261009 HCP Pool Repairs.pdf

CITY OF BRUNSWICK, GEORGIA

REQUEST FOR PROPOSALS

October 2026

HOWARD COFFIN PARK

SWIMMING POOL REPAIRS

Project ID: RFP 2026-03

Request for Proposals Available: Friday, October 9, 2026

Proposals Due: Tuesday, November 17, 2026

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TABLE OF CONTENTS

1. Invitation to Service Providers 4

2. Background 6

3. Instructions to Service Providers 6

3.1 Intent 6

3.2 Examination 6

3.3 Determination of Successful Service Provider 6

3.4 Responsiveness 7

3.5 Proposal Form 7

3.6 Submission of Proposals 7

SECTION A – PROPOSAL SCHEDULE 7

SECTION B – INTRODUCTION 8

5.1 General 8

5.2 Purpose 9

5.3 Term of Contract 9

5.4 Use of Subcontractors 9

5.5 Addenda to RFP 9

5.6 Selection of Successful Service Provider 10

5.7 Cost of RFP Preparation and Negotiation 10

5.8 Disclaimer 10

SECTION C – SCOPE OF SERVICES 10

6.1 Pool Repairs 10

Main Pool 11 Zero Entry Pool 11 Plunge / Slide Pool 12

6.2 Pricing of Identified Repairs 12

6.3 Payment to Contractor 12

SECTION D – DOCUMENTS 12

7.1 Repair Costs and Pricing Index 12

7.2 Subcontractors 13

7.3 References 13

7.4 Proof of Insurance 13

7.5 Oath, Affidavits, and Drug-Free Workplace 13

SECTION E – EVALUATION FACTORS 14

SECTION F – GENERAL CONDITIONS 14

9.1 Notice of Award of Contract 14

9.2 Execution of Contract Documents 14

9.3 Indemnification 14

9.4 Notice to Proceed 15

9.5 Liquidated Damages 15

9.6 Payment for Labor and Materials 15

9.7 Attention to Work 16

9.8 Employee Safety 16

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FORMS, AFFIDAVITS, AND APPENDICES

Checklist of Required Affidavits 17

Reference Listing 18

Oath 19

Representation Affidavit 20

Contractor Affidavit (E-verify form) 21

Subcontractor Affidavit (E-verify) 23

Drug Free Workplace Certification 24

Statement of Insurance Coverage 25

APPENDIX A 26

Itemized List of Repair Pricing

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HOWARD COFFIN PARK POOL REPAIRS RFP

1. Invitation to Service Providers

The City of Brunswick, Georgia (the City) will accept sealed technical and fee proposals for swimming pool repairs at Howard Coffin Park as described in the attached schedules until 10:00 a.m. EST on Tuesday, November 10, 2026. Service providers are invited to submit proposals that meet the requirements of this Request for Proposals (RFP).

A pre-proposal meeting is scheduled for Wednesday, October 28, 2026, at 10:00 a.m. at the pool facility at 1402 Sonny Miller Way, Brunswick, Georgia 31520. Service providers planning to submit a proposal are strongly encouraged to attend. Questions or requests for clarification regarding the specifications must be submitted by email to the Capital Projects Manager, Tim Nelson at tnelson@cityofbrunswick-ga.gov by October 30, 2026.

The envelopes containing the proposal must be sealed, and addressed to:

Attention: Tim Nelson

Project Manager City of Brunswick – Public Works

525 Lakewood Avenue Brunswick, Georgia 31520

All proposals must be marked “Howard Coffin Park Swimming Pool Repairs RFP 2026-03”. The envelope must bear on the outside the name and address of the Service provider. No proposal may be withdrawn or modified after closing for a period of 30 calendar days.

Proposals will be publicly opened Tuesday November 10, 2026, at 10:00 a.m. at the City of Brunswick Public Works Admin Office at 525 Lakewood Ave, Brunswick, Georgia 31520. Only the name(s) of those service providers responding will be mentioned. All service providers are invited to be present during the proposal opening.

Proposals must be valid for ninety (90) days following the opening date.

