2024-25-033 SMART Reentry Housing Program.pdf

REQUEST FOR QUALIFICATIONS (RFQ)

and Contractual Requirements for

Third-Party Evaluation Services - SMART Reentry Housing Demonstration Program

RFQ #2024-25-033

DUE: 2:00 PM, June 2, 2025

The following applies to this Solicitation:

• Questions Acceptance Deadline: 2:00 p.m., Local Time, May 19, 2025.

• Required Forms must be submitted with responses to this RFQ.

Prepared by:

Horry County Office of Procurement

103 Elm Street, Conway, South Carolina 29526

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SECTION 00100 – INVITATION TO SUBMITTERS

Horry County Government is soliciting sealed Statements of Qualifications (SOQ) for RFQ #2024-25- 033, Third-Party Evaluation Services - SMART Reentry Housing Demonstration Program.

Submittals are due June 2, 2025, no later than 2:00 p.m., local time. The project is funded by the United States Department of Justice Bureau of Justice Assistance, therefore, all rules and regulations applicable to such funding apply. Award of a contract is contingent upon receipt of this Federal Funding.

Information regarding this Request for Qualifications (RFQ) can be obtained by visiting the County’s ebidding software, BidNet at no cost, please go to https://www.bidnetdirect.com/south-carolina/horrycounty.

All Questions must be asked/entered into Horry County’s ebidding software.

All submittals MUST be made electronically through Horry County’s ebidding software, BidNet.

Electronic submittals should include all applicable State of South Carolina General Contractor’s licenses.

The point of contact for this solicitation is Gordon Gould, Gould.Gordon@horrycountysc.gov , 843-915-5380.

End of Section 00100

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SECTION 00200 – INSTRUCTIONS TO SUBMITTERS

2.1 General

This solicitation will be conducted in accordance with Horry County Procurement Code and Regulation.

This ordinance can be found in its entirety on the County’s website at https://www.horrycountysc.gov/Departments/Procurement.

Horry County hereby notifies all those responding to this solicitation that, in accordance with the provisions of the Civil Rights Act of 1964 (Chapter 21, Title 42, of the U.S. Code) and Regulations promulgated in connection therewith, that it will affirmatively ensure that any contract entered into pursuant to this solicitation, disadvantaged business enterprises will be afforded full and fair opportunity to make submittals in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT-assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate.

2.2 Standards of Conduct

Potential and actual submitters are not permitted to contact Horry County employees outside of the Procurement Department during the procurement process. Potential and actual submitters are not permitted to contact any consultants contracted by the County to assist with efforts related, directly or indirectly, to the solicitation process. Failure to comply with Horry County Procurement Regulation, Chapter 4, Contractor Requirements and Standards of Conduct for Horry County and Procurement Participants may result in the rejection of the submission and other penalties as applicable.

2.3 Funding

The project is funded by the United States Department of Justice Bureau of Justice Assistance, therefore, all rules and regulations applicable to such funding apply. Award of a contract is contingent upon receipt of this Federal Funding. Horry County requires compliance with all applicable federal, state, local and/or grant rules and regulations related to such funding.

2.4 Non-Appropriation of Funds

If (a) sufficient funds are not budgeted or appropriated and budgeted by Horry County Council in any fiscal period for payment of costs and fees and (b) Horry County has exhausted all funds legally available for such payment costs and fees due under this agreement or any renewal thereof, then Horry County will give awarded Submitter reasonable written notice and this Agreement will terminate as of the last day of Horry County’s fiscal period for which funds for payment are available. Such termination with notice is without any expense or penalty.

2.5 Submitting a Statement of Qualifications (SOQ)

Sealed submissions shall be submitted via Horry County’s electronic bid software ONLY, on or before the Closing Date and Time indicated in the ebidding software for this project. The only acceptable means of submitting a SOQ in reference to this project is through Horry County’s electronic bid software. Therefore, no email, fax, hand-delivered, telephone, or text submittals will be accepted.

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Submittals should contain all information requested and should be submitted in the format as shown within this solicitation document. By submission of a SOQ, the submitter guarantees that all goods and/or services meet the requirements of this solicitation and expresses their intent to be bound by their submittal and, if awarded, to abide by the Horry County Contract Terms and Conditions (Sample Professional Services Contract within this RFQ).

