Accessories for 6 Patrol Inter

150 KB Posted

Attached to
Accessories for Patrol Interceptors (6 each) Amend
Solicitation number
23-112BPD
Issued by
Dodge County, Georgia

About this file

This is a sealed bid solicitation document issued by the City of Peachtree City, Georgia Purchasing Department for the purchase and installation of aftermarket accessories on six 2023 Ford Police Interceptor Utility vehicles in patrol configuration. The scope of work encompasses comprehensive equipment installation including lighting systems (Whelen light bars, surface mount units, and interior lights), siren and audio equipment (Whelen Cencom Core siren system with speakers), radar equipment (Kustom Radar Raptor RP1 with dual KA-band antenna), prisoner seating and cargo containment (Pro-Gard and Havis components), push bumpers, console equipment with laptop mounts and storage, and miscellaneous equipment such as power management systems, flashlights, and window deflectors. Bids were due by 3:00 p.m. on Tuesday, March 7, 2023, with a public opening immediately following at City Hall. The delivery deadline for all completed vehicles is thirty days from the date of vehicle acceptance. Bidders were required to provide transportation of vehicles to and from the installation facility, with payment due upon delivery of all completed vehicles.

Bidders must provide pricing on a per-vehicle basis and an extended base bid for all six vehicles, delivered and fully installed. All installation work must be performed by certified technicians and electrical specialists to maintain equipment warranties, with current certificates of status required as part of the bid package. A minimum one-year warranty on both parts and labor is mandatory. The City reserves the right to award the contract to the lowest responsible bidder, negotiate with the selected contractor post-award, and reject any or all bids. Contractors must comply with E-Verify requirements and the Immigration Reform and Control Act, provide a valid federal tax identification number, and ensure no conflicts of interest exist. No deviation from the specified equipment list is permitted without express written authorization from the Purchasing Agent, and all leftover materials, spare parts, and documentation become the property of the City upon vehicle delivery.

Text of this file

PURCHASING DEPARTMENT

151 Willowbend Road Peachtree City, GA 30269 Phone: 770-487-7657 Fax: 770-631-2505 www.peachtree-city.org

February 15, 2023

Ladies and Gentlemen:

The City of Peachtree City will be accepting sealed bids from authorized distributors and installers for the purchase and/or installation of aftermarket accessories for: SIX (6) 2023 Ford Police Interceptor Utility vehicles – Patrol configuration.

Bids will be received by Angela Egan, Purchasing Agent, at City Hall, 151 Willowbend Road, Peachtree City, Georgia 30269 until 3:00 p.m. Tuesday, March 7, 2023, at which time and place the bids will be opened and read aloud. Bids received after the set time will not be considered. All bids must strictly conform to the bid specifications.

Specifications and bid forms are available on the City’s web site at www.peachtree-city.org or upon request from the Purchasing Department at 770-486-4181.

Bids are to be submitted in a sealed envelope, with the name of the bid (Accessories #23-112BPD) clearly marked on the front. The date and time of the opening are also to be included, along with the name of the company submitting the bid. The bid made by any company or firm must be signed in the name of such company or firm in a legal manner by a duly authorized officer; and the principal place of business must be shown (no post office boxes).

No bids may be withdrawn for a period of ninety (90) days after the scheduled time to receive the bids. Any request for clarification must be submitted in writing (hand delivery, email, fax, or regular mail) to the Purchasing Agent by the close of business, five business days prior to the submission of bids. Any clarification issued will be in the form of an addendum to the bids instructions, plans, or specifications not later than seventy-two (72) hours prior to the time of submission of bids. Any addendums will also be placed on the City’s website at www.peachtree-city.org. It is the bidder’s ultimate responsibility to ensure that they have all applicable addenda prior to bid submittal. This may be accomplished via contact with the Purchasing Agent or by visiting the City’s website prior to bid submittal.

The City reserves the right to bid a project in phases and award the contract on the phases it deems to be in the City’s best interest.

The City will choose the lowest, best, responsible or responsive bidder(s). The City will exercise its discretion in awarding the contract to the bidder(s) who best satisfies the needs of the City. The City reserves the right to negotiate with the firm awarded the contract, after the contract is signed. The City also reserves the right to reject any and all bids and to waive any and all irregularities.

Bids will not be accepted from any person, firm, or corporation who is in arrears in any debt or obligation to the City of Peachtree City or any other governmental entity.

