BL141-15 Page

September 26, 2022

INVITATION TO BID

BL114-22

The Gwinnett County Board of Commissioners is soliciting competitive sealed bids from qualified contractors for the Provision of Septic Tank and Lift Station Pumping, Maintenance, Installation, and Repair Services on an Annual Contract with Four (4) Options to Renew for various Gwinnett County departments.

Bids should be typed or submitted in ink and returned in a sealed container marked on the outside with the BL# and Company Name. Bids will be received until 2:50 P.M. local time on October 13, 2022, at the Gwinnett County Purchasing Office, 75 Langley Drive, Lawrenceville, Georgia 30046. Any bid received after this date and time will not be accepted. Bids will be publicly opened and read at 3:00 P.M. Apparent bid results will be available the following business day on our website, www.gwinnettcounty.com.

Questions regarding bids should be directed to Casey Beauston, Purchasing Associate II, at casey.beauston@gwinnettcounty.com or by calling 770-822-7995, no later than 3:00 P.M. October 6, 2022. Bids are legal and binding upon the bidder when submitted.

Successful contractors will be required to meet insurance requirements. The Insurance Company should be authorized to do business in Georgia by the Georgia Insurance Department and must have an A.M. Best rating of A-5 or higher.

Gwinnett County does not discriminate on the basis of disability in the admission or access to its programs or activities. Any requests for reasonable accommodations required by individuals to fully participate in any open meeting, program or activity of Gwinnett County Government should be directed to the ADA Coordinator at the Gwinnett County Justice and Administration Center, 770-822-8165.

The written bid documents supersede any verbal or written prior communications between the parties.

Award will be made to the services provider submitting the lowest responsive and responsible bid. Gwinnett County reserves the right to reject any or all bids, to waive technicalities, and to make an award deemed in its best interest.

Bids may be split or awarded in entirety. Gwinnett County reserves the option to negotiate terms, conditions, and pricing with the lowest responsive, responsible bidder(s) at its discretion.

Award notification will be posted after award on the County website, www.gwinnettcounty.com, and companies submitting a bid will be notified via email.

We look forward to your bid and appreciate your interest in Gwinnett County.

Casey Beauston Purchasing Associate II

The following pages should be returned as your bid: Company Information, Page 6 Bid Schedule, Pages 11-13 References, Page 14 Contractor Affidavit and Agreement, Page 15

Code of Ethics Affidavit, Page 16 List of Subcontractors, Page 17 http://www.gwinnettcounty.com/ mailto:casey.beauston@gwinnettcounty.com

BL114-22 Page 2

PROVISION OF SEPTIC TANK AND LIFT STATION PUMPING, MAINTENANCE, INSTALLATION, AND REPAIR

SERVICES

I. SCOPE OF SERVICES

The Scope of Services includes pumping, cleaning, inspection, maintenance, repair, and/or installation of septic tank or lift station systems, components, and fixtures as required by the County’s service requests. Contractor shall provide all labor, equipment, and materials necessary to satisfactorily complete the project. This is an on-demand contract. Annual quantities on bid schedule are estimates only. Quantities will vary depending upon need. Work may be performed at any Gwinnett County facility. Addresses and location maps can be viewed at our website, www.gwinnettcounty.com.

Types of services shall include but not be limited to:

1. Pumping of grease traps, septic tanks, and lift stations

2. Lift station and septic system repairs (to include, but not limited to: motors, power, plumbing, etc.)

3. Septic tank installation (see bid tab for size)

4. Drain field line installation and repairs

5. High-pressure jetting of septic tanks and lift stations piping

6. Lift station preventative maintenance (PM) pumps commercial system

7. Degreaser treatment and cleaning of pumps and floats at lift stations, to remove all grease and debris

(see bid tab)

II. QUALIFICATIONS

The qualifications and experience of the contractor are critical to the County. The selected contractor must have experience providing on demand services of a similar size and scope. Because of the nature and demands of the services required by the County, it is necessary that the selected contractor have a certain amount and size of septic pump trucks. We have established a benchmark that a responsible firm have a minimum of one (1) 4000-gallon pump truck and seven (7) 3000-gallon pump trucks in their local office. The selected contractor must be qualified to permit septic systems. The selected contractor must be certified by the Georgia Department of Public Health. The selected contractor must comply with all applicable laws and procedures pertaining to septic tank pumping and repairs. The County reserves the right to request additional information or make further investigations to determine the ability of the bidder to perform. All licenses must be active/current at the time of award and must be maintained throughout the contract period. No pending licenses will be considered.

III. SPECIFICATIONS

A. Hours of Service Regular hourly rates apply for services performed from 7:00 a.m. to 5:00 p.m., Monday through Friday.

Overtime hourly rates apply for services performed after-hours, weekends, and holidays. Recognized holidays:

New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.

Hourly labor rates shall begin when the personnel reach the service site and shall end when leaving the service site. The contractor shall keep a variety of tools and materials on hand at all times, to avoid unnecessary trips to and from the service site.

B. Emergency Service Request Procedures The contractor must respond to emergency calls on a 24/7 year-round basis. The contractor is required to respond to the initial call within one (1) hour. Repairs should begin within two (2) hours from the time of the initial service request.

BL114-22 Page 3

C. Non-Emergency Service Request Procedures Some departments may request estimates for services. These estimates should include labor, parts, and equipment costs and time frame for work. Final work schedule will be coordinated with county representative.

