BID _24_018 ATTIC INSULATION FOR ADMINISTRATI.pdf

BID #24-018

Floyd County Board of Commissioners

Invitation to Bid (Bid No. 24-018)

Insulation of the Attic Space for the Floyd County Administration Building

Issue Date: April 12, 2024

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

FLOYD COUNTY BOARD OF COMMISSIONERS

PURCHASING DEPARTMENT

#12 East 4th Ave. Ste. 106

ROME, GA 30161

(706) 291-5118

INVITATION TO BID

Date Issued: April 12, 2024

The Floyd County Purchasing Department will accept Bids from qualified vendors at the Purchasing Department located at 12 East 4th Ave, Suite 106 Rome, Georgia 30161, until 11:00 A.M. legally prevailing time on May 2, 2024, for the following project:

Attic Insulation for the Floyd County Administration Building

Bid #24-018

A pre-bid meeting will be held on April 18, 2024, at 10:00 AM local time. Those contractors not able to attend will be able to view the site by calling Randy Self at 706-291-5118. The Pre-Bid meeting is not mandatory; however, it is the responsibility of the contractor to establish their own measurements for pricing purposes.

Provided below is the following bid schedule:

• Pre-bid: 04/18/24, 14 days prior to bid opening

• Last day for questions: 04/25/24, seven (7) days prior to bid opening

• Last day for addenda: 04/26/2024 six (6) days prior to bid opening

• Bid opening:05/02/2024 at 11:00 A.M.

Bid submissions will be opened and read in the Purchasing Department located at 12 E. 4th Ave., Suite 106. We will not allow any extension of the bidding period.

Additional copies of bidding documents may be obtained at www.floydcountyga.gov, email Randy E. Self at randy.self@floydcountyga.org or you may obtain a copy in person at the Floyd County Administrative Building, Purchasing Department, #12 East Fourth Ave, Suite 106, Rome, Georgia 30162. Please promptly request documents from the Purchasing Department.

If the Contract is awarded, it will be awarded to the responsive and responsible bidder whose bid shall have met all the prescribed requirements of the bid request. The low bid will be determined based on the sum of the base bid and any alternates selected by Floyd County.

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

The County reserves the right to waive compliance by any applicant with any provision contained in this request whenever the County in its sole discretion believes such waiver is in the County’s best interests.

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

Bill Gilliland, CPPB Purchasing Director

Floyd County Board of Commissioners http://www.floydcountyga.gov/ mailto:randy.self@floydcountyga.org https://floydcountyga.bonfirehub.com/

FLOYD COUNTY GEORGIA

GENERAL TERMS AND CONDITIONS

INFORMAL INVITATION TO BID

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

Requests for interpretation or changes must be in writing, to bill.gilliland@floydcountyga.org directed to the Floyd County Purchasing Department and received at least (5) Five Calendar Days prior to the time set for opening of the bids. Phone (706) 291-5118. All communication concerning this project must be directed to the Purchasing Office until the bid is awarded.

Vendors should not have contact with the Departments.

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

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

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

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

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

7. BONDS: NO BONDS REQUIRED

8. SITE INSPECTIONS: (If Applicable) Bidders should inspect the sites to ascertain the nature and location of work and the general conditions which could affect the work of the cost thereof. The County will assume no responsibility for representations or understandings concerning conditions made by its officers or employees unless included in this Invitation for Bid. While site inspections are not a mandatory requirement to submit a proposal, vendors are urged to schedule inspections to ascertain all the requirements of this invitation. A pre-bid meeting will be held. The pre-bid meeting is not mandatory but is strongly recommended. The pre-bid meeting is scheduled for 10:00 A.M. on April 18, 2024, Fourteen (14) days prior to the bid opening. Location of said meeting is at the Work Site which is located at 12 E. 4th Ave. Rome, GA 30161. We will meet at the Purchasing Offices, which is Suite 106.

Please Note: If you choose not to attend, vendors are responsible for getting their own measurements. The measurements provided in the scope of work are just an approximation of measure.

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

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

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

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

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

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

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

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

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

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

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

Invoices received with any of the required information listed above missing may not be considered as a “correct invoice”. All invoices submitted will be closely monitored for accuracy. Any invoice found to be incorrect will be returned to vendor for correction.

12.2 Vendor must furnish delivery receipt with invoice identifying that this order has been delivered in accordance with Specifications, Quantities, and Price as set forth on the purchase order. A Floyd County employee’s signature must appear on the delivery receipt or invoice.

