Purchasing of Goods and Services Policy

Dutton/Dunwich, Ontario · adopted 2023-07-19

This is the exact embedded text of the captured official document. Snapshot 5d96155237c6 · verified 2026-06-09 · original document · archived snapshot · unofficial consolidation, the official version is held by the municipal clerk.

PURCHASING OF GOODS AND SERVICES POLICY POLICY NUMBER T&P 01-2023 CATEGORY Finance SUPERCEDES POLICY T&P 01-2014 RELATED POLICIES N/A APPROVED BY Resolution: 2023.17.31 EFFECTIVE DATE July 19, 2023 POLICY STATEMENT The goals of this policy are: I. To promote and maintain the integrity of the purchasing process; II. To obtain the best value by ensuring quality, efficiency, and effectiveness. PURPOSE This policy will ensure openness, accountability and transparency of municipal purchasing while protecting the financial best interest of the Municipality of Dutton Dunwich. This policy will outline the guiding principles of public procurement and the approach that the Municipality of Dutton Dunwich and its operating departments will take when procuring goods and services. The detailed purchasing procedures shall be consulted prior to proceeding with any procurement. The Municipality shall: - Encourage competition amongst suppliers by using an open, transparent and fair process; - Assist and provide direction to staff, vendors and council relating to the procurement process; - Where practicable, provide accessibility for persons with disabilities when purchasing goods, services and construction; - Be environmentally conscious through the purchase of goods and services; - Strive to ensure ethical purchasing practices are used by all staff. APPLICATION This policy applies to all staff and council of the Municipality of Dutton Dunwich with respect to the municipality's procurement activities. Local boards and committees that have not enacted their own purchasing policy will be required to comply with the municipal purchasing policy. POLICY Procurement Methods All purchases of goods, services and construction shall be undertaken utilizing one of the following methods of procurement, using standardized documents. Where long term, valued relationships exist with material, equipment, or support services providers, they should be examined periodically to ensure that the municipality is getting the best value when purchasing. Informal Processes Informal process are to be completed by the user department and shall include direct purchase or informal quotations. It will also include the Request to Quote process where the Treasurer will assist in the document creation with the user department. 1) Direct Purchasing Direct purchase, as described below, may be used when: a) The dollar value of the item is equal to or less than $14,999. b) The item is not covered under a blanket order contract. 2) Request for Quotation (RFQ) a) The cost of the item is between $15,000 and $49,999. b) The ability exists to detail what is being purchased. c) Document title will be consecutively numbered based on the Municipal numbering and naming convention. User department shall request such number. d) Best value for the municipality can be achieved by an award selection made on the basis of the lowest compliant bid that meets specifications. Formal Processes Formal processes will be issued by the user department and shall include Request for Tender or Request for Proposal 1) Request for Tender (RFT) Request for Tender procedures shall be used when: a) The cost of the item is $50,000 or greater. b) The ability exists to detail what is being purchased. c) Best value for the municipality can be achieved by an award selection made on the basis of the lowest compliant bid that meets minimum specifications. 2) Request for Proposal (RFP) Request for Proposal procedures shall be used when: a) The requirement is best described in a general performance specification. b) Innovation solutions are sought. c) The award selection will be made based on a fully disclosed evaluation method involving a combination of mandatory and desirable requirements. Other Processes 1) Blanket Order Contracts Blanket order contracts occur as a result of a previous competitive bid, which establishes the successful bidder as the preferred source for a product or service over a specific term. 2) Rotational Rosters A rotational roster is the result of a competitive bidding process, which prequalifies vendors to be placed on a list where they will be provided an equal opportunity to perform work for municipality as it becomes available. 3) Unsolicited Proposals Unsolicited proposals received by the municipality shall be reviewed by the respective department manager and Treasurer. Unsolicited proposals must be in writing detailing information on a product or service that may provide the municipality with significant value or savings. 