25_19 ITB Warehouse Supplies for Water Resour.pdf

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Attached to
Warehouse Supplies for Rockdale Water Resources
Solicitation number
PE-72200-NONST-2025-000000057
Issued by
Peach County, Georgia

About this file

This is an Invitation to Bid (ITB) No. 25-19 issued by Rockdale County, Georgia, specifically the Rockdale County Finance Department Procurement Division, for Warehouse Supplies for Rockdale Water Resources. The ITB seeks a vendor to supply and maintain inventory of water and sewer-related parts and supplies at the Water & Sewerage - Tatum warehouse, with delivery required within 7-10 business days. The contract term is one year with options to auto-renew for two additional one-year terms. A mandatory pre-bid conference and site visit is scheduled for July 16, 2025, at the Tatum Warehouse, and bids are due by July 31, 2025. The bid includes an extensive list of water and sewer parts, with specific requirements such as all brass to be AY McDonald Pack Joint and hydrants to be American Darling in white color.

The bid specifies inventory maintenance levels, with 1-inch items to be maintained at 50-100 pieces and 2-inch items at 10 pieces, unless otherwise specified. The county has implemented an Equal Business Opportunity (EBO) program that encourages maximizing contracting opportunities with Historically Underutilized Businesses (HUBs) and Small Business Enterprises (SBEs), with a goal of awarding at least 15% of contracts to such businesses. The pricing will be firm and F.O.B. Destination, with the county reserving the right to make no awards, multiple awards, or one award for all items. Bidders must submit one USB Flash Drive with the bid in Adobe PDF format and include various required documentation such as business licenses, references, and affidavits demonstrating good faith efforts to include HUBs and SBEs.

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ITB No. 25-19

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ROCKDALE COUNTY FINANCE DEPARTMENT

PROCUREMENT DIVISION

958 MILSTEAD AVENUE

CONYERS, GA 30012

770-278-7552

INTRODUCTION:

This is an Invitation to Bid (ITB) for the purchase of Warehouse Supplies for Rockdale Water Resources in Rockdale County. Instructions for preparation and submission of a bid are contained in this packet. Bids must be typed or printed in ink.

Rockdale County provides equal opportunity for all businesses and does not discriminate against any person or business because of race, color, religion, sex, national origin, and handicap, or veterans’ status. This policy ensures all segments of the business community have access to supplying the goods and services needed by Rockdale County.

PURCHASING CONTACT FOR THIS REQUEST:

All questions concerning this ITB and all questions arising subsequent to award are to be addressed to the Purchasing Division via email to Adrienne Brown, at Adrienne.m.brown@rockdalecountyga.gov or the following address:

Rockdale County Finance Department Purchasing Division

Attn: Adrienne Brown 958 Milstead Avenue Conyers, GA 30012

Phone: (770) 278-7557 E-mail: Adrienne.m.brown@rockdalecountyga.gov

To maintain a “level playing field”, and to assure that all bidders receive the same information, bidders are requested NOT to contact anyone other than the contact above until after the award of the contract. Doing so could result in disqualification of the bidder.

BID COPIES FOR EVALUATION:

One (1) USB Flash Drive in Adobe PDF format will be required for review purposes. Flash Drives that are blank or have incorrect information on them will not be acceptable and may be justification for disqualification. Check your Flash Drive(s) to ensure that they have the appropriate material on it before submitting. No hard copies will be accepted.

The ITB number must be clearly written on the outside of the envelope. Incomplete, incorrect, unsealed, unmarked, or improperly submitted bids may be rejected.

CONTRACT TERM:

The Contract Term will be (1) year and will auto renew (3) additional one-year terms, unless cancelled in writing 30 days before the end of current term.

Because this contract contains three (3) renewal periods and the price of materials is subject to change from year to year, it is appropriate to allow the Contractor to offer price increases prior to the renewal of the contract for the following year. Therefore, 90 days prior to the end of the contract, the Contractor will advise the County in writing of their desire to renew the contract and will provide the County with an updated price list (this should be the same price list from the original bid with any necessary additions that became evident during the previous year's operations). The County will review the price increases and if necessary, negotiate with the Contractor to finalize pricing. Once both parties have agreed to the contract extension pricing, the County will prepare an Amendment to the original contract outlining the extension period, the new pricing that has been approved by both parties, and any other changes to the contract that become necessary to improve the operational effectiveness of the Agreement.

mailto:Adrienne.m.brown@rockdalecountyga.gov

ESCALATION CLAUSE:

During the life of the contract, if the successful bidder requests a price increase, the successful bidder shall furnish price lists to the County for his/her increases and those of his/her supplier (e.g., factory) increases, as and if prices are changed. Also furnish a list of his/her supplier’s (e.g., factory) prices that had been in effect during bidder’s earlier prices; so that County can see the difference. Price change will be in effect only after receipt and approval of one copy of these price lists, (or catalogs), by the Rockdale County Purchasing Department. Price lists and changes thereto are to be furnished under the contract and without charge to the County. Catalogue(s) or Price List(s) are to be submitted to Purchasing Department, P.O. Box 289, Conyers, GA 30012. All price increases will require Board of Commissioners approval as a change order to the contract.

DUE DATE:

Sealed bids will be received at the Rockdale County Finance Department, Procurement Division, 958 Milstead Avenue, Conyers, GA 30012 no later than 2:00 P.M., local time, Thursday, July 31, 2025. Bids received after this time will not be accepted. Bidders are not required to attend bid opening.

PRE-BID CONFERENCE & SITE VIST:

There will be a MANDATORY Pre-Bid Conference & Site Visit held at Rockdale County Water Resources Tatum Warehouse, 2420 Tatum Rd., Conyers, GA 30013, at 2:00 p.m., local time, Wednesday, July 16, 2025. Prime bidders who arrive more than 5 minutes after the start of the meeting (as stated in the solicitation and by the Procurement representative’s watch) or after the discussion portion of the meeting (whichever comes first) may not be permitted to submit a bid on the project. Any questions and/or misunderstandings that may arise from this ITB may be asked and answered at the pre-bid conference; however, oral responses are not authoritative. Bidders are encouraged to review the ITB before attending the pre-bid conference. Questions received after the pre-bid conference must be submitted in writing to Adrienne.m.brown@rockdalecountyga.gov. Any contractor who intends to submit a Bid is required to attend this meeting.