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

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

mailto:randy.self@floydcountyga.org

13. INQUIRIES REGARDING PAYMENT: All inquiries regarding payment of invoices are to be directed to Accounts Payable (706) 291-5113 or Floyd County Commissioners, Attn: Accounts Payable, P.O. BOX 946, Rome, Georgia 30162

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

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

16. CERTIFICATE OF INSURANCE: Successful bidder will be required to furnish a Certificate of Liability insurance in an amount not less than Five Hundred Thousand Dollars ($500,000.00) per occurrence to protect the County throughout the life of the contract against “ALL RISKS”. Coverage to include but not limited to General Liability: Comprehensive Form, Premises/Operations, Products/Completed Operations, Broad Form Property Damage, Personal Injury, and Automobile/Vehicle Liability. Worker’s compensation and Employer’s Liability are to be statutory amounts. On all contracts for vehicle repair of any kind, the successful shall provide at least Five Hundred Thousand Dollars ($500,000.00) of Garage Liability insurance in addition to the insurance stated above. The Certificate must be furnished within Ten (10) calendar days of a “NOTICE OF AWARD” being issued.

17. INCLUSION: All items and/or services standard, expected, necessary, and/or routine to such a project as this and not actually stated in this Invitation for Bid will be the responsibility of the successful bidder to provide at no other cost to the County unless so stated on the successful bidder’s proposal as additional cost items and accepted by the County at the time of the award and/or contract.

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

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

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

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

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

23. TERMINATION: Pursuant to O.C.G.A. 36-60-13, if applicable, any contract resulting from this Invitation for Bid, if not sooner terminated pursuant to the provisions of termination contained herein, is terminable by the Board of Commissioners of FLOYD COUNTY, Georgia on December 31 of each calendar year during the term of said contract, except that said contract shall be renewed automatically on such date, and without any lapse, unless positive action is taken to terminate said contract by the Board in a public meeting and such action entered in the Official Minutes of the FLOYD COUNTY Commission.

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

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

26. LIQUIDATED DAMAGES: NONE

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

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

COUNTY.

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

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

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

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

Regulations have been met.

30: CHANGES TO CONTRACT: No change will be made to this contract except by written modification by the Contracts Administrator whose name appears on the cover page. Additional items of the same brand and similar product required during the course of the contract, will be provided at like discounts to similar items on contract.

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

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

Contractor Floyd County Board of Commissioners (Signature) (Signature) (Printed Name) (Printed Name) (Title) (Title)

BIDDER’S QUALIFICATION FORM

This document must be included as part of the Bid Submission. Failure to submit a fully completed and executed Bidder’s Qualification Form may be considered justification for rejection of the bid.

This Bidder’s Qualification Form is submitted with respect to the following project:

Invitation to Bid (Bid No. 24-018)

Attic Insulation of the Floyd County

Administration Building

GENERAL INFORMATION

Name of Bidder: ________________________________

Address of Bidder: ______________________________

Phone/Cell of Bidder: ____________________________

Email of Bidder: ________________________________

ORGANIZATIONAL BACKGROUND

Type of Organization:

[ ] Corporation [ ] Individual [ ] Partnership [ ] Joint Venture [ ] Other: __________________________

How long has your organization been in business?

A) As a Contractor? ______ Years B) As a Contractor engaged in construction work of the type proposed under this Contract? _____ Years

Does your company qualify as an ARPA vendor? [ ] Yes [ ] No If so, please provide your Unique Entity Identifier (UEI) that was assigned by SAM.gov:

UEI: ________________________ CAGE #: __________________

If the Bidder is a Corporation, Complete this section:

a. Date & State of Incorporation: ____________________________

b. Names & Titles of Officers:

If the Bidder is other than a corporation, describe the structure of your organization including the date of initiation as a business and list the principals involved:

What portions of the work (i.e. trades work items, etc.) included in the proposed contract will be performed by subcontractors?

WORK HISTORY

Attach or list the following information on similar projects, which your organization has completed in the past five (5) years. Name and type of project, owner, engineer, contract amount, date of completion. Attach additional sheets if necessary.

Attach or list the following information on similar projects, which your organization now has in progress.

Name and type of project, owner, engineer, contract amount, scheduled date of completion. Attach additional sheets if necessary.

