26_025 REMOVAL _ INSTALLATION OF (2) 500 GPM .pdf

BID #26-025

Floyd County Board of Commissioners Invitation to Bid

(Bid No. 26-025)

REMOVAL & INSTALLATION OF (2) 500 GPM VERTICAL

TURBINE PUMPS

BURNETT FERRY ROAD PUMP STATION

Issue Date: August 18, 2026

All communication concerning this project must be directed to the Purchasing Office before the bid is awarded. Vendors should not have contact with the Departments.

FLOYD COUNTY BOARD OF COMMISSIONERS

PURCHASING DEPARTMENT

#12 East 4th Ave. Ste. 106

ROME, GA 30161

(706) 291-5118

INVITATION TO BID

Date Issued: August 18, 2026

The Floyd County Board of Commissioners will be receiving bids from contractors through the Purchasing Department of Floyd

County Georgia, at #12 East Fourth Ave, Suite 106 Rome, Georgia 30161, until 11:00 A.M. legally prevailing time on

September 21, 2026, for the removal, replacement, and installation of:

REMOVAL & INSTALLATION OF (2) 500 GPM VERTICAL TURBINE PUMPS

Bid #26-025

Sealed bids for the removal and installation of the pumps are subject to the conditions and provisions set forth in this bid package. The bids will be publicly opened and read in the Purchasing Department, located at 12 E. 4th Ave., Suite 106. No extension of the bidding period will be made, and late bids will not be accepted. Bid tabulations will be posted within 24 hours of bid opening.

PRE-BID AND SITE VISIT: A Prebid/site visit is scheduled for Wednesday, September 2, 2026 at 10:00 AM. We will visit two sites. Morgan Dairy Road Pumpstation located at 151 Morgan Dairy Road, Cave Spring Ga. 30224. Burnett Ferry Road

Pumpstation which is located at 2308 Burnett Ferry Road Rome GA 30165. We will meet first at the Morgan Dairy Road site at 10:00 AM.

Provided below is the following bid schedule:

• Prebid/Site Visit: 9/2/26 @ 10:00 AM local time.

• Last day for questions: 09/14/26 @ 5:00 PM local time.

• Last day for addenda: 09/17/26 @ 12:00 PM local time.

• Bid opening: 09/21/26 at 11:00 AM local time.

The work will be awarded in one contract and shall conform in all respects to the Specifications contained in this bid package. The Bid Package is available for review in the office of the Purchasing Director of the Board of Commissioners of Floyd County, which is also the office of the undersigned. Said specifications and general conditions are open to the inspection of the public.

All forms, certifications and compliance documents required by Floyd County must accompany each bid. Including, but not necessarily limited to, compliance with the Georgia Security and Immigration Compliance Act OCGA 13-10-90 et.

seq. Contractor must complete and submit with bid, the Contractor Affidavit under OCGA 13-10-91(b)(1) included with contract documents.

Complete sets of documents and information may be downloaded from the https://floydcountyga.bonfirehub.com

All questions regarding this bid must be sent via email to Randy E. Self at randy.self@floydcountyga.org. Verbal questions and answers are not binding.

The right is reserved to the Board of Commissioners of Floyd County, Georgia to delay the award of the Contract for a period not to exceed sixty (90) days from the date of opening of bids, during which time bids shall remain open and not subject to withdrawal. The right is also reserved to the Board of Commissioners of Floyd County, Georgia to reject any and all bids and to waive any and all technicalities or informalities. Any contract executed pursuant to this notice shall be binding upon the Board of Commissioners of Floyd County, Georgia, as such, but will not create a liability expressed or implied, against any members of the Board of Commissioners of Floyd County, the Chairman of the Board, or employee of said

County, in his or her individual capacity.

The contract, if awarded, will be on a lump sum basis or individual item basis, whichever is in the best interest of the County.

No bid may be withdrawn for a period of 90 days after time has been called on the date of opening.