QUESTIONS AND CLARIFICATIONS:

All questions and/or requests for clarifications concerning this ITB must be submitted to the Purchasing Division via email to adrienne.m.brown@rockdalecountyga.gov or at the above address no later than 2:00 p.m., local time, on Thursday, July 24, 2025. It shall be the Bidders responsibility to seek clarification as early as possible prior to the due date and time. Written responses from the County to the questions it receives will be in an addendum and posted to the County’s website at www.rockdalecountyga.gov, under Bid Opportunities. Questions or requests for clarifications received after this deadline will not receive a response.

ADDENDA:

Answers to questions submitted that materially change the conditions and specifications of this ITB will be issued in an addendum and posted to the County’s website at www.rockdalecountyga.gov under Bid Opportunities. Any discussions or documents will be considered non-binding unless incorporated and issued in an addendum.

It is the bidder’s responsibility to check the Rockdale County website at www.rockdalecountyga.gov, under Bid Opportunities for any addenda that may be issued, prior to submitting a bid for this ITB.

WARRANTY AND / OR GUARANTY:

The bidder will state below or will furnish a separate letter attachment which fully explains the condition of Warranty and/or Guaranty. If no Warranty and/or Guaranty is applicable, it must be so stated. NOTE: Failure to respond to the requirement of this paragraph may result in the bid being non-responsive.

mailto:adrienne.m.brown@rockdalecountyga.gov http://www.rockdalecountyga.gov/ http://www.rockdalecountyga.gov/

FOREIGN PRODUCTS:

Rockdale County prefers to buy items produced and/or manufactured in the United States of America; however, foreign products may be considered provided it is so stated. Bidder certifies that item(s) offered on this bid is/are manufactured/produced in the United States.

Yes No

If "No" state place:

DELIVERY

Delivery is required within 7-10 calendar days after receipt of individual orders. However, alternate delivery time will be considered provided it is so stated.

(Bidder state number of days for delivery)

All prices are to be firm, F.O.B. Destination, Freight Prepaid and Allowed.

Delivery must be made between 8:00 A.M. and 4:00 P.M. Monday through Friday, unless otherwise requested.

Failure to respond to the requirement of this section may result in the bid being non-responsive.

DELIVERY F.O.B.: The successful bidder shall give a 24-hour prior notice of delivery to Division calling in the order;

and must ask for caller’s Purchase Order Number (or Release Number) at that time, when giving such prior Notice.

NOTE: F.O.B. POINT: Unless otherwise stated in the invitation and any resulting contract, or qualified by the bidder, all articles will be F.O.B. Destination, Freight Prepaid and Allowed. This shall include delivered, unloaded, and placed in designated place. Successful bidder must comply with this paragraph.

F.O.B. LOCATION: Rockdale Water & Sewerage - Tatum 2420 Tatum Rd.

Conyers, Georgia 30013

QUALIFICATIONS OF OFFERORS:

Bidders must have a current business license from their home office jurisdiction and provide a copy of that license with the submittal of their bid response. Rockdale County vendors doing business in Rockdale County must have a current Rockdale County Business License.

Bids from any offeror that is in default on the payment of any taxes, license fees, or other monies due to Rockdale County will not be accepted.

Bidders are to submit at least three (3) references from projects with similar experience using the materials and process in this Invitation to Bid.

DEBRIEFINGS:

In lieu of Post-Award debriefings, Rockdale County will provide the final evaluation Score Sheet. The Score Sheet will include the scores for all firms who responded and will typically be provided with a PDF file and e-mailed.

SILIENCE OF SPECIFICATIONS

The apparent silence of these specifications and any supplemental specifications as to any details, or the omission from it of a detailed description concerning any point, shall be regarded as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design are to be used. All workmanship is to be first quality. All interpretations of this specification shall be made upon the basis of this statement, with County interpretation to prevail.

OPTION TO AUDIT

Successful bidder will be required to maintain complete records during the life of the contract and for a period of one year after completion of the contract. Such records are to be made available to the County if officially requested, to be audited by a designated County auditing staff. In such audits reveal overcharges and/or undercharges, such will be adjusted, and compensation made by either party to correct charges.

TORT IMMUNITY:

No officer, employee, or agent of the County acting within the scope of his/her employment or function shall be held personally liable in tort or named as a defendant in any action for injury or damage suffered because of any act, event, or failure to act.

SUBMITTAL COST AND CONFIDENTIALITY

Careful consideration should be given before submitting confidential information to Rockdale County. The Georgia Open Records Act permits public scrutiny of most materials collected as part of this process. Please clearly mark any information that is considered a trade secret, as defined by the Georgia Trade Secrets Act of 1990, O.C.G.A. §10-1-760 et seq., as trade secrets are exempt from disclosure under the Open Records Act.

Rockdale County does not guarantee the confidentiality of any information not clearly marked as a trade secret.

OPEN RECORDS

The contents of the bids will not be made public until after an award and contract has been executed.

AWARD OF CONTRACT:

The Rockdale County Procurement Office and/or Evaluation Committee make a recommendation for award.

The Board of Commissioners will make the actual award of the contract and has the authority to award the contract to a company different than the company recommended by the Procurement Office and/or Evaluation Committee. Rockdale County reserves the right to make no awards, multiple awards, one award for all items; or whatever the County deems to be in its best interest.

QUANTITIES:

The quantities listed in the Bidders Response Schedule are provided as an estimate for bid purposes. The County will not be obligated to quantities beyond actual needs.

SELECTION PROCESS:

The Rockdale County Procurement Office and/or Evaluation Committee make a recommendation for award. The Board of Commissioners will make the actual award of the contract and has the authority to award the contract to a company different than the company recommended by the Purchasing Department and/or Evaluation Committee.

This is a past performance/quality/price trade-off source selection in which competing offeror’s past and present performance history and product quality will be evaluated on a basis approximately equal to price. Award will be made to the responsible offeror whose bid represents the best value after evaluation in accordance with the factors listed below. Rockdale County Board of Commissioners may reject any or all bids if such action is in the county’s interest.