Has your organization ever defaulted on or otherwise failed to complete any work under contract: If so, note the circumstances:

Has any officer, partner or principal of your organization ever been an officer, partner or principal of another organization that defaulted on or otherwise failed to complete any work under contract? If so, note the circumstances:

Provide the construction experience (length, type) of the principal individuals of your organization which would be assigned to perform the proposed work under this Contract:

REFERENCES

Bonding Company: _____________________________________________ Agent: _______________________________________________________ Bank: ________________________________________________________

Please provide three (3) references:

Company Name:____________________________________________________ Company Address: __________________________________________________ Telephone No.: _____________________________________________________ Contact Person: ____________________________________________________

Company Name:____________________________________________________ Company Address: __________________________________________________ Telephone No.: _____________________________________________________ Contact Person: ____________________________________________________

Company Name:____________________________________________________ Company Address: __________________________________________________ Telephone No.: _____________________________________________________ Contact Person: ____________________________________________________

CERTIFICATION

This Bidder’s Qualification Form has been prepared on behalf of the following organization:

Name of Organization: ____________________________________________ Name of Preparer: ________________________________________________ Type of Preparer: _________________________________________________ Date: __________________________

AFFIDAVIT

State of, ____________________ County of______________________ I, _________________________, being duly sworn, according to law, depose.

(Name of Official) and say that I am the ________________________, of the above organization, (position) and that the responses provided in the Bidder’s Qualification Form, including any attachments thereto are true and correct to the best of my knowledge and belief.

Sworn and Subscribed to before me __________________________________ (Signature of Official)

This ________day of _______________, 20____

Notary Public

CHECK LIST

___ Bid Price Submission Form (posted on https://floydcountyga.bonfirehub.com )

___ Bidders Qualification Form

___ Bidders Declaration Page

___ Certificate of Non-Collusion

___ Contractor Affidavit (E-Verify)

___ SAVE Compliance Affidavit

___ Drug Free Workplace Certificate

___ W-9

___ Bid Page(s) (include any specification pages if applicable)

___ Addendums (If any)

___ Appendix A – List of Subcontractors

BIDDERS DECLARATION

The bidder understands, agrees and warrants:

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

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

• That this bid may be withdrawn by requesting such withdrawal in writing at any time prior to 11:00 AM May 2, 2024 but may not be withdrawn after such date and time.

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

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

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

BIDDER:

Company Name: _________________________________________

Phone: _________________________________________________

Name Print: _____________________________________________

Signature: ______________________________________________

Email: _________________________________________________

Date: __________________________________________________

CERTIFICATE OF NON-DISCRIMINATION

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

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

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

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

BIDDER ________________________________________

SIGNATURE ____________________________________

TITLE __________________________________________

CERTIFICATE OF NON-COLLUSION

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

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

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

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

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

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

and

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

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

DO NOT MODIFY THE BID/PROPOSAL CERTIFICATION TERMS IN ANY WAY. THIS FORM MUST BE

COMPLETED, SIGNED AND SUBMITTED WITH YOUR RESPONSE.

(PLEASE PRINT OR TYPE):

Contractor’s Full Legal Name _________________________________________________ Date: _______________

Authorized Signature: ________________________________________________________

Name and Title of Person Signing: _____________________________________________________________________

Company Address: __________________________________________________________________________________

Phone: ________________________ FAX: ______________________ E-MAIL: _______________________________

Contractor Affidavit under O.C.G.A. § 13-10-91(b)(1)

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of Floyd County Georgia has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91. Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Numer

Date of Authorization

Name of Contractor

Address of Contractor

___Attic Insulation Project______________________ Name of Project

___FLOYD COUNTY GEORGIA____________________

Name of Public Employer

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

Executed on ________, ____ in 202__ in _____________________(city), ________(state).

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE ______DAY OF___________________, 202__.

NOTARY PUBLIC

My Commission Expires:

(Notary Seal or Stamp Required)

SAVE COMPLIANCE AFFIDAVIT

O.C.G.A § 50-36-1(e) (2) Affidavit

By executing this affidavit under oath, as an applicant for a (n) Contract or Services, as referenced O.C.G.A. C. § 50-36-1, for Floyd County Board of Commissioners, Georgia, the undersigned applicant verifies one of the following with respect to my application for a public benefit:

1) __________ I am a United State citizen.

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

3) __________ I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency.

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

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

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

In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute.