The County reserves the right to waive compliance by any applicant with any provision contained in this request whenever the

County in its sole discretion believes such waiver is in the County’s best interests.

Bids should be submitted electronically using https://floydcountyga.bonfirehub.com

Randy E. Self, MBA

Purchasing Director

Floyd County Board of Commissioners

FLOYD COUNTY GEORGIA

GENERAL TERMS AND CONDITIONS

INVITATION TO BID

1. CHANGES: No changes will be made to this invitation except by written modification by the County Purchasing Office.

Requests for interpretation or changes must be in writing, to randy.self@floydcountyga.org directed to the Floyd

County Purchasing Department and received at least (5) Five Calendar Days prior to the time set for opening of the bids.

Phone (706) 291-5118. All communication concerning this project must be directed to the Purchasing Office until the bid is awarded. All communication concerning this project must be directed to the Purchasing Office before the bid is awarded.

Vendors should not have contact with the Department.

2. FOB POINT: Bid Price to include shipping, packing, crating, and unloading at address in BID INSTRUCTIONS. Title to remain with vendor until fully accepted by the County. Goods damaged or not meeting specifications will be rejected and removed at vendor’s expense. Concealed damaged goods to remain the property of vendor until replaced or removed at

County’s direction.

3. RISK OF LOSS: Vendor agrees to bear all risk of loss, injury, and destruction of goods and materials ordered herein which occur prior to delivery to include concealed damage; and such loss, injury, or destruction shall not release vendor from any obligation.

4. BID ACCEPTANCE TIME: Bids requiring acceptance by the County in less than Sixty (60) calendar days could be rejected, unless so stated on BIDDER’S RESPONSE PAGE and accepted by the County.

5. BID IDENTIFICATION: All bids submitted because of this invitation must identify the Name, Bid #, Date and Time of opening.

6. WITHDRAWAL OF BIDS: Bids may be withdrawn by written request only, if the request is received prior to the time and the date set for the opening of bids. Negligence on the part of the vendor in preparing his bid confers no right of withdrawal or modification of his bid after bid has been opened. No bid may be withdrawn for a period of Sixty (60) days after time has been called on the date of opening.

7. BONDS: No Bonds are required for this project.

8. SITE INSPECTIONS: A Prebid/site visit is scheduled for Wednesday, September 2, 2026, at 10:00 AM. We will visit two sites. Morgan Dairy Road Pumpstation located at 151 Morgan Dairy Road, Cave Spring Ga. 30224. Burnett Ferry Road

Pumpstation which is located at 2308 Burnett Ferry Road Rome GA 30165. We will meet first at the Morgan Dairy Road site at 10:00 AM.

9. AWARD OF CONTRACT: Award will be made to that responsible bidder whose bid, conforming to the Invitation for Bid, will be most advantageous to the County; Price and other factors considered. The County reserves the right to waive compliance by any applicant with any provision contained in this request whenever the County in its sole discretion believes such waiver is in the County’s best interests. A written award mailed (or otherwise furnished) shall be deemed to result in a binding contract without further action by either party. Contract (s), if awarded, will be on a lump sum basis or individual item basis, whichever is found to be in the best interest of FLOYD COUNTY.

9.1: The vendor, in accepting this contract, attests that he is in compliance with the Nondiscrimination Clause contained in Section 202 of Executive Order 11246, as amended, relative to equal employment opportunity for all persons without regard to race, color, religion, sex, or national origin, and the implementing rules and prescribed by the Secretary of Labor, which is incorporated herein by reference.

10. EXCEPTIONS TO SPECIFICATIONS: Any award resulting from this invitation shall bind the bidder to all Terms, Conditions and Specifications set forth in this invitation. Vendors whose bids do not conform should so note on separate page if necessary and/or on the BID SCHEDULE. While the County reserves the right to make an award to a nonconforming bidder, when in the best interest of the County, such awards will not be readily made, and bidders are urged to conform to the greatest extent possible. No exceptions will be considered to have been taken by bidder unless it is properly set out as provided above.

