2026 Right of Way Maintenance RFP _ Revised.pdf

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Attached to
Right of Way Maintenance RFP
Solicitation number
PE-66114-NONST-2026-000000032
Issued by
Brooklet City, Georgia

About this file

This is a Request for Proposal (RFP) issued by the City of Canton, Georgia for right of way maintenance services on City-owned streets. The City seeks qualified contractors to perform maintenance work on city streets, medians, and landscape areas, excluding private property. Services include grass mowing (maintained at no greater than 2 inches height), trash and debris removal, weed removal from sidewalks and hard surfaces, edging along medians and structures, and maintenance of curbs, gutters, and other hard surfaces within the right of way. Work is organized into five primary geographic areas: Riverpoint to Riverstone Parkway (Locations 1-6, 14); Bluffs Parkway to MLK Jr. Boulevard and related areas (Locations 7-13, 32); Marietta Highway (Locations 15-17, 21-26); I-575 Exit 16 (Locations 18-20); and Highway 20 and Northside areas (Locations 27-31). All primary areas require biweekly maintenance throughout the contract period. An optional service area, Old Ball Ground Highway Hill (Location 1A), requires maintenance twice during the contract period on an annual basis. The mandatory pre-submittal meeting is scheduled for February 24, 2026 at 10:00 a.m. at Canton Public Works, 2525 Ridge Road. Vendor questions must be submitted by March 3, 2026 at 4:00 p.m., with responses provided by March 5, 2026 at 4:00 p.m. Proposals are due March 12, 2026 at 10:00 a.m. The contract period runs seven months from April 1, 2026 through November 1, 2026, with the option for one or more additional one-year extensions by mutual agreement.

Proposals must be submitted in one hard copy and one electronic PDF copy on USB flash drive in separate sealed envelopes, with cost proposals in a distinctly marked separate sealed envelope. The evaluation process is value-based, with selection criteria including functional and technical requirements, proposer qualifications and experience with similar projects, client references (three required from the past ten years), and cost competitiveness; pricing is not the sole determining factor. Proposers must submit a detailed equipment list, business license, completed contractor information form, conflict of interest certification, E-Verify federal work authorization affidavit, vendor statement of tax status, and proof of commercial insurance with minimum single limit coverage of $1,000,000. Proposals are limited to 20 pages, excluding title page, table of contents, letter of transmittal, section dividers, resumes, and additional items. The City reserves the right to reject any or all bids, waive informalities, cancel or modify the project, and conduct interviews with selected firms. No incumbents are identified in the RFP. The City of Canton is an equal employment opportunity employer and prohibits discrimination based on race, religion, color, ancestry, age, gender, sexual orientation, disability, medical condition, or place of birth.

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Request for Proposal for 2026 Right of Way Maintenance City of Canton, GA February 12, 2026

City of Canton

2525 Ridge Road

Canton, Georgia 30114

(770)704-1500 www.cantonga.gov

REQUEST FOR PROPOSAL

For

Right of Way Maintenance

Project

66114-26-RFP-0212

Issued on February 12, 2026

Pre-Submittal Mandatory Meeting: Due: February 24,2026 at 10:00am

Due Date: March 12, 2026, at 10:00am at

Canton Public Works, 2525 Ridge Road, Canton, GA 30114 http://www.cantonga./

I. GENERAL INFORMATION

The City of Canton (herein referred to as the City) is requesting proposal submissions from qualified vendors to provide construction services for the Right of Way

Maintenance of City owned streets.

The Request for Proposals (RFP) describes the services in general that require scope of services, the selection process, and the minimum information that much be included with the proposal. Failure to submit information in accordance with the requirements and procedures listed herein may be cause for disqualification.

Questions and Clarifications

Any questions regarding this RFP must be submitted by e-mail to the person listed below no later than the date indicated on the Calendar of Events as listed on the cover page of this RFP. Every request for such interpretation should be in writing, submitted by e-mail, contain the RFP# as indicated on the cover sheet within the subject line of the e-mail. To be given consideration, questions must be as an Addendum to the RFP. No interpretation or clarification of the meaning of the instructions or scope of services will be made orally except for general information that does not require clarification. All clarifications and any supplemental instructions will be posted on the City of Canton website at the following address:

https://www.cantonga.gov/government/departments/finance/rfps-bids

Firms should periodically check the website for updates to this Request for Proposals.