Some departments may request the contractor reply to the County representative with an estimate and work plan within one (1) business day of the receipt of the request; or if the value exceeds $3,000, a written estimate in the required format (per Attachment A) should be provided within three (3) business days.

Contractor shall provide estimates at no cost.

D. Limitation of Utilization of Personnel The contractor will typically be expected to use two (2) technicians for a routine service call. If the contractor anticipates using more than two (2) technicians for the service, the contractor shall obtain prior approval from the County representative before committing to the use of additional staff. Staff utilization on larger scale services with written authorization from the County shall reflect the staffing levels in the Contractor’s approved proposal.

E. Personnel Assigned to the Work There shall be at least one person, in a position of responsibility, representing the contractor on site at all times that is capable of translating from English to languages used by the work force. Personnel must have a professional and neat appearance.

F. Equipment The contractor shall be capable of supplying all equipment normally needed to perform the requested service. The County will reimburse equipment rentals at cost only, no markup allowed. All equipment rentals require pre-approval by authorized County staff. The use of an excavator or backhoe (owned or rented) must be approved prior to use on a service site.

G. Lift Station Preventative Maintenances Clean stations: vacuum/jet wet wells of grit and solids deposition, floatables, fats, oil, and grease.

H. Materials and Parts.

Materials and parts supplied shall be new, of a quality conforming to current engineering and manufacturing standards, free of defects, and suitable for the intended use. The County reserves the right to provide materials, parts, and supplies for any authorized work item. Any material purchased by the contractor and not used shall be returned to the appropriate county representative. Materials required will be listed on the invoice when submitted and charged at the stated percentage of mark-up over contractor’s cost. The contractor agrees to provide documentation of costs for parts and materials upon request.

I. Trip Charge Only one trip charge for repairs and pumping may be applied per service request to cover time in transit, time to pick up materials, or other trip-related items. Inspections and Preventative Maintenances must be included in the line item and not charged an additional truck or trip charge.

J. Work Sites Contractor shall adequately protect County property and take necessary precautions during the work process to protect all persons and/or property from damage or loss. Contractor shall adhere to industry standard safety rules, regulations, and requirements. Upon request, Contractor shall supply the County with their formal safety guidelines and procedures. Contractor shall keep work sites clean and free of debris, inspect the site daily, and will not leave the site without correcting any conditions caused by this work which would be hazardous to the public. Contractor will provide barricades, warning tape, and other means to protect the public from hazardous conditions while work is in progress.

BL114-22 Page 4

Contractor shall take precautions to prevent fires and facilitate fire-fighting operations. Contractor shall store flammable materials in non-combustible containers and store away from fire sources and shall remove flammable waste regularly from the work site. Contractor also shall carefully supervise operation of potential fire sources such as cutting and welding.

Damage to public and/or private property shall be the sole responsibility of the contractor and shall be repaired and/or replaced at no additional cost and to the satisfaction of Gwinnett County.

K. Waste Disposal Contractor shall dispose of all waste promptly in compliance with all federal, state, and local regulations.

L. Septic Pumping Septic tank should be pumped completely with no more than two (2) inches remaining in the bottom of the tank. Verification shall be given by an authorized County representative. If no County representative is on site, a picture shall be provided for verification.

M. Septic Risers When adding risers to septic tanks, a manhole cover shall be provided. No plastic covers will be allowed.

IV. QUALITY ASSURANCE

A. Applicable Industry Standards All repairs and installations shall be completed in accordance with the applicable State and Local sewage systems laws. When necessary, by codes or required by County personnel, contractor shall have work permitted and inspected by the appropriate code inspection and/or enforcing agencies.

B. Warranties The contractor shall warrant all materials and workmanship for one (1) year after the date of acceptance by the County. If any of the work is found defective or not in accordance with applicable codes and standards, the contractor shall correct work promptly, at no cost and to the satisfaction of the County.

Contractor shall provide the manufacturer’s warranties for any new fixtures and parts. The contractor shall provide this warranty information with its Service Report/Invoice whenever applicable.

C. Financial Recordkeeping The contractor is required to maintain a complete set of records, including all supporting cost documentation and service correspondence for all work performed under this agreement for the life of the contract and one

(1) year thereafter.

V. REPORTS AND INVOICING

A. Service Report/Invoice Each completed service request shall be documented by a contractor Service Report. The contractor Service Report should include, at a minimum, the following information:

• Purchase Order Number

• Service Request Tracking Number

• Location of Services – Facility Name/Address

• Date(s) of Service

• Description of work performed

• Personnel – (indicate the individuals assigned, rates, and hours worked for each day)

• Parts and Materials - Description, quantity, cost, mark-up (including any physical receipt or invoice if requested)

BL114-22 Page 5

• Trip Charge

• Total Cost

The contractor shall submit invoices to the Gwinnett County Department of Financial Services, Treasury Division, 75 Langley Drive, Lawrenceville, Georgia 30046 or disbursements@gwinnettcounty.com.

B. Contract Value Neither the Department of Community Services, nor any other departments, either individually or collectively, will be required to purchase any minimum amount during the term of this contract; nor will they be limited individually, or collectively, to any maximum amount during the term of this contract. Thus, the contractor may expect no set minimum or maximum payment amount under this contract.