Rockdale County may evaluate bids and award a contract without discussions with offerors. Therefore, the offeror’s initial bid should contain the offeror’s best terms from a price and technical standpoint. The County reserves the right to conduct discussions if the County later determines them to be necessary.

INSURANCE:

Before starting any work, the successful contractor must furnish to Rockdale County certificate(s) of insurance from companies doing business in Georgia. The Company shall maintain in full force and effect the following insurance during the term of the Agreement:

Coverages: Limits of Liability:

Workers’ Compensation Statutory Employers’ Liability $1,000,000.00 Bodily Injury Liability $1,000,000.00 each occurrence except Automobile $1,000,000.00 aggregate Property Damage Liability $1,000,000.00 each occurrence except Automobile $1,000,000.00 aggregate Personal & Advertising Injury Limit $1,000,000.00 Products / Completed Ops. $2,000,000.00 aggregate Automobile Bodily Injury $1,000,000.00 each person Liability $1,000,000.00 each occurrence Automobile Property Damage $1,000,000.00 each occurrence Liability

General Liability $1,000,000.00

All insurance shall be provided by an insurer(s) acceptable to the County and shall provide for thirty (30) days prior notice of cancellation to the County. Upon contract award, Contractor shall deliver to the County a certificate or policy of insurance evidencing Contractor’s compliance with this paragraph. Contractor shall abide by all terms and conditions of the insurance and shall do nothing to impair or invalidate the coverage.

Rockdale, GA shall be named as Additional Insured under any General Liability, Business Auto and Umbrella Policies using ISO Additional Insured Endorsement forms CG 2010 or its equivalent. Coverage shall apply as Primary and non-contributory with Waiver of Subrogation in favor of Rockdale County, Georgia.

The insurance carrier must have a minimum rating of A or higher as determined by the rating firm A.M. Best.

Certificates must contain policy number, policy limits, and policy expiration date of all policies. The Invitation to Bid (ITB) number and project name must be inserted in the Description of Operations section of the certificate.

Certificates are to be issued to:

Rockdale County, Georgia 958 Milstead Avenue Conyers, GA 30012

BONDS:

Bonds are not required for this ITB

ILLEGAL IMMIGRATION REFORM AND ENFORCEMENT ACT OF 2011

Vendors submitting a Qualification package in response to this ITB must complete the Contractor Affidavit under O.C.G.A. §13-10-91(b)(1) which is provided with the ITB package to verify compliance with the Illegal Immigration Reform and Enforcement Act of 2011.

A. The form must be signed by an authorized officer of the contractor or their authorized agent.

B. The form must be notarized.

C. The contractor will be required to have all subcontractors and sub-subcontractors who are engaged to complete physical performance of services under the final contract executed between the County and the contractor complete the appropriate subcontractor and sub-subcontractor affidavits and return them to the County a minimum of five (5) days prior to any work being accomplished by said subcontractor or sub-subcontractor. Format for this affidavit can be provided to the contractor if necessary.

LOCAL VENDOR PREFERENCE POLICY

The Rockdale County Board of Commissioners adopted a Local Vendor Preference Policy on March 26, 2013.

The policy will apply to all qualified Invitations to Bid and Request for Proposals after May 1, 2013. The Local Vendor Preference Policy allows Rockdale County vendors to get an extra 5 points on the evaluation criteria scoring for Request for Proposal. The Policy will give the local bidder the opportunity to match the price of a non-local vendor’s bid price if they are low and within 5% of the low bidder’s price on Invitations to Bid. A copy of the Policy may be downloaded from the County website at www.rockdalecountyga.gov, Bid Opportunities.

Local vendors interested in being considered for the Local Vendor Preference must submit an Affidavit of Eligibility with their bid response. The form is attached to these bid documents.

The Local Vendor Preference Policy will apply to this ITB.

EQUAL BUSINESS OPPORTUNITY POLICY:

This ITB qualifies for Rockdale County Government EBO program. For questions regarding the EBO program, please contact Adrienne Brown at adrienne.m.brown@rockdalecountyga.gov or 770-278-7557.

PIGGYBACKING

Rockdale County encourages and agrees to the successful bidder extending the pricing, terms and conditions of this solicitation or resultant contract to other governmental entities at the discretion of the successful bidder.

mailto:adrienne.m.brown@rockdalecountyga.gov

GENERAL INFORMATION:

RECEIPT OF BID:

No bids received after said time or at any place other than the time and place as stated in the notice shall be considered. No responsibility shall attach to Rockdale County for the premature opening of a bid not properly addressed and identified.

WITHDRAWAL OF BID:

A bidder may withdraw his bid before the bid due date, without prejudice to the bidder, by submitting a written request of withdrawal to the Rockdale County Procurement Office.

REJECTION OF BID:

Rockdale County may reject any and all bids and must reject a bid of any party who has been delinquent or unfaithful in any formal contract with Rockdale County. Also, the right is reserved to waive any irregularities or informalities in any bid in the proposing procedure. Rockdale County shall be the sole judge as to which bid is best, and in ascertaining this, will take into consideration the business integrity, financial resources, facilities for performing the work, and experience in similar operations of the various bidders.

STATEMENT OF EXPERIENCE AND QUALIFICATIONS:

The bidder may be required, upon request, to prove to the satisfaction of Rockdale County that he/she has the skill, experience, necessary facilities, and ample financial resources to perform the contract(s) in a satisfactory manner and within the required time. If the available evidence of competency of any bidder is not satisfactory, the bid of such bidder may be rejected. The successful bidder is required to comply with and abide by all applicable federal and state laws in effect at the time the contract is awarded.

NON-COLLUSION AFFIDAVIT:

By submitting a bid, the bidder represents and warrants that such bid is genuine and not sham or collusive or made in the interest or in behalf of any person not therein named, that the bidder has not directly or indirectly induced or solicited any other bidder to put in a sham bid, or any other person, firm or corporation to refrain from proposing and that the bidder has not in any manner sought by collusion to secure to that bidder any advantage over any other bidder.