The service providers’ response shall include a fee proposal with all other information requested in this Request for Proposal (RFP). The fees shall be the full cost to the City for the items listed in the scope of work, and the City

P a g e 5 | 26 may request additional information from proposers. The City also reserves the right to make independent investigations into the qualifications of each service provider, including calls or conversations with previous or existing customers.

The City anticipates making a single award; however, it reserves the right to make multiple awards should it deem it in the best interest of the City. Such an award, if any, is projected to be accomplished within sixty (60) days from the proposal opening.

The City reserves the right to reject any or all proposals, waive technicalities and make the award in the best interest of the City.

~End of This Section~

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2. Background:

The City of Brunswick, Georgia is located in the southeastern portion of Georgia in Glynn County, along the Georgia coast. Brunswick has approximately 17,000 residents. The city operates a recreation department including a swimming pool facility at the city’s largest recreation complex, Howard Coffin Park.

The Howard Coffin Park recreation and pool facility includes a large lap pool with diving board and diving well. The facility also includes a slide with slide pool and a zero-entry pool for small children. These pools are in need of various repair and maintenance activities, including surface (wall & floor) defects, tile and grout repairs, leaking expansion joints, and water supply and drain line repairs.

3. Instructions to Service Providers:

3.1 Intent

It is the city’s intent to select a service provider to accomplish all of the repair tasks outline in Section D – Scope of Services. If additional repair needs are identified during pre-project inspections and visits, those repairs shall be added to the Scope of Services through an addendum to this RFP. If additional repairs are found to be necessary after the contract is awarded, the cost of those repairs shall be negotiated between the city and the selected vendor.

3.2 Examination

The service provider is advised to examine all documents and current parameters of the pool facility and become fully informed as to their conditions. This includes attendance at the pre-proposal meeting on October 28 at the pool facility at 1402 Sonny Miller Way. Additional times and dates may be available for potential vendors to visit and examine the pool facility.

Interested vendors can arrange visits through Tim Nelson at tnelson @cityofbrunswick-ga.gov.

3.3 Determination of Successful Service Provider

The contract will be awarded, if awarded, to the most responsive

P a g e 7 | 26 and responsible Service Provider according to the criteria provided for in this RFP.

3.4 Responsiveness

The City will consider the degree to which each Service Provider has submitted a complete Fee Proposal without irregularities, excisions, special conditions, or alternative proposals for any item unless specifically requested in the RFP.

3.5 Proposal Form

Proposals shall be submitted on the Schedule Forms included herein. The Service Provider will submit an original and five (5) copies of their proposal.

3.6 Submission of Proposals

Proposals received after the scheduled bid opening time and date will remain unopened and will not be considered.

Proposals shall be clearly marked as “Howard Coffin Park Pool Repairs RFP 2026-03”. Addressed as Follows:

Attention: Tim Nelson Project Manager City of Brunswick

525 Lakewood Ave Brunswick, Georgia 31520

4. SECTION A – PROPOSAL SCHEDULE

ACTIVITY TIME DATE WHO DURATION

Advertise and distribute request 9:00 am Friday

October 9 City Day 1 for proposals Pre-Proposal Conference

(non-mandatory)

10:00 am

Wednesday October 28

City & Service Providers

Day 19

Deadline to Submit Written

5:00 pm Friday October 30

Service Providers

Day 21

Questions (via e-mail)

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Summary of questions and responses distributed

5:00 pm

November 4

City Day 26

Submission of Proposals

10:00 am

Tuesday November 10

Service Providers

Day 32

Review of Proposals

Wed. – Friday Nov. 11 – Nov. 20

City Day 33 - 42

Submit recommendation to Finance Committee

4:00 pm

Monday November 30

City Day 52

Submit recommendation to

Mayor and Board of

Commissioners

6:00 pm

December 2

City Day 54

Award Contract TBD TBD Mayor & Board of

Commissioners

TBD

5. SECTION B – INTRODUCTION

5.1 General:

The City is advertising for qualified service providers to provide repairs to the swimming pool facility at Howard Coffin Park for the City of Brunswick, Georgia.