4) Cooperative Purchasing The Treasurer and department managers are hereby authorized to participate in cooperative purchasing arrangements with other municipalities, counties/regions, associations, local boards and public agencies within the province. The procurement policies or procurement bylaw of the host agency will apply upon the Treasurer and department manager satisfying themselves that the host agency will be proceeding to the open market to obtain competitive pricing. Award approvals of all co-cooperative purchasing contracts shall be in accordance with the purchasing procedures. Notice of participation in cooperative purchases will be posted annually to the municipal website in accordance with the requirements of the CETA and CFTA. 5) Sole and Single Sourcing Sole sourcing is a method of procurement whereby a purchase order is issued, or a contract awarded without a competitive bidding process due to the fact that the supplier is the only source of supply for the required goods or services. Sole sourcing will be permitted if one or more of the following circumstances apply: a) One supplier/contractor possessing the unique ability or capability to meet the requirements of the municipality due to a patent, sales/distribution agreement or copyright. b) Service is obtained from a public utility. c) The supply relates to necessary unique replacement parts from an exclusive source of supply. d) The supply relates to the purchase of parts that must be compatible with goods previously supplied, and there are no reasonable alternatives to the products. e) To maintain warranty or service agreement compliance for purchase products. f) When the required item is covered by an exclusive right such as a patent, copyright, or exclusive license. Single sourcing is a method of procurement whereby there is more than one vendor able to supply and a purchase or a contracted awarded without a competitive bidding process. Single sourcing will be permitted if one or more of the following circumstances apply: a) Disclosure of information is an open contract competition would breach some duty of confidentiality or compromise security. b) The compatibility of a purchase with existing equipment, product standards, facilities or service is a paramount consideration. c) There is an absence of competition for technical reasons and the goods and/or service can only be supplied by a particular supplier. d) An unforeseeable situation of urgency exits and the goods and/or services cannot be obtained in time by means of open procurement procedures. e) There are no bids in response to a bid solicitation. f) A roster for professional services has been developed. g) When competitive procurement may be found to be impractical. h) Where a good is purchased for testing or trial use and there is a clearly established deadline for the testing or trial period that does not exceed 12 months. i) When an urgent procurement is necessary for fulling a statutory order issued by a federal or provincial authority (i.e., compliance order). The use of sole or single sourcing with a particular vendor exceeding $50,000 must be approved by Council. Any single or sole sourcing with an amount between $5,001 and $49,999 must be reported by the departmental manager and approved by the Treasurer. In order for a department to sole or single source for goods or services exceeding $50,000, an operating strategy must be presented with Treasurer input and approved by Council, outlining the rationale. Input must be sought from the Treasurer to ensure purchasing principles in the municipal procedures are taken into consideration and risk to the municipality is minimized. 6) Negotiation Negotiation may only be used under the following circumstances: a) Those outlined within the sole and single sourcing. b) As a result of an RFP process, if required. c) With respect to RFTs and RFQs the municipality may enter into negotiations wit the lowest compliant bidder if the price bid is over the budgeted amount of the project t. Should the municipality be unable to reach an agreement with the lowest compliant bidder, the municipality reserves the right to enter into negotiations with the next lowest compliant bidder, to cancel the bid opportunity or to present a report to council whichever is deemed to be the best interest of the municipality. d) All bids received failed to meet the specifications and/or tender terms and conditions and it is impractical to recall tenders. It is the responsibility of the user department and Treasurer to ensure all competitive bidding options have been considered prior to the negotiation method being utilized. 7) Procurement in Emergencies Notwithstanding the provisions of this policy, an emergency purchase shall be made when an event occurs that is determined by the Mayor, the CAO and/or department manager to be a threat. Where in the above opinion an emergency has occurred, non-competitive procurement or negotiation methods will be utilized. The user department shall submit a memorandum to Council outlining the purchase and the conditions that constituted an emergency, together with a source of funding, prior to the end of the quarter in which the emergency procurement took place. If Council approval for the funding source is required, the user department shall submit the above information in the form of a staff report to the next available council meeting. 8) Non-Competitive Purchases Under the direction and control of the Treasurer, the requirement for competitive bid solicitation for goods and services may be waived under the authority of this policy and replaced with negotiations. 9) Request of Expression of Interest Requests for Expression of Interest may be issued to prequalify vendors for various projects or purchases or to obtain information on the availability of interest of suppliers of any goods or services. Requests for Expression of Interest may or may not result in the development of a list of available suppliers. 10)Request for Pre-Qualification (RFPQ) RFPQ may be issued to prequalify vendors for various projects or purchases. The purpose of an RFPQ is to determine whether the qualifications of a bidder, as required by the municipality, are at a level that will allow participation in a subsequent bidding opportunity that takes place as a direct result of the RFPQ. 11)Request for Information (RFI) An RFI may be used by managers to provide staff with specifications for future use. An RFI may be issued in advance of a formal bid process to assist in the development of a more definitive set of terms and conditions, scope of work/service and the selection of qualified vendors. 