No exception will be deemed to have been taken by the County unless incorporated in an award resulting from this invitation and so stated.

11. BID RESULTS: Interested parties may review and/or print BID TABULATION at https://floydcountyga.bonfirehub.com (go to messages and then to public notices) 24 hours after bid opening or request a tabulation from randy.self@floydcountyga.org .

12. PAYMENT: Payments will be made upon all items completed each month or completion of all work and acceptance by county on invoices submitted and approved by the proper county representative within (30) thirty days’ receipt of invoice unless paragraph 14 applies. Invoices are to be submitted to: Floyd County Purchasing, 12 East 4th Ave, Suite 106 Rome, Ga. 30161

12.1 Itemize all invoices in full. Mail the original invoice to the address above. A shipping or receiving ticket will be signed and a copy left with each delivery. Each invoice including receiving/shipping ticket is to include the following minimum information:

1. Date invoice is submitted; 5. County department;

2. Purchase order number; 6. Item(s) or service

3. Payment terms; 7. Quantity of each item or service

4. Date of transaction; 8. Bid price of each item or service with any discounts

Invoices received with any of the required information listed above missing may not be considered as a

“correct invoice”. All invoices submitted will be closely monitored for accuracy. Any invoice found to be incorrect will be returned to vendor for correction.

12.2 Vendor must furnish delivery receipt with invoice identifying that this order has been delivered in accordance with

Specifications, Quantities, and Price as set forth on the purchase order. A Floyd County employee’s signature must appear on the delivery receipt or invoice.

12.3 Items on this order are exempt from Federal Excise Tax and Georgia Sales and Use Tax. A certificate will be furnished if requested. FLOYD COUNTY is exempt from taxes, but the successful bidder shall pay all taxes required of him by law and FLOYD COUNTY cannot exempt others from tax.

12.4 Payment terms and provisions herein or otherwise found within the contract documents supersede all provisions of the Georgia Prompt Pay Act (House Bill 837; 13 O.C.G.A. Chapter 11 ET. SEQ.).

13. INQUIRIES REGARDING PAYMENT: All inquiries regarding payment of invoices are to be directed to

Accounts Payable (706) 291-5113 or Floyd County Commissioners, Attn: Accounts Payable, P.O. BOX 946, Rome, Georgia 30162

14. DISCOUNTS: Prompt payment discounts offered for a period of less than Fifteen (15) Days will not be considered in determining the low bidder on this invitation. However, such discounts, when offered, will be taken provided payment is made within the time specified. Time, in connection with discounts for prompt payments, will be computed from the date of acceptance of work for which payment is claimed, or the date the correct invoice is received by the County, whichever is later.

15. EXECUTION OF CONTRACT: Subsequent to the award, the successful bidder will be presented with a contract which may be in the form of a purchase order. Contract is to be executed within Ten (10) calendar days of “NOTICE OF AWARD” together with the required payment and performance bonds prescribed in Paragraph 7B. If the contract document is mailed, the date of presentation shall be deemed to be the postmark date. The successful bidder’s proposal and this Invitation for Bid shall be incorporated into the contract, except to the extent that this invitation conflicts with the contract, in which case the provisions of the contract shall take precedent.

16. CERTIFICATE OF INSURANCE: Successful bidder will be required to furnish a Certificate of Liability insurance in an amount not less than Five Hundred Thousand Dollars ($500,000.00) per occurrence to protect the County throughout the life of the contract against “ALL RISKS”. Coverage to include but not limited to General Liability: Comprehensive Form, Premises/Operations, Products/Completed Operations, Broad Form Property Damage, Personal Injury, and Automobile/Vehicle

Liability. Worker’s compensation and Employer’s Liability are to be statutory amounts. On all contracts for vehicle repair of any kind, the successful shall provide at least Five Hundred Thousand Dollars ($500,000.00) of Garage Liability insurance in addition to the insurance stated above. The Certificate must be furnished within Ten (10) calendar days of a “NOTICE OF

AWARD” being issued.