Submitters should include all required forms and all specification and descriptive documents to be considered, at the time of SOQ submission.

The County, at its sole discretion, reserves the right to accept or reject any and all submissions, in whole or in part, that are deemed to be in the best interest of the County.

2.6 Examination of RFQ Document

Prior to submitting a SOQ, each submitter shall carefully examine the RFQ documents, study and thoroughly familiarize themselves with the solicitation documents, Scope of Services and requirements thereof and must notify the Owner of any and all conflicts, discrepancies, or errors.

Submitters should sign their Statement of Qualification in all required signature blocks. Submissions may be rejected for any omissions, alterations not allowed for, additions not called for, or if any irregularities of any kind are shown.

Submittals shall remain firm for no less than sixty (60) calendar days from the Closing Date for receipt of submissions as specified in Horry County’s ebidding software for this project. The Submitter’s name and solicitation number should be included when specifications or descriptive papers are submitted with the

SOQ.

By submission of a SOQ, the submitter guarantees that all goods and/or services meet the requirements of the solicitation. All goods and/or services purchased under the resulting contract(s) include the furnishing of all materials, whether particularly mentioned or not in this solicitation, that are required to fulfill the requirements specified within this RFQ. All goods and/or services are to be provided in accordance with, if applicable to the project: drawings, specifications, and any permit conditions of federal, state, local or any other agencies having jurisdiction.

This RFQ may be postponed or cancelled at any time prior to the Closing Date and Time. In the event that the RFQ is postponed or cancelled, a notice shall be issued via Horry County’s ebidding software communicating such action.

2.7 Questions / Addenda

All questions must be submitted via Horry County’s ebidding software prior to the Questions Acceptance Deadline as specified in the ebidding software. Each question should be submitted individually within the “Q&A” section of the electronic bid software. All answers and revisions will be provided in the electronic bid software in the form of addendum. If it becomes necessary to revise any part of this solicitation, an addendum will be published. It shall be the submitter’s responsibility to ensure they have all addenda which have been issued. Any information obtained outside of the procurement process is non-binding and shall not be used in the response to this solicitation.

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All Addenda form a part of the documents for this project and modifies / amends / clarifies / adds to the original documents as described. By submitting a response, responders acknowledge receipt and inclusion of the effects of all addenda.

2.8 Licenses

All Submitters must be properly licensed to do business in the State of South Carolina and must comply with the Code of Laws of South Carolina, including Section 40-11-200, when applicable. The submitter’s company does not need to be based in South Carolina, but must be licensed to do business in the state of SC and specifically Horry County, if awarded a contract. The successful submitter must have all appropriate business license(s) prior to contract execution, unless otherwise stipulated by law. Failure to comply with this requirement may result in the rejection of the submission as non-responsive.

2.9 Insurance Requirements

The successful submitter shall provide proof of all required insurance(s), including worker’s compensation, commercial auto liability and general liability. Worker’s compensation shall include a minimum limit of $100,000 per accident and comprehensive general liability coverage shall provide minimum limits of liability of $1,000,000 per occurrence. This shall include coverage for premises/operations, products/completed operations, contractual liability, independent contractors and vehicles used in premises/operations. Auto liability shall include a minimum limit of $1,000,000 combined single limit for bodily injury and property damage. Professional Liability insurance must be provided with minimum liability limits of $1,000,000 per occurrence (in addition to Commercial General Liability insurance) by professional services such as accountant, attorney, architect, design, engineering and most consultants that involve errors and omissions exposure protection. Insurance shall indemnify County against any and all claims arising under or as a result of the performance of the contract. The County of Horry shall be named as an Additional Insured on all General Liability policies and expressed on the Certificate of Liability Insurance. The County of Horry must be provided with notice prior to cancellation, modification or reduction in limits of any stipulated insurance. The Certificate Holder address shall be: Horry County, ATTN:

Risk Management, P.O. Box 997, Conway, SC 29528.