Sincerely, Angela Egan Purchasing Agent

ARE/BID- # 23-112BPD ACCESSORIES PATROL INTERCEPTORS (6)

Attachments http://www.peachtree-city.org/ http://www.peachtree-city.org/

SPECIFICATIONS

BID # 23-112BPD.

2022 Ford Police Interceptor Utility

AFTERMARKET ACCESSORIES AND INSTALLATION

SUBMITTED BY:

NAME OF FIRM: ______________________________ PHONE: _______________________________

BIDDER’S NAME: _____________________________ FAX: ________________________

ADDRESS: __________________________________ CELL:___________________________

EMAIL:_________________________________________________________

AUTHORIZED SIGNATURE: _______________________________________

This bid covers the purchase and/or installation of aftermarket accessories for: SIX (6) 2023 FORD POLICE

INTERCEPTOR UTILITY VEHICLES – PATROL CONFIGURATION.

The City expects to purchase a total of SIX (6) police pursuit vehicles from local dealers.

Bidder shall include all necessary costs to transport vehicles from either the Peachtree City Police Department or Public Works to the installation site. Bidders’ price shall also include all transportation costs to deliver vehicles to the City’s Public Works’ Facility after installation is complete.

VENDOR INFORMATION: Bidders shall indicate EXACTLY what they are offering in each one of the following blanks in the "BIDDER'S RESPONSE" column.

SUPPORTING DATA: Bidders must furnish catalog pages, specification sheets, or similar data to support statements made in BIDDER'S RESPONSE column. Failure to furnish required data, MAY BE CONSIDERED

AS CAUSE FOR REJECTION OF BID.

SPECIFICATIONS FOR 2023 FORD POLICE INTERCEPTOR UTILITY VEHICLES:

PATROL CONFIGURATION – NO SUBSTITUTIONS

REQUIREMENTS- PURCHASE &

INSTALL

DESCRIPTION/PART NUMBER BIDDER’S RESPONSE

LIGHTING

WHELEN 48” DUO LEGACY LIGHT BAR*

(1) EB8EEDD-WeCanX Front

(3) GBDLE

(1) GBDSE

(3) GBDLD

(1) GBDSD

Rear

(1) GBBTTMK

(2) GBDLM

(1) GBDSM

(2) GBDLK

(1) GBDSK

(1) GBA

(1) GSPHOTO

(1) MKAJ105

Rear driver’s side Red/White Corner red/amber inboard modules Red/Amber/Red GBBTTMK. Rear passenger side Blue/White Corner blue/amber in board modules, Blue/Amber/Red GBBTTMK. Front driver’s side Blue/White Corner, blue/white inboard modules, passenger side Red/White Corner, red/white inboard modules.

REQUIREMENTS-PURCHASE &

DESCRIPTION/PART NUMBER BIDDER’S RESPONSE

WHELEN TRIO ION SURFACE MOUNT

BLUE/RED/CLEAR – QTY 2 PER VEHICLE

PUSH BUMPER SIDES FACING

I3SMJC

WHELEN TRIO ION BLU/RED/CLEAR –

QTY 6 PER VEHICLE –

(4) MOUNTED ON PUSH BUMPER

CHANNEL, (2) MOUNTED ON TAG

I3JC

WHELEN ION V-SIERIES QTY-2

WIDE ANGLE-LOWER PIT WRAP

IONSV1B

BLUE

WHELEN WIDE ANGLE SURFACE

MOUNT RED/BLUE- QTY 2 PER VEHICLE

UNDER MIRROR

LINSV2B

BLUE

WHELEN UNDER MIRROR

BRACKETS

LSVBKT50

WHELEN ION TAG BRACKET IONBKT1

WHELEN STRIP-LITE PLUS- QTY 2

REAR QUARTER GLASS BLUE/RED

PSE02FCR

BLUE/ CLEAR

WHELEN STRIP-LITE PLUS- QTY 2

90* MOUNT PLATE

PSBKT90

DIAG C-PILLAR MOUNT

WHELEN ION T SERIES BLUE/RED –

QTY 2 PER VEHICLE – MOUNTED ON

REAR HATCH WHEN LIFTED

TLI2J

WHELEN VERTEX SPLIT LEDS

(RED/BLUE) – QTY 2 PER VEHICLE

TAILLIGHTS PREDRILLED

VHB3609J

WHELEN INTERIOR LIGHT – QTY 1 REAR

HATCH – INDEPENDENT SWITCH AT

REAR

PELCB

WHELEN CENCOM CORE SIREN SYSTEM.