Address questions and request for the information to:

Kelly Pendley City of Canton Public Works Department Kelly.pendley@cantonga.gov https://www.cantonga.gov/government/departments/finance/rfps-bids mailto:Kelly.pendley@cantonga.gov

II. PRE-SUBMITTAL MANDATORY MEETING

A pre-submittal Mandatory Meeting will be held on February 24, 2026, at 10:00am. Meeting will be held at Canton Public Works Complex, 2525 Ridge Road, Canton, GA, 30114. All questions will be addressed in an addendum and posted by March 5, 2026, by 4:00PM.

February 12, 2026 Bid Available

February 24, 2026 Pre-Submittal Mandatory Meeting on

February 24, 2026, at 10:00am at Canton

Public Works Complex, 2525 Ridge Road, Canton Ga 30114.

March 3, 2026 Vendor Questions Submitted Via email to kelly.pendley@cantonga.gov by 4:00pm.

March 5, 2026 Vendor Questions Answered via email and

Addendum Posted on Website by 4:00pm

March 12, 2026 Bid Due at Public Works, 2525 Ridge Road

Canton GA 30114 at 10:00am

III. SCOPE OF SERVICES

The City of Canton is seeking quotes from qualified firms that can fulfill right of way maintenance for City of Canton Streets.

The work areas are generally defined by city streets, city medians, and landscape areas. No work will be performed on private property.

The following narratives generally describe the specific Work Tasks and

Frequency. Note that work tasks and frequency may vary within each city street segment or segments and landscape areas. The “work task narratives” are described in the following:

A. Right of Way Mowing:

Work Tasks Right of Way mowing work will be performed within City’s right of way unless otherwise specified by the Public Works Director or his representative. Except as otherwise noted on the Exhibits or Spreadsheets, mowing areas are generally described as follows:

mailto:kelly.pendley@cantonga.gov

1. Local roads – the maximum cut width and overgrowth removal shall be with the city owned rights-of-way.

2. Mowing of Bermuda, zoysia or fescue along commercial or residential properties within right-of-way unless the homeowner or commercial owner maintains the right-of-way, which in this case mowing will not take place by the city’s contractor. Cut depth shall be consistent with the grass areas on private property for any individual parcel.

3. Mowing will also occur in possible landscape areas as needed.

4. Includes trimming and/or herbicide treatment (at approved structures) at all signposts, fences, or other structures within the

ROW.

5. Overgrowth vegetation shall be removed from all signposts, fences, guardrails or other structures within right-of-way.

6. Mowing height shall be no greater than 2 ½ inches when applicable.

7. Pick up of trash shall occur before each mowing operation.

Additional trash pickups, if applicable, are identified in the work task and frequency spreadsheets.

8. Sidewalks, curbs, and other hard surfaces shall be kept free of leaves, litter, grass clippings, and debris resulting from mowing.

The use of power blowers is acceptable; however, accumulations of debris must be removed from the site and not blown unto adjacent property, street surfaces, fence lines, or plant areas (rough of bedded). No trash, debris or plant material shall be blown or deposited into curb/gutters or storm drains by the Contractor. If material or debris is deposited into the curb/gutter or storm drain during mowing/trimming operations, the Contractor will remove it immediately by hand or mechanical means at no cost to the City of Canton.

B. Trash and Debris:

Trash and debris and miscellaneous services will be performed within city and state right-of-way on the specified city street unless otherwise specified by the Director or his representative or as otherwise noted on the spreadsheets.

Trash and miscellaneous debris is defined as any organic or inorganic material that can readily be picked up by hand or mechanical device.

NOTE: The contractor shall provide the City of Canton the number of bags or the weight of all trash removed on a bi-weekly basis.

C. Maintenance of Hard Surfaces:

Sediment and other material shall be removed from the curb line, catch basin inlet or gutter, concrete surfaces and pavers, island areas and sidewalks.

Vegetation in sidewalks, pavers, curbs, gutters, and other hard surfaces can be removed by hand or through the use the use of an approved herbicide chemical.

Edging/trimming will include along walls, fences, foundations, behind curbs, sidewalks, paths, shrubs, guardrails, tree trunks, poles or other objects or structures within or bordering the mowing area within state or City right-of-way. The sidewalks, curbs, and other hard surfaces shall be kept free of leaves, litter, grass clippings and debris resulting from edging/trimming activities. The use of power blower is acceptable, however, accumulations of debris must be removed from the site and not blown unto adjacent property, street surfaces, fence lines or plant areas (rough or bedded).