2.10 Non-Collusion

By submitting a response, the party making the foregoing states that the submission is genuine and not collusive or sham; that said Responder has not colluded, conspired, connived, or agreed, directly or indirectly with any responder or person, to put in a sham response, or that such other person shall refrain from offering and has not in any manner, directly or indirectly sought by agreement or collusion, or communication or conference, with any person to fix the submittal of affiant or any other responder or to fix any overhead, profit or cost element of said Response or of that of any other responder or to secure any advantage against owner any person interested in the proposed contract; and that all statements in said Response are true; and further, that such responder has not, directly or indirectly, submitted this SOQ, or the contents thereof, or divulged information or date relative thereto to any association or to any member or agent thereof.

2.11 Mistakes in Submission

Corrections and withdrawal of the submitted offer will be permitted within the ebidding software prior to Closing Date and Time.

2.12 Opening / Reading of Names

Unofficial Results will be made publicly available in the County’s ebidding software within an estimated

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2.13 Payment Terms

Payment Terms are Net thirty (30) days upon receipt of correct invoice.

When practical, Horry County prefers to pay for purchases made under the contract awarded from this solicitation via Horry County purchasing card (similar to a MASTERCARD/VISA credit card). When preparing a price submission, electronic payment processing fees shall be included in unit prices. No price increases shall be permitted for accepting electronic payment from Horry County.

By submitting a response, you agree to accept payment via Horry County purchasing card (similar to a VISA credit card) for all purchases made under the contract award from this solicitation. When preparing a price submittal, electronic payment processing fees shall be included in unit prices. No price increases shall be permitted for accepting electronic payment from Horry County.

2.14 Sales Tax

When applicable, Horry County currently pays eight percent (8%) sales tax. The tax rate for the City of Myrtle Beach is nine percent (9%). The County is NOT sales tax exempt. Horry County is required to pay sales/use tax.

2.15 Cooperative Clause

By submitting a Statement of Qualifications, the successful submitter(s) that are awarded a contract by Horry County agrees to allow other government entities (i.e. cities, towns, villages, schools, and special districts/authorities) to enter into contracts or issue purchase orders based on the terms and conditions of the contract(s) resulting from this Request for Qualifications (RFQ).

The use of this contract by other units of government will be optional. Sales to the above government entities by the Vendor will be optional and will not be considered when determining contract award for this RFQ. Any subsequent contracts or orders issued shall be made under the same terms and conditions and shall be for those items identified in the original RFQ.

Horry County shall not be responsible for any problems that may arise between any other government entities and the contractor as a result of any sales. Any resulting contract is solely between the supplier and third-party government entity. Invoices for items purchased under this agreement, shall be directed to, and is the responsibility of, the government entity making the purchase.

2.16 Purchase Order / Contract Award

Whether or not discussions or negotiations are held, award of purchase order/contract will be made to one (1) submitter whose submission is deemed most advantageous to the County, considering all evaluation factors set forth herein. Horry County shall be the sole judge of this determination. The County will consider/evaluate the submitter’s past and current performance of other County contracts, to include factors such as timely delivery and guaranteed delivery date. The successful Submitter will agree to the provisions contained in the attached Contract. The resultant contract(s) from this RFQ will incorporate by reference this RFQ document and the successful submitter’s response to this RFQ.

This procurement does not commit the County to award a contract, to pay any costs incurred in the preparation of the submittal, or to procure or contract for goods and/or services listed herein. Costs associated with submittal preparation, oral interviews or presentations shall be the sole responsibility of the Submitter.

Horry County reserves the right to reject any or all submissions and further reserves the right to waive technicalities and formalities in submissions as well as to accept in whole or in part such submission(s) where it deems it advisable in protection of the best interest of the County. The County shall be the

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2.17 Contract Changes

Contract terms and conditions shall not be changed unless by Change Order. Change must be deemed allowable, allocable, within the scope of work and grant or cooperative agreement (when applicable), and reasonable for the completion of project scope. Changes shall be agreed upon by both parties and recorded using a dually executed change order/work authorization. The change order shall clearly identify all changes to the contract.

2.18 Contract Assignment

No contract awarded under these terms, conditions, and specifications shall be sold, transferred, or assigned without the prior written approval of the County.

2.19 Independent Contractor Status

The contractor shall not, by entering into a contract become a servant, agent, or employee of Horry County, but shall remain at all times an independent contractor to the County. The contract(s) resulting from this RFQ shall not be deemed to create any joint venture, partnership, or common enterprise between the Contractor(s) and Horry County, and the rights and obligations of the parties shall not be other than as expressly set forth.

