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MSD New Product Evaluation ApplicationMETROPOLITAN ST. LOUIS SEWER DISTRICT NEW PRODUCT EVALUATION APPLICATION 1 of 5 Revised 12/2016 INSTRUCTIONS: This application is for products not covered by the District’s Standard Construction Specifications (see Note below). The District’s Standard Construction Specifications book is available online at: http://www.stlmsd.com/msd-work/construction/standard-construction-specs Please submit ten (10) paper copies, and a PDF file*, of this application, including any product literature such as brochures, test data, and Materials Safety Data Sheets, etc. to: Mrs. Angela Martin The Metropolitan St. Louis Sewer District 2350 Market Street St. Louis, MO 63103 (314) 768-2792 amartin@stlmsd.com *Email the PDF file of the application, including additional information (brochures, test data, and Materials Safety Data Sheets, etc.) to: Angela Martin. To assure prompt attention, please mark the subject as “MSDMC.” Upon receipt, the District will assign a staff member to review the submitted data prior to distribution to the District’s Materials Committee. You may be contacted by the assigned reviewer(s) for additional information. Upon receipt of the “complete” application and supporting documentation, this information will be reviewed by the Materials Committee at its next regularly scheduled meeting. These meetings are scheduled to occur on the third Tuesday of the months of January, April, July, and October. Complete applications must be received at least 45 days prior to the meeting date to ensure inclusion on the meeting date agenda. Once the Committee has completed its review the applicant will be notified in writing as to the status of the District’s evaluation. The applicant may withdraw the product from the evaluation process at any time by submitting a written request to the above e-mail address. As part of the product review the District may require the submission of additional testing information or the installation of the product on a trial basis. Refusal of the applicant to comply with District review requirements will result in the rejection of the product. NOTE: For products covered by the Standard Specifications that you would like to be included on the Approved Materials List please refer to the instructions on the District’s website at: http://www.stlmsd.com/msd-work/construction/approved-materials-list METROPOLITAN ST. LOUIS SEWER DISTRICT NEW PRODUCT EVALUATION APPLICATION 2 of 5 Revised 12/2016 (Incomplete applications will be rejected without review) Date: Application for Evaluation (Product Name): Brief Product Description: Applicant (Name/Title): Representing (Company Name/Address): Phone/Fax/E-mail: Supplier (Company Name/Address): Web address: Contact (Name/Title): Phone/Fax/E-mail: Manufacturer (Company Name/Address): Web address: Contact (Name/Title): Phone/Fax/E-mail: METROPOLITAN ST. LOUIS SEWER DISTRICT NEW PRODUCT EVALUATION APPLICATION 3 of 5 Revised 12/2016 Application/Use 1. Recommended uses: 2. Description Features/advantages: Specifications: Composition: Installation Method/Installation Instructions: Special tools/equipment required for placement: Warranty: Availability: Sample availability: METROPOLITAN ST. LOUIS SEWER DISTRICT NEW PRODUCT EVALUATION APPLICATION 4 of 5 Revised 12/2016 3. Maintenance: Evaluation criteria Schedule: Responsibility: Method: Special tools/equipment: Is training require for the maintenance forces? Availability of training, if required: METROPOLITAN ST. LOUIS SEWER DISTRICT NEW PRODUCT EVALUATION APPLICATION 5 of 5 Revised 12/2016 4. Standards: Does the product meet any generally accepted industry standards, requirements, or specifications, including those from AASHTO, ASTM, FHWA, and/or MODOT? Please list. 5. Previous Uses, Research, Evaluations: List agencies (include contact names) which have used, evaluated, or conducted research on the product. Indicate whether the use was experimental or routine, how long it was used, and if test results or reports are available. 6. Costs: Approximate cost including all labor, materials, and equipment necessary to complete the work. Royalty cost: 7. MSD Contacts: List any MSD individuals who have been contacted about this product. 8. Additional comments (attach additional pages as necessary):