INCLUDES CANPORT OBD. MUST

INCLUDE CCTLMIC

C399/CCTL6/C399K4

WHELEN WC EXPANSION MODULE

WECAN X

CEM16

WHELEN WECAN X EXTERNAL SIREN

AMPLIFIER

CEXAMP

WHELEN WECAN VEHICLE TO VEHICLE

MODULE

CV2V

WHELEN RoadPro Universal Cabin Speaker with Swivel Bracket

RPSP-15

SIREN

WHELEN SIREN SPEAKER AND

BRACKET - QTY 2

(2) SA315P/ (1)SAK66D&(1)SAK66P

WHELEN HOWLER HWLFE29

RADAR

KUSTOM RADAR WITH DASH MOUNT

GLUED ANTENNA MOUNTS

RAPTOR RP1, DUAL KA-BAND

ANTENNA, SAME DIRECTION

MOVING MODE, WIRED REMOTE,

SEPARABLE DISPLAY

EQUIPMENT

PRISONER SEATING

PRO-GARD POLY-CARB CENTER SLIDING W/

EXPANDED METAL INSERT, INCLUDES

RECESSED PANEL AND LOWER EXTENSIONS

2022 FORD UTILITY

PRPSP4714UINT20A

PRO-GARD STANDARD PLASTIC

TRANSPORT SEAT W/ POLY-CARB

WINDOW CARGO BARRIER, AND

OUTBOARD SEAT BELTS

S4702UINT20OSB

PRO-GARD CHARCOAL GREY ABS

FLOOR PAN 2022 FORD UTILITY

FP47UINT20

PRO-GARD POLY-CARB WINDOW

ARMOR

WBP47UINT20

PRO-GARD TRI-LOCK VERTICAL

PARTITION MOUNT, HANDCUFF KEY

GVPM4713D-H

HAVIS UTILITY TRUNK

STORAGE BOX

C-SBX-101

HAVIS UTILITY STORAGE

BOX MOUNT

C-SBX-101-KIT-5

HAVIS ADAPTOR PLATES PROKIT-2

PRO-GARD CARGO SECURITY COVER

2023 FORD INTERCEPTOR UTILITY

CARGO SECURITY COVER

REQUIREMENTS- PURCHASE &

DESCRIPTION/PART NUMBER BIDDER’S RESPONSE

PUSH BUMPER

WESTIN PIT BAR ELITE XD

PIT WRAPS

WHELEN 4 CHANNEL

36-2125, 36-2125PB,

36-2125W, 36-6005W4

CONSOLE EQUIPMENT

HAVIS SIDE MOUNT POLE C-HDM-204

HAVIS 11” SLIDE OUT LOCKING SWING

ARM W/ LOW PROFILE MOTION DEVICE

ADAPTER

C-MD-119

HAVIS UNIVERSAL LAPTOP MOUNT UT-1001

HAVIS 24” FLAT CONSOLE C-VS-0618-INUT

HAVIS INTERNAL CUP HOLDER CUP2-1001

HAVIS ACCESSORY BOX C-AP-0325

HAVIS SIDE MOUNTED FLIP UP

ARMREST

C-ARM-108

HAVIS 2 LIGHTER PLUG W/ USB C-LP2-PS1-USB

HAVIS BROTHER POCKJET PRINTER

MOUNT FOR FORD UTILITY

C-PM-124

HAVIS FILLER PLATES TO ENCLOSE

CONSOLE AND MOUNTING BRACKETS

FOR CENCOM LIGHT/SIREN CONTROL

AND KENWOOD VM7000 STANDARD

HEAD

MISC. EQUIP

D&R POWER MANAGEMENT *(see note) PDU-8S

STREAMLIGHT FLASHLIGHT SL-20LP LED - BLACK

TREMCO ANTI-THEFT DEVICE

THOR 600 WATT POWER INVERTER THPW600

HAVIS MIC CLIP BRACKET – QTY 2 PER

VEHICLE

C-MCB

MAGNETIC MIC – QTY 2 PER VEHICLE MAGNETICMIC.COM

WEATHERTECH WINDOW DEFLECTORS FRONT & REAR WINDOW

DEFLECTORS

ROOF MOUNT ANTENNAS – BLACK FOR

KENWOOD VM7000

ONE (1) VHF

ONE (1) 800 MHZ

INSTALLATION ONLY – EQUIPMENT TO BE SUPPLIED BY CITY

KENWOOD DUAL BAND RADIO 800MHZ

& ANTENNAS

VM7000

DELIVERY DATE THIRTY (30) DAYS FROM DATE OF

VEHICLE ACCEPTANCE

PICK UP AND DELIVERY OF VEHICLES FROM/TO PD FACILITY

PAYMENT UPON DELIVERY OF ALL

COMPLETED VEHICLES (NO

PARTIAL PAYMENTS)