C. Security Clearance A security clearance is required at some facilities. A Gwinnett County Government Consent Form is required for each employee. A criminal history will be run and approved prior to employee working at these locations. Once approved, the County will issue a County Identification/Access Card to be worn by the employee whenever providing services on County property. The contractor shall insure that the Identification/Access Cards are returned to the County when individuals leave the company’s employ and when the contract ends. The contractor must provide the following for each employee for which it is seeking authorization and clearance:

A copy of the Department of Homeland Security I-9, Employment Eligibility Verification for the person for whom authorization is sought. This form shall be the form submitted by the employee at the start of his or her employment with the firm.

A copy of an unexpired and acceptable Document of Identity as listed in the I-9 Form Instructions regarding Employment Eligibility Verification.

(If applicable) a copy of an E-Verify Program form for the person for whom authorization is requested. This form must have the notation “Resolved/Authorized” in the Resolution Section. This requirement applies to employees hired since January 1, 2008.

A signed County Consent Form authorizing the County to run a criminal history check on the person for whom authorization is requested.

If these materials are not provided in full, the contractor will be notified that the subject employee cannot be considered. If the review of information indicates fraudulent documents, criminal history, or any cases pending in the Gwinnett County Court system, the subject employee also will be rejected. For all employees who provide complete documentation and receive security clearance, the County will provide authorization to work under the contract and will issue County Identification/Access Cards with photographic images. The employee must wear the Identification/Access cards whenever providing services on County property. The contractor shall insure that Identification/Access Cards are returned to the County when individuals leave the company’s employ, and when the contractor’s services end.

D. Insurance The contractor must submit and maintain a Certificate of Insurance throughout the contract per the attached requirements.

VI. REFERENCES

Provide three (3) references demonstrating successful commercial septic tank/lift station pumping experience with an on-demand services contract of a similar size and scope. All references must be for services provided within the past five years. Reference information must be accurate and complete. Contact person must have direct knowledge of your firm’s experience.

mailto:disbursements@gwinnettcounty.com

BL114-22 Page 6

COMPANY NAME __________________________________________________________________________________________

FAILURE TO RETURN THIS PAGE AS PART OF YOUR BID PACKAGE MAY RESULT IN REJECTION OF BID.

VII. COMPANY INFORMATION

1. Years in Business:

2. Number of Employees:

3. Number in Plumbing Trade:

4. Number of Fleet Vehicles:

5. Any Shop Locations (Other than Main Office):

6. Large equipment owned by your company:

VIII. EMPLOYEE QUALIFICATIONS

Provide a list of all employees who will be working under this contract on a separate sheet of paper. Licenses will be verified with the State of Georgia. Licenses must be maintained throughout the contract period. Include:

Name:

Education:

Years of Experience:

License/Certification:

License Number:

BL114-22 Page 7

Department of Fire and Emergency Services – Lift Station Locations, Comments, and Semi-Annual Service

Needs Lift Station Location Comments Month of Service

Fire Station #07 3343 Bunten Rd

Duluth, GA 30096

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #08 2295 Brannan St

Grayson, GA 30017

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #18 1515 Mineral Springs Rd

Hoschton, GA 30548

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #22 2180 Stone Dr

Lilburn, GA 30047

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #23 4355 Steve Reynolds Blvd

Duluth, GA 30096

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #29 2800 Thompson Mill Rd

Buford, GA 30519

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Fire Station #30 1052 Ozora Rd

Loganville, GA 30052

Dual pumps commercial system.

Degreaser treatment. Clean pumps and floats of buildups.

April October

Department of Fire and Emergency Services – Septic System Locations, Comments, and Quarterly Service

Needs Septic System Location Size and Maintenance

Requirement Month of Maintenance and/or

Service Fire Station #03

4394 Five Forks Trickum Rd Lilburn, GA 30047

One 1000-gallon tank, requires semi-annual pumping

January April July

October

Fire Station #17 2739 Brooks Rd

Dacula, GA 30019 One 1000-gallon tank, requires semi-annual pumping

January April July

October

Fire Station #18 1515 Mineral Springs Rd

Hoschton, GA 30548 One 1000-gallon tank, requires semi-annual pumping

January April July

October

Fire Station #30 1052 Ozora Rd

Loganville, GA 30052 One 1000-gallon tank, requires semi-annual pumping

January April July

October

BL114-22 Page 8

Department of Community Services – Septic System Locations Park Name Comments/Locations within Park

Elisha Winn Site – Comfort Station Below tall wall directly behind comfort station.

Georgia Pierce Park Adult softball near building between fields.

Harbins Park – Office House Behind master bedroom with pump to drain field.

Lenora Park Behind baseball concession in grass on maintenance shop side.

Behind comfort station at edge of concrete.

Little Mulberry Park

Fence road, two tanks located in grass on other side of walking trail.

One tank behind comfort station at disc golf.

One tank on left side of building.

One tank with pump behind split rail at comfort station bike parking.

McDaniel Farm Park

Two tanks between comfort station and archie's garden on historic side.

Programming office on historic side- near front porch.

Behind house in field near drive cattle gate.

Tribble Mill Park

One large tank with two lids, one tank for holding liquid, left of bathroom in concrete.

Oak comfort station - one tank, one lift station with pump behind building.

One tank, behind & left of maintenance shop behind fence.

Yellow River Park One tank, left side of comfort station at bike parking.

One tank, in front of restroom doors across sidewalk -main comfort station at pavilion.