D. Equipment:

Each bidder/contractor must supply an equipment list that will be used on this project.

E. Changes:

In the event a contract is awarded, the City may at any time during the contract periods make changes within the general scope of the contract and its technical provisions. If any such changes cause any increase or decrease in the Contractors cost of performing any part of the contract, an equitable adjustment shall be made in the contract price, or in the time of performance, or both, and a written agreement of such adjustment shall be made prior to proceeding with additional services. No additional services shall be performed until written authorization is received from the City. Nothing in this clause shall excuse the contractor from proceeding with the performance of the contract in accordance with its original terms and conditions and any approved changes.

F. The work required will be measured separately for payment unless otherwise specified. Payment for the items listed in the bid form, complete and accepted, will be made to the contactor based on the unit prices.

Partial payments will be made on monthly statements based on a percent complete basis. Upon receipt and acceptance of the certification letter, final payment will be made.

G. Termination of Contract:

In the event that any of the provisions of this contract are violated by the Contractor, or by any subcontractors, the Owner may serve written notice upon the Contractor and the Surety of its intention to terminate the contract. Such notices shall contain the reasons for such intention to terminate the contract. If within ten (10) days after such notice upon the Contractor, such violation or delay has not ceased or a satisfactory arrangement of corrections have not been made, the contract shall, upon the expiration of said ten (10) days, cease and terminate. In the event of any such termination, the Owner shall immediately serve notice thereof upon the Surety and shall have the right to take over and perform the contract; provided, however, that if the Surety does not commence performance thereof within ten (10) days from the date of the mailing to same to complete by Contractor or by force account and at the expense of the Contractor, the Contractor and his Surety shall be liable to the Owner for any excess cost occasioned the Owner thereby, and in such event the Owner may take possession of and utilize in completing the work, such materials, appliances, and plant as may be on the site of the work and necessary therefore.

H. Contract Period:

The term of contract shall be a period of seven (7) months beginning April

1,2026 and ending on November 1, 2026. This contract may be extended on

(1) or more additional years if both parties concur. The Owner reserves the right to reject any or all bids, to waive informalities and re-advertise. The contract may be terminated by the City of Canton at its sole discretion within a 10 day written notice. Written notice may also take place in the form of an email. If the agreement is terminated, Contractor shall be paid in accordance with the terms of the agreement.

SUMMARY OF ROW MAINTENANCE TASKS – FREQUENCY – PROJECT LOCATIONS

Maintenance Tasks Frequency

Riverpoint to

Riverstone Parkway

Locations: 1, 2, 3, 4, 5, 6 and 14

• Remove all trash and debris

• Remove all weeds from sidewalk, stairs, and roadway curb and gutter & header curb (if applicable)

• Mow grass within ROW including beauty strips.

Weed eaters shall not be used to ensure a consistent cut

• Edging shall occur along all sidewalks and Medians

• Remove all weeds from guardrails and all weeds from brick or paver medians

Biweekly

Bluffs Parkway to MLK

Jr. Blvd, Reinhardt

College Parkway, Reservoir Drive, and

Technology Ridge

Parkway

Locations: 7, 8, 9, 10, 11, 12, 13, and 32

• Remove all trash and debris

• Remove all weeds from sidewalk, stairs, and roadway curb and gutter & header curb (if applicable)

• Mow grass within ROW including beauty strips.

Weed eaters shall not be used to ensure a consistent cut

• Edging shall occur along all sidewalks and Medians

• Remove all weeds from guardrails and all weeds from brick or paver medians if applicable

Biweekly

Marietta Hwy (Hwy 5)

Locations: 15, 16, 17, 21, 22, 23, 24, 25 and 26

• Remove all trash and debris

• Remove all weeds from sidewalk, stairs, and roadway curb and gutter & header curb (if applicable)

• Mow grass within ROW including beauty strips.

Weed eaters shall not be used to ensure a consistent cut

• Edging shall occur along all sidewalks and Medians

• Remove all weeds from guardrails and all weeds from brick or paver medians if applicable

Biweekly

I-575 Exit 16

Locations: 18, 19 and

• Remove all trash and debris

• Remove all weeds from sidewalk, stairs, and roadway curb and gutter & header curb (if applicable)

• Mow grass within ROW including beauty strips.

