Award Document

TITLE 50 NOTICE OF AWARD

GDOT-AP604 (rev 3/28/2022) Page 1 of 1

Solicitation Title/Event

Name: Cationic Asphalt Emulsions & Binders

Solicitation No/Event ID: 48400-DOT0002733

Solicitation Close/Event

End Date: 2/7/2023

Notice of Award Posting

Date: 4/18/2023

Issuing Officer: Eric Glaubman

Issuing Officer Contact

Information: EGlaubman@dot.ga.gov

The Georgia Department of Transportation has awarded contract(s) to the successful offeror(s) listed below. Although the Department will provide the reason(s) an offeror was not successful in accordance with Georgia law, please note that the reasons listed below beside the names of the unsuccessful offeror(s) should not be interpreted as an exhaustive list. NOTE: In the event any of the following is applicable, then all identified award amounts (if any) are estimates only: (1) this is an open agency contract and/or

(2) the Department has identified primary/secondary awardees. All protests must be submitted electronically via email to doas.protests@doas.ga.gov. Please reference the Georgia Procurement

Manual for the supplier protest process updated August 2020: http://doas.ga.gov/state-purchasing/law-administrative-rules-and-policies

SUCCESSFUL OFFEROR(S) CONTRACT TYPE CONTRACT AMOUNT

Southeast Emulsions, Inc Open Contract Estimated

Amount

$200,000.00

UNSUCCESSFUL OFFEROR(S) REASONS

Authorized Signature: ________________________________________________________

Title: Cationic Asphalt Emulsion & Binders

Event #: 48400-DOT0002733

Closing Date: 2/7/2023

Southeast Emulsions, Inc

Status Pass

3 Tax Compliance Form Pass

4 Certificate of Non-Collusion Pass

5 Georgia Security and Immigration Compliance Act Affidavit (eVerify) Pass

Cost Worksheet Pass

6 Georgia Resident Small Business Verification Form Pass

8 Addendum 001 Pass

Bid Factors

Communication with Issuing Officer By answering "yes", the bidder acknowledges the rule regarding restrictions on the supplier's communication with state staff members, including by not limited to the Commissioner, GDOT Board Members and Legislators. If a communication is questionable, the bidder agrees to contact the identified Issuing Officer to request assistance.

Pass

Please provide the following information for your company: Company Full Legal

Name Address Authorized Contact Person's Name Contact Person's Telephone

Number Contact Person's Email address

Pass

Please provide the following information for your company (Must be 2 different people): Authorized Person for Contract Signature Authorized Contact Person's

Name Authorized Contact Person's Telephone Number Authorized Contact

Person's Email address Authorized Person to ATTEST to Signature Authorized

Contact Person's Name Authorized Contact Person's Telephone Number

Authorized Contact Person's Email address

Pass

CHINA: A scrutinized company is any sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly owned subsidiaries, majority owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit owned or operated by the Government of China. The

Government of China means the People¿s Republic of China led by the Chinese

Communist Party. A scrutinized company is ineligible to submit a bid or proposal in response to this solicitation. False certification hereunder may result in a civil penalty in an amount that is equal to the greater of $250,000 or twice the amount of the contract for which a bid or proposal was submitted, contract termination, and any other penalties available under law, rule, regulation or policy. A. I certify my company is NOT a "scrutinized company" B. I certify my company is a "scrutinized company"

Pass

RUSSIA/BELARUS: A scrutinized company is any sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly owned subsidiaries, majority owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit owned or operated by the Government of Belarus or the Government of Russia. The Government of Belarus means the Republic of

Belarus, and the Government of Russia means the Russian Federation. A scrutinized company is ineligible to submit a response to this solicitation. False certification hereunder may result in a civil penalty in an amount that is equal to the greater of $250,000 or twice the amount of the contract for which a bid or proposal was submitted, contract termination, and any other penalties available under law, rule or policy. A. I certify my company is NOT a "scrutinized company" B. I certify my company is a "scrutinized company"

Pass

SUDAN: A scrutinized company is a company conducting business operations in

Sudan that is involved in power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, but excludes a company which can demonstrate any of the following exceptions noted in O.C.G.A.