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5.2 Purpose:

The City is issuing the RFP to secure repair services for the swimming pool facility including, but not limited to, the following tasks:

Identification and repair of a water leak at or near the expansion joint of the main pool;

Repair of tiles and plaster of pool walls and floors;

Repair of pool deck;

Repairs to plumbing seals, valves, fittings, chemical injectors and other appurtenances

A complete listing of the necessary repairs is included in Section D-

Scope of Services

5.3 Term of Contract:

The term of this contract shall be 90 days from Notice to Proceed. It is important to have all repairs complete in time to allow for health department and other necessary inspections prior to planned facility opening on Memorial Day 2027.

5.4 Use of Subcontractors:

It is understood that the primary service provider responding to this request for proposal may not have the capability to undertake all the tasks outlined in this RFP. The successful candidate may develop agreements with subcontractors in order to provide and manage the full scope of services requested by the City. If one or more sub-contractors are to be used, the subcontractor must be clearly identified and noted in the proposal when it is submitted. The City must approve any change in the use of subcontractors in advance and in writing. No such approval will be construed as making the City a party to such subcontract or subjecting the City to liability of any kind to any sub-contractor. No subcontractor under any circumstances will relieve the Contractor of its liability and obligation under any resulting contract.

Subcontractor is subject to the same contractual conditions as is the Contractor including all federal, state and local regulations and ordinances.

5.5 Addenda to RFP:

The City reserves the right to amend or clarify this RFP by addenda.

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All addenda issued will become part of the original or modified RFP document.

The addenda will be posted to the city website. The service provider must acknowledge receipt of each addendum, if any, in a cover letter accompanying their proposal.

5.6 Selection of Successful Service Provider:

The evaluation criteria describe the procedures for evaluating proposals submitted to the City. The City will select the service provider that best serves the interests of the Recreation Department and the City of Brunswick. The City reserves the right to waive any irregularities or inconsistencies in the submitted proposals and to reject any or all proposals.

5.7 Cost of RFP Preparation and Negotiation:

Service Providers participating in this procurement process will prepare the proposal and any subsequent materials and submittals at their own expense, with the express understanding that there may be no claims whatsoever for reimbursement from the City or its advisors for the cost associated with this process. The City reserves the right to terminate the proposal proceedings at any time.

5.8 Disclaimer:

The City and its advisors have, to the best of their knowledge, represented information and data that are current and applicable to this project. The City is providing the information contained herein as a courtesy to the service provider. The City and its advisors neither guarantee nor warrant the information contained in this RFP. It is the service provider’s responsibility to use this information and verify the same during the proposal, negotiation, and contract implementation periods through its own due diligence.

6. SECTION C – SCOPE OF SERVICES

6.1 Pool Repairs

The list of identified repairs necessary at the Howard Coffin Park swimming pool facility includes repairs at the main pool (lap pool), the zero entry pool (kiddie pool) and the plunge/slide pool. The repairs

P a g e 11 | 26 include both structural repairs at the pools as well as repairs to the plumbing facilities and the surrounding pool decks.

Main Pool (Lap Pool)

Repair leaking expansion joint Replace all waterline tiles and repair grout Repair cracked wall plaster at steps Full resurfacing of wall and floor following draining of pool & repair Replace cracked skimmers (14) Replace rope anchors Repair inside pool return discharge Replace Auto Fill Replace all Backwash valve seals Replace Filter Discharge seal Replace leaking 6” valve Replace leaking 8” – 90 degree fitting Replace pump Replace chemical injector probes (2) Replace Water Wheel Replace leaking line valve Replace filter sand Repair deck tiles and mortar as needed following repairs Surface treatment of entire deck (24,300 sq. ft)

Zero Entry Pool (Kiddie Pool)

Replace Waterline tile and grout New pool plaster coat Replace Return Valve seal Replace leaking Water wheel Replace chemical injector probes (2) Replace backwash line seal Replace safety caps at base mounts inside pool

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Plunge / Slide Pool

Replace main pump seals Replace chlorinator seal Replace chemical injector probes (2)

6.2 Pricing of Identified Repairs

The proposal responses shall include itemized pricing of the identified repair items. Appendix A includes a list of the repair items. The form shall be completed with pricing for each item and project totals and included as part of the RFP response.