2.20 Permits and Other Required Permits or Licenses

The successful proposer is responsible for obtaining ALL permits or fees required of the successful submitter by this Contract, and permits and fees customarily the responsibility of the successful proposer. The successful proposer shall coordinate with the County of Horry and all other authorities having jurisdiction.

The successful proposer shall provide or furnish, and promptly make payment for, labor, supervision, services, materials, supplies, equipment, fixtures, appliances, facilities, tools, transportation, storage, disposal, power, fuel, heat, light, cooling, and other utilities, and all necessary permits or licenses required for this Project.

2.21 Term of Contract

The contract term shall be for an initial one (1) year with four (4) one (1) year renewal options. Renewal options shall be at the discretion of the County and executed by both parties. The successful Proposer(s) will execute and abide by the attached Sample Contract. The effective date of the contract shall be the date of the County’s signature.

2.22 Grievance / Bid Protest

Any actual or prospective quoter, bidder, offeror, or awardee of a contractor agreement who feels they are aggrieved in connection with the solicitation or award of a contract may protest to the County Administrator. The protest shall be submitted in writing within fourteen (14) calendar days after such aggrieved person knows or should have known of the facts giving rise thereto provided that grievance has been made in accordance with solicitation requirements. Any grievance filed shall be made known prior to any solicitation opening in accordance with the solicitation document. Please reference Subchapter 15-3-Bid Protests of the Horry County Code & Regulation by visiting https://www.horrycountysc.gov/media/ygbcfubd/codeandreg.pdf.

2.23 Freedom of Information Statement

Procurement information shall be a public record to the extent required by Chapter 4 of Title 30, (The Freedom of Information Act), South Carolina Code of Laws, 1976, with the exception that commercial or financial information obtained in response to an “Invitation for Bids” or “Request for Submissions” which is privileged and confidential if so designated by the submitter shall not be disclosed. Such information must be clearly marked as “CONFIDENTIAL” by the submitter for each section of the information so affected. Privileged and confidential information is information in specific detail not

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2.24 Legal / Litigation Statement

Disclose any litigation within the last five (5) years in which a claim has been made against any team member (individual or company) asserting a cause of action other than employment issues or contracts not related to your professional work. Explain the issues in these cases (or the fact there are none) as part of your submittal.

End of Section 00200

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SECTION 00300 – SCOPE OF SERVICES

3.1 Background

Horry County Government (hereinafter County or Owner) is soliciting Statements of Qualifications (SOQ) from qualified third-party evaluators to conduct a comprehensive evaluation of the Smart Reentry Housing Demonstration Program. The selected evaluator will be responsible for assessing program effectiveness, compliance with the Second Chance Reauthorization Act of 2018, and meeting federal reporting requirements.

The evaluation will measure recidivism reduction, housing stability, employment outcomes, and program impact on formerly incarcerated individuals participating in the program.

The submission of a Statement of Qualifications in response to this RFQ shall constitute the Submitter’s agreement to enter into a contract with Horry County for the completion of the Project under the terms set forth in the attached sample Agreement. The proposer shall be responsible for meeting all Horry County requirements, specifications and other applicable criteria.

Cost is NOT a factor in the ranking of firms to provide services herein. DO NOT include any reference to costs in the RFQ response. Any RFQ response with any discussion of cost will be disqualified.

3.2 Scope of Work

The selected evaluator will be required to:

1. Develop an Evaluation Framework

• Establish baseline data for recidivism, housing, employment, and program engagement.

• Set measurable recidivism reduction targets for the three-year period in compliance with DOJ requirements.

• Align evaluation with Horry County Detention Center (HCDC) Next Steps program evaluation and integrate data from the baseline testing tool.

2. Data Collection & Performance Measures

• Track recidivism rates (arrest, conviction, incarceration).

• Measure improvements in housing stability, employment, and educational opportunities.

• Assess self-reported community reintegration success, including family relationships and personal well-being.

• Analyze HCDC evaluation tool data for sentenced and pretrial participants to ensure program alignment.

3. Quarterly & Annual Reporting

• Provide quarterly data analysis reports to Horry County and DOJ.

• Deliver an annual program impact report, including trends, lessons learned, and recommendations for improvement.