12)Goods and Services Exempt from the Procurement Policy The purchasing methods described in this procedure do not apply to the following goods and services: a) Training and education b) Registration, accommodation, and tuition fees for conferences, conventions, courses, and seminars. c) Magazines, books, and periodicals d) Memberships e) Staff development or staff workshops f) Refundable EE/Councillor expenses g) Advances h) Meal Allowances i) Travel (fuel, accommodation etc.) j) Ongoing maintenance for existing computer hardware and software k) Employers' general expenses l) Payroll deduction remittances m) Medicals n) Licenses o) Debenture Payments p) Grants to Agencies q) Damage Claims r) Tax Remittances s) Insurance Premium payments t) Refunds to property owners (property tax, building permit, entrance permit, etc.) u) Professional and special services up to $100,000 including: I. Committee fees, witness fees II. Realty services regarding lease, acquisition, demolition, sale, disposal or appraisal of land III. Advertising services are required in radio, television, newspaper or magazines. IV. Bailiff or collection agencies V. Freight charges VI. Utilities v) Performance/Artist's fees w) Employee Group Benefits x) All legal services and fees y) Professional and special services exceeding $100,000 must be procured formally. z) Hiring of consultants or contracts to complete project deficiencies or complete the work of a developer where the developer has abandoned the project or negligent in completion and where funds to complete the work are being drawn from deposits held by the municipality and where time does not permit a competitive bidding process. 13)Drinking Water Quality Management System (DWQMS) All Contractors and Suppliers that undertake work on or supply materials for the Dutton Dunwich Water Distribution System shall agree to the DWQMS Standard requirements that all supplies must meet the AWWA and ANSI Standards. Completion of the Municipality's DWQMS Contractor and Supplier Sign off Form (Appendix 2) is required. 14)Risk Management Risk management ensures that the municipality's interests are protected through the bidding process. Risk management includes: - Bid deposits - Performance, labour and material payment and maintenance bonds - Holdbacks - Liquidated damages 15)Insurance and WSIB The Treasurer in consultation with the user department will ensure that satisfactory insurance coverage is obtained from each contractor and consultant working for the municipality. Insurance limits will be based on recommendations from the municipality's insurer and insurance types will be relevant to the goods, services or construction being purchased. All contractors and consultants will be required to provide the municipality with appropriate documentation outlining Workplace Safety Insurance Board (WSIB) coverage. 16)Exclusion of Bidders in Litigation The Municipality may, in its absolute discretion, reject a bid submission prior to or after a bid opening from any bidder that is: - In litigation with the municipality; or - Is directly or indirectly, including common ownership or control or otherwise, related to a party to litigation with the municipality; or - Intends to use a sub-contractor in respect of a specific project who is party to litigation with the municipality or who is directly or indirectly, including by common ownership or control or otherwise, is related to a party to litigation with the municipality. "Party to litigation with the municipality" includes cases in which the bidder or prospective bidder or any of the parties included have advised the municipality in writing of their intention to commence an arbitral proceeding against the municipality. Bids from any bidder in any of these circumstances shall be rejected as informal and non- compliant. 17)Conflict of Interest 1. No requisition, vouchers, petty cash funds or any other order, written or verbal, shall be issued or personal goods and/or services for employees of the Municipality, any member of Council, or the public. 2. No purchase of goods or services shall be made from any employee of the Municipality, or from any company in which an employee of the Municipality has an interest. A contract for goods or services placed with a relative of an employee of the Municipality shall be declared and that employee shall not be placed in a position to supervise or approve the execution of that contract. 3. No employee or elected official shall purchase surplus assets except by bidding on the same at public auction or by sealed bid. 18)No Local Preference In accordance with the Discriminatory Business Practices Act, as amended, there shall be no local preference given to any bidder when awarding a bid for purchases of goods, services, and construction for the town. 19)Trade Agreements Procurement by the municipality may be subject to the provisions of trade agreements. Where an applicable trade agreement is in conflict with this policy, the trade agreement shall take precedence. 20)Lobbying Prohibited The municipality shall be entitled to reject a bid submission if any representative of a bidder, including any other parties that may be involved in a joint venture, consortium, subcontractor or supplier relationship, makes any representation or solicitation to any elected official, employee or agent of the municipality. This requirement does not extend to any public deputations that may be made to Council in accordance with the Procedural bylaw. 