6.3 Payment to Contractor

The Contractor may submit invoices or pay requests on a monthly basis for payment for items completed during the work period. Large items such as resurfacing or other lengthy tasks which are in progress but not completed at the time of the payment request may be paid on a percentage basis agreed upon by the Contractor and City’s project representative.

The payment request shall be reviewed by the City’s project representative and, when approved, submitted to City Finance Department for payment. Payment will be made to Contractor with 30 days of approval by project representative.

7.0 SECTION D - Documents

The following documents must be provided at a minimum in the response

7.1 Repair Costs and Pricing Index

Itemized list of repairs (Appendix A) with proposed pricing and project total

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7.2 Subcontractors

Responses shall identify subcontractors to be utilized on the project.

7.3 References

The service provider shall submit three (3) references of previous pool repair clients or customers. References may be public or private entities.

7.4 Proof of Insurance

The responses shall include proof of contractor’s insurance including worker’s compensation and liability insurance, at a minimum.

7.5 Oath, Affidavits, and Drug-Free Workplace

The responses shall include completed forms attached to this RFP. The required forms are:

Oath Representation Affidavit

Contractor’s Affidavit (E-Verify form) Subcontractor’s Affidavit (if applicable) Drug-Free Workplace Certification W-9 Form

The response will not be considered complete if these documents are not signed and included in the response.

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8.0 SECTION E - Evaluation Factors

It is the intent of the City to evaluate the proposals based primarily on price and to choose the service provider whose proposal best represents the best value to the City. References will be checked and responses will be used to confirm or deny a contractor’s ability to satisfactorily perform the work. Proposal evaluation factors shall also include experience with similar projects and ability to meet the intended project schedule.

The City reserves the right to waive any irregularities, reject any and/or all proposals, in whole or in part, when, in the opinion of the City such rejection is in the best interests of the City.

9.0 SECTION F – General Conditions

9.1 Notice of Award of Contract

As soon as possible, and within 30 days after receipt of proposals, the City will notify the successful service provider of its intent to enter into a contract agreement. Should the City require additional time to award a contract, the time may be extended by mutual agreement between the City and the successful service provider. If an Award of Contract has not been made within 90 days of the proposal opening date or within the extension mutually agreed upon, the service provider may withdraw its proposal without further liability on the part of either party.

9.2 Execution of Contract Documents

Within five (5) days after the City Commission’s approval, the City will furnish the successful service provider with the confirmed copies of the Contract Documents for execution. These documents shall be executed and returned the city within five (5) days.

9.3 Indemnification

The successful service provider will indemnify and hold harmless the City and its agents and employees from and against all claims, P a g e 15 | 26 damages, losses and expenses including attorney’s fees arising out of or resulting from the performance of services provided that any such claims, damage, loss of expense is attributable to bodily injury, sickness, disease or death, or due to injury or destruction of tangible property, including the loss of use resulting from, and is caused in whole or in part by any negligent or willful act or omission of the successful service provider and anyone directly or indirectly employed by the service provider or anyone for whose acts any of them may be liable. In any and all claims against the City or any of its agent or employees, by any employee of the provider, or anyone for whose acts any of them may be liable, the indemnification obligation shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for the successful service provider or under the Worker Compensation Acts, Disability Benefits Acts or other employable benefits acts.

9.4 Notice to Proceed

The Notice to Proceed shall be issued within ten (10) days of the execution of the Contract Agreement by the City and the vendor. If there are reasons why the Notice to Proceed should not be issued within this period, the time may be extended by mutual agreement between the City and the successful service provider. If the Notice to Proceed has not been issued within ten (10) days or within the period mutually agreed upon, the successful service provider may terminate the Contract Agreement without further liability on the part of either party.

9.5 Liquidated Damages

The City reserves the right to assess penalties in the amount of $1,000 per day for delays beyond the project schedule described above. The contractor will submit to the City schedules, reports, estimates, records and other data as the City may request concerning services performed or to be performed.