17. INCLUSION: All items and/or services standard, expected, necessary, and/or routine to such a project as this and not actually stated in this Invitation for Bid will be the responsibility of the successful bidder to provide at no other cost to the

County unless so stated on the successful bidder’s proposal as additional cost items and accepted by the County at the time of the award and/or contract.

18. REGULATORY AGENCIES: The successful vendor will be responsible for all required permits or license required by regulatory agencies of the City, County, State, or Federal Governments. Further, successful bidder will be responsible for meeting all requirements of any regulation (s) or guideline (s) of any of the said Governments or any independent agency recognized by said Governments as publisher of any such regulation (s) or guideline (s).

19. INDEPENDENT CONTRACTORS: The bidder represents to FLOYD COUNTY that he is fully experienced and properly qualified to perform the functions provided herein and that he is properly equipped, organized, and financed to perform such functions. The bidder shall finance his own operations hereunder, shall operate as an independent contractor and not as an agent of FLOYD COUNTY and nothing contained in this Invitation for Bid or a contract resulting from same shall be construed to constitute the bidder or any of his employees, servants, agents, or subcontractors as a partner, employee, servant, or agent of the County nor shall either party have any authority to bind the other in any respect; it being intended that each shall remain an independent contractor.

20. ASSIGNMENT OF CONTRACTUAL RIGHTS: It is agreed that the successful bidder will not assign, transfer, convey, or otherwise dispose of a contract that results from this invitation or his right, title, or interest in or to the same, or any part thereof, without written consent of the County.

21. STARTING TIME: Work will commence within stated calendar days after being issued a “NOTICE TO PROCEED” on the project and commence in a routine, orderly manner until completion and acceptance by the County.

22. INDEMNITY: Successful bidder agrees, if entering into a contract because of this invitation, to defend, indemnify, and hold harmless FLOYD COUNTY from all courses of action or claims of damages arising out of or related to bidder’s performance or actions or those of his employees or agents, under said contract.

23. TERMINATION: Pursuant to O.C.G.A. 36-60-13, if applicable, any contract resulting from this Invitation for Bid, if not sooner terminated pursuant to the provisions of termination contained herein, is terminable by the Board of Commissioners of

FLOYD COUNTY, Georgia on December 31 of each calendar year during the term of said contract, except that said contract shall be renewed automatically on such date, and without any lapse, unless positive action is taken to terminate said contract by the Board in a public meeting and such action entered in the Official Minutes of the FLOYD COUNTY Commission.

24. APPROPRIATION OF FUNDS: Initial contract and any continuation contract (s) will terminate immediately and absolutely at any such time as there are no appropriated and otherwise unobligated funds available to satisfy the County’s obligations under said contract (s).

25. CANCELLATION FOR CAUSE: Should either party fail to comply with the Terms and Conditions of this contract, the aggrieved party must give, in writing, to the other party any complaint for non-compliance to the Terms and Conditions of this contract. The other party shall have Fifteen (15) calendar days to correct the matter. If corrected to the satisfaction of both parties within the Fifteen (15) calendar days and stated in writing, then the contract will continue uninterrupted. Failure to correct the matter will result in termination of this contract at the end of Thirty (30) calendar days following the date of the initial letter of complaint.

26. LIQUIDATED DAMAGES: There will be liquidated damages in the amount of $750 per day for failure to complete the project within the specified start and completion date. Date to be specified after award to winning contractor.

27. ANTI-DISCRIMINATION CLAUSE: “FLOYD COUNTY does not discriminate against any person because of race, color, religion, national origin, or handicap in employment or service provided."