• Ensure reporting is consistent with DOJ grant requirements and applicable federal guidelines.

4. Final Evaluation & Recommendations

• Conduct a comprehensive final program evaluation at the end of the three-year period.

• Assess the effectiveness of housing and reentry strategies in reducing recidivism.

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• Provide evidence-based recommendations for sustainability and program scaling.

3.3 Evaluation Process

The evaluation of submissions will be in accordance with the Horry County Procurement Regulation and this Request for Qualifications (RFQ). An Evaluation Team will be convened to evaluate and score submissions received. The following criteria shall be used by the team and are weighted as shown:

# Evaluation Criteria Weight

1. Project Approach 30

2. Project Team 30

3. Related Experience 20

4. References 15

5. Compliance with RFQ Instructions 5

Project Approach. (Max: 30 points) The RFQ will be evaluated on the respondent’s demonstrated technical suitability for performing the project services as described below:

• Project Management/Implementation and approach to the Project

• Demonstrated experience with projects of similar nature

• Projected Schedule

Project Team. ( M a x : 3 0 p o i n t s ) The Statement of Qualification will be evaluated on the b asis of the respondent’s demonstrated staff qualifications.

Related Experience. (Max: 20 points) The Statement of Qualification will be evaluated on the basis of project experience that is of a similar technical nature and complexity.

• Experience conducting DOJ-funded program evaluations

• Experience using quantitative and qualitative data collection methods

• Expertise in criminal justice, housing, and reentry program evaluation

• Familiarity with recidivism metrics, housing stability assessments, and employment outcome tracking

• Knowledge of DOJ research integrity and compliance requirements

• Demonstrated experience with projects of similar nature

References. (Max: 15 points)

Compliance with RFQ Instructions. (Max: 5 points) Submittals will be evaluated for general compliance with instructions issued in the RFQ.

After an initial review, submissions will be ranked based on score. Interviews / Presentations may or may not be requested with those proposer’s deemed in the Competitive Range and will be conducted at the discretion of the Evaluation Team. The selected respondents may or may not be requested to attend an interview / presentation with the Owner’s RFQ Evaluation Team to confirm their qualifications, introduce their teams, and answer additional questions. Should interviews be needed, they will be held at a date and time to be determined. The County further reserves the right to reject or accept any and all submissions if it is deemed to be in the County's best interest to do so.

The County does not desire voluminous submissions. Submittals should provide a straightforward, concise description of a firm’s ability to meet the requirements of the project. Please limit your SOQ to only essential information. By submitting a Statement of Qualifications, your firm agrees to the terms and conditions stated herein unless explicitly stated otherwise in your response to this RFQ. Award of a contract will be made to the submitter whose submittal is deemed to be most advantageous to the County, considering all of the evaluation factors. This decision shall be the sole

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3.4 Submission Requirements

The Statement of Qualifications shall contain no more than twenty (20), double-spaced pages, typed on one side only, excluding appendices and required forms, providing the information requested below, in the order listed. If the submitter fails to provide the requested information, the submittal may be deemed non-responsive and may not be further considered.

Your submission must include, in the following order:

Section 1 – Company Overview. Provide the following information:

A. Project Management – Provide firm’s staff qualifications and the project management team’s capability and experience. If a change is required between submittal and award, the firm must notify Horry County of the proposed replacement.

B. Related Experience and References – Provide firm’s project experience that is of a similar technical nature and complexity, for past projects with Horry County and / or for other clients that are similar in size, location, and type to County. Provide sufficient references with points of contact, telephone numbers, and email addresses.

Section 2 – Technical Approach. In this section, which is intended to be the heart of the RFQ submittal, the respondents shall provide the County with information about how the company plans to approach and complete the Project. This should include specific details on approach and Management/Implementation, methodology, scheduling, deliverables, quality assurance and control, potential challenges or special concerns that may be encountered, and successful completion of the project. Each work item listed in the Project Scope section above shall be explained in detail.

Section 3 – Project Team. Include a one or two page resume’ of key staff members that includes a summary of relevant professional qualifications, relevant project experience, education and professional registration.

Section 4: Related Experience and References. Include a project description that demonstrates capabilities in the project services, experience with similar clients, and/or local project experience. Include the name of the client organization and the name of the person there to contact for a reference.