9.6 Payment for Labor and Materials

The contractor will pay and require his/her subcontractors to pay all accounts for labor including Worker’s Compensation premiums, State Unemployment and Federal Social Security payments and other wage and salary deductions required by law. The contractor also shall pay

P a g e 16 | 26 and cause his subcontractors to pay all accounts for services, equipment and materials used by him/her and his/her subcontractors during the performance of work under this contract. Such accounts shall be paid as they become due and payable. If requested by the City, the contractor will provide proof of payment of such accounts to the City.

9.6.1 Attention to Work

The contractor, acting through his representative, shall give personal attention to and shall manage the services so that they shall perform the services so that they shall be executed faithfully. When his/her representative is not personally present, his designated alternate shall be available and shall have the authority to act on the contract.

9.6.2 Employee Safety

The contractor alone shall be responsible for the safety of its employees and its subcontractor’s employees. The contractor shall perform the services in a manner which meets the City’s responsibility under statutory and common law for the provision of a safe place to work.

-End of This Section-

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AFFIDAVITS / FORMS CHECKLIST

Failure to return the following forms as part of your proposal document may result in rejection of proposal.

W-9

CLIENT REFERENCES

OATH

REPRESENTATION AFFIDAVIT

CONTRACTOR AFFIDAVIT & AGREEMENT

DRUG FREE WORKPLACE CERTIFICATION

SUBCONTRACTOR AFFIDAVIT & AGREEMENT

STATEMENT OF INSURANCE

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CLIENT REFERENCES

The City of Brunswick requests a minimum of three (3) references where work of similar size and scope has been completed.

1. Company Name __________________________________________________________

Description of Project _____________________________________________________

Completion Date _________________________________________________________

Contact Person __________________________________________________________

Telephone Number _______________________________________________________

E-Mail Address ___________________________________________________________

2. Company Name _________________________________________________________________

Completion Date _________________________________________________________

Contact Person __________________________________________________________

E-Mail Address _________________________________________________________________

3. Company Name __________________________________________________________

Completion Date _________________________________________________________

Contact Person __________________________________________________________

E-Mail Address _________________________________________________________________

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OATH

State of Georgia City of Brunswick I, ____________________________________ (name of individual), solemnly swear that in the procurement of the contract for the replacement of the Solid Waste Collection and Recycling Services, that neither I, nor any other person associated with me or my business, corporation or partnership, has prevented or attempted to prevent competition in the bidding or proposals of said project or from submitting a bid or proposal for this project by any means whatever.

Lastly, I swear that neither I, nor any other person associated with me, or my business, corporation or partnership has caused or induced any other bidder or proposer to withdraw his/her bid or proposal from consideration for this project. Said oath is filed in accordance with the requirements set forth in O.C.G.A.

§ 36-91-21 (e).

This _____ day of ____________________, 2026.

Name of Party

Corporate or Partnership Name

SWORN TO AND SUBSCRIBED

BEFORE ME THIS _____ day of ______________, 2026.

NOTARY PUBLIC: ________________________________________

My Commission Expires: ___________________________________

(SEAL)

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REPRESENTATION AFFIDAVIT

This proposal is submitted to The City of Brunswick, Georgia Board of Commissioners (City by the undersigned who is an authorized officer of the company and said company is licensed to do business in Georgia and The City of Brunswick. Further, the undersigned is authorized to make these representations and certifies these representations are valid. The Proposer recognizes that all representations herein are binding on the Company and failure to adhere to any of these commitments, at the City’s option, may result in a revocation of the granted contract.

Consent is hereby given to the City to contact any person or organization in order to make inquiries into legal, character, technical, financial, and other qualifications of the Proposer.

The Proposer understands that, at such time as the City decides to review this proposal, additional information may be requested. Failure to supply any requested for information within a reasonable time may results in the rejection of the Proposer’s proposal with no re-submittal rights.

The successful Proposer understands that the City, after considering the legal, financial, technical, and character qualifications of the Proposer, as well as what in the City’s judgement may best serve the public interest of its citizens and employees, may grant a contract.

