26-09-BID.pdf

ITB No.26-09

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ROCKDALE COUNTY FINANCE DEPARTMENT

PROCUREMENT DIVISION

958 MILSTEAD AVENUE

CONYERS, GA 30012

770-278-7557

INTRODUCTION:

This is an Invitation to Bid (ITB) for the purchase of Sand Dredging – Costley Mill Beach in Rockdale County.

Parks & Recreation Department seeks a qualified dredging contractor to perform mechanical and/or hydraulic dredging, sediment removal, and beach restoration services within the designated swimming area and adjacent waterfront access zones at Costley Mill Park. All work shall be completed in a manner that ensures safe public use, protects natural resources, and complies with all applicable federal, state, and local regulations.

Instructions for preparation and submission of a bid are contained in this packet. Bids must be typed or printed in ink.

The Contractor will furnish all products, tools, construction equipment, skill, and labor of every description necessary to carry out and to complete in a good, firm, substantial workmanlike manner for Sand Dredging Costley Mill Beach in accordance with the County’s Request for Proposal No. 26-09, incorporated herein by reference, (hereinafter called “Work”), and Contractor’s proposal dated attached hereto and made a part hereof, (hereinafter called “Proposal”). Contractor shall provide, at their expense, all vehicles and equipment necessary to provide this work.

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 Diane Randell, at diane.randell@rockdalecountyga.gov.

Rockdale County Finance Department Purchasing Division Attn: Diane Randell

958 Milstead Avenue Conyers, GA 30012

Phone: (770) 278-7557 E-mail: diane.randell@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 and One (1) Hard Copy 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.

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 One (1) year with Two (2) additional one-year terms, unless cancelled in writing 30 days before the end of current term.

mailto:diane.randell@rockdalecountyga.gov

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, August 20, 2026. Bids received after this time will not be accepted. Bidders are not required to attend bid opening.

PRE-BID CONFERENCE:

There will be a MANDATORY Pre-Bid Conference held at Costley Mill Park located at 2455 Costley Mill Road.

Conyers, GA 30013, at 10:00 AM., local time, Wednesday, August 5, 2026. 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 diane.randell@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 diane.randell@rockdalecountyga.gov or at the above address no later than 2:00 p.m., local time, on Thursday, August 13, 2026. 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.

http://www.rockdalecountyga.gov/ http://www.rockdalecountyga.gov/

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.

BRIEFINGS:

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.

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

(If hazardous substances are involved) Contractor’s Pollution Liability (with 1-year extended reporting period) Each Occurrence $1,000,000.00 Aggregate $2,000,000.00

Environmental Impairment Liability (with 1-year extended reporting period) Each Occurrence $1,000,000.00 Aggregate $2,000,000.00

General Liability $1,000,000.00

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

PERMITS:

The awarded contractor will be responsible for acquiring any permits that are required for this project/purchase.

Rockdale County will waive fees on all permits issued by Rockdale County.

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 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, Government, Finance, Finance Policies. 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 _X___ / will not ______ - apply to this ITB.

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.

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 number, ITB No. 26-09, must be written clearly on the outside of USB Flash Drive proposal envelope in order to avoid prior opening in error.

5. All USB Flash Drive proposals must be received and in-hand at proposal due date and time. Each proposer assumes the responsibility for having his/her proposal received at the designated time and place of proposal due date. USB Flash Drive Proposals 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. The Proposal Form submitted on the USB Flash Drive must be the first page and include the name of the business, mailing address, the name, title and signature of the person submitting the proposal.

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.

Technical:

The purpose of this project is to:

• Maintain safe swimming depths and hazard-free recreational areas

• Improve water quality, circulation, and clarity

• Reduce sediment accumulation caused by runoff, seasonal use, and storm events

• Preserve shoreline accessibility and beach usability

• Support ongoing park operations, events, and public recreation

Scope

• The contractor shall furnish all labor, equipment, materials, transportation, supervision, permits, and disposal required to complete the work. Services shall include, but are not limited to:

• Removal of accumulated sediment, silt, muck, displaced sand, and organic material from all County-designated dredge zones

• Removal of debris, vegetation, and underwater obstructions that impede swimming or waterfront access

• Mechanical or hydraulic dredging methods as approved by the County

• Regrading and shaping of beach entry zones to County-specified elevations

• Restoration of designated swim depths to County-approved profiles

• Redistribution of suitable on-site sand (if applicable) or placement of imported sand (if required and approved)

• Protection of adjacent infrastructure, shoreline vegetation, wildlife habitat, and park amenities

• Implementation of all required public safety, work zone, and water access control measures during operations

• Legal hauling, transport, and disposal of all dredged materials

• Disposal at a licensed and approved facility

• Documentation of disposal location, load quantities, and manifests submitted to the County

• Contractor shall provide all necessary equipment, which may include:

• Excavators (land-based or amphibious)

• Floating or barge-mounted dredging systems

• Pumps, piping, and dewatering equipment

• Hauling trucks and support vehicles

• Erosion control systems

• All equipment must be maintained in safe operating condition and suitable for the project environment.