21)Tie Bids In the case of tie bids between two responsive and responsible bidders and, where multiple awards are not an alternative for award, the municipality shall determine the successful bidder by coin toss. The Treasurer and at least two members of the user department must be present. In the case of tied bids between three or more responsive and responsible bidders and where multiple awards are not an alternative for award, the municipality shall determine the successful bidder by a draw of the bidder names from a hat. The Treasurer and at least two members of the user department must be present. 22)Authorizations Council has the ultimate authority for all expenditures. Council provides the authority to staff for the initiation and completion of procurement processes for goods, services and construction through the authorization of the annual budgets or resolutions. 23)Council Approval Required Despite any other provisions of this policy, (see section 29) the following procurements over $25,000, excluding taxes, are subject to Council approval: a) Any contract requiring approval from the Local Planning Appears Tribunal (LPAT). b) Any acquisition of goods or services that is not already approved in the current year's budget, such as items requiring pre-budget approval or post-budget amendments, must be reported to Council in order to have the expenditure authorized via resolution. c) Where the net revenue amount proposed for acceptance is lower than the Council approved budget. d) Any contract where the award is not being recommended to the lowest compliant bidder, with the exception of Request for Proposals e) Any contract anticipated to be financed by debentures. 24)Authority to Reallocate Approved Budget Funds To ensure proper expenditure management and budget accountability, each manager is responsible for ensuring all purchases remain within the departments approved operating or capital budgets, unless otherwise provided for in this policy. Reallocation of funds between operating and capital budgets is not permitted under any circumstance. In order to allow purchases to proceed which exceed the approved budget, a manager shall have the authority to reallocate funds, without exceeding the aggregate budget within their control under the following circumstances: Operating Budget a) The shortfall for the purchase of goods or services is less than $10,000; b) All changes must be one-time and shall not affect the base budget; c) Reallocations may only occur within or between suppliers and service accounts; d) General scope of work or service delivery method cannot be changed e) The funding source must be the same for all accounts affected by the reallocation. Capital Budget a) The shortfall cannot exceed 20% of the project budget to a maximum of $75,000 b) General scope of work or service delivery method cannot be changed. c) If reallocating funds from a capital project/component, the capital project/component in which funds are being transferred from must already be an awarded project/component. d) Revised Bid Award Form must be completed when funds are reallocated; e) The funding source must be the same for all accounts affected by the reallocation. All other budget over-runs must be approved by Council before the award is made. 25)Authority to Award This section outlines the authority to award a bid in accordance with the intent of the purchasing methods outlined in the policy. The full amount, excluding applicable net taxes, for the supply of goods, services or construction shall be considered when determining the authority to award. If there is any discrepancies with the procedures outlined in this policy, the matter will be brought before Council for final approval. Authority to Award Dollar Value Method of Procurement if Formal or Informal Method of Award Council Unlimited n/a Council Resolution CAO $125,000 up to and including $250,000 Tender or RFP Bid Award Form Treasurer $25,000 up to but not including $125,000 Tender or RFP Bid Award Form Manager or designate Less than $25,000 Direct Purchase Bid Award Form (if no budget reallocation) Unless otherwise approved by Council, all purchases of goods and services must be approved in the annual budgets. 26)Authority for Payment Authority for payment in this schedule relates to payments of amounts contained in approved budgets or by resolution only. During scheduled absences, managers are able to delegate signing authority to selected individual(s) with written notice to the Treasurer. Authority limits for payments are as follows: POSITION DETAIL LIMIT CAO or Treasurer All expenditures As per council approved budget Departmental Managers All expenditures As per council approved budget Supervisory Staff (as designated by Manager) General Purposes -day-to-day departmental requirements $25,000 as per council approved budget. 