20 pound bag_ 160 bags la.;~'~ ~ h~. l:IU · 4046 Science Diet® Sensitive Stomach & Skin for C~ts --Pro.Pack Dry 2_0po~nd bag 5bags ~1 > 1 ".?. • ..

Healthy A~vantage . 1 .W 2565 PUPPY. Dry · • 4 potfnd ba~ ;5 bags $ \0,3 ~ WW 2579 · Puppy• Chicken & Vegetables Entfee Can 12 X 12.8 OZ. 5 ~ases $ a~,9. \ XX · · 2573 KITTEN Dry 6 pound bag. 5 bags ·$ 1'1, 4'0 yy 2586· _Kitten-. Chicken Entre~ Cari 24x 5 t/2 ozcans 5 cases $~~. '11

·Science Diet - zz 9368 . Puppy .:.Snrall Bites Science Diet® Canine Life S~age. .Dry ·1s.5 pound_bag 10 bags ~e33.;~· · AAA 7036 ·puppy- ~ourmet ~hicken Entree Science Diet® ¢ariine Wet Can .12x13ozcans. ·10case~·1t1z •. BBB 7039 Adult - Gourmet Beef Entree SG:ieAceD_iet® C~nine· Wet .. Can . 12 x 13 oz cans . 325 cases ~\'$, ~~ CCC 7040 Adult - B.eef & Chicken.Eritree Science Diet® CanineWeJ. Can ·. 12 x 13 oz _cans 325 cases $ \'.ii,~ DDD · 7037 · Adult - GourmetChicken Entree . -ScienceDiel® CanineWet Can' 12x·13·9z cans 325.cases $ 4t, ~1 EEE 7038 Adult - Go1.1rmetTurkey Entre~ Science·Diet®Canine Wet · .Can 12 x 13 07:~ans 325 cases $ \g,-~,q . FFF · · 9392 · Kitten - l:{eplt~.;~m~t~Jt9-' Scie~ce Diet® Feline life Stage Dry 15.5 pound bag 70 bags $' 33,1oo · Science Diel® Feline Wet Can 24 x 2.9 oz cans GGG l~~- Kitten - ~t:v.~ ChickelL.~ . .... 950 cases . s n' S-.:2 HH~H ·'ftttr' Adult - r.lgllli&t•le ~~ ~~ Science Diel® Feline Wet .Can 24 X 2,9 OZ. Caris 425 cases . ./fl1, ~ · 111(df4~ Adult - ~yle TuAa s113er ·· Science Diel® Feline Wet i;;ari 24 x2~s o';.bans· 425 cases ti dil . o~ . -fu1r;,.,.__ -=a C"'-.lr,r.:,; , I· • • .l>A. ~ 1-t,'--'\. . . . . 1 -~-i'.. ' -

...

PAGE 2. of 2 ' • ' 11 - -

' . . l This contract may be extended, at the discretion of the Director of Finance, for a period of one (1) year, up to a maximum of two (2) additional one ( 1) year extensions to be made upon mutual agreement between the Director of Finance and your company. ·

GJF:np:ep Enclosed: Award List ,.

CC: Animal Shelter & Control Division - Michael Pastore, Director

Mildred C. Menendez -Assistant to the Director of Finance

Paul J. Lo Raso - Assistant to the Director of Purchasing (06-2018)

Nancy Pratt - Buyer

Annie Curry - Purchasing Division

Contract#06A-2018 CON~~ACTiNO. __6_A_-_20_1_B_( R_. __'"-D_) __ _ PROPOSAi MUST B~E RECEIVED INTHE OFFICE OPENING DA1E AT 11 :00 A.M. OF THE DIRECTOR OF PUl'-'lCHASING NO LATER WEDNESDAY, FEBRUARY 7, 2018 THAN 11 :00 A.M. ON THE OPENING DATE. LATE PROPOSALS WILL NOT BE CONSIDERED.