Department of Community Services – Lift Station Locations

Park Name Comments/Locations within Park Bryson Park E/One system behind comfort station at playground.

EE Robinson Park – Multi-Purpose Between parking lot and football field at the very far end of the football field.

Graves Park Below splash pad - holds for restroom and guard house.

Harbins Park

Behind comfort station at bike parking.

Flygt system beside sidewalk to the right at parking lot in far right of park.

Flygt system behind comfort station near river channel.

Harmony Grove Soccer Complex Small pit and pump with force main. In grass, near manhole at end of concrete on the old maintenance shop side of the building.

JB Williams Park

Front of park, left of drive entrance. Pumps across street and down Five Forks to manhole near front entrance of Mountain Park Park, and then down towards pond behind maintenance shop to sewer.

Rabbit Hill Park Flygt system in parking lot to the far left of the comfort station at upper soccer.

Rhodes Jordan Park E/One system in grass behind lakeside comfort station.

Rock Springs Park – Football Field Flygt system near dumpster near concession.

BL114-22 Page 9

Rock Springs Park – Tennis Courts Flygt system behind comfort station near playground/pavilion.

Simpsonwood Park

Behind comfort station. It is residential pump and canister that pumps across street from comfort station, then runs parallel to road through woods and manholes to a manhole near chapel. It then has another pump that pumps from that manhole into another nearby manhole, then gravity takes over from there.

BL114-22 Page 10

SAMPLE

ATTACHMENT A

GWINNETT COUNTY

PLUMBING SERVICE AND/OR REPAIR REQUEST AND AUTHORIZATION

Service Information (to be completed by Department Staff personnel)

Service Request No.

Location

Job Description

Other Information

Requested By

Date Requested

Services Required (to be completed by Contractor)

Contractor Job#

Details of Job

COST ESTIMATE

LABOR COST

Times & Dates of Service Staff Hours/Rate Cost

Subtotal Labor Cost $

PARTS COST

Item Base Cost % Contract Cost

Subtotal Parts Cost $

TOTAL COST $

BL114-22 Page 11

BID SCHEDULE

COMPANY NAME __________________________________________________________________________________________

Section A – Repair and Installation Services/Labor

Item # Description Unit Cost Approx. Annual Quantity Total Cost

1. Pumping of septic/lift station per gallon $ Per

Gallon 2,000 Gallons $

2. Pumping of 750 – 1,000-gallon septic tank $ Each 26 Tanks $

3. Pumping of 1,200-gallon septic tank $ Each 1 Tank $

4. Pumping of 1,500-gallon septic tank $ Each 15 Tanks $

5. Pumping of 2,000-gallon septic tank $ Each 4 Tanks $

6. Conventional Drain field repair/install standard system $ LF 1000 LF $

7. Conventional Drain field repair/install chamber system $ LF 700 LF $

8. Standard tank replacement (1,000 gallons) $ Each 2 Tanks $

9. Standard tank replacement (1,200 gallons) $ Each 1 Tank $

10. Standard tank replacement (1,500 gallons) $ Each 2 Tanks $

11. Lift station preventative maintenance $ Each 22 Stations $

12. Install concrete risers 3” $ Each 8 Risers $

13. Install concrete riser 6” $ Each 16 Risers $

14. Install concrete risers 12” $ Each 16 Risers $

15. Install concrete risers 24” $ Each 1 Riser $

16. Hourly Foreman rate $ Per Hour 60 Hours $

17. Hourly General Labor rate $ Per Hour 60 Hours $

18. After Hours Foreman rate $ Per Hour 20 Hours $

19. After Hours General Labor rate $ Per Hour 20 Hours $

20. Trip Charge $ Each 60 Trips

Section A Total $

BL114-22 Page 12

BID SCHEDULE CONTINUED

COMPANY NAME __________________________________________________________________________________________

Section B - Equipment

Item # Description Unit Cost Approx.

Annual

Annual Cost

1. Sewer Jet Machine $ Per Hour 40 Hours $

2. Sewer Color Camera & Monitor $ Per Hour 40 Hours $

3. Excavator $ Half Day 8 half days $

4. Excavator $ Full Day 12 full days $

Section B Total $

Section C – Parts/Equipment Plus Percentage Mark-Up Charge

State Percentage Mark-Up Charge above Cost of Parts, Materials and Equipment (Not to Exceed 15% of Actual Costs)

$30,000.00 X______% = $

Pricing will be evaluated based on an assumption of $30,000.00 net value of equipment, parts, and materials.

However, the County makes no guarantees regarding the amount of equipment, materials, and parts that it will use during the contract period.

Bid Totals Section A Total $ Section B Total $ Section C Total $

GRAND TOTAL $

BL114-22 Page 13

BID SCHEDULE CONTINUED

COMPANY NAME __________________________________________________________________________________________

Gwinnett County requires pricing to remain firm for the duration of the initial term of the contract. Failure to hold firm pricing for the initial term of the contract will be sufficient cause for Gwinnett County to declare bid non-responsive. Contract to begin January 1, 2023, or upon Board of Commissioners approval, whichever is later.

Unless otherwise noted, quoted prices will remain firm for four (4) additional 12-month periods. If a percentage increase/decrease is a part of the renewal options, please note this in the space provided together with an explanation.