27)Disposal of Surplus or Obsolete Assets Disposal of surplus assets is the responsibility of the Treasurer. The Treasurer may delegate responsibility for the disposal of surplus assets if it is beneficial to the Municipality to do so. The Treasurer will first advise the Council regarding the sale of surplus assets over $5,000 once the decision has been made by the department and Treasurer. Where any goods, equipment, or inventory of stocks are surplus, obsolete, or not repairable, they shall be declared surplus by the disposing department to the Treasurer. The Treasurer shall have the authority to transfer surplus assets to other departments. When no other use can be found, they will be added to the surplus list for disposal and the using department will be credited with the net proceeds from the sale. If, in the opinion of the using department, a higher return can be achieved by trade-in or in the case of inventory items by sale to the original vendor or similar vendor, they shall have the authority to sell such goods at the highest price. If it is determined that the goods have no residual value, the Municipality may dispose of them in any accredited landfill site. Sale of surplus assets shall be made to the highest responsive bidder. This may be by sealed bid, or by offering at public auction. The sale shall be made in accordance with the provisions of this policy where applicable. No surplus asset will be sold directly to a municipal employee, but his does not prohibit the employee from bidding on the asset through the sale process. 28)Accessibility and Procurement The Municipality of Dutton Dunwich is a major purchaser of goods and services. It is important that procurement processes are inclusive so that all vendors can participate, and all contracted parties are aware of the need to provide accessible goods and services. References and Related Policies Procurement Legislation and Guidelines The Municipal Act, 2001, Part VI, Section 270 as amended states that before January 1, 2005, a municipality shall adopt and maintain a policy with respect to procurement of goods and services. Although procurement is governed by Contract Law, there are various trade agreements and guidelines to consider. 1) Contract Law in Canada A contract is any legally enforceable agreement. Any Agreement to purchase is a contract if it involves the following elements: a) A legal offer that is clearly defined - offers must be unambiguous, not vague. b) Acceptance of said offer. Acceptance terms must match offer terms. c) Legal consideration - both parties have given something of value. d) Legal purposes - contract must be of/for legal goods and/or services. e) Legal intention - each participant must have intended to be part of the contract. f) Competence - or legal capacity to enter into a contract. Verbal Contracts - although legal and binding, are always vague and lack important terms and conditions; any deals should be in writing wherever possible. 2) Trade Agreements Canadian Free Trade Agreement (CFTA) Comprehensive Economic Trade Agreement (CETA) Agreement on the Opening of Public Procurement for Ontario and Quebec Agreement on Internal Trade 3) The Discriminatory Business Practices Act The purpose and intent of this Act is to prevent discrimination in Ontario on the ground of race, creed, colour, nationality and ancestry, place of origin, sex or geographical location of persons employed in or engaging in business. RSO. 1990, c. D.12, s.2. 4) Conflict of Interest Act It is a criminal offence when an elected politician, public official or government employee acts contrary to his or her duty to the public to obtain a person benefit per Section 122 of the Criminal code. Consequences of Non-Compliance Failure to adhere to the requirements outlined in this policy may lead to progressive disciplinary action up to and including termination of employment. Review Cycle This policy will be reviewed at least once every term of Council. APENDIX "A" IRREGULARITIES CONTAINED IN BIDS IRREGULARITY RESPONSE Late Bids Automatic rejection, not read publicly and returned unopened to the bidder. Unsealed Envelopes. Automatic Rejection. Incomplete, illegible, or obscure bids or bids which contain additions not called for, erasures, alterations, errors, or irregularities of any kind. May be rejected as informal. Bids not completed in ink. Automatic Rejection. Documents, in which all necessary Addenda have not been acknowledged. Automatic Rejection. Failure to attend mandatory site visit. Automatic Rejection. Bids received on documents other than those provided by the Municipality of Dutton Dunwich. Automatic Rejection. Failure to insert the Tenderer's business name in spaces provided in the Form of Tender. Automatic Rejection. Failure to include signature of the person authorized to bind the Tenderer in the space provided in the Form of Tender. Automatic Rejection. Conditions placed by the Tenderer on the Total Contract Price. Automatic Rejection. Bids Containing Minor Mathematical Errors. a) If the amount tendered for a unit price item does not agree with the extension of the estimated quantity and the tendered unit price, or if the extension has not been made, the unit price shall govern and the total price shall be corrected accordingly. All corrections by the Purchasing Coordinator will be made in red ink and initialed. b) If both the unit price and the total price are left blank, then both shall be considered aszero. c) If the unit price is left blank but a total price is shown for the item, the unit price shall be established by dividing the total price by the estimated quantity. d) If the total price is left blank for a lump sum item,it shall be considered zero. e) If the Tender contains an error in addition and/or subtraction and/or transcription in the approved tender documentation format requested (i.e. not the additional supporting documentation supplied), the error shall be corrected and the corrected total contract price shall govern. f) Tenders containing prices which appear to be so unbalanced as to likely affect the interest of the Municipality adversely may be rejected. Bid Security - Insufficient Financial Security (no bid deposi or insufficient bid deposit). - Failure to insert name of bondingcompany. - Signature of bidder and/or bonding