The successful Proposer understands that this proposal is made without prior understanding, agreement, or connection with any corporation, firms or person submitting a proposal for the same, and is in all respects fair and without collusion of fraud. I understand that collusive Proposing is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards.

Any contract issued will be on the basis of the Contractor’s service and financial plans and arrangements are feasible and adequate to fulfill the conditions set forth in the City of Brunswick, Georgia Actuarial Services Request for Proposal and the successful Proposer’s response.

Company Name: ______________________________________________________________

Authorized Person: _________________________ Signature _________________________ (Print/Type) Title: _________________________________ Date: _________________________________

Address: _____________________________________________________________________

Telephone: ___________________________ Fax: ___________________________________

Name and telephone number of person to whom inquiries should be directed:

Name: _______________________________________________________________________

Address: _____________________________________________________________________

Title: ________________________________ Telephone: ______________________________

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CONTRACTOR AFFIDAVIT AND AGREEMENT

(Failure to submit will render Proposal non-responsive, you must use this form, you must be enrolled in this program, and you must include your user ID #)

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 contracting with The City of Brunswick has registered with and its participating in a federal work authorization program [Employee Eligibility Verification (EEV)/Basic Pilot Program, operated by the U.S. Citizens and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA)] in accordance with O.C.G.A. § 13-10-91.

Further, the undersigned contractor states affirmatively that the individual, firm, or corporation contracting with The City of Brunswick will continue to utilize and participate in the EEV federal work authorization program throughout the term of this contract.

The undersigned further agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services pursuant to this contract with The City of Brunswick, contractor will secure from such subcontractor(s) similar verification of compliance with O.C.G.A § 13-10-91 on the Subcontractor Affidavit provided in Rule 300-10-01-.08 or substantially similar form provided by The City of Brunswick. Contractor further agrees to maintain records of such compliance and provide a copy of each such verification to The City of Brunswick at the time the subcontractor(s) is retained to perform such service.

EEV Number

Authorized Officer or Agent (Contractor Name) Date

Title of Authorized Officer or Agent

Printed Name of Authorized Officer or Agent

SWORN AND SUBSCRIBED BEFORE ME

ON THIS _________DAY OF ______________________, 2026.

Notary Public

My Commission Expires: _________________________ (SEAL)

Note: As of the effective date of O.C.G.A. § 13-10-91, the applicable federal work authorization program is the “EEV/Basic Pilot Program” operated by the U.S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security in conjunction with the Social Security Administration (SS).

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GEORGIA SECURITY AND IMMIGRATION SUBCONTRACTOR AFFIDAVIT

Instructions:

In the event your company is awarded the contract for this project and will be utilizing the services of any subcontractor(s) in connection with the physical performance of services pursuant to this contract, the following affidavit must be completed by such subcontractor(s). your company must provide a copy of each such affidavit to the City of Brunswick, Purchasing Division, with the executed contract documents.

All subcontractor affidavit(s) shall become a part of the contract and all subcontractor(s) affidavits shall be maintained by your company and available for inspection by the City of Brunswick at any time during the term of the contract. All subcontractor(s) affidavit(s) shall become a part of any contractor/subcontractor agreement(s) entered into by your company.

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SUBCONTRACTOR AFFIDAVIT AND AGREEMENT

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 The City of Brunswick has registered with and is participating in a federal work authorization program [Employee Eligibility Verification (EEV)/Basic Pilot Program, operated by the U.S. Citizens and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA)] in accordance with the applicability provisions and deadlines established in O.C.G.A. § 13-10-91.

EEV/Basic Pilot Program User Identification Number

Authorized Officer or Agent (Contractor Name) Date

Title of Authorized Officer or Agent of Contractor

Printed Name of Authorized Officer or Agent

SWORN AND SUBSCRIBED BEFORE ME

ON THIS _________DAY OF ______________________, 2026.

Notary Public My Commission Expires: _________________________

(SEAL)

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DRUG FREE WORKPLACE CERTIFICATION

In order to have a drug-free workplace, a business shall:

Publish a statement notifying employees that the unlawful, manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specifying the actions that shall be taken against employees for violation of such prohibition.