CONTRACT PROPOSAL TOWN OF HEMPSTEAD - STATE OF NEW YORK FOR BIDS TO BE RECEIVED AND OPENED INTHE OFFICE OF DIRECTOR OF PURCHASING . 350 Front Street - Room 122 Hempstead, New York 11550-4037 YEARLY REQUIREMENTS FOR: DOG & CAT FOOD TITLE ------The undersigned bidder affirms and declares that he/she has carefully examined the advertised invitation for bids, the general specifications and detailed specifications, and certifies that this proposal is signed with full knowledge and acceptance of all the provisions thereof and offers and agrees, if this bid is accepted within ______days from the date of opening of bids to furnish any or all items upon which prices are hereinafter quoted in the quantities and at the prices bid. All prices must include delivery charges. Delivery to be made within _____ days after receipt of order or orders during the contract period FROM ___U_P_O_N_A_W._A_R_D ______TO ONE ( 1) YEAR Cash Discount of __"'Q___ per cent will be allowed for prompt payment within 20 business days.

BIDOF _H_i_·1_1_'_s_P_e_t_N_u_t_r_i_t_i_o_n_s_a_l_e_s__ -_4_o_o_w_._B_t_h_s_t_r_e_e_t_,_T_o_p_e_k_a_,_K_S_6_6_6_0_1_-_A_t_t_n_:_K_a_t_h_y_R_e_e_v_e_s_ (Nrune of Bidder) (Address) (Corporate) _i/ ~ · I.'\ ( Seal ) B~c,._:;b- Title full~ ~(2 Name Ka.,~f ·t:eev-6 Federal I~~~:~;~opri,if..,~d to sign for corporation and title) Telephone No. L']~') 5o i-l}q~ri~or type nrune of signer)

FaxNo. 9{11- 473- g3g4 BIDDER'S SIGNATURE SHOULD BE ACKNOWLEDGED BELOW. STATEOF STATE OF k.M1'5A-5 COUNTYOF ss.: COUNTYOF S~wf\.e-e.... ss.: On this ____ day of ______20 __ , On this 3\ M: day of 1'a.nu..a.o\:-- 2015L_ ; before me personally appeared ______before me, the subscriber, personally came ~~~~Ql-/r\=·~~----- to me known and known to be ( the individual described in )* MY£~ to me known, who being by me duly sworn ( a member of the firm of ______did despose and say that he/she resides in T Op£ Ila 16..5 the firm described in ) and who executed the within instrument, and ______; that he/she is the..5:iJ ~er.,,p. of (he/she) ( each and everyone of them severally) duly acknowledged that t-{i\l.5 Rt /\Lu,-\:nfi0:1, \nc,. the corporation described in and __ he/she _ executed the same ( as and for the act 'and deed of which executed the above instrument; that he/she knew the seal of said said firm). corporation; that the seal affixed to said instrument was said corporate seal; that it was so affixed by order of the Board of Directors of said *Notary: X out parts of acknowledgement which do not apply. corporation, and that he/she signed his/her name thereto by like order. (!.aA..Q.L C,,oH-·

Notary Public, County of State of Nntarv Puh]ic Cnuntv nf c,r_ A 1 1.; • n ~ Stateof Ks (FOR INDIVIDUAL(S), FIRM OR PARTNERSHIP) ...... ~;!f'.~¥···•. CAROLCOfiVK \...VKt ONS) =•: •.• :•~ My AnMnrnentcxp1res \ ".,PYIIUC/ f • •rl"" TO BE INSERTED BY BIDDER DETAILED SPECIFICATIONS Item No. ·•-.i~~.;i/ Septeml etl~W.ate Unit Unit Amount Price The make, grade or brand on which your bid is based must be stated opposite each item.

SUPPLY & DELIVER THE BELOW DESCRIBED MATERIAL ACCORDING TO SPECIFICATIONS AND CONDITIIONS.