WARRANTY PARTS ONE YEAR MINIMUM

WARRANTY LABOR ONE YEAR MINIMUM

*PDU to be mounted in easily accessible location. All accessories to be wired to the PDU with the exception of those accessories requiring direct battery connection per manufacturer instructions. All accessories to be wired to PDU with like gauge and color wire as the accessory being added. PDU to be clearly marked with added accessory name.

Installer to provide wiring schematic indicating ground locations as well as locations of fuses as permitted above.

Including Addenda ________________, the undersigned, having become thoroughly familiar with the terms and conditions affecting the performance and costs of the work, and having fully read and understood all bid documents, graphics, photographs and attachments and all particulars, hereby proposes and agrees to fully perform the work within _______ calendar days and in strict accordance with the Contract Documents, including furnishing any and all labor and materials, and to do all of the work in accordance with the Contract Documents for the following sum of:

VEHICLE WITH EQUIPMENT INCLUDED

BASE BID (DELIVERED) PER INTERCEPTOR UTILITY: $______________________

EXTENDED BASE BID (DELIVERED) INTERCEPTOR UTILITY: (QTY 6) $______________________

ALL BASIC REQUIREMENTS SHALL BE INSTALLED BY CERTIFIED TECHNICIAN(S)/SPECIALIST(S) AND A CERTIFIED ELECTRICAL TECHNICIAN/SHOP TO MAINTAIN ALL WARRANTIES ON THE EQUIPMENT INSTALLED.

CERTIFICATES OF STATUS SHALL BE CURRENT AND COPIES OF SAID CERTIFICATES SHALL BE INCLUDED IN BID PACKAGE AS WELL AS FINAL DELIVERY PAPERWORK PRIOR TO TAKING CUSTODY OF THE VEHICLES.

ABSOLUTELY NO DEVIATION FROM THESE BID SPECIFICATIONS MAY BE MADE WITHOUT THE EXPRESS

WRITTEN PERMISSION OF THE PURCHASING AGENT.

ALL LEFT OVER, UNUSED OR SPARE/EXTRA, INSTALLATION EQUIPMENT, PARTS, RESIDUAL PAPERWORK, INSTALLATION GUIDES, LABELS, LENSES, AND/OR MATERIALS PURCHASED THROUGH THIS BID, OR FROM MONIES PROVIDED BY THE CITY FOR THE PURCHASE OF EQUIPMENT, SHALL BE DEEMED TO BE THE PROPERTY OF THE CITY OF PEACHTREE CITY AND SHALL BE TRANFERRED TO THE CITY OF PEACHTREE CITY AT THE TIME OF DELIVERY OF THE VEHICLES. THIS SHALL INCLUDE, BUT NOT BE LIMITED TO EXTRA STOP STICKS, SPOTLIGHT BULBS, LED UNITS, ANTENNAS, CHARGERS, OWNER’S MANUALS, ETC.

ANY QUESTIONS, PROBLEMS, OR CONCERNS, NO MATTER HOW SEEMINGLY INSIGNIFICANT, MUST BE ADDRESSED IN WRITING AND A WRITTEN RESPONSE PROVIDED BY THE CITY BEFORE MODIFYING OR CHANGING ANY PART DESCRIBED, OR ANY INSTALLTION AS DESIGNATED IN THIS BID. ALL FUSES, CABLES, WIRES AND RELAYS SHALL BE LABELED AND COLOR CODED TO DENOTE THE USE FOR EACH WIRE. THIS SHALL

BE REFLECTED ON THE EVTM AND WIRING SCHEMATIC/DIAGRAM.

WARRANTY WORK SHALL BE COMPLETED AT THE POLICE DEPARTMENT, PUBLIC WORKS, OR OTHER LOCATION APPROVED BY THE CITY. AN ATTEMPT TO REPAIR OR CORRECT WARRANTY ISSUES SHALL BE

MADE WITHIN 3 BUSINESS DAYS AFTER NOTIFICATION.