Weed eaters shall not be used to ensure a consistent cut

• Edging shall occur along all sidewalks

• Remove all weeds from guardrails and all weeds from brick or paver medians if applicable

Biweekly

Hwy 20, Northside

Pkwy, Northside

Cherokee Blvd

Locations: 27, 28, 29, 30 and 31

• Remove all trash and debris

• Remove all weeds from sidewalk, stairs, and roadway curb and gutter & header curb (if applicable)

• Mow grass within ROW including beauty strips.

Weed eaters shall not be used to ensure a consistent cut

• Edging shall occur along all sidewalks and Medians

• Remove all weeds from guardrails and all weeds from brick or paver medians if applicable

Biweekly

2026 Right-of-Way Maintenance

Bid Form

City of Canton reserves the right to delete work sites in this contract.

Description Quantity Unit

Item

Unit Price

Bi-weekly

Total Price

Riverpoint to Riverstone

Parkway

Locations 1, 2, 3, 4, 5, 6 and 14

1 LS

Bluffs Parkway to MLK

Jr. Blvd, Reinhardt

College Parkway, Reservoir Drive, Technology Ridge

Parkway

Locations: 7, 8, 9, 10, 11, 12, 13,32

Marietta Hwy (Hwy 5)

Locations: 15, 16, 17, 21, 22, 23, 24, 25 and 26

I-575 Exit 16

Locations: 18, 19 and 20

Hwy 20, Northside

Parkway, Northside

Cherokee Blvd

Locations: 27, 28, 29, 30 and 31

Grand Total

Location 1 - Riverpoint

Location 2 - Riverstone Parkway at Exit 20

Location 3 - Riverstone Parkway over I-575 Exit 20

Location 4 - Riverstone Parkway

Location 5 - Riverstone Parkway

Location 6 - Riverstone Parkway

Location 7 - Bluffs Parkway and MLK Jr. Blvd

Location 8 - Bluffs Parkway

Location 9 - Dr. MLK Jr. Blvd and Reinhardt College Parkway

Location 10 - Reinhardt College Parkway

Location 11 - Reservoir Drive

Location 12 - Reservoir Drive

Location 13 - Reservoir Drive

Location 14 - Riverstone Parkway/Marietta Hwy

Location 15 - Marietta Hwy

Location 16 - Marietta Hwy

Location 17 - Marietta Hwy

Location 18 - Marietta Hwy

Location 19 - I-575 Exit 16

Location 20 - I-575 Exit 16

Location 21 - Marietta Hwy

Location 22 - Marietta Hwy

Location 23 - Marietta Hwy

Location 24 - Marietta Hwy

Location 25 - Marietta Hwy

Location 26 - Marietta Hwy at I575 Exit 14

Location 27 - Hwy 20

Location 28 - Hwy 20

Location 29 - Hwy 20, Northside Pkwy, Northside Cherokee Blvd

Location 30 - Northside Pkwy, Northside Cherokee Blvd

Location 31 - Northside Cherokee Blvd

Location 32 – Technology Ridge Parkway

OPTIONAL AREAS -1A

SUMMARY OF ROW MAINTENANCE TASKS – FREQUENCY – PROJECT LOCATIONS

Maintenance Tasks Frequency

Old Ballground

Highway Hill

Locations: 1A

• Remove all trash and debris

• Remove all weeds

• Long Arm and/or Mow grass within areas of this hill.

• Weed eaters shall be used in areas where needed

• Edging shall occur along trees and stormwater structures.

Annually

(twice within

Contract period)

Location 1A – Old Ball Ground Hwy

2026 Right-of-Way Maintenance

Option 1A Bid Form

Description Quantity Unit

Item

Unit Price

Twice within

Contract Period

Total Price

Old Ball Ground Highway

Hill

Locations 1A

Grand Total

IV. SUBMITTAL REQUIRMENTS/PROPSAL FORMAT

A. One (1) hard copies of the Proposal and one (1) electronic copy (pdf) on a USB flash drive must be received by the City of Canton on or before the due date as specified on the RFP Cover Page. The city cannot be responsible for the lack of receipt of proposals by the date and time specified.