company missing when bid bond requested. Automatic Rejection. Automatic Rejection. Automatic Rejection. Agreement to provide Performance Security is not provided or is not in the form specified. Automatic Rejection. Part bids (all items not bid). Automatic Rejection unless allowed for in the request. Withdrawal of Bids Withdrawal of bids received after the closing time will not be allowed. APPENDIX "C" - AODA Compliance Statement Form I/We, certify that we are in full compliance with the Integrated Accessibility Standards Regulation (Ontario Regulation 191/11) under the Accessibility for Ontarians with Disabilities Act, 2005 (AODA) and have provided the necessary training to all staff (employees, agents, volunteers, or others for whom we are responsible). I/We are required to comply with all relevant/applicable and any future additions or modification to legislation as they become enacted to accessibility standards and regulations. In accordance with the training requirements of Ontario Regulation 191/11 the training that I/We provided includes the following content: - A review of the purpose and requirements of the Accessibility for Ontarians with Disabilities Act and the Human Rights Code; - The requirements of the Integrated Accessibility Standards Regulation; - The requirements of the Accessible Customer Service Standard Regulation; - Review of the Municipality of Dutton Dunwich AccessibilityPolicy The necessary training will be delivered on an ongoing basis to all new staff (employees, agents, volunteers, or others for whom we are responsible) prior to providing goods or services to, or on behalf of, the Municipality of Dutton Dunwich. I/We shall ensure that training records are maintained, including dates when training is provided, the number of personnel who received training and individual training records. I/We are to ensure that this information is available to the Municipality of Dutton Dunwich, any time during the Term of the Contract. I/We shall only assign those staff who have successfully completed training in accordance with Ontario Regulation 191/11, to provide services to, or on behalf of, the Municipality of Dutton Dunwich. Training resources are available for Ontario Regulation 429/07 and Ontario Regulation 191/11: - Integrated Accessibility Standard Regulation - PDF File - Access Forward: Training for an Accessible Ontario - Human Rights Code Training - The Municipality of Dutton Dunwich Accessibility Policy Employee/Company Address: Name(s): Title: Employee/Company Signature: Date I/We have the authority to bind the Company For further information please contact the Municipality at 519-762-2204 Accessible formats of this document are available upon Request DATED: June 2017 Appendix "D" - Annex G - DWQMS Contractor and Supplier Sign off Form All Contractors and Suppliers that undertake work on or supply materials for the Dutton Dunwich Water Distribution System shall agree to the DWQMS requirements while working on the drinking water system. 1. Operation of Waterworks Equipment No contractor shall perform the duties of an "operator" as defined by O.Reg 128/04 which states: "Operator" means a person who conducts operational checks of or who adjusts, tests or evaluates a process that controls the effectiveness or efficiency of a subsystem and includes a person who adjusts or directs the flow, pressure or quality of the water within the subsystem, if the person works in a distribution subsystem or a distribution and supply subsystem; Unless that person holds a valid operator's certificate and has notified the operator in charge. 2. SCADA System Maintenance SCADA is critical to the operation and regulatory requirement to monitor document and record the system operation. Any interruption of the system must include alternate monitoring methods and must include details of the work, explanation of work to be performed along with details of process before and during work. 5. Subcontracted Services All subcontractor personnel providing services at the Dutton Dunwich Water Distribution System shall have all necessary licenses, permits and/or certificates of approval as required for the task. 4. Equipment Suppliers All equipment must be delivered with an operations and maintenance manual that includes a list of maintenance tasks to be completed, the recommended maintenance frequency and operations instructions. - Disinfection of Equipment When required, all equipment will be disinfected according to legislation (as per The Procedure for Disinfection of Drinking Water in Ontario which has been adopted by reference by O.Reg. 170/03 - Drinking-Water Systems). Type of Supply: ___________________________________________________________ In signing this form, you have the authority on behalf of your company and are accepting corporate responsibility for ensuring that you and all employees from your company that may have reason to work on the Dutton Dunwich Water Distribution System property have been made aware of the DWQMS requirements. If you or any of the employees from your company need further information, you can contact the Water Department for assistance. For Subcontractor I acknowledge receipt of the DWQMS Procedures from the Operating Authority. ______________________________ _______________________________ Signature Print Name ______________________________ _______________________________ Company Name Date ______________________________ _______________________________ Daytime Contact After Hours Contact QMS Representative for the Dutton Dunwich Water Distribution System ______________________________ _______________________________ Date