28. COMMODITY STATUS: It is understood and agreed that materials delivered shall be new, of latest design, and of first quality condition, that all bags, containers, etc., shall be new and suitable for storage; unless otherwise stated by FLOYD

COUNTY.

29: CONTRACT ITEMS: Items or services not listed in this contract are to be purchased according to purchasing rules and regulations of the county.

• County departments are not authorized to order any item or service not listed without satisfying said rules and regulations and having a separate purchase order issued to cover such a purchase.

• Vendors receiving contracts because of this invitation will be expected to consider this when accepting orders.

• Payment will not be made for any item not covered by this contract unless the stated Purchasing Rules and

Regulations have been met.

30: CHANGES TO CONTRACT: No change will be made to this contract except by written modification by the

Contracts Administrator whose name appears on the cover page. Additional items of the same brand and similar products required during the course of the contract, will be provided at like discounts to similar items on contract.

31: LITIGATION: The validity, interpretation and performance of this Agreement shall be governed and construed in accordance with the laws of the State of Georgia without regard to its conflict of laws rules and each party hereby submits to the exclusive jurisdiction of the state and federal courts of the State of Georgia and the Superior Court of Floyd County for purposes of any such proceeding relating to any claim or dispute arising hereunder.

32: LOCATION FOR DELIVERY OF GOODS OR EQUIPMENT: Per Purchase Order or Contract.

33: Bid Submissions: Complete and return all forms as required by publication on https://floydcountyga.bonfirehub.com.

I acknowledge that I have read and understand the General Terms and Conditions as stated above:

Signature

Printed Name

Company Name

CHECK LIST

Required Document for Submission

All documents listed below are required to be completed and submitted as one attachment under Required

Documents and scope of work on https://floydcountyga.bonfirehub.com. The pricing sheet should be submitted separately under Bid Pricing and not included with the required documentation.

___ Bidders Declaration Page

___ Vendor Information

___ Certificate of Non-Discrimination

___ Certificate of Non-Collusion

___ Contractor’s Affidavit/E-Verify (if you have 10 or more employees) (This is not an FID

Number)

___ S.A.V.E. Compliance (if you have 10 or less employees)

___ Drug Free Workplace Certificate

___ W-9

___ Bidders Addenda Acknowledgement

___ Certificate of Insurance (to be provided by winning submission within 10 days of award)

___ Pricing Sheet (to be scanned as a separate sheet in Bonfire)

The documents above are included within this Invitation to bid. Addendums will be available when issued.

BIDDERS DECLARATION

The bidder understands, agrees and warrants:

• That the bidder has carefully read and fully understands the full scope of the specifications.

• That the bidder has the capability to successfully undertake and complete the responsibilities and obligations in said specifications.

• That this bid may be withdrawn by requesting such withdrawal in writing at any time prior to September

21, 2026 at 11:00 AM (local time) but may not be withdrawn after such date and time.

• That Floyd County reserves the right to waive compliance from any applicant with any provision contained in this request whenever the County in its sole discretion believes such waiver is in the County’s best interests

• That by submission of this quote the bidder acknowledges that Floyd County has the right to make any inquiry or investigation it deems appropriate to substantiate or supplement information supplied by the bidder.

• That the accompanying bid is not the result of or affected by, any act of collusion with another person or company engaged in the same line of business or commerce, or any other fraudulent act punishable under

Georgia or United States law.

BIDDER:

Company Name: _________________________________________

Phone: _________________________________________________

Name Print: _____________________________________________

Signature: ______________________________________________

Email: _________________________________________________

Date: _________________________________________________

VENDOR INFORMATION

PROPOSAL FORM

TO: Floyd County Board of Commissioners – Purchasing Department

12 E 4th Ave. Rome, GA 30161 - via https://floydcountyga.bonfirehub.com/

BID PKG. 26-025 “REMOVAL & INSTALLATION OF (2) 500 GPM VERTICAL TURBINE PUMPS

BURNETT FERRY ROAD PUMP STATION”

Firm Name: ______________________________________________

All proposals submitted shall be subject to acceptance or rejection and the Floyd County Board of Commissioners specifically reserves the right to accept or reject any or all proposals, to waive any technicalities and formalities in the RFP process.