Frequency – The County would like the contractor to provide recommended maintenance intervals based on site conditions and industry standards, and to provide separate line-item pricing for each service category:

1. Routine Maintenance Dredging

• Frequency:

• Purpose: Maintain safe depths, remove seasonal sediment, and preserve water quality

Contractor shall provide a recommended schedule based on observed sedimentation patterns

2. Major Restoration Dredging

• Frequency:

• Purpose: Restore original design depths and correct long-term sediment accumulation Contractor shall provide cost per event

Qualifications Contractors must demonstrate:

• Documented experience performing beach, lakefront, marina, pond, or waterfront dredging projects of similar size and complexity

• References for comparable completed projects

• Compliance with all applicable regulatory requirements, including:

o U.S. Army Corps of Engineers (if applicable) o Georgia Environmental Protection Division

The contractor shall provide:

• Pre-project plan including methods, equipment list, staging areas, and safety measures

• Pre- and post-dredging depth surveys (County-approved format)

• Daily progress logs

• Disposal documentation and manifests

• Final project report summarizing quantities removed, methods used, and site restoration

BID FORM – ITB No. 26-09 Instructions: Complete all THREE parts of this bid form.

THIS FORM MUST BE COMPLETED AND SUBMITTED WITH YOUR BID.

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

1. LUMP SUM $

2. $

3. $

4. $

5. $

6. Estimated Number of Days for Completion /Days

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

Executed on ______, ___, 202__ in _____(city), ______(state).

Signature of Authorized Officer or Agent

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

Executed on ______, ___, 202__ in _____(city), ______(state).

Signature of Authorized Officer or Agent

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:

REFERENCES

Instructions: Type or clearly print all information.

Reference #1

Name of Project Owner: ________________________________________________________________________

Project Description and Location: ________________________________________________________________

Contracted Dollar Amount: ______________________________________________________________________

Completed Dollar Amount: ______________________________________________________________________

Scheduled Completion Date: ____________________________________________________________________

Actual Completion Date: _______________________________________________________________________

Contact Person’s Name: _______________________________________________________________________

Contact Phone: ______________________________________________________________________________

Contact E-mail: _______________________________________________________________________________

Reference #2

Name of Project Owner: _______________________________________________________________________

Project Description and Location: ________________________________________________________________

Contracted Dollar Amount: ______________________________________________________________________

Completed Dollar Amount: ______________________________________________________________________

Scheduled Completion Date: ____________________________________________________________________

Actual Completion Date: _______________________________________________________________________

Contact Person’s Name: _______________________________________________________________________

Reference #3

Name of Project Owner: _____________________________________________________________________

Project Description and Location: ________________________________________________________________

Contracted Dollar Amount: ______________________________________________________________________

Completed Dollar Amount: ______________________________________________________________________

Scheduled Completion Date: ____________________________________________________________________

Actual Completion Date: _______________________________________________________________________

Contact Person’s Name: _______________________________________________________________________

Representative’s Signature: __________________________________ Date: __________________________

SUBCONTRACTORS

Instructions: Type or clearly print all information.

NAME, ADDRESS, & PHONE NUMBER

OF SUBCONTRACTOR

SUBCONTRACT WORK ITEM

DOLLAR VALUE OF

SUBCONTRACT WORK

1.

2.

3.

4.

5.

6.

Representative’s Signature: __________________________________ Date: __________________________

BIDDER’S CHECKLIST

__________ ONE (1) FLASH DRIVE and ONE (1) HARD COPY

(containing a copy in Adobe PDF format) of the following documents: all documents shall be fully completed, signed, and dated:

__________ Bid Form and Item Table (See Page 12)

__________ All Applicable Affidavit Forms (See Pages 13-18)

__________ Local Vendor Preference Policy (See Page 19)

__________ References (See Page 20)

__________ Subcontractors (See Page 21)

__________ Any Proposed Deviations from the Required Specifications, Including Necessary Explanations and Conditions

__________ Proof of Business License

The purpose of this checklist is to remind bidders of the documents generally required for the bid submittal. It is the bidder’s responsibility to include additional documents requested in the bid that may not be shown on the checklist, if applicable.