• Describe the qualifications and experience of each member of the proposer’s team.

Include resumes of all key personnel, etc. (These documents may be included in the appendices and shall not be counted against the 20 page maximum requirement.)

Provide an overall management or organizational chart for the firm. All team members must hold or obtain licenses required for performing work on the project under state and local laws.

• Sub-Consultant(s): Provide a listing of all known sub-consultant(s) which may be part of the team. Include responsibilities and qualifications for each sub-consultant.

Section 5: Additional Information At your discretion, include additional information that supports your Statement of Qualification.

However, choose the additional information carefully, because this section of the Statement of Qualifications should not constitute the bulk of your submission.

Do NOT submit pricing/fee information with this RFQ. No pricing/fee information is required with this RFQ. Fees will be determined through contract negotiations following selection. The qualifications of consultants will be evaluated and the best qualified consultant will be selected, subject to a mutual understanding of the scope of services and negotiation of a fair and reasonable fee.

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The County does not desire voluminous submissions; therefore, please limit your submission to only essential information. By submitting a response, your firm agrees to the terms and conditions stated herein unless explicitly stated otherwise in your response to this RFQ.

End of Section 00300

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SECTION 00400 – REQUIRED FORMS

Separate downloadable file in BidNet Software

See Required Forms Packet PDF

□ Cover Letter (NO SAMPLE / FORM PROVIDED):

o Company or corporation name, street and mailing addresses, the responsible officer(s) of the firm. Indicate the type of company (i.e. Sole Proprietor, Corporation, Limited Liability Corporation, Partnership etc.)

o Names of all owners and/or corporate officers.

o Identify contact person and provide telephone, fax, email address.

o Date and state of incorporation (if applicable).

o Signature of company officer(s) authorized to obligate the firm.

o Statement identifying Horry County business location(s).

□ Signed and Completed Request for Qualifications Certification Form

□ Responsibility Statement Form

□ Legal / Litigation Statement Form

□ Drug Free Workplace Certification

□ Certification of Restriction on Lobbying

□ Certification Regarding Debarment, Suspension and Other Responsible Matters

□ IRS W-9 Form, signed within 6 months of submittal due date

□ State of South Carolina I-312 Nonresident Taxpayer Registration Affidavit Income Tax Withholding Form (if applicable)

□ Sample Certificate of Insurance (COI) Accord 25 Form (NO SAMPLE / FORM PROVIDED)

□ Copies of all required licenses (NO SAMPLE / FORM PROVIDED)

□ References

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REQUIRED FORM

REQUEST FOR QUALIFICATIONS CERTIFICATION FORM

RFQ #2024-25-033

In compliance with the Request for Qualifications and subject to all conditions thereof, the undersigned offers and agrees to furnish any or all items proposed.

DATE

AUTHORIZED SIGNATURE

PRINT OR TYPE NAME ABOVE

COMPANY NAME

COMPANY ADDRESS

CITY, STATE, ZIP+4

COMPANY TELEPHONE NUMBER

COMPANY FAX NUMBER

CONTACT EMAIL ADDRESS

FEDERAL EMPLOYER IDENTIFICATION NO.

DUNS NO. (if applicable)

SCDOT DBE NAICS CODES (if applicable)

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RESPONSIBILITY STATEMENT FORM

By signing this form, the bidder/submitter/offeror:

1. Has, or has the ability to obtain, the resources, financial and otherwise, to satisfy all of the contract’s requirements; and

2. Is legally qualified to contract with Horry County (or provide sub-contract services); and

3. Does not have a record of consistent unsatisfactory performance in previous contracts with

Horry County or any other public or private entity; and

4. Has proposed, bid, or quoted a price pursuant to which the bidder, quoter, or offeror can successfully meet the requirements of the procurement; and

5. Has no unresolved surety claims; and

6. Has not been party to a contract which was terminated for cause for alleged conduct on its part.

Bidder/Submitter/Offeror Name:

Authorized Signature:

Authorized Signer’s Printed Name:

Authorized Signer’s Title:

Date:

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LEGAL / LITIGATION STATEMENT FORM

Disclose any litigation within the last five (5) years in which a claim has been made against the bidder/submitter/offeror, affiliated companies, and/or any principals thereof (and including sub-contractors representing over 10% of the overall awarded contract value) that in any way was related to professional work, job performance, or project/job management (to include without limitation contractual, personnel, performance, and/or payment issues). Explain the issues involved in these cases as part of your submittal. Attach additional pages if necessary. It is not sufficient that there are accessible public records in existence that provide this information. Failure to provide complete disclosure may result in your disqualification from this solicitation. If there are none, please specify “NONE”, below.