INTEREST OF:

By submitting a bid, the bidder represents and warrants that a Commissioner, Administrator, employee, nor any other person employed by Rockdale County has, in any manner, an interest, directly or indirectly, in the bid or in the contract which may be made under it, or in any expected profits to arise therefrom.

DOCUMENTS DEEMED PART OF THE CONTRACT:

The notice, invitation to bidders, general conditions, and instructions for bidders, special conditions, specifications, bid, and addenda, if any, will be deemed part of the contract.

GOVERNING LAWS:

This contract is made under and shall be governed and construed in accordance with the laws of the State of Georgia.

ERRORS AND OMISSIONS:

The vendor shall not take advantage of any errors or omissions in this Bid Request and shall promptly notify Rockdale County of any omissions or errors found in this document.

STANDARD INSTRUCTIONS:

1. The instructions contained herein shall be construed as a part of any bid invitation and/or specifications issued by Rockdale County and must be followed by each bidder.

2. The written specifications contained in this bid shall not be changed or superseded except by written addendum from

Rockdale County. Failure to comply with the written specifications for this bid may result in disqualification by Rockdale County.

3. All goods and materials shall be F.O.B. Destination Conyers, Georgia and no freight or postage charges will be paid by Rockdale County unless such charges are included in the bid price.

4. The following ITB# 25-19 must be written clearly on the outside of each bid envelope in order to avoid prior opening in error.

5. All bids must be received and in-hand at bid due date and time. Each bidder assumes the responsibility for having his/her bid received at the designated time and place of bid due date. Bids received after the stated time and date may be subject to rejection without consideration, regardless of postmark. Rockdale County accepts no responsibility for mail delivery.

6. Unless otherwise stated, all bids submitted shall be valid and may not be withdrawn for a period of 120 days from the due date.

7. Each bid form submitted must include the name of the business, mailing address, the name, title and signature of the person submitting the bid. When submitting a bid to Rockdale County the first page of your bid package should be the bid form listing the price, delivery date, etc., unless the bid form is requested to be in a separate envelope.

8. Rockdale County reserves the right to accept a bid that is not the lowest price if, in the County's judgment, such bid is in the best interest of the County and the public. The County reserves the right to reject any and all bids.

9. Telephone, Emailed or Facsimile bids will not be accepted.

10. No sales tax will be charged on any orders except for contracts that include construction materials being purchased through a third party.

Federal I.D. #58-6000882 Sales Tax Exempt #308750008

11. If applicable, completed questionnaires must be signed manually. Rockdale County reserves the right to accept or reject any bid on the basis of incomplete or inaccurate answers to the questionnaire.

12. If applicable, warranty information shall be provided.

13. Bidders shall state delivery time after receiving order.

14. Bidders shall identify any subcontractors and include an explanation of the service or product that they may provide.

BID SPECIFICATIONS:

The specifications are as follows and on the attached pages:

General:

The parts listed on the Bid Form will be used to repair and replace service lines in the water distribution system.

Rockdale County Water Resources is looking for a vendor to supply and maintain inventory at the Water & Sewerage – Tatum warehouse. The following are to be expected from the bidder:

• The vendor is expected to deliver all items within 7-10 business days unless it is an emergency request and at that time a County employee will schedule pickup.

• The vendor is to completely and efficiently supply the warehouse and monitor inventory levels.

• All Brass to be AY McDonald Pack Joint

• All Hydrants are to be American Darling, Color White

• AY McDonald is the required brand due to their pressure rating and the pack joint connection.

• 1” items requested should be maintained at 50 to 100 pieces, unless specified otherwise.

• 2” items requested should be maintained at 10 pieces, unless specified otherwise.

BID FORM – ITB No. 25-19 Instructions: Complete all THREE parts of this bid form.

PART I: Bid Table Complete the information below. If you wish to submit more than one brand, make a photocopy of this Bid Form.

No. Inventory Estimated Qty Unit Unit Price Total

Water All Brass to be AY McDonald Pack Joint All Hydrants to be American Darling Color White 1 3/4" Adapter Male Brass CTS-Comp x MIp 150 Each $ $ 2 3/4" Backflow Preventer Dual Check Valve 360 Each $ $ 3 3/4" Cap Flared 20 Each $ $

4 3/4" Connection Tee 3/4 X 3/4X 3/4 CTS Comp X CTS Comp X CTS Comp 40 Each $ $

5 3/4" Connection Wye 3/4 X 3/4 X.3/4 CTS Como X CTS Comp X CTS Comp 40 Each $ $

6 3/4" Corporation Stop 40 Each $ $ 7 3/4" Curb stop Comp X FIP 200 Each $ $ 8 3/4" Curb stop W/ Lock wing CTS Comp x MW 200 Each $ $ 9 3/4" Curb stop Iron To Iron FIP x FIP 90 Each $ $

10 3/4" Curb stop Flared 40 Each $ $ 11 3/4" Dresser Coupling 40 Each $ $ 12 3/4" Meter Coupling 300 Each $ $ 13 3/4" Meter Box 200 Each $ $ 14 Meter Box Lid 200 Each $ $ 15 3/4" Meter Washer 3/4 X 1/8 Rubber 1500 Each $ $ 16 3/4" Meter Washer 3/4 X 1/16 Rubber 2000 Each $ $ 17 3/4" Nipple Close Brass Close 60 Each $ $ 18 3/4" Nipple Brass 2 X 3/4 60 Each $ $ 19 3/4" Nipple Brass 4 X 3/4 60 Each $ $ 20 3/4" Nipple Brass 6 X 3/4 60 Each $ $ 21 3/4" Nipple Brass 8 X 3/4 60 Each $ $ 22 3/4" Strap Saddle 1.5 X 3/4CC DS 20 Each $ $ 23 3/4" Strap Saddle 2. X 3/4CC DS 20 Each $ $ 24 3/4" Strap Saddle 4 X 3/4CC DS 20 Each $ $ 25 3/4"Strap Saddle 6 X 3/4CC DS 20 Each $ $ 26 3/4" Strap Saddle 8 X 3/4CC DS 20 Each $ $ 27 3/4" Strap Saddle 10 X 3/4CC DS 20 Each $ $ 28 3/4" Strap Saddle 12 X 3/4CC DS 20 Each $ $ 29 3/4" Strap Saddle 16-18 X 3/4CC DS 20 Each $ $ 30 3/4" Strap Saddle 20 X 3/4CC DS 10 Each $ $ 31 3/4" Tubing Copper 100' X 3/4 Roll K 50 Each $ $