ac/

MAIL PROPOSALS EARLY. ALLOW TIME FOR UNAVOIDABLE DELAYS THAT MAY OCCUR. · { (1) A SUBSTITUTE FOR THE PRODUCT SPECIFIED WILL BE CONSIDERED IN ALL CASES EXCEPT WHEN OTHERWISE STATED. THE BIDDER MUST SUBMIT WITH THE BID SATISFACTORY PROOF THAT ANY SUBSTITUTE OFFERED IS EQUAL TO THE NDITIONS STANDARD SPECIFIED. (2) All bid prices must include delivery within doors unless Town specifies otherwise. (3) No charge shall be ~~=~~~~CO made for boxing or packing. (4) Use this form. (5) Director of Purchasing reserves the right to reject any or all bids and to award by items, by groups of items, or as a whole. (6) Issuance of Town Purchase Order constitutes acceptance of bid. BIDDERS ARE REQUESTED TO ALSO READ THE TERMS AND CONDITIONS ATTACHED HERETO. IN EXECUTING THIS BID, THE BIDDER WARRANTS THAT THE PRICES SUBMITTED HEREIN ARE NOT HIGHER THAN THOSE OFFERED TO ANY GOVERNMENTAL OR COMMERCIAL CONSUMER FOR LIKE DELIVERIES. PRICES: The provisions of the New York State Fair Trade Law (Feld-Crawford Act) and the federal price discrimination law (Robinson-Patman Act) do not apply to purchases made by the Town. DO NOT INCLUDE FEDERAL, STATE OR OTHER TAXES IN BID PRICES. 1 6 PA-15 • 1.5M · 11/2004 page ...... of ...... pages r

ACORD® DATE (MM/DD/YYYY) ~- CERTIFICATE OF LIABILITY INSURANCE- I 01/12/2018 THIS CERTIFICATE IS ISSUED AS A MATTER"- OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIV~ OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh USA, Inc. NAME: PHONE I FAX 1166 Avenue of the Americas IA/C No Extl: IA/C Nol: New York, NY 10036 E-MAIL ADDRESS:

INSURERISI AFFORDING COVERAGE NAIC# 022249-1-GAW-18-19 INSURER A : ACE American Insurance Comoanv 22667 INSURED INSURER B : N/A N/A · - COMPANY OBA OBA SOFT SOAP OBA MURPHY-PHOENIX INSURER C : N/A N/A OBA COLGATE ORAL PHARMACEUTICAL, INC. INSURERD: DIVISIONS OF COLGATE-PALMOLIVE CO. 300 PARK AVENUE INSURERE: NEW YORK, NY 10022 INSURERF: COVERAGES CERTIFICATE NUMBER: NYC-010188407-01 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE 1,.,.,n W\tn POLICY NUMBER fMM/DD/YYYYl IMM/DD/YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY HOO G46769454 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 >--- DAMAGE TO RENTED 0 CLAIMS-MADE 0 OCCUR PREMISES /Ea occurrence\ $ 100,000 MED EXP (Any one person) 50,000 - $ 1,000,000 - PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 1,000,000 Pl POLICY □ JECTPRO- DLoc PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY IE~"ii~~~~\;flNGLE LIMIT $

~ ANY AUTO BODILy INJURY (Per person) $ - - OWNED SCHEDULED BODILY INJURY (Per accident) $ - AUTOS ONLY - AUTOS HIRED NON-OWNED $ - AUTOS ONLY - AUTOS ONLY iP~~~~~Je~RAMAGE $

UMBRELLA LIAB EACH OCCURRENCE $ - HOCCUR EXCESSLIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION PER I OTH- I STATUTE I ER AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, desclibe under □ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)

CERTIFICATE HOLDER CANCELLATION

NAF BUSINESS & SUPPORT SERVICES, MR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marine Corps Exchange (MCX) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3044 Catlin Ave ACCORDANCE WITH THE POLICY PROVISIONS. Quantico, VA 22134

AUTMORIZED REPRESENTATIVE of Marsh USA Inc. Ricki Fitzsimmons I ~- ,6.:;;:::- © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD An of Hempstead Purchasing DiVI.n

CERTIFICATION AFFIDAVIT

Note- The Town of Hempstead is prohibited by Town Code section 62-6 from entering into any contract with any vendor relating to services, supplies, information technology, or construction without a sworn certification that the vendor is not engaging, and will not engage during the course of the contract with the Town of Hempstead, in any economic boycott of an American Allied Nation or any American Allied Nation controlled territories, as described in Town Code section 62-6. If the vendor is found by a preponderance of the evidence by the Town Board to have engaged in such a boycott at the time of the submission of the bid, the signing of the contract, or during the course of the contract, the contract may be rescinded and the Town shall be entitled reimbursement of all its out of pocket costs in connection with its dealings with the vendor, as well as any further relief authorized by Town Code section 62-6. By signing this affidavit, the signor is representing that he or she has fully reviewed Town Code section 62-6, fully understands it provisions, and will at all relevant times act in compliance therewith.