Bidder/Submitter/Offeror Name:

Authorized Signature:

Authorized Signer’s Printed Name:

Authorized Signer’s Title:

Date:

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DRUG-FREE WORKPLACE CERTIFICATION

In accordance with Section 44-107-30, South Carolina Code of Laws (1976), as amended, and as a condition precedent to the execution of this agreement, the undersigned will provide drug-free workplace by:

1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensations, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of the prohibition;

2. Establishing a drug-free awareness program to inform employees about:

a. The dangers of drug abuse in a workplace;

b. The person’s policy of maintaining a drug-free workplace;

c. Any available drug counseling, rehabilitation, and employee assistance programs; and

d. The penalties that may be imposed upon employees for drug violation;

3. Making it a requirement that each employee to be engaged in the performance of the agreement be given a copy of the statement required by item 1;

4. Notifying the employee in the statement required by item 1 that, as a condition of employment of this agreement, the employee will:

a. Abide by the terms of the statement; and

b. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after the conviction;

5. Notifying the South Carolina Department of Transportation within ten days after receiving notice under item 4b from an employee or otherwise receiving actual notice of the conviction;

6. Imposing a sanction on, or requiring the satisfactory participation in a drug abuse assistance, or rehabilitation program by, any employee convicted as required in Section 44-107-50; and

7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of items 1, 2, 3, 4, 5, and 6.

Submitter Signature Date

Submitter Name Company Name

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CERTIFICATION OF RESTRICTIONS ON LOBBYING

I, , hereby certify on

(name and title of submitter’s official) behalf of , (name of submitter) that to the best of his or her knowledge and belief that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit standard Form-LLL, "Disclosure Form to Report Lobbying, " in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The Contractor certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. Chap.

38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.

Signature of Submitter’s Authorized Official Date

Printed Name and Title of Submitter’s Authorized Official

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CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS

As required by Executive Order 12549, Debarment and Suspension, and implemented under the applicable CFR, for prospective participants in covered transactions, as defined in the applicable CFR.

A. The applicant certifies that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency;

(b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal State or local) with commission of any of these offenses enumerated in paragraph

(1) (b) of this certification; and

(d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State or local) terminated for cause or default; and

B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.

Signature of Submitter’s Authorized Official Date

Printed Name and Title of Submitter’s Authorized Official

Submitter’s Address

Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements under the applicable CFR covering New Restrictions on Government-wide Debarment and Suspension (Non-procurement). The certification shall be treated as a material representation of fact upon which reliance will be placed when the Agency determines to award the covered transaction or cooperative agreement.

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Form W-9 (Rev. March 2024)

Request for Taxpayer Identification Number and Certification

Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information.

Give form to the requester. Do not send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

P ri nt o r ty p e.

S ee S p ec if ic

In st ru ct io n s on p ag e 3.

1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)

2 Business name/disregarded entity name, if different from above.

3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor C corporation S corporation Partnership Trust/estate

LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.

Other (see instructions)

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions

4 Exemptions (codes apply only to certain entities, not individuals;

see instructions on page 3):

Exempt payee code (if any)

Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)

(Applies to accounts maintained outside the United States.)

5 Address (number, street, and apt. or suite no.). See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN) 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 I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number or Employer identification number

Part II 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 abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of U.S. person Date

General Instructions Section references are to the Internal Revenue 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.irs.gov/FormW9.

What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification.

New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they

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Form W-9 (Rev. 3-2024) Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid).

• Form 1099-DIV (dividends, including those from stocks or mutual funds).

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds).

• Form 1099-NEC (nonemployee compensation).

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers).

• Form 1099-S (proceeds from real estate transactions).

• Form 1099-K (merchant card and third-party network transactions).

• Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition).

• Form 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 (including a resident alien), to provide your correct TIN.

Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

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; and

4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and

5. 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).

Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or…