32 3/4" Tubing Copper 60' X 3/4" Roll K 50 Each $ $ 33 3/4" Union Three-Part Brass CTS Comp X CTS Comp 80 Each $ $ 34 3/4" Valve, Pressure Reduction 20 Each $ $ 35 3/4" PJ Nut 150 Each $ $ 36 1" Meter Coupling 90 Each $ $ 37 1" Nipple Brass Close 1 X 1 60 Each $ $ 38 1" Nipple Brass 2 X 1 60 Each $ $ 39 1" Nipple Brass 3 X 1 60 Each $ $ 40 1" Nipple Brass 4 X 1 60 Each $ $ 41 1" Nipple Brass 6 X 1 60 Each $ $ 42 1" Strap Saddle 2 X 1CC DS 20 Each $ $ 43 1" Strap Saddle 4 X 1CC DS 10 Each $ $ 44 1" Strap Saddle 6 X 1CC DS 40 Each $ $ 45 1" Strap Saddle 8 X 1CC DS 40 Each $ $ 46 1" Strap Saddle 10 X 1CC DS 30 Each $ $ 47 1" Strap Saddle 12 X 1CC DS 30 Each $ $ 48 1" Strap Saddle 16-18 X 1CC DS 20 Each $ $

49 1" Strap Saddle 24 X 1CC DS 10 Each $ $

50 1" Tubing Copper 60' Roll K 60 Each $ $ 51 1" Tubing Copper 100' Roll K 60 Each $ $ 52 1" Adaptor Male Brass CTS Comp X MIP 150 Each $ $ 53 1" Adaptor Female Brass CTS Comp X FIP 40 Each $ $ 54 1" PJ Nut 150 Each $ $ 55 1" Three-Part Union 1 X 3/4 CTS-Comp X CTS-Comp 40 Each $ $ 56 1" Three-Part Union 1 X 1 CTS-Comp X CTS-Comp 80 Each $ $ 57 1" Backflow Prev Dual Check Valve 1 1/4" X 1" 100 Each $ $ 58 1" Bell Brass Reducer 1 X 3/4 40 Each $ $ 59 1" Bushing Brass Hex 1"X3/4" 200 Each $ $ 60 1" Bushing Brass Hex 1"X1.5" 60 Each $ $

61 1" Connection ,Tee 1 X 1 X 1 CTS Comp X CTS Comp X CTS Comp 40 Each $ $

62 1" Connection, Tee 1 X 3/4 X 3/4 40 Each $ $ 63 1" Connection, Tee 1 X 1 X 3/4 40 Each $ $

64 1" Connection, Wye 1 X 3/4 X 3/4 CTS Comp x CTS Comp x CTS Comp 40 Each $ $

65 1" Connection, Wye 1 X 3/4 X 3/4 CTS Comp X CTS Como X MIp 40 Each $ $

66 1" Corporation Stop 75 Each $ $ 67 1" Coupling, Dresser 60 Each $ $ 68 1" Curb stop CTS X Fip 150 Each $ $ 69 1" Curb stop Iron-To-Iron 100 Each $ $ 70 1" Joint, Pipe, 90 Elbow CTS Comp x CTS Comp 60 Each $ $ 71 1" Meter Washer 1/16" 200 Each $ $ 72 1" Meter Washer 1/8" 200 Each $ $

73 1-1/2" Copper Tubing 60' Roll K 10 Each $ $ 74 1-1/2" Three Part Union CTS Comp X CTS 40 Each $ $ 75 1.5" GA1 Valve Hand Wheel Threaded 45 Each $ $ 76 1.5" Dresser Coupling 30 Each $ $ 77 1.5" Nipple Brass Close 40 Each $ $ 78 1.5" Nipple Brass Pipe 6 X 1.5 40 Each $ $ 79 1.5" Reducer Hex Nut 2 X 1.5 60 Each $ $ 80 1.5" Tubing, Copper 1.5 X 20' Stick 15 Each $ $ 81 1.5" Meter Gasket-Oval 100 Each $ $ 82 1.5" Meter Washer 1.5 X 1/8" 50 Each $ $ 83 1.5" Flange Kit Brass 40 Each $ $ 84 1.5" Curb Stop CTS - Comp x Fip 30 Each $ $ 85 2" Adaptor Female CTS X Fip 40 Each $ $ 86 2" Adaptor Male CTS X MIp 40 Each $ $ 87 2" Backflow DC 15 Each $ $ 88 2" Brass Bell Reducer 2" X 1" 40 Each $ $ 89 2" Brass Bell Reducer 2" X 1.5" 40 Each $ $ 90 2" Bushing Hex Nut 2" X 1" 40 Each $ $ 91 2" Brass Pipe Tee 2 X 2 X 1 CTS x CTS x CTS 30 Each $ $ 92 2" Dresser Coupling 60 Each $ $ 93 2" Corporation Stop male x female 40 Each $ $ 94 2" Curb Stop CTS Comp x FIP 40 Each $ $ 95 2" Curb Stop /W Flange End 40 Each $ $ 96 2" Flange Brass 40 Each $ $ 97 2" Flange Kit Brass 40 Each $ $ 98 2" Meter Coupling 60 Each $ $ 99 2" Meter Fiber Washer 1/8 X 2 40 Each $ $