BID CONDITIONS

1. CERTIFICATION. The Bidder hereby certifies that they have carefully examined all of the applicable Bid/Contract Documents for the material or service specified herein, understands the nature and scope of the work to be done, and that their Bid is based upon the terms, specifications, requirements and conditions. The Bidder further agrees that the performance time specified is a reasonable time. By their signature on the response to the bid or the bid Response Form, the Bidder certifies that their Bid is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a Bid for the same materials, supplies, or equipment, and is in all respects fair and without collusion or fraud, so that all Bids for the purchase will result from free, open and competitive bidding among all vendors. Further, the Bidder certifies that they understand collusive bidding/proposing is a violation of Federal law and can result in fines, prison sentences, and civil damage awards. The Bidder further certifies that they are authorized to sign this Bid for the Bidder.

2. CONFLICT OF INTEREST. By submission of a bid, the Bidder agrees that at the time of submittal, they: (1) have no interest

(including financial benefit, commission, finder’s fee, or any other remuneration) and shall not acquire any interest, either direct or indirect, that would conflict in any manner or degree with the performance of Bidder’s services, or (2) will not benefit from an award resulting in a “Conflict of Interest.” A “Conflict of Interest” shall include employment or elected office with Peachtree City or any of its component units. Bidders shall identify any interests, and the individuals involved, on separate paper with the response and shall understand that Peachtree City, at the discretion of the Purchasing Director in consultation with legal counsel, may reject their bid.

3. REBATES TO PEACHTREE CITY EMPLOYEES. Any employee or any official of the Peachtree City or any of its component units, elective or appointive, who shall take, receive or offer to take or receive, either directly or indirectly, any rebate, percentage of contract, money or other things of value, as in inducement or intended inducement, in the procurement of business, or the giving of business for, or to, or from, any person, partnership, firm or corporation, offering, bidding for, or in open market seeking to make sales to Peachtree City shall be deemed guilty of a felony and upon conviction such person or persons shall be subject to punishment or a fine in accordance with State and/or Federal laws.

4. BIDDER’S OFFER. The Bidder responding offers to furnish all materials, labor, supplies, equipment and incidentals necessary to provide the equipment/materials/services described herein and in any applicable related documents (e.g., Notification of Solicitation, Request for Information, Addenda, Contract, Bonds, Insurance, Plans, etc.). It shall be understood that the Bidder's sureties and insurers are subject to the approval of the City of Peachtree City.

5. DISCUSSION WITH BIDDERS. Peachtree City may award a purchase contract, based on initial offers received, without discussion of such offers. A Bidder’s initial offer should therefore be based on the most favorable terms available from a price and technical standpoint. Peachtree City may, however, have discussion with those Bidders that it deems in its discretion to fall within a competitive range. It may also request best and final offers from such Bidders, and make an award and/or conduct negotiations thereafter. The Peachtree City reserves the right to negotiate separately with any Bidder after the closing of this Bid when such action is considered in its best interest. Subsequent negotiations may be conducted, but such negotiations will not constitute acceptance, rejection, or a counteroffer on the part of Peachtree City.

6. CONTACTING PEACHTREE CITY PERSONNEL. Bidders shall make NO CONTACTS - either written or verbal - with any

Peachtree City employee or elected official, with the exception of the Purchasing Agent, during the period beginning with the issuance of this document through approval of award unless authorized herein. Any attempt by a vendor/Bidder to influence a member or members of the aforementioned may be grounds to disqualify the Bidder from participation in the selection process of this Bid.

7. RESPONSE SUBMITTAL. Return your signed Bid in a sealed envelope, marked with the Bidder name, Bid number, and Bid closing time and date. Bids shall be returned to the Purchasing Agent, Peachtree City, 151 Willowbend Road, Peachtree City, GA 30269, on or before the date and time specified. The time of receipt shall be determined by the clock in the City Hall lobby. Late Bids will not be accepted. A Public Bid opening will be held at the date and time stated in the bid or RFP. Peachtree City will not be held responsible for the failure of any mail/delivery service (e.g., U.S. Mail, hand-delivered, UPS, Federal Express, or other express mail delivery services) to deliver a Bid response prior to the stated Bid due date and time.

8. FACSIMILE RESPONSES. Peachtree City will NOT accept responses transmitted via facsimile unless stated to the contrary within this document.