Renewal Option 1: % Increase % Decrease Explanation Renewal Option 2: % Increase % Decrease Explanation Renewal Option 3: % Increase % Decrease Explanation Renewal Option 4: % Increase % Decrease Explanation

Certification Of Non-Collusion in Bid Preparation Signature Date

The undersigned acknowledges receipt of the following addenda, listed by number and date appearing on each:

Addendum No. Date Addendum No. Date

In compliance with the attached specifications, the undersigned acknowledges all requirements outlined in the "Instructions to Bidders" and all documents referred to therein, if this bid is accepted by the Board of Commissioners within ninety (90) days of the date of bid opening, to furnish any or all of the items upon which prices are bid, at the price set opposite each item bid, delivered to the designated point(s) within the time specified in the bid schedule. By submission of this bid, I understand that Gwinnett County uses Electronic Payments for remittance of goods and services. Vendors should select their preferred method of electronic payment upon notice of award. For more information on electronic payments, please refer to the Electronic Payment information in the instructions to bidders.

Legal Business Name

Federal Tax ID

Complete Address

Does your company currently have a location within Gwinnett County? Yes No

Representative Signature Printed Name

Telephone Number E-mail address

BL114-22 Page 14

COMPANY NAME __________________________________________________________________________________________

REFERENCES

Gwinnett County requests a minimum of three (3) references where work of a similar size and scope has been completed.

Note: References should be customized for each project, rather than submitting the same set of references for every project bid. The references listed should be of similar size and scope of the project being bid on. Do not submit a project list in lieu of this form.

1. Company Name

Brief Description of Project

Completion Date

Contract Amount $ Start Dates

Contact Person Telephone

E-Mail Address

2. Company Name

Contract Amount $ Start Date

3. Company Name

Contract Amount $ Start Date

BL114-22 Page 15

BL114-22 Provision of Septic Tank and Lift Station Pumping, Maintenance, Installation, and Repairs on an Annual Contract

CONTRACTOR AFFIDAVIT AND AGREEMENT

(THIS FORM SHOULD BE FULLY COMPLETED AND RETURNED WITH YOUR SUBMITTAL)

By executing this affidavit, the undersigned contractor verifies its compliance with The Illegal Immigration Reform

Enhancements for 2013, stating affirmatively that the individual, firm, or corporation which is contracting with the Gwinnett County Board of Commissioners has registered with and is participating in a federal work authorization program* [any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security] to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act, in accordance with the applicability provisions and deadlines established therein.

The undersigned further agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services or the performance of labor pursuant to this contract with the Gwinnett County Board of Commissioners, contractor will secure from such subcontractor(s) similar verification of compliance with the Illegal Immigration Reform and Enforcement Act 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 Gwinnett County Board of Commissioners at the time the subcontractor(s) is retained to perform such service.

E-Verify * User Identification Number Date Registered

Legal Company Name

Street Address

City/State/Zip Code

BY: Authorized Officer or Agent Date (Contractor Signature)

Title of Authorized Officer or Agent of Contractor

Printed Name of Authorized Officer or Agent

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

_______ DAY OF ______________________, 20_______

Notary Public My Commission Expires: ___________________________

* As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is “E-Verify” 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).

For Gwinnett County Use Only:

Document ID #________________

Issue Date: ___________________

Initials: ______________________

BL141-15

BL114-22 Provision of Septic Tank and Lift Station Pumping, Maintenance, Installation, and Repairs on an Annual Contract

CODE OF ETHICS AFFIDAVIT

(THIS FORM SHOULD BE FULLY COMPLETED AND RETURNED WITH

YOUR SUBMITTAL AND WILL BE REQUIRED PRIOR TO EVALUATION)

In accordance with Section 54-33 of the Gwinnett County Code of Ordinances the undersigned bidder/proposer makes the following full and complete disclosure under oath, to the best of his/her knowledge, of the name(s) of all elected officials whom it employs or who have a direct or indirect pecuniary interest in or with the bidder/proposer, its affiliates or its subcontractors:

1.

(Company Submitting Bid/Proposal)

2. (Please check one box below)

No information to disclose (complete only section 4 below)

Disclosed information below (complete section 3 & section 4 below)

3. (if additional space is required, please attach list)

Gwinnett County Elected Official Name Gwinnett County Elected Official Name

Gwinnett County Elected Official Name Gwinnett County Elected Official Name

4. Sworn to and subscribed before me this

BY: day of , 20

Authorized Officer or Agent Signature

Printed Name of Authorized Officer or Agent Notary Public

Title of Authorized Officer or Agent of Contractor (seal)

Note: See Gwinnett County Code of Ethics Ordinance EO2011, Sec. 54-33. The ordinance will be available to view in its’ entirety at www.gwinnettcounty.com

BL114-22 Page 17

GWINNETT COUNTY, GEORGIA

LIST OF SUBCONTRACTORS

I do , do not , propose to subcontract some of the work on this project. I propose to Subcontract work to the following subcontractors:

NAME AND ADDRESS

TYPE OF WORK

Company Name

BL114-22 Page 18

STANDARD INSURANCE REQUIREMENTS

(For projects less than $1,000,000)

1. Statutory Workers' Compensation Insurance

(a) Employers Liability:

Bodily Injury by Accident - $100,000 each accident Bodily Injury by Disease - $500,000 policy limit Bodily Injury by Disease - $100,000 each employee