I, certify that I am either a vendor to this contract, a representative authorized by lawful resolution to sign for the vendor, or an officer or member of the vendor of this contract and I attest under penalty of perjury that upon personal knowledge the subject vendor is not currently engaging in a "Boycott of American Allied Nation" as that term is used in Town Code section 62-6, nor will the subject vendor engage in such behavior at the submission of the subject bid, at the signing of the contract, and during the entire duration of the subject contract with the Town of Hempstead. It is understood by the vendor that the term American Allied Nation includes any American Allied controlled territory and consists of any nation that is a member of the North Atlantic Treaty Organization, any country that is a signatory to the Southeast Asian Treaty Organization, any country, other than Venezuela, that is a signatory to the RIO Treaty of 1947, as well as any of the nations of Ireland, Israel, Japan and the Republic of Korea. I further certify that the vendor shall comply in all respects with Town Code section 62-6, and I or anyone involved with the vendor shall immediately notify the Town Attorney upon gaining knowledge of any such violation by the vendor or any of its agents, employees, or representatives.

I understand that any false statements made herein are punishable as a Class "N' Misdemeanor pursuant to Section 210. , of the Penal Law of the State of New York. - 'i

Signatu e of Vend Officer of Vendor $\-okcP~ C..0\.)J'\½ o-57- ~\l.:>YlU...- Sworn to before me this day of ~/16 , 2od

8. JENE HAAS ar&illl Notary Public • State of Karai MyAppt, E•plrea July 1, 2018 ' .>

~ DIRECTOR OF PURCHASING CONTR..O,CT PROPOSAL TOWN. OF HEMPSTEAD (CONTINLiED) STATE OF NEW YORK 2 6il- ·2018 Page Contract ·No ...... ;......

TO BE INSERTED BY BIDDER Item No DETAILED SPECIFICATIONS Approximate Unit Quantity Unit Amount Price The make, grade or bran.d on which your bid Is based must be stated opposite each item.

NOTE: The Town of Hempstead has a License.d Veterinarian on Staff.

PRICES MUST INCLUDE ALL DELIVERY AND FREIGHT CHARGES.

For further information contact Mike Pastore@ (516) 785-4220.

Bidder to indicate name, -and address where Purchase Orders. should be mailed to: Company Name . W1 II:> :flt Nt14t-L~'()n .A+\--n~ \L~+-t\t ~-eever Address_--,-_.<-;Qo_.._6t,.,,,,,,_,_y_..,.IY_,_c..,.______

-rl.)p-t-lcA,. ~ · (o(f, (DO (

Bidder to'indicate name and address where payments should be mailed to:

Company Name.+\\ lls hl N,J;\-ri~(W\

Address ~R.-=o___:_:~:...:..:'f....:...... :~=---..~-=--7J..:t)-'--5J-+------­

~\\Q.:~ I :f'l . 7 s~g 4-- ~5']

NOTE: All Bidders MUST. sign and have notarized Certificate Affidavit enclosed.

W-9 Request for taxpayer identification nul;llber & certification form (attached) must be filled out and returned with the bid.

Only one bid ·per bidder will. be c9nsidered. If multiple bids a-re received .from one bidder, then all bids from that bidder will be considered ;1.nvalid and unacceptable.

ATTENTION VETERANS: You may have certain rights­ .under Section 162: of the New York State Finance. Law in connection with public contracts for the purchase of commodities or provision of services. Specifically, this 1.aw may authorize acce.ptance · of a bid submi.t:ted by a "qualified vete+an' s workshop" provided that the bid shall not exceed the l.owest responsi.ble bid by .greater than 15%. It ;is incumbent on you to submit all required documentati.on to the Town, d·emonstrating your qualification for treatment un~er that Section. You should consult your attorney to determine your qualification for tr.eatment under the provision.

ac/ Page 2 of 6 · pages_

DO NOT INCLUDE FEDERAL, STATE OR OTl-!ER TAXES IN BID PRICES.