Inform employees about the dangers of drug abuse in the workplace, the business’ policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

As a condition of working on the commodities or contractual services then under Proposal, the employee shall notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any State, for a violation occurring in the workplace no later than five (5) days after such conviction.

Impose a sanction on or require satisfactory participation in a drug abuse assistance or rehabilitation program if such in available in the employee’s community, by any employee who is so convicted.

Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements.

Company Name

Authorized Signature

Title Date

Address

Telephone

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STATEMENT OF INSURANCE COVERAGE

This is to certify that _____________________________________________________________________ (Insurance Company) of ___________________________________________________________________________________ (City/State) (Insurance Company Address) has issued policies of insurance, as identified by a policy number to the insured name below, and that such policies are in full force and effect at this time. Furthermore, this is to certify that these policies meet the requirements described in the General Conditions of this project; and it is agreed that the insurer will endeavor, if allowed by the policy, to provide the Owner thirty

(30) calendar days’ notice of nonrenewal, cancellation, or termination of the coverage. Such notice shall be delivered to:

The City of Brunswick Georgia Board of Commissioners, Purchasing Agent, 601 Gloucester Street, City Hall, Brunswick, Georgia 31520.

It is further agreed that The City of Brunswick Board of Commissioners shall be named as an additional insured on the Contractors policy.

1. Insured: ________________________________________________________________

2. Project Name: Howard Coffin Park Pool Repairs

3. Project Number: (if applicable) _________________________________________________

4. Policy Number(s): _________________________________________________________

SIGNATURE, AUTHORIZED REPRESENTATIVE: _____________________________________________________

DATE: ________________________________________________________________________________________

INSURANCE COMPANY: ________________________________________________________________________

ISSUED AT:

ADDRESS: ________________________________________________________________________

NOTE: Please attach Certificate of Insurance form to this page (Attach any endorsements)

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APPENDIX A

ITEMIZED REPAIR PRICING

Line Item Number Item Description Quantity Unit Unit Bid Price Amount

1 Repair Leaking Expansion Joint 1 Lump Sum

2 Replace all waterline tiles and grout 1 Lump Sum

3 Repair cracked wall plaster at steps 1 Lump Sum

4 Full Resurfacing of Wall and Floor 1 Lump Sum

5 Replace cracked Skimmers 14 Each

6 Replace Rope Anchors 1 Lump Sum

7 Repair Inside Pool Return Discharge 1 Each

8 Replace Auto-Fill 1 Each

9 Replace All Backwash Valve Seals 1 Lump Sum

10 Replace Filter Discharge Seal 1 Each

11 Replace Leaking 6" Valve 1 Each

12 Replace Leaking 8" - 90 degree fitting 1 Each

13 Replace Pump 1 Each

14 Replace Chemical Injector Probes 2 Each

15 Replace Water Wheel 1 Each

16 Replace Leaking Line valve 1 Each

17 Replace Filter Sand 1 Lump Sum

18 Repair Deck Tiles and Mortar following repairs 1 Lump Sum

19 Surface Treatment of Entire Deck 1 Lump Sum

Main Pool Total

Main Pool

Line Item Number Item Description

Plan Quantities Unit Unit Bid Price Amount

30 Replace Waterline Tile and Grout 1 Lump Sum

31 Plaster Coat entire pool 1 Lump Sum

32 Replace Return Valve Seal 1 Each

33 Replace Water Wheel 1 Each

34 Replace Chemical Injector Probes 2 Each

35 Replace Backwash Line Seal 1 Each

36 Replace Safety Caps at Base Mounts inside pool 1 Lump Sum

40 Replace Main Pump Seals 1 Lump Sum

41 Replace Chlorinator Seal 1 Lump Sum

42 Replace Chemical Injector Probes 1 Each

Zero Entry Pool

Zero Entry Pool Subtotal

Plunge / Slide Pool

Plunge / Slide Pool Subtotal

Item Number Item Description Bid Price

100 Main Pool

200 Zero Entry Pool

300 Plunge / Slide Pool

Subtotal

Contingency - 10%

Project Total

Project Total Cost