2. Commercial General Liability Insurance

(a) $500,000 limit of liability per occurrence for bodily injury and property damage

(b) The following additional coverage must apply:

1986 (or later) ISO Commercial General Liability Form Dedicated Limits per Project Site or Location (CG 25 03 or CG 25 04) Additional Insured Endorsement (Form B CG 20 10 with a modification for completed operations or a separate endorsement covering Completed Operations) Blanket Contractual Liability Broad Form Property Damage Severability of Interest Underground, explosion, and collapse coverage Personal Injury (deleting both contractual and employee exclusions) Incidental Medical Malpractice Hostile Fire Pollution Wording

3. Auto Liability Insurance

(a) $500,000 limit of liability per occurrence for bodily injury and property damage

(b) Comprehensive form covering all owned, non-owned, leased, hired, and borrowed vehicles

(c) Additional Insured Endorsement

(d) Contractual Liability

4. Umbrella Liability Insurance - $1,000,000 limit of liability

(a) The following additional coverage must apply Additional Insured Endorsement Concurrency of Effective Dates with Primary Blanket Contractual Liability Drop Down Feature Care, Custody, and Control - Follow Form Primary Aggregates: Apply Where Applicable in Primary Umbrella Policy must be as broad as the primary policy

5. Gwinnett County Board of Commissioners (and any applicable Authority) should be shown as an additional insured on General Liability, Auto Liability and Umbrella Liability policies.

6. The cancellation should provide 10 days notice for nonpayment and 30 days notice of cancellation.

7. Certificate Holder should read:

Gwinnett County Board of Commissioners 75 Langley Drive Lawrenceville, GA 30046-6935

8. Insurance Company, except Worker' Compensation carrier, must have an A.M. Best Rating of A-5 or higher. Certain

Workers' Comp funds may be acceptable by the approval of the Insurance Unit. European markets including those based in London and domestic surplus lines markets that operate on a non-admitted basis are exempt from this requirement provided that the contractor’s broker/agent can provide financial data to establish that a market is equal to or exceeds the financial strengths associated with the A.M. Best’s rating of A-5 or better.

BL114-22 Page 19

9. Insurance Company should be licensed to do business by the Georgia Department of Insurance.

10. Certificates of Insurance, and any subsequent renewals, must reference specific bid/contract by project name and project/bid number.

11. The Contractor shall agree to provide complete certified copies of current insurance policy (ies) or a certified letter from the insurance company (ies) if requested by the County to verify the compliance with these insurance requirements.

12 All insurance coverages required to be provided by the Contractor will be primary over any insurance program carried by the County.

13. Contractor shall incorporate a copy of the insurance requirements as herein provided in each and every subcontract with each and every Subcontractor in any tier, and shall require each and every Subcontractor of any tier to comply with all such requirements. Contractor agrees that if for any reason Subcontractor fails to procure and maintain insurance as required, all such required Insurance shall be procured and maintained by Contractor at Contractor's expense.

14. No Contractor or Subcontractor shall commence any work of any kind under this Contract until all insurance requirements contained in this Contract have been complied with and until evidence of such compliance satisfactory to Gwinnett County as to form and content has been filed with Gwinnett County. The Acord Certificate of Insurance or a preapproved substitute is the required form in all cases where reference is made to a Certificate of Insurance or an approved substitute.

15. The Contractor shall agree to waive all rights of subrogation against the County, the Board of Commissioners, its officers, officials, employees, and volunteers from losses arising from work performed by the contractor for the County.

16. Special Form Contractors’ Equipment and Contents Insurance covering owned, used, and leased equipment, tools, supplies, and contents required to perform the services called for in the Contract. The coverage must be on a replacement cost basis. The County will be included as a Loss Payee in this coverage for County owned equipment, tools, supplies, and contents.

17. The Contractor shall make available to the County, through its records or records of their insurer, information regarding a specific claim related to any County project. Any loss run information available from the contractor or their insurer relating to a County project will be made available to the County upon their request.

18. Compliance by the Contractor and all subcontractors with the foregoing requirements as to carrying insurance shall not relieve the Contractor and all Subcontractors of their liability provisions of the Contract.

19. The Contractor and all Subcontractors are to comply with the Occupational Safety and Health Act of 1970, Public Law

91-956, and any other laws that may apply to this Contract.

20. The Contractor shall at a minimum apply risk management practices accepted by the contractors’ industry.

Rev. 5/19

BL114-22 Page 20

SAM

PLE

GWINNETT COUNTY GOVERNMENT

Department of Support Services and Gwinnett County

Sheriff’s Office Consent Form

I, ___________________________________________________hereby authorize the (p r i n t n a m e) Gwinnett County Sheriff’s Office to receive all criminal history and driving history records information pertaining to me, which may be in the files of any state or local criminal justice agency. I understand that permission for me to work within Gwinnett County facilities and receive an Identification Card for such purposes will be contingent upon the results of a complete background investigation; and I am aware that withholding information or making false statements on this form will be a basis for rejecting my submission for work within County facilities, or upon discovery, withdrawal of the permission to work within County facilities, and the required return of the associated County issued Identification Card.

I authorize any of the persons or organizations referenced in this application to give to you any and all information concerning my criminal history record and driving history record, and any other information they might have, personal or otherwise, and release all such parties from all liability for any damage that may result from furnishing such information to you. I further authorize you to request and obtain any criminal history and driving history records from any federal, state, or local jurisdictions or law enforcement agencies and release all such parties from all liability for any damage that may result from furnishing such information to you.