PAISA-2M-1 /12-TOH ···---. -· ··- ...... -...... __- - - -

GROUP I - ANIMAL FOOD Estimated Annual Uf/1! Code Description Form Size Quantity Price PRESCRIPTION DIET 37 A 5670 aid® Canine/Feline Ur.gent Care · Can 24 x 5 1/2 oz cans 3 cases "3'ii. .'.).'-t l<. 5'. S- o-z._ Cq_ n S B 10012 c/d® Multicare Canine Urinary Care Chicken Flavor Dry 27.5 pound bag 3 bags as"S. 1'1 .p12(' bo._~ C 7003 did® Canine Skin/Food Sensitivities Duck Formula Can 12 x 13 oz cans 3 cases 11:,?..q_~ 0 ;.004 did® Canine Skin/Food Sensitivities Salmon Formula Can 12 x 13 oz cans 3 cases ¢a<} _30 E. 7005 did® Canine Skin/Food Sensitivities Venison Formula Can 12 x 13 oz cans 3 cases .t ~'&.ltl F 5343. did® Canine Skin/Food Sensitivities Potato & Duck Formula Dry 17.6 pound bag 3 bags "ss:;':_ G 5345 did® Canine Skin/Food Sensitivities Potato & Salmon Formula Dry 17.6 pound bag .3 bags tss. 1'7 53'-fl.43:42 did® Canine Skin/Food Sensitivities Potato & Venison Formula bry 17 .6 pound bag 3 bags $:'S'5';t7 -Lj 5346 did® Canine Skin/Food Sensitivities~& ~ormula f~/SrtfttiQY\ Dry 1~pa§'"'$~ 3 bags ta-1,t;

L 3389 i/d® Canine Digestive Care Chicken & Veg Stew Can 12 x 12 1/2 oz cans 3 cases :11Qt.,.,r:;:1:J M -TOl:>i 7JJfff i/d® Canine Digestive Care with Turkey Can 12 x 13 oz cans 3 cases $'J-;,/·¼4 ti) (I) N \<>or?:> i/d® Canine Digestive Care Chicken Flavor Dry . 3a ~91#1flµag ~"'l.!: lh 3 bags ~sq,w~ 0\ ~ Ill 0 3391 i/d® Low Fat Canine Digestive Care Rice, Veg & Chicken Stew Can 24 x 5 1/2 oz cans 3 cases <.f:J, l/. q (p 0.. p 1863 i/d® Low Fat Canine Digestive Care Chicken Flavor Can 12 x 13 oz cans 3 cases -IP'J.'?}. ncr \.Q Q 3395 k/d® Canine Kidney Care Chicken & Veg Stew Can 12 x 12 1/2 oz caos 3 cases ft 4-i a~.8~ a 3398 R kid® Canine Kidney Care Beef & Veg Stew Can 12 x 12 1/2 oz cans 3 cases l ?.4,8~ ") 7010 k/d® Canine Kidney Care Can 12 x 13 oz cans 3 cases -a,.'-\.1 3 s t (I) T' I 2697 kid® Canine fss - I ow CaJocie.with.ChiclreA-.._ 3-baQS '1/A 7017 w/d® Canine Digestive/Weight/Glucose Management Chicken Flavor Can 12 x 13 oz cans 3 cases jJ :;i,3.10 -{ {["S°L/- z ~li>'D'?-~ w/d® Canine Low Fat - Glucose Mgmt - Gastrointestinal w/ chicken Dry 27.5 pound bag 3 bags .L(g AA 7018 z/d® Canine Skin/food Sensitivities Can 12 x 13 oz cans 3.cases g3l, D.:> BB 3386 c/d® Feline Urinary .Care Chicken & Veg Stew Can 24 x 2.9 oz cans 3 cases i ?i4.13 cc 3385 c/d® Feline Urinary Care Tuna & Veg Stew Can 24 x 2.9 oz cans 3 cases 'B ac..t.13 . DD 6238 c/d® Multicare Feline Urinary Care with Chicken Can 24 x 5 1/2 oz cans 3 cases ~ 33. ID EE 5364 did® Feline Skin/Food Sensitivities Duck Formula Can 24 x 5 1/2 oz cans 3 cases ff'-fS.51 FF 5365 did® Feline Skin/Food Sensitivities Venison Formula Can 24 x 5 1/2 oz can!> 3 cases ~t.{4 $!. G~, 8382 iid® i=eii11t:Diye::;iiv·t:! C8ft;;; Chickaii & './c~ Sf8\A.' r.,=m · 24 x 2.9 oz cans . 3 cases ~~.13 - HH ' ,:, 4628 i/d® Feline Digestive Care Can 24 x 5 1/2 oz cans 3 cases Jfg~.'-f! II 3393 kid® Feline Kidney Care Chicken & Veg Stew Can 24 x 2.9 oz cans 3 cases SJas. $1 JJ 3394 kid® Feline Kidney Care Veg, Tuna & Rice Stew Can . 24 x 2.9 oz cans 3 cases . :ii 85. st • C KK 9453 kid® Feline Kidney Care with Chicken Can 24 x 5 1/2 oz cans 3 cases g ;¥1.. f.f~ .LL 2698 kid® Feline Kidney Care with Ocean fis_h Can 24 x 5 1/2 oz cans 3 cases 1134. Llt MM 8696 kid® Feline Kidney Care with Chicken Dry 8.5 pound bag 3 bags tJ g_a,"tS NN ~ rid® Feline Weight Loss - Low Calorie with Chicke~ Dry 8.5 pound bag 3 bags fF'J(l ,s~ 00 9455 w/d® Feline Digestive/Weight Management with Chicken Can 24 x 5 1/2 oz cans 3 cases ,1 3LO PP _S'b~ w/d® Feline Low Fat - Glucose Mgmnt - Gastrointestinal w/ch1cken Dry 8.5-pound bag 3 bags fl 3'1,~ QQ 5238 z/d® Feline Skin/Food Sensitivities Can 24 X 5 1/2 OZ cans 3 cases fqc+, ,, RR -6735 Science ·Diet® Adult Advanced Fitness Original for Dogs - Pro Pack Dry 40 pound bag 1320 oags li ii+, a:5 . ss 4045 Science Diet® Sensitive Stomach & Skin for Dogs - Pro Pack Dry 40 pound bag 5 bags it '3'.o,(l(