B. The Project name and Firms’ name and address must be shown on the outside of the sealed envelope, addressed to and delivered to:

Kelly Pendley

2025 Right of Way Maintenance

RFQ# 66114-26-RFQ-0211

City of Canton Public Works

2525 Ridge Road

Canton, GA 30114

C. Submittals will NOT be accepted or considered after the deadline. E-mailed or faxed copies will not be accepted.

D. The Proposal must demonstrate specific expertise in the elements of work described herein. Proposals should be bound with the name of the From or

Vendor and name of the Project visible on the outside cover. To allow the selection committee sufficient time to properly review all documents in their entirety, each proposal will be limited to 20 pages. The Title Page, Table of Contents, Letter of Transmittal, Section Dividers, Resumes, and Additional

Items will not count against the page limits. The Proposals shall contain the Following:

1. SECTION 1 – INFORMATION: The Proposal shall include background information of the firm including its address, history, size, services offered and related information.

2. SECTION 2 – IDENTIFICAION OF PROPSER: The Proposal shall include the names, background information, email addresses and phone numbers for key staff that are proposed to be involved it the project.

3. SECTION 3 – PROJECT OVERVIEW AND APPROACH: The Proposal shall demonstrate the Firm’s understanding of and acknowledgement of the Scope of Work. Required content will be:

a. Detailed work plan and schedule for installation

b. Details of all warranties provided

4. SECTION 4 – CLIENT REFERNCES: The Proposal shall include information on three (3) similar projects that the firms(s) have completed in the last ten

(10) years.

5. SECTION 5 – ADDITIONAL ITEMS: The following items must be included with each proposal received. Failure to include these items may be the cause for disqualification.

a. Copy of current business license’

b. Completed Contractor Information Form, Conflict of Interest Certification, E-Verify Federal Work Authorization, and Vendor

Statement of Tax Status (found at end of this RFP).

c. Proof of Commercial insurance, voting bodily injury, death, and property damage with a single limit not less than one ($1,000,000) dollar.

d. Prior to receiving a “Notice to Award”, the City will require the awardee to submit a Certification of Insurance and Workers Compensation.

V. PROPOSED CONTRACT FEES

A. Submit one copy of your cost proposal in a separate sealed envelope, clearly marked. Proposals that do not provide costs in a sealed envelope may be considered non-responsive and subject to disqualification. Include itemized costs for all services to be delivered. Costs should be identified as unit costs on an as needed basis for each type of service proposed. The city reserves the right to contact proposers on cost and scope clarification at any time throughout the selection and/or negotiation process.

VI. EVALUATION PROCEDURE

A. The City of Canton will review and evaluate proposals based on the following factors:

1. Functional and Technical Requirements

Degree to which the proposal meets the requirements of the RFP.

Exceptions to required features and functions considered essential by the

City may result in disqualification of a proposal.

2. Proposer’s Previous Performance Qualifications

a. Experience with other projects similar in scope

b. References

3. Costs

Competitiveness of proposer’s total pricing. Pricing will not be the sole determining factor in awarding the contract. Should the City determine that a Firm does not meet the qualifications as required by this RFP, it may return cost proposal unopened to the prosper.

B. Selection Process:

1. Proposals will be evaluated based on the written response to selection criteria listed and the cost proposals provided. After receipt and review of proposals, the City may elect to conduct interviews for some or all firms.

2. It is anticipated that a contract for the prescribed services will be entered into with the firm that in the opinion of the City offers the most favorable combination of qualifications, approach, and pricing.

Please note that the selection is a value-based selection, and the lowest cost proposal is not guaranteed to be the selected firm.

C. Award of Contract

1. The City anticipates recommending to City Council, the award of this contract, with a Notice of Award being issued soon thereafter. The City reserves the right to reject any and all proposals submitted, to waive any informalities in the proposals submitted, and to award a contract only when it appears to be in the best interest of the City.

VII. SPECIAL CONDITIONS

A. This RFP does not commit the City to procure or award a contract for work or to compensate Proposers for proposal preparation expense. All costs to prepare a response to this RFP shall be borne by the proposer.

B. All information submitted in response to this RFP shall become the property of the City, and as such, may be subject to public review as public record.

C. The City reserves the right to cancel, modify, supplement, add to, delete from or change any part or aspect of this project if it is believed to be in the best interest of the City.