Section 50-5-84. False certification hereunder may result in civil penalties, contract termination, ineligibility to bid on state contracts for three or more years, and/or any other available remedy. If the Supplier is a scrutinized company, the Supplier shall not be eligible to bid on or submit a proposal for a contract with the State Entity unless DOAS makes a determination in accordance with O.C.G.A. Section 50-5-84 that it is in the best interests of the State to permit the scrutinized company to submit a bid or proposal. Any scrutinized company desiring DOAS to make such a determination should contact both DOAS and the Issuing Officer immediately. A. I certify my company is NOT a "scrutinized company" B. I certify my company is a

"scrutinized company" C. I certify I have written permission from DOAS to bid

Pass

NON-COLLUSION Suppliers are required to download, complete, notarize and attach to this sourcing event the Certificate of Non-Collusion? Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/Documents/Maintena nce/CertificateofNon-Collusion.pdf

Pass

Tax Compliance Suppliers are required to download, complete and attach to this sourcing event the Tax Compliance Form found via the link below. Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/Documents/Maintena nce/TaxComplianceForm.pdf

Pass

Security and Immigration Compliance Act Affidavit Suppliers are required to download, complete, notarize and attach to this sourcing event the GA Security and

Immigration Compliance Act Affidavit Form found via the link below. Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/Documents/Maintena nce/ImmigrationAffidavit-EVERIFY.pdf

Pass

Previous Contracts In order to be eligible for award, the Offer must not have had a contract, agreement, RFQ, ITB, RFP, MOU/MOA, Purchase Order, or any other arrangement with any Government agency, office, department, board, bureau, commission, institution, or other entity terminated any reason other than convenience. Has any of the Offeror's previous GDOT and/or Government agency, office, department, board, bureau, commission, institution, or other entities contract or agreement ever been terminated any reason other than convenience?

Pass

If you identified your company as being a Georgia Resident or Georgia Resident

Small business, do you agree to price match the lowest vendor's price for this bid?

The ability to price match will only be granted to responsive and responsible bidders that are within 5% and $10,000 of the lowest responsive and responsible bid.

Pass

If you identified your company as being a Georgia Resident Small business, do you agree to price match the lowest vendor's price for this bid? The ability to price match will only be granted to responsive and responsible bidders that are within 5% and $10,000 of the lowest responsive and responsible bid.

Pass

If you identified your company as being a Small Business or a Georgia Resident

Small business, do you agree to price match the lowest vendor's price for this bid?

The ability to price match will only be granted to responsive and responsible bidders that are within 5% and $10,000 of the lowest responsive and responsible bid.

Pass

Georgia Based Are you a Georgia Based company as defined by the eRFQ

Instructions attachment?

Pass

PCard Payments Does your company accept Procurement cards as a method of payment?

Pass

Are you a Women-Owned business? A business that is at least 51% owned and controlled by one or more women, and primarily managed by one or more women.

Pass

Are you a Veteran-Owned Small business? Veteran-Owned Small Business as used in this provision means a small business that: (i) is at least 51% unconditionally owned by one or more veterans (as defined at 38 U.S.C 101(2)); or in the case of any publicly owned business, at least 51% of the stock of which is unconditionally owned by one or more veterans; and (ii) whose management and daily business operations are controlled by one or more veterans.

Pass

Minority Business Classification Are you a Minority Business as defined in the eRFQ Instructions attachment?

Pass

Have you read and do you agree to the Certificate of Independent Price

Determination and Certificate of Non-Collusion as stated in the eRFQ Instructions attachment?

Pass

20 Small Business Are you a Small Business? Pass

Secretary of State Active/Compliant

DOR Clearance Cleared

State Debarment and Suspension Check Pass

Federal Debarment and Suspension Check Pass

COMMENTS:

Prepared By: Eric Glaubman

Reviewed By: ____________________________

ADMINISTRATIVE REVIEW:

Mandatory Requirements Provided:

Responsibility Check