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

Signature of Applicant

________________________________ Printed Name of Applicant

________________________________Company Name

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

_______DAY OF __________________, 20______

NOTARY PUBLIC

My Commission Expires:

FLOYD COUNTY BOARD OF COMMISSIONERS

DRUG-FREE WORKPLACE CERTIFICATE

By signature on this certificate, the Vendor certifies that the provisions of O.C.G.A. Section 50-24-1 through 50-24-6 related to the “Drug-Free Workplace Act” have been complied with in full. The Vendor further certifies that:

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

2. Each Vendor who hires a sub-Vendor to work in a drug-free workplace shall secure from that sub-vendor the following written certification: “As part of the subcontracting agreement with (Vendor’s name), (sub-Vendor’s name) certifies to the Vendor that a drug-free workplace will be provided for the sub-Vendor’s employees during the performance of this contract pursuant to O.C.G.A. Section 50-24-3(b)(7).”

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

Vendor: _______________________________________________________

By: ___________________________________________________________

Name Printed: __________________________________________________

Title: __________________________________________________________

Date: __________________________________________________________

SPECIFICATIONS AND SCOPE OF WORK

BID #23-048

Insulation for the attic area Of the Floyd County Administration Building at 12 East 4th Ave, Rome Georgia 30161

The work consists of two areas that are in need of insulation. Area # 1 is Batt Insulation and Area #2 is

“Blown In” type insulation.

Area #1

The purpose for this Specification Scope of Work is to obtain competitive responsible bids for the Insulation of the Attic Space as needed. The Contractor is to provide all labor, tools, equipment, and materials for installation of Insulation of the attic space of the Floyd County Administration Building.

All areas not covered by sheet rock should be included in the area to be insulated. Insulation Batts should have an “R” value of 38.

Batt should be of good quality, unfaced, John Mansville, Owens Corning or equal.

Batts should be installed with an adequate number of insulation hangars to ensure that the Batts stay securely in place and do not sag over time. If the desired product is not available or there is a comparable product that can be used, please specify. We expect the specifications of the product to be at a minimum the same as desired product and proof of such should be included in the bid submission.

The contractor should work to make sure that all areas are covered, and no areas are left uninsulated.

The contractor is responsible for measurements and calculations.

The contractor is required to clean up and dispose of all work debris.

All work is to be done between the hours of 8am to 5pm daily.

The contractor should inform us of the number of days necessary for the work to be completed.

The contractor should submit and show their calculations for the number of Batts to be used. This should be included on the bid price submission form.

Please see Area #1 Photos Below

Area #2

Provide all labor, tools, equipment, and materials to insulate the sheet rocked attic area of the administration building with “blown in” type insulation. An “R” value of 38 should be provided.

The contractor should inspect the sheet rocked area and secure/re-screw any loose sheetrock.

The contractor should core the sheetrock in various locations to facilitate the insulating of all designated areas.

The insulation should be John Mansville, Owens Corning or equal.

The contractor is responsible for all field measurements and calculations.

The contractor is responsible for all clean up and disposal of all work debris.

The contractor should submit and show their calculations for the volume of blown in insulation to be used. This should be included on the bid price submission form.

Please see Area #2 Photos Below

1. A certificate of insurance must be provided before any work begins. Insurance must be in the amount of

$2,000,000.00 liability with the Floyd County Board of Commissioners shown as the additionally insured.

Bidder’s Response: __________________________________________________________________

2. The contractor must have Workers Compensation Insurance in accordance with the laws of the State of Georgia.

Bidder’s Response: __________________________________________________________________

3. All questions regarding this bid should be sent via email to Bill Gilliland at bill.gilliland@floydcountyga.org or randy.self@floydcountyga.org

4. The Contractor is responsible for the acquisition and cost of any permitting required for this Project.

mailto:bill.gilliland@floydcountyga.org

BIDDERS ADDENDA ACKNOWLEDGEMENT

Bidder acknowledges receipt of the following addenda:

Addendum No. Date

Signed this _________day of _______________ 202___

Signature: ________________________________________________

Title: ___________________________________________________

Company: ________________________________________________

APPENDIX A - LIST OF SUBCONTRACTORS

The following is the list of Subcontractors referenced in the Bid Form submitted by:

Bidder ___________________________

Dated ____________ and which is an integral part of the Bid Form.

The following work will be performed (or provided) by Subcontractors and coordinated by us:

WORK SUBJECT NAME