I agree to these conditions and I hereby certify that all statements made by me on this application are true and complete.

Signature of applicant as usually written Date

BL114-22 Page 21

GWINNETT COUNTY GOVERNMENT

Consent Form Supplement

Instructions: Please type or print legibly in ink. All questions must be answered; if a question is not applicable, so state by indicating NA (not applicable). Please be specific when completing the form to insure all information is complete, true, and correct. Omission of facts will be perceived as falsification and will be the basis for rejection of your submission, or upon discovery, withdrawal of the County issued ID and permission for work within County facilities.

Last Name______________________________ First Name

Middle Name Sex____________ Race__________

Social Security Number Date of Birth___________________

List any nicknames, maiden names and other names you have used

Current Address

Current Telephone Number

List previous addresses for last five years:

Dates Street Address City State

Have you ever been convicted of or plead guilty or no contest to a felony or misdemeanor, excluding all offenses for which you were charged as a juvenile? _____Yes _____No

If yes, provide details

BL114-22 Page 22

List all traffic citations that you have received within the last five years:

Date Charge Location Disposition

Do you possess a valid driver's license? _______Yes ______No

State _____________ License Number

Date of expiration__________________ Restrictions

Do you hold or have you ever held a license in any state other than the one listed above?

_______Yes ______No

If yes, please indicate state(s) and approximate dates license(s) were held

Have you ever had your license suspended or revoked? ______Yes ______No

If yes, provide details

FAILURE TO RETURN THIS PAGE MAY RESULT IN REMOVAL OF YOUR COMPANY FROM COMMODITY LISTING.

BL114-22

Buyer Initials: CB

IF YOU DESIRE TO SUBMIT A "NO BID" IN RESPONSE TO THIS PACKAGE, PLEASE INDICATE BY

CHECKING ONE OR MORE OF THE REASONS LISTED BELOW AND EXPLAIN.

Do not offer this product or service; remove us from your bidder's list for this item only.

Specifications too "tight"; geared toward one brand or manufacturer only.

Specifications are unclear.

Unable to meet specifications

Unable to meet bond requirements

Unable to meet insurance requirements

Our schedule would not permit us to perform.

Insufficient time to respond.

Other

COMPANY NAME

AUTHORIZED REPRESENTATIVE

SIGNATURE

***ATTENTION***

FAILURE TO RETURN THE FOLLOWING DOCUMENTS MAY RESULT IN BID BEING DEEMED NON-RESPONSIVE

AND AUTOMATIC REJECTION:

1. FAILURE TO USE COUNTY BID SCHEDULE.

2. FAILURE TO RETURN APPLICABLE COMPLIANCE SHEETS/SPECIFICATION SHEETS.

3. FAILURE TO RETURN APPLICABLE ADDENDA.

4. FAILURE TO PROVIDE INFORMATION ON ALTERNATES OR EQUIVALENTS.

5. THE COUNTY SHALL BE THE SOLE DETERMINANT OF TECHNICALITY VS. NON-

RESPONSIVE BID.

6. FAILURE TO PROVIDE BID BOND, WHEN REQUIRED, WILL RESULT IN BID BEING DEEMED

NON-RESPONSIVE AND AUTOMATIC REJECTION. BID BONDS ARE NOT REQUIRED ON ALL

BIDS. BOND REQUIREMENTS ARE CLEARLY STATED ON THE INVITATION TO BID. IF YOU

NEED CLARIFICATION, CONTACT THE PURCHASING ASSOCIATE. IF BONDS ARE

REQUIRED, FORMS WILL BE PROVIDED IN THIS BID DOCUMENT.

7. FAILURE TO PROVIDE CONTRACTOR AFFIDAVIT AND AGREEMENT, WHEN REQUIRED,

MAY RESULT IN BID BEING DEEMED NON-RESPONSIVE AND AUTOMATIC REJECTION.

CONTRACTOR AFFIDAVIT AND AGREEMENT IS NOT REQUIRED ON ALL BIDS. IF YOU NEED

CLARIFICATION, CONTACT THE PURCHASING ASSOCIATE.

GWINNETT COUNTY

DEPARTMENT OF FINANCIAL SERVICES – PURCHASING DIVISION

GENERAL INSTRUCTIONS FOR BIDDERS, TERMS AND CONDITIONS

I. PREPARATION OF BIDS

A. Each bidder shall examine the drawings, specifications, schedule and all instructions. Failure to do so will be at the bidder’s risk, as the bidder will be held accountable for their bid response.

B. Each bidder shall furnish all information required by the bid form or document. Each bidder shall sign the bid and print or type his or her name on the schedule. The person signing the bid must initial erasures or other changes. An authorized agent of the company must sign bids.

C. With the exception of solicitations for the sale of real property, individuals, firms and businesses seeking an award of a Gwinnett County contract may not initiate or continue any verbal or written communications regarding a solicitation with any County officer, elected official, employee or other County representative other than the Purchasing Associate named in the solicitation between the date of the issuance of the solicitation and the date of the final contract award by the Board of Commissioners. The Purchasing Director will review violations. If determined that such communication has compromised the competitive process, the offer submitted by the individual, firm or business may be disqualified from consideration for award.

Solicitations for the sale of real property may allow for verbal or written communications with the appropriate Gwinnett County representative.