100 2" Nipple Close Brass 40 Each $ $ 101 2" Nipple Brass 4 X 2 40 Each $ $ 102 2" Nipple Brass 6 X 2 40 Each $ $ 103 2" Nipple Brass 8 X 2 40 Each $ $ 104 2" Nipple Brass10 X 2 40 Each $ $ 105 2" Nipple Brass 12 X 2 40 Each $ $ 106 2" Strap Saddle 6 X 2CC DS 30 Each $ $ 107 2" Strap Saddle 8 X 2CC DS 30 Each $ $ 108 2" Strap Saddle·10 X 2CC DS 30 Each $ $ 109 2" Strap Saddle 12 X 2CC DS 30 Each $ $ 110 2" Strap Saddle 16-18 X 2CC DS 20 Each $ $ 111 2" Strap Saddle 24 X 2CC DS 10 Each $ $ 112 2" Three Part Union CTS Comp X CTS Comp 40 Each $ $ 113 2" Tubing Copper 2" X 60' Roll K 15 Each $ $ 114 2" Tubing Copper 2" X 20' Stick K 15 Each $ $ 115 2" Valve GA1 Square Head Op. Nut 40 Each $ $ 116 2" Valve GA1. Hand Wheel 40 Each $ $

117 4" Romac Coupling 10 Each $ $ 118 4" MJ Accessory Kit 40 Each $ $ 119 4" Transition MI Accessory Kit 40 Each $ $ 120 4" Mega Lug 40 Each $ $ 121 4" Ductile Iron Pipe 300 Each $ $ 122 4" Pipe Joint Solid Sleeve 40 Each $ $ 123 4" GA1 Valve 10 Each $ $ 124 6" MJ Accessory Kit 200 Each $ $ 125 6" Trans Accessory Kit 200 Each $ $ 126 6" Anchor Coupling 90 Each $ $ 127 6" Bell Joint Kit 20 Each $ $ 128 6" Mega Lug 100 Each $ $ 129 6" Pipe Ductile Iron Asphalt Coated 6" X 18' 1000 Each $ $ 130 6" Pipe Joint Solid Sleeve 100 Each $ $ 131 6" GA1 Valve lnline 20 Each $ $ 132 8" MJ Accessory Kit 200 Each $ $ 133 8" Bell Joint Clamp 20 Each $ $ 134 8" Mega-Lug 100 Each $ $ 135 8" Accessory Kit Mega Lug Split 40 Each $ $ 136 8" Transition Accessory Kit 200 Each $ $ 137 8" Pipe Ductile Iron Asphalt Coated 8" X 18' Stick 1000 Each $ $ 138 8" Pipe Joint Solid Sleeve 100 Each $ $ 139 8" GA1 Valve Square Head Op. Nut In Line 10 Each $ $ 140 Valve Box Riser 2" 60 Each $ $ 141 Valve Box Riser 4" 60 Each $ $ 142 Valve Box Riser 6" 60 Each $ $ 143 Valve Box Riser 8" 60 Each $ $ 144 Valve Collar 60 Each $ $ 145 Valve Marker 60 Each $ $ 146 Valve Box Lid 60 Each $ $ 147 2" Repair Clamp PVC 2.35 - 2.63 50 Each $ $ 148 2" Repair Clamp Iron 2.70 - 3.0 30 Each $ $ 149 4" Repair Clamp PVC 4.45 - 4.75 20 Each $ $ 150 4" Repair Clamp Iron 4.74- 5.14 20 Each $ $ 151 6" Repair Clamp Iron Oversized 6.84 - 7.24 50 Each $ $ 152 6" Repair Clamp Iron 6.56 - 6.96 50 Each $ $ 153 6" Repair Clamp PVC 50 Each $ $ 154 8" Repair Clamp Iron 8.99 - 9.39 50 Each $ $ 155 8" Repair Clamp PVC 8.54 - 8.94 50 Each $ $

156 Fire Hydrant 3' Bury (COLOR WHITE) AMERICAN DARLING 25 Each $ $

157 Fire Hydrant 3'5" Bury (COLOR WHITE) AMERICAN DARLING 25 Each $ $

158 Fire Hydrant 4" Bury (COLOR WHITE) AMERICAN DARLING 25 Each $ $

159 Fire Hydrant 5' Bury (COLOR WHITE) AMERICAN DARLING 25 Each $ $

160 Fire Hydrant 6' Bury (COLOR WHITE) AMERICAN DARLING 20 Each $ $

Total for Water Inventory $ $

No. Inventory Estimated Qty Unit Unit Price Total

Sewer

4" Coupling, Flexible 4 x 3 Plastic C Iron-To-Plastic C Iron 90 Each $ $

4" Coupling, Flexible, 4 x 4, Plastic/ C Iron-To-Plastic/ C Iron 90 Each $ $

4" Coupling, Flexible, 4 x 4, Asbestos Cement To Plastic 90 Each $ $

164 4" Coupling, Flexible, 4 x 4 , Clay To Plastic 90 Each $ $ 165 4" Coupling, Flexible, 4 x 4, Concrete To Plastic 90 Each $ $ 166 4" Coupling, Flexible, Saddle Tee 60 Each $ $ 167 4" Coupling, Flexible, Saddle Wye 60 Each $ $

6" Coupling, Flex, 6 x 4, Asb/ Cement/Di To Plastic/C/lron 90 Each $ $

169 6" Coupling, Flexible, 6 x 4, Clay To Plastic 90 Each $ $ 170 6" Coupling, Flexible, 6 x 4 Concrete To Plastic/ Ci 90 Each $ $

6" Coupling, Flexible, 6 X 6, Asbestos Cement To Plastic 40 Each $ $

172 6" Coupling, Flexible, 6 X 6, Clay To Plastic/ C Iron 90 Each $ $ 173 6" Coupling, Flexible, 6 X 6 ,Concrete To C/lron 90 Each $ $

6" Coupling, Flexible, 6 X 6, Plastic C/lron To Plastic C/lron 90 Each $ $

175 6" Coupling, Flexible, Saddle Tee 60 Each $ $ 176 6" Coupling, Flexible, Saddle Wye 60 Each $ $ 177 6" Coupling, Flexible 6 x 6 Ac/Di To Ci/Pl 90 Each $ $ 178 8" Coupling, Flexible 8 x 6 Plastic To Plastic 90 Each $ $ 179 8" Coupling, Flexible 8 x 6 Clay To C Iron/ Plastic 90 Each $ $