9. PEACHTREE CITY RIGHTS. If determined to be in its best interest, the Peachtree City reserves the right to: (1) reject any Bid, if determined to be non-responsive in any form to this and/or related documents, (2) reject all Bids, (3) to accept any item or items in the Bids, and, (4) to waive any irregularity in the Bids.

10. SAMPLES. It shall be understood that ownership of all data, materials, and documentation prepared for and submitted to

Peachtree City in response to this Bids shall belong exclusively to Peachtree City and will be considered a record prepared and maintained or received in the course of operations of a public office or agency and subject to public inspection in accordance with the Georgia Open Records Act, Official Code Annotated, Section 50-18-70, et.seq., unless otherwise provided by law.

11. BIDDER EXPENSES. Peachtree City will not be responsible for any expenses incurred by any Bidder in the development of a response to this Request for Bid including any onsite (or otherwise) interviews and/or presentations, and/or supplemental information provided, submitted, or given to Peachtree City and/or its representatives. Further, Peachtree City shall reserve the right to cancel the work described herein prior to issuance and acceptance of any contractual agreement/purchase order by the recommended Bidder even if the City has formally accepted a recommendation.

12. LOWEST RESPONSIBLE BIDDER. Peachtree City interprets the term "lowest responsible Bidder" as requiring the Peachtree

City to determine which Bid is most suitable for its intended use or purpose. The Peachtree City can determine any differences or variations in the quality or character of the material, goods, wares, or services performed or provided by the respective Bidders. If there is any variance or conflict, the Bid specifications or requirements shall control.

13. PURCHASE ORDER. A purchase order constitutes the Peachtree City’s offer to the Bidder upon the terms and conditions stated herein, and shall become a binding contract on the terms set forth herein when it is accepted either by acknowledgment or performance. Peachtree City will issue a purchase order/contract for the acquisition of products/services specified as a result of an award made in reference to this document. Contract documents shall be subject to any regulations governed by the laws of the State of Georgia and any local resolutions specifically applicable to the purchase. Any dispute arising out of the contract documents or their interpretation shall be litigated only within the courts of the State of Georgia. Contracts entered into on the basis of submitted Bids are revocable if contrary to applicable law.

14. CONTRACTS. If applicable, the Bidder agrees to execute and deliver to Peachtree City a contract in accordance with the Contract

Documents (if applicable) within ten days of notice of the award to the Bidder. The Bidder agrees that the surety/deposit given concurrently herewith shall become the property of Peachtree City in the event the Bidder fails to execute and deliver such contract within the specified time. In the further event of such failure, the Bidder shall be liable for Peachtree City’s actual damages that exceed the amount of the surety

15. TAXPAYER IDENTIFICATION NUMBER. A valid federal tax identification number must be provided to the Peachtree City before any purchase orders can be issued and/or payments can be made.

16. TERMINATION. If the Bidder refuses or fails to make delivery of the services within the times specified herein or in the purchase order or contract, Peachtree City may, by written notice, terminate the purchase order OR contract.

CONTRACTOR AFFIDAVIT AND AGREEMENT

CITY OF PEACHTREE CITY

The City of Peachtree City and Contractor agree that compliance with the requirements of the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603 and O.C.G.A. 13-10-91 and Rule 300-10-1-.02 of the Rules of the Georgia Department of Labor (the Acts) is a condition of this Agreement for the physical performance of services.

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 Peachtree City has registered with and is participating in a federal work authorization program known as “E-verify” (web address https://e-verify.uscis.gov/enroll/) operated by the United States Citizenship and Immigration Services Bureau of the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603], in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91.

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 Peachtree City, 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 a substantially similar form. Contractor further agrees to maintain records of such compliance and provide a copy of each such verification to The City of Peachtree City at the time the subcontractor(s) is retained to perform such service.

EEV / Basic Pilot Program* User Identification Number Date Registered

BY: Authorized Signature Officer or Agent Date (Contractor Name)

Title of Authorized Officer or Agent of Contractor Printed Name of Firm

Printed Name of Authorized Officer or Agent

Subscribed and sworn before me on this the _____ day of ______________________, 20___

____________________________________ My Commission Expires:__________________ Notary Public Signature https://e-verify.uscis.gov/enroll/ 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 (SSA).

(End of Form) https://e-verify.uscis.gov/enroll/ https://e-verify.uscis.gov/enroll/

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