D. Sample contracts (if pertinent) are attached. These do NOT have to be filled out with the bid/proposal submittal, but are contained for informational purposes only. If awarded, the successful bidder(s) will be required to complete them prior to contract execution.

E. Effective, July 1, 2013 and in accordance with the Georgia Illegal Immigration Reform Enhancements for

2013, an original signed, notarized and fully completed Contractor Affidavit and Agreement should be included with your bid/proposal submittal, if the solicitation is for the physical performance of services for all labor or service contract(s) that exceed $2,499.99 (except for services performed by an individual who is licensed pursuant to Title 26, Title 43, or the State Bar of Georgia). Failure to provide the Contractor Affidavit and Agreement with your bid/proposal submittal may result in bid/proposal being deemed non-responsive and automatic rejection.

II. DELIVERY

A. Each bidder should state time of proposed delivery of goods or services.

B. Words such as “immediate,” “as soon as possible,” etc. shall not be used. The known earliest date or the minimum number of calendar days required after receipt of order (delivery A.R.O.) shall be stated (if calendar days are used, include Saturday, Sunday and holidays in the number).

III. EXPLANATION TO BIDDERS

Any explanation desired by a bidder regarding the meaning or interpretation of the invitation for bids, drawings, specifications, etc. must be requested by the question cutoff deadline stated in the solicitation in order for a reply to reach all bidders before the close of bid. Any information given to a prospective bidder concerning an invitation for bid will be furnished to all prospective bidders as an addendum to the invitation if such information is necessary or if the lack of such information would be prejudicial to uninformed bidders. The written bid documents supersede any verbal or written communications between parties. Receipt of addendum should be acknowledged in the bid. It is the bidder’s responsibility to ensure that they have all applicable addenda prior to bid submittal. This may be accomplished via contact with the assigned Procurement Agent prior to bid submittal.

IV. SUBMISSION OF BIDS

A. Bids shall be enclosed in sealed envelopes, addressed to the Gwinnett County Purchasing Office with the name of the bidder, the date and hour of opening and the invitation to bid number on the face of the envelope.

Telegraphic/faxed bids will not be considered. Any addenda should be enclosed in the sealed envelopes as well.

B. ADD/DEDUCT: Add or deduct amounts indicated on the outside of the envelope are allowed and will be applied to the lump sum amount. Amount shall be clearly stated and should be initialed by an authorized company representative.

C. Samples of items, when required, must be submitted within the time specified and, unless otherwise specified by the County, at no expense to the County. Unless otherwise specified, samples will be returned at the bidder’s request and expense if items are not destroyed by testing.

D. Items offered must meet required specifications and must be of a quality, which will adequately serve the use and purpose for which intended.

E. Full identification of each item bid upon, including brand name, model, catalog number, etc. must be furnished to identify exactly what the bidder is offering. Manufacturer’s literature may be furnished.

F. The bidder must certify that items to be furnished are new and that the quality has not deteriorated so as to impair its usefulness.

G. Unsigned bids will not be considered except in cases where bid is enclosed with other documents, which have been signed. The County will determine this.

H. Gwinnett County is exempt from federal excise tax and Georgia sales tax with regard to goods and services purchased directly by Gwinnett County. Suppliers and contractors are responsible for federal excise tax and sales tax, including taxes for materials incorporated in county construction projects. Suppliers and contractors should contact the State of Georgia Sales Tax Division for additional information.

I. Information submitted by a bidder in the bidding process shall be subject to disclosure after the public opening in accordance with the Georgia Open Records Act.

V. WITHDRAWAL OF BID DUE TO ERRORS

The bidder shall give notice in writing of his claim of right to withdraw his bid without penalty due to an error within two (2) business days after the conclusion of the bid opening procedure. Bids may be withdrawn from consideration if the price was substantially lower than the other bids due solely to a mistake therein, provided the bid was submitted in good faith, and the mistake was a clerical mistake as opposed to a judgment mistake, and was actually due to an unintentional arithmetic error or an unintentional omission of a quantity of work, labor or material made directly in the compilation of the bid, which unintentional arithmetic error or unintentional omission can be clearly shown by objective evidence drawn from inspection of original work papers, documents and material used in the preparation of the bid sought to be withdrawn. The bidder’s original work papers shall be the sole acceptable evidence of error and mistake if he elects to withdraw his bid. If a bid is withdrawn under the authority of this provision, the lowest remaining responsive bid shall be deemed to be low bid.

No bidder who is permitted to withdraw a bid shall, for compensation, supply any material or labor or perform any subcontract or other work agreement for the person or firm to whom the contract is awarded or otherwise benefit, directly or indirectly, from the performance of the project for which the withdrawn bid was submitted.

Supplier has up to forty-eight (48) hours to notify the Gwinnett County Purchasing Office of an obvious clerical error made in calculation of bid in order to withdraw a bid after bid opening. Withdrawal of bid for this reason must be done in writing within the forty-eight (48) hour period. Suppliers who fail to request withdrawal of bid by the required forty-eight (48) hours shall automatically forfeit bid bond. Bid may not be withdrawn otherwise.

Bid withdrawal is not automatically granted and will be allowed solely at Gwinnett County’s discretion.

VI. TESTING AND INSPECTION

Since tests may require several days for completion, the County reserves the right to use a portion of any supplies before the…