TT 6801 Science Diet® Adult Optimal Care® Original for Cats - Pro Pack Dry 20 pound bag 160 bags ~ 8'q, ~c; (:JU 4046 Science Diet(§ Sensitive Stomach & Skin for Cats -Pro Pack Dry 20pound bag 5 bags ~ ~l1 r}

Healthy Advantage .

.w 2565 PUPPY Dry . 4 pol)nd bag .·5 bags $ \0. 3(o WW 2579 Puppy - Chicken & Vegetables Eniree Can 12 X 12.8 OZ. 5 cases ;$ :::,t~,a.\ xx ·2573 KITTEN Dry 6 pound bag. 5 bags -~ l""L41) - yy 2586· Kitten - Chicken Entree Can 24 x 5 t/2 o:i: cans 5 cases 1t~..-,, 71 Science Diet zz 9368 . Puppy - Small Bites Science Diet® Canine life Stage Dry 15.5 pound bag 10 bags t ~3. o:? .... AM 7036 Puppy - Gourmet Chicken Entree Science Diel® Canine Wet Can . 12 x 13 oz cans · 10 cases·,r,~. ~Cf BBB 7039 Adult - Gourmet Beef Entree Science Diel® CanineWel Can 12 x 13 oz cans . 325 cases il \:l °d.q CCC 7040 Adult - Beef & Chicken.Entree Science Diel® CanineWet Can . 12 x 13 oz cans 325 cases 1£ \'it,.~9