The undersigned understands that any conditions stated above, clarifications made to the above or information other than that requested should be under separate cover and to be considered only at the discretion of the Purchasing Department.

Contractor: _________________________________________

Address: ___________________________________________

City, State, Zip Code: _________________________________

Phone Number: ______________________________________

Email Address: ______________________________________

Print Name: _________________________________________

Signature: ___________________________________________

This proposal shall be signed by a representative who is authorized to contractually bind the contractor

Please Attach Company Contact’s Business Card (if possible):

CERTIFICATE OF NON-DISCRIMINATION

In connection with the performance of work under this contract, the bidder agrees as follows:

The bidder agrees not to discriminate against any employee or applicant for employment because of race, creed, color, sex, national origin, ancestry, or disability. The vendor shall take affirmative action to ensure that employees are treated without regard to their race, creed, color, sex, national origin, ancestry, or disability. Such actions shall include, but not be limited to the following: employment, upgrading, demotion, transfer, recruiting, or recruitment, advertising, lay-off or termination, rates of pay or other compensation and selection for training, including apprenticeship.

In the event of the bidder’s non-compliance with this non-discrimination clause, the contract may be canceled or terminated by Floyd County Board of Commissioners. The bidder may be declared, by Floyd County, ineligible for further contracts with Floyd County until satisfactory proof of intent to comply shall be made by the vendor.

The bidder agrees to include this non-discrimination clause in any sub-contracts connected with the performance of this agreement.

BIDDER ____________________________________

SIGNATURE ____________________________________

TITLE ____________________________________

CERTIFICATE OF NON-COLLUSION

By responding to this Solicitation, the supplier understands and agrees to the following:

1. That the submitted response constitutes an offer, which when accepted in writing by Floyd County, and subject to the terms and conditions of such acceptance, will constitute a valid and binding contract between the undersigned and Floyd

County; and

2. That the supplier has read the specifications and requirements shown or referenced in the solicitation and that the supplier’s response is made in accordance with the provisions of such specifications and requirements except as expressly stated otherwise in the supplier’s response; and

3. That the supplier guarantees and certifies that all items included in the supplier’s response meet or exceed all such stated specifications and requirements of the solicitation except as expressly stated otherwise in the supplier’s response; and

4. That, if awarded a contract, the supplier will deliver goods and or services that meet or exceed the specifications and requirements of the solicitation except as expressly stated otherwise in the supplier’s response, and

5. That the response submitted by the supplier shall be valid and held open for a period of one hundred and twenty (120) days (or such other period as identified in the solicitation) from the final solicitation closing date and that the response may be held open for an additional period subject to the supplier’s consent; and

6. That the supplier’s response is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a response for the same materials, supplies, equipment, or services and is in all respects fair and without collusion or fraud. The supplier understands and agrees that collusive bidding is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards; and

7. That the provisions of the Official Code of Georgia Annotated, Sections 36-91 have not been violated and will not be violated in any respect.

DO NOT MODIFY THE BID/PROPOSAL CERTIFICATION TERMS IN ANY WAY. THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED WITH YOUR RESPONSE.

(PLEASE PRINT OR TYPE):

Contractor’s Full Legal Name _________________________________________________

Authorized Signature: ________________________________________________________

Name and Title of Person Signing: ______________________________________________

Company Address: ___________________________________________________________

Phone: ________________________ E-MAIL: ___________________________________

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, firm or corporation which is engaged in the physical performance of services on behalf of Floyd County 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 (Please note this is NOT an FID number)

Date of Authorization of your Federal Work Authorization Number

Name of Contractor

Address of Contractor

Name of Project

___FLOYD COUNTY GEORGIA________________

Name of Public Employer

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

Executed on _________, ___ in 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:

(Notary Seal or Stamp Required)

SAVE COMPLIANCE AFFIDAVIT

O.C.G.A § 50-36-1(e) (2) Affidavit

By executing this affidavit under oath, as an applicant for a (n) Contract or Services, as referenced O.C.G.A. C. § 50-36-1, for Floyd

County Board of Commissioners, Georgia, the undersigned applicant verifies one of the following with respect to my application for a public benefit:

1) __________ I am a United State citizen.