D. The City reserves the right to request additional data, information or clarification pertinent to this solicitation after the submittal date, provided that such information is germane to evaluation of the firm’s qualifications.

However, the City shall not be required to request missing information from the submittal which may cause them to be considered non-responsive.

E. The City shall provide the release of all public information concerning the project, including selection announcements and contract awards. Those desiring to release information to the public must receive prior written approval through the City.

F. Members of the firm or vendor, their agents, lobbyists, attorneys and others shall not contact members of the City Council, any employee of the City other than the contact person or the Selection Committee regarding this project or process. Any such contact shall be grounds for automatic disqualification of the firm’s submittal.

G. The City, at its sole discretion, reserves the right to reject any and all submittals, waive any and all irregularities, and disregard any and all nonconforming or counter submittals. H. The City may accept or reject any or all information submitted as part of the RFP.

I. All proposals will be held in confidence until award.

VIII. EQUAL EMPLOYMENT OPPORTUNITY

The City of Canton is an equal employment opportunity employee. The City endeavors to do business with firms sharing the City’s commitment to equal opportunity and will not do business with any firm that discriminates on the basis of race, religion, color, ancestry, age, gender, sexual orientation, disability, medical condition or place of birth.

IX. ATTACHMENTS

A. Contractor Information Form

B. Vendor Conflict of Interest Certification

C. Vendor Statement of Tax Status D. E-Verify Form

D. E-Verify

Contractor Information

1. Company Name

2. Address

3. Phone Number

4. Name of contact person

5. E-mail Address:

6. Number of years in business

7. Number of people employed on a regular basis.

8. List at least three (3) references in which your company has provided the services requested within the past two (2) years.

Company Name: ____________________________________________________

Address: __________________________________________________________

Phone No.: _________________________________________________________

Contact Name:

e-mail: ___________________________________________________________

Address: __________________________________________________________

Phone No.: _________________________________________________________

Address: __________________________________________________________

Phone No.: _________________________________________________________

Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, contractor or corporation which is engaged in the physical performance of services on behalf of the

City of Canton, Georgia has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91.

Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number

Date of Authorization

Name of Contractor

Name of Project

Name of Public Employer

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on ______________, ___, 2026 in _______________ (city), ____ (state)

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE _____________ DAY OF ______________, 2026

NOTARY PUBLIC

My Commission Expires:

2525 Ridge Road

Canton, Georgia 30114

Vendor’s Statement of Tax Status

(For Internal Financial Control Purposes)

Vendor:

D.U.N.S. #:

Remittance Address:

Street Address

City, State & Zip Code

Phone Number:

Fax Number:

Contact Information:

As an authorized representative to the above entity; I hereby certify to the best of my knowledge; no outstanding delinquent taxes are owed by said entity to the City of Canton, Georgia or any other government in the United States of America including but not limited to the United States Federal Government.

Name:

Title:

Date: ________________

VENDOR CONFLICT OF INTEREST CERTIFICATION

The City of Canton, Georgia seeks to avoid business relationships which might conflict, or appear to conflict, with the best interests of the City. The purpose of this form is to identify such potential relationships with vendors.

Note that responses in the affirmative to the questions below do not automatically preclude a vendor from doing business with the City. Evaluations of the responses will be made by the appropriate City personnel on a case-by-case basis. Steps to mitigate the conflict or perceived conflict may be required by the vendor and/or City personnel as appropriate.

1. Does any current or former employee of the City of Canton, Georgia hold a financial interest of greater than 5% in your organization?

Yes No Unsure

2. Does any immediate family member of a current or former employee of the City of Canton, Georgia hold a financial interest of greater than 5% in your organization?

Yes No Unsure

Has this organization or any of its principals been debarred, suspended or otherwise excluded by a duly authorized regulatory agency or had a transaction with any such agency terminated for any reason?

Yes No Unsure

If your response to any of the questions above is yes or unsure, please attach a separate sheet describing the situation.

CERTIFICATION

I do hereby certify that all responses herein are true and correct to the best of my knowledge. I understand that the City of Canton, Georgia reserves the right to modify or terminate immediately any vendor or employee relationship (as appropriate) should it be discovered that the information provided herein was known to be false at the time of this certification.

Signature: _______________________________ Date: __________________

Printed Name and Title: ____________________________________________

Phone: 770.704.1500 | Fax: 770.704.1538 | 110 Academy Street | Canton, Georgia 30114

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