ODD 7037 Adult - Gourmet Chicken Entree Science Diel® Canine Wet Can ·. 12 x 13 oz cans 325 cases $ ti, ~q EEE 7038 Adult•· Gourmet Turkey Entree ScienceDiet® Canine Wet · Can 12 x 13 oz cans 325 cases$ ,g.2-'1 FFF . 9392 Kitten -_f:le,flt~})..fmmif'~~$£~ Science Diel® Feline LireStage Dry 15.5 pound bag 70 bags ~ 3-:3.too GGG lc8v~ Kitten - ~le Chicken~ Science Diel® Feline Wei Can 24 x 2.9 oz cans 950 cases ll (1 . )-4 .. ,~ · u"tt .._.~r:?mv-t:e:. HHHIWH•t'f'ttT Adult - r.lm+Hil6

'<;It

~ ru ~ ,· ! ~ Form W-9 Request for Taxpayer Give Form to the {Rev. December 2014) requester. Do not Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service 1 Name {as shown on your Income tax return). Name is required on this line; do not leave this line blank. Hill's Pet Nutrition Sales, Inc N 2 Business name/disregarded entity name, if different from above Q) Cl Ill a. 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions {codes apply only to C 0 certain entitles, not Individuals; see D Individual/sole proprietor or 0 C Corporation D S Corporation D Partnership D Trust/estate instructions on page 3): single-member LLC !. g Exempt payee code {If any) 5 ~.: D Limited liability company. Enter the tax classification {C=C corporation, S=S corporation, P=partnership) ► Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for Exemption from FATCA reporting 1:~! ..,, the tax classification of the single-member owner. . code Qf any) -c ltij D Other (see instructions) ► (Applies to accounts maintained outsicle the U.S.) !E 5 Address {number. street, and apt. or suite no.) Requester's name and address {optlonaQ I.) !. 400 SW 8th Avenue (/) 6 City, state, and ZIP code 3l en Topeka.Kansas 66603 7 List account number{s) here {optional)

Taxpayer Identification Number (TIN) -~·Enter you~-- TIN in_ the app:o~ri~te box. :h~ TIN provided must_ match t~e name given on line 1 to avoid I Social security number I backup withholding. For Ind1v1duals, this 1s generally your social security number (SSN). However, for a OJ] [D I I I I I resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other - - entities, it is your employer identification number (EIN). If you do not have a number, see How to get a ~-'---'---'---' TIN on page 3. or j~E_m_plo_yer_l_d_entlfl __ca_tlo-n-nu-m-ber---~ Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. 74 -28557 6 7 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or aba11;1onment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than irl~rest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the

instructions on page 3. \ _,. _ % __

• Form 1098 (home mortgage interest), 1098-E {student loan interest), 1098·T General Instructions {tuition) Section references are to the Internal Revenue Code unless otherwise noted. • Form 1099-C (canceled debt) Future developments. lnfonmation about developments affecting Fonm W·9 {such • Form 1099-A {acquisition or abandonment of secured property) as legislation enacted after we release It) is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S. person {including a resident alien), to Purpose of Form provide your correct TIN. An individual or entity {Form W-9 requester) who is required to file an infonmation If you do not return Form W-9 to the requester with a TIN, you might be subject return with the I RS must obtain your correct taxpayer identification number (TIN) to backup withholding. See What is backup withholding? on page 2. which may be your social security number {SSN), individual taxpayer identification By signing the filled-out form; you: number ~TIN), adoption taxpayer identification number {ATIN), or employer 1. Certify that the TIN you are giving is correct (or you are waiting for a number identification number {EIN), to report on an infonmation return the amount paid to to be issued), you, or other amount reportable on an infonmation return. Examples of information returns include, but are not limited to, the following: 2. Certify that you are not subject to backup withholding, or • Form 1099-INT Onterest earned or paid) 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 • Form 1099-DIV {dividends, including those from stocks or mutual funds) any partnership income from a U.S. trade or business is not subject to the • Form 1099-MISC {various types of income, prizes, awards, or gross proceeds) withholding tax on foreign partners' share of effectively connected income, and • Form 1099·8 {stock or mutual fund sales and certain other transactions by 4. Certify that FATCA code{s) entered on this form (If any) indicating that you are brokers) exempt from the FATCA reporting, is correct. See What is FATCA reporting? on • Form 1099-S {proceeds from real estate transactions) page 2 for further information. • Form 1099-K {merchant card and third party network transactions)

Cat. No. 10231X Form W-9 {Rev. 12-2014)