2) __________ I am a legal permanent resident of the United States

3) __________ I am a qualified alien or non-immigrant under the Federal

Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency.

My alien number issued by the Department of Homeland Security or other federal immigration agency is:

The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided a copy of at least one secure and verifiable document, as required by O.C.G.A. § 50-36-1(e) (1), with this affidavit.

The secure and verifiable document provided with this affidavit can best be classified as:

___ Valid Driver’s License ___ Passport ___ Other: please list ___________________________

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 O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute.

Executed in _______________ (city), _____________ (state).

Signature of Applicant Name of Company

Printed Name of Applicant Street Address of Company

Title of Applicant City, State, Zip Code of Company

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

_______DAY OF __________________, 20______

NOTARY PUBLIC

My Commission Expires:

FLOYD COUNTY BOARD OF COMMISSIONERS

DRUG-FREE WORKPLACE CERTIFICATE

By signature on this certificate, the Vendor certifies that the provisions of O.C.G.A. Section 50-24-1 through

50-24-6 related to the “Drug-Free Workplace Act” have been complied with in full. The Vendor further certifies that:

1. A drug-free workplace will be provided for the Vendor’s employees during the performance of the contract; and

2. Each Vendor who hires a sub-Vendor to work in a drug-free workplace shall secure from the sub-vendor the following written certification: “As part of the subcontracting agreement with

(Vendor’s name), (sub-Vendor’s name) certifies to the Vendor that a drug-free workplace will be provided for the sub-Vendor’s employees during the performance of this contract pursuant to

O.C.G.A. Section 50-24-3(b)(7).”

By signature on this certificate, the Vendor further certifies that it will not engage in the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana during the performance of this contract.

Vendor: _______________________________________________________

By: ___________________________________________________________

Name Printed: __________________________________________________

Title: __________________________________________________________

Date: __________________________________________________________

SPECIFICATIONS

REMOVAL & INSTALLATION OF (2) 500 GPM VERTICAL TURBINE PUMPS

It is the intent of these specifications to describe the scope of work to be completed in order to remove and install two (2) 500 GPM Vertical Pumps, two (2) motors, and two (2) VFDs for our Burnett Ferry site.

SPECIFICATIONS 500 GPM PUMP

Floyd County will provide the following:

• (2) Vertical Turbine Groundfos 500 GPM pumps and motors.

• (2) VFDs in separate cabinets

• (2) 200 amp disconnect switches, one for each drive.

• (1) 400-amp panel with cover

Contractor Responsibility:

• To remove old pump system.

• To install new power panel drives, pumps, and motors.

• Coordinate with Georgia Power.

• Retain all permits & inspections if necessary.

• To provide all other material than what is listed above for installation.

• Tie in with our existing Scada system (programming supplied by Dorsett)

• Tekwell would be available for any drive issues and start up. (Tekwell supplied VFDs, pumps and motors).

• All piping changes

• All electrical work that is outside of what is provided.

• Disconnect and set out the existing switch gear (County will dispose)

• Contractor will provide a timeline for down time that must be reasonable and strictly followed. We cannot be down for weeks. We prefer minimal downtime.

BIDDERS ADDENDA ACKNOWLEDGEMENT

Bidder acknowledges receipt of the following addenda:

Addendum No. Date

Signed this _________day of _______________ 202___

Signature: ________________________________________________

Title: ___________________________________________________

Company: ________________________________________________