8" Coupling Flexible 8 x 8 Asbestos Cement To Plastic 90 Each $ $

181 8" Coupling Flexible 8 x 8 Clay To Plastic/C Iron 40 Each $ $

182 8" Coupling Flexible 8 x 8 Concrete To C Iron/ Plastic 90 Each $ $

8" Coupling Flexible 8 x 8 Plastic/ C Iron To C Iron/ Plastic 90 Each $ $

184 8" Coupling Flexible DI/AC to C Iron/Plastic 90 Each $ $ 185 8" Clay to Clay 40 Each $ $

186 10" Coupling Flexible 10 x 4 PUCI to PL/Cl 90 Each $ $

10" Coupling Flexible 10 x 10 Plastic/C Iron To Plastic/C Iron 90 Each $ $

188 12" Coupling Flexible 12 x 12 Concrete To Plastic 90 Each $ $ 189 12" Coupling Flexible 12 x 12 Pl/Ci To Pl/Ci 90 Each $ $ 190 12" Coupling Flexible 12 x 14 Part #1003-1212 90 Each $ $ 191 12" Coupling Flexible 12 x 18 Part #1002-1515 90 Each $ $ 192 Joint Compound 5 Gallon 40 Each $ $ 193 Pipe Joint Lube 2000 Each $ $ 194 Dye Sewer Tracing Fluorescent Yellow/Green 40 Each $ $ 195 Lime Hydrated 50 Lb Bag 40 Each $ $ 196 Greaze Away Jet Foam 40 Each $ $ 197 4" PVC Cap Threaded Sch40 120 Each $ $ 198 4" Adapter Female Glue 80 Each $ $ 199 4" Adapter Male Glue 80 Each $ $

4" Coupling Pipe Sch 40 22 Female/Female Elbow Glue 90 Each $ $

4" Coupling Pipe Sch 40 45 Female/Female Elbow Glue 90 Each $ $

4" Coupling Pipe Sch 40 90 Female/Female Elbow Glue 90 Each $ $

203 4" Coupling Pipe Sch 40 22 Male/Female Elbow Glue 90 Each $ $

204 4" Coupling Pipe Sch 40 45 Male/Female Elbow Glue 90 Each $ $

205 4" Coupling Pipe Sch 40 90 Male/Female Elbow Glue 90 Each $ $ 206 4" Sanitary Tee 60 Each $ $ 207 4" Wye Pipe Sch 40 60 Each $ $ 208 4" Cap/Plug Raised Nut 120 Each $ $ 209 4" Cap/Plug Recessed 120 Each $ $ 210 4" PVC Backwater Valve Sch40 60 Each $ $ 211 4" Coupling Sch40 Straight Glue 90 Each $ $ 212 6" Coupling Sch40 Straight Glue 90 Each $ $ 213 6" Coupling Pipe Reducer Sch40 6 X 4 90 Each $ $ 214 6" Pipe Cap 6" Brass Recessed 120 Each $ $ 215 6" Pipe Cap Raised Nut 120 Each $ $ 216 6" Sanitary Tee 6 X 6 60 Each $ $ 217 6" Sanitary Tee 6 X 4 60 Each $ $ 218 6" PVC Tee Hxh Sch40 60 Each $ $

6" Coupling Pipe Sch 40 22 Female/Female Elbow Glue 90 Each $ $

6" Coupling Pipe Sch 40 45 Female/Female Elbow Glue 90 Each $ $

6" Coupling Pipe Sch 40 90 Female/Female Elbow Glue 90 Each $ $

222 6" Coupling Pipe Sch 40 90 Male/Female Elbow Glue 90 Each $ $ 223 6" PVC Pipe 6" Sch40 (18 or 20ft Lengths) 2000 Each $ $ 224 8" Pipe Cap 120 Each $ $ 225 8" PVC Pipe 2000 Each $ $ 226 8" Coupling Pipe 90 Each $ $ 227 6" Coupling Pipe Sch 40 45 Male/Female 90 Each $ $ 228 6" Wye Sch 40 DWV H x H 60 Each $ $ 229 RootX 40 Each $ $ 230 Hydraulic Cement 40 Each $ $

6" Coupling, Flexible, 6 x 4 , Cast Iron to Plastic/Plastic to Cast Iron 90 Each $ $

232 6" PVC Female Adaptor 40 Each $ $ 233 Manhole Ring and Cover Bolt Down 250 Each $ $ 234 Manhole Ring and Cover Non-Bolt Down 250 Each $ $

Total for Sewer Inventory $ $

PART II: Addenda Acknowledgements (if applicable) Each vendor is responsible for determining that all addenda issued by the Rockdale County Finance Department – Purchasing Division have been received before submitting a bid.

PART III: Vendor Information:

Vendor Name Address Telephone E-Mail Representative (print name) Signature of Representative Date Submitted

Addenda Date Vendor Received Initials “1” “2” “3” “4” “5” “6”

ROCKDALE COUNTY BOARD OF COMMISSIONERS

NON-COLLUSION AFFIDAVIT OF VENDOR

State of ____________________)

County of ____________________)

___________________________________________, being first duly sworn, deposes and says that:

(1) He/She is____________________________________ (owner, partner officer, representative, or agent) of ___________________________, the Vendor that has submitted the attached ITB;

(2) He/She is fully informed respecting the preparation and contents of the attached ITB and of all pertinent circumstances respecting such ITB;

(3) Such ITB is genuine and is not a collusive or sham ITB;

(4) Neither the said Vendor nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affidavit, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Vendor, firm or person to submit a collusive or sham ITB in connection with the Contract for which the attached ITB has been submitted or refrain from proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Vendor, firm or person to fix the price or prices in the attached ITB or of any other Vendor, or to fix any overhead, profit or cost element of the proposing price or the proposing price of any other Vendor, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against Rockdale County or any person interested in the proposed Contract; and

(5) The price or prices quoted in the attached ITB are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Vendor or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.

(Signed)

(Title)

Subscribed and Sworn to before me this ___________ day of _____________, 202__

Name__________________________________________________

Title__________________________________________________ My commission expires (Date)

ROCKDALE COUNTY BOARD OF COMMISSIONERS

NON-COLLUSION AFFIDAVIT OF SUB-CONTRACTOR

State of ____________________)

County of ____________________)

___________________________________________, being first duly sworn, deposes and says that:

(1) He/She is____________________________________ (owner, partner officer, representative, or agent) of ___________________________, the sub-contractor that has submitted the attached ITB;

(2) He/She is fully informed respecting the preparation and contents of the attached ITB and of all pertinent circumstances respecting such ITB;

(3) Such ITB is genuine and is not a collusive or sham ITB;

(4) Neither the said sub-contractor nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affidavit, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Vendor, firm or person to submit a collusive or sham ITB in connection with the Contract for which the attached ITB has been submitted or refrain from proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Vendor, firm or person to fix the price or prices in the attached ITB or of any other Vendor, or to fix any overhead, profit or cost element of the proposing price or the proposing price of any other Vendor, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against Rockdale County or any person interested in the proposed Contract; and

(5) The price or prices quoted in the attached ITB are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the sub-contractor or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.

(Signed)

(Title)

Subscribed and Sworn to before me this ___________ day of _____________, 202___.

Name_________________________________________________

Title_________________________________________________ My commission expires (Date)

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

The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A § 13-10-91 related to any contract to which Contractor is a party that is subject to O.C.G.A. § 13-10-91 and hereby verifies its compliance with O.C.G.A. § 13-10-91, attesting as follows:

a) The Contractor has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program;

b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof;

c) The Contractor will notify the public employer in the event the Contractor ceases to utilize the federal work authorization program during the contract period, including renewals or extensions thereof;

d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of Contract;

e) The Contractor will contract for the 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(a), (b), and (c);

f) The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any contract(s) subject to the provisions of O.C.G.A. § 13-10- 91 for the project listed below to which Contractor is a party after the date hereof without further action or consent by Contractor; and

g) Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and identification cards required pursuant to O.C.G.A. § 13-10-91 to the public employer within five business days of receipt.

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 _________, _____, 20_____ 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 _____________, 20______.

NOTARY PUBLIC

My Commission Expires: _____________________________

Subcontractor Affidavit under O.C.G.A. § 13-10-91(b)(3)

By executing this affidavit, the undersigned subcontractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services under a contract with (name of contractor) on behalf of (name of public employer) 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 subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with the information required by O.C.G.A. § 13-10-91(b). Additionally, the undersigned subcontractor will forward notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of receipt. If the undersigned subcontractor receives notice that a sub-subcontractor has received an affidavit from any other contracted sub-subcontractor, the undersigned subcontractor must forward, within five business days of receipt, a copy of the notice to the contractor. Subcontractor 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 Subcontractor Name of Project Name of Public Employer

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

Executed on ______, ___, 202__ 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 ______________,202__.

NOTARY PUBLIC

My Commission Expires:

Sub-subcontractor Affidavit under O.C.G.A. § 13-10-91(b)(4)

By executing this affidavit, the undersigned sub-subcontractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services under a contract for (name of subcontractor or sub-subcontractor with whom such sub-subcontractor has privity of contract) and (name of contractor) on behalf of (name of public employer) 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 sub-subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned sub-subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the sub-subcontractor with the information required by O.C.G.A. § 13-10-91(b). The undersigned sub-subcontractor shall submit, at the time of such contract, this affidavit to (name of subcontractor or sub-subcontractor with whom such sub-subcontractor has privity of contract).

Additionally, the undersigned sub-subcontractor will forward notice of the receipt of any affidavit from a sub-subcontractor to (name of subcontractor or sub-subcontractor with whom such sub-subcontractor has privity of contract).

Sub-subcontractor 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 Sub-subcontractor Name of Project Name of Public Employer

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

Executed on ______, ___, 202__ 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 ______________,202__.

NOTARY PUBLIC

My Commission Expires:

Affidavit Verifying Status for County Public Benefit Application

By executing this affidavit under oath, as an applicant for the award of a contract with Rockdale, County Georgia, I __________________________. [Name of natural person applying on behalf of individual, business, corporation, partnership, or other private entity] am stating the following as required by O.C.G.A. Section 50-36-1:

1) ______ I am a United States citizen

OR

2) ______ I am a legal permanent resident 18 years of age or older or I am an otherwise qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older and lawfully present in the United States.*

In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code of Georgia.

Signature of Applicant: Date

Printed Name:

Alien Registration number for non-citizens

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

DAY OF , 202 .

Notary Public My commission Expires:

*Note: O.C.G.A. § 50-36-1(e)(2) requires that aliens under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended, provide their registration number. Because legal permanent residents are included in the federal definition of “alien”, legal permanent residents must also provide their alien registration number. Qualified aliens that do not have an alien registration number may supply another identifying number below.

ROCKDALE COUNTY

LOCAL VENDOR PREFERENCE

AFFIDAVIT OF ELIGIBILITY

Complete all areas below. Incomplete forms may be rejected.

l. LEGAL NAME OF FIRM:

Mailing Address: Physical Address (if different):

2. Year your business was established in Rockdale County:

3. Business License:

License Number: County

4. For transactions which require sales tax, provide the following Reseller information:

Reseller Permit Number: -------------

Enter the Company Name and Address as it appears on permit:

5. Does your business have more than one office in the State of Georgia?

Yes No

If Yes, specify the office location considered as the point-of-sale for sales tax purposes:

6. Was the local business required to pay business and/or real property tax for the most recent tax year?

Yes No

If Yes, did the local business pay any of this tax to Rockdale County?

Yes No

Under penalty of perjury, the undersigned states that the foregoing statements are true and correct. The undersigned also acknowledges that any person, firm, corporation, or entity intentionally submitting false information to the County in an attempt to qualify for local preference shall be prohibited from bidding on Rockdale County products and services for a period of one (1) year.

Authorized Signature: Date:

Printed Name & Title: Phone:

ITB No.25-19

SAMPLE CONTRACT

SUPPLY PARTS AND MAINTAIN INVENTORY AT THE WATER RESOURCES TATUM WAREHOUSE

AGREEMENT

Rockdale County reserves the right to revise this contract as deemed necessary as it is a sample.

This Agreement is made as of the day of , 2025, between…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .