Chapel Hill Bid Docs.pdf

DOUGLAS COUNTY, GEORGIA

P.I.# 0020661 - SR 166 @ CHAPEL HILL

ROAD PROJECT

Begin West SR 166; End East SR 166; Including Chapel Hill Road Approaches

Invitation to Bid (ITB)

SOLICITATION NUMBER: 26-022

Date of Issue: 6/30/2026

Closing: 7/24/2026, Time 10:00 AM (Eastern)

Single Point of Contact (SPC): Anthony Choice, Director of Procurement

Address: 8700 Hospital Drive City, State, Zip: Douglasville, GA 30134 Phone (voice): 404-920-7390 E-mail: dcpurchasing@douglascountyga.gov

Douglas County Board of Commissioners promotes equal opportunity for all individuals without regard to age, color, disability, marital status, national origin, race, religion or creed, sex or gender, sexual orientation, or veteran status.

V1. 6-22-26 NIGP Codes: 91327, 91375, 91391, 91200, 91219, 91276, 91300, 91395, 96880 Ad dates: 6/30, 7/7, 7/14, 7/21 mailto:dcpurchasing@douglascountyga.gov

TABLE OF CONTENTS

1. Notice to Contractors

2. General Requirements

3. Bid Bond

4. 100% Performance Bond

5. 110% Labor and Material Payment Bond

6. Evidence of Compliance: Georgia Security and Immigration Compliance Act

7. Georgia Security and Immigration Compliance Act: Contractor Affidavit

8. Georgia Security and Immigration Compliance Act: Subcontractor Affidavit

9. Bid Proposal

10. Bid Schedule of Items

11. Insurance Requirements

12. Corporate Certificate

13. Oath of Successful Bidder

14. Certifications

15. References

16. Instructions for List of DBE Participants

17. DBE Goals Form

18. Monthly DBE Participation Form

19. Instructions for Reporting DBE Participation

20. Subcontractors Notification List

21. Contract

22. Final Affidavit of Payments

23. Special Provisions & Clarifications

Attachment: 1. Special Provisions

2. Utility Adjustment Schedules

3. Tree Clearing Log

4. Utility NTPs

INVITATION TO BID

Solicitation Number: 26-022

NOTICE TO CONTRACTORS

The Douglas County Board of Commissioners requests proposals from interested and qualified companies for the construction of a roundabout at the SR 166 and Chapel Hill Road intersection, beginning at West SR 166 and ending at East SR 166, including the Chapel Hill Road approaches in Douglasville, GA.

The work to be bid consists of furnishing all materials, labor and equipment for:

P.I.# 0020661 - SR 166 @ Chapel Hill Road Project Douglas County, Georgia

All bid documents may be obtained from the Douglas County website https://www.bidnetdirect.com/georgia/douglascounty and the Georgia Procurement Registry https://ssl.doas.state.ga.us/gpr/index.

Responses to this ITB must be received electronically via Douglas County BidNet’s online bidding platform on or before Friday, July 24, 2026, 10:00 AM EDT, after which time and date they will no longer be accepted.

All questions regarding this bid shall be in writing and submitted electronically at https://www.bidnetdirect.com/georgia/douglascounty by Monday, July 13, 2026, 5:00 PM, EDT. No other County staff or officials associated with this project should be contacted regarding this bid. DOING SO

MAY RESULT IN BIDDER’S DISQUALIFICATION.

All bids shall be accompanied by a Bid Bond in favor of the Board of Commissioners of Douglas County in the amount of at least five percent (5%) of the Bid for the complete work. The Bid Bond shall be forfeited to the Board of Commissioners of Douglas County, Georgia as liquidated damages if the Bidder fails to execute the Contract and provide Performance Bond, Payment Bond, and Liability Insurance Certificate within fifteen (15) calendar days after being notified that he/she has been awarded the Contract. A required performance bond is to be 100% of the contract amount and a required payment bond is to be 110% of the contract amount.

Payments will be made in accordance with the Douglas County Financial Policy (original invoice from Contractor is required before payment will be made). The County’s terms are NET 30 days after receipt of an approved invoice or certified payment.

Notice to Proceed (NTP) on this Project will be issued following receipt of the correct and fully executed Contract Documents and upon an approved Purchase Order in the full contract amount.

IT IS THE BIDDER’S RESPONSIBILITY TO ENSURE THAT THEIR BID DOCUMENTS ARE

COMPLETE AND CORRECT PRIOR TO BID SUBMITTAL.

Completion Date for this Contract shall be:

THREE HUNDRED SIXTY-FIVE (365) CALENDAR DAYS FROM NTP

No Bid will be received or accepted after the above specified time and date of the Bid Opening. Bids submitted after the designated time and date will be deemed invalid and returned unopened to the Bidder.

Please note Georgia Department of Transportation Standard Specifications, 2021 Edition, GDOT Supplemental Specifications, 2024 Edition, and applicable Supplemental Specifications and Special Provisions apply to this project. A Disadvantaged Business Enterprise (DBE) goal of fifteen percent (15%) applies to this project. The DBE goal can be met by prime contracting, sub-contracting, joint venture or mentor/protégé relationship.

All Bidders must be Pre-Qualified with the Georgia Department of Transportation (GDOT), and all subcontractors must be registered with GDOT. Qualifications of the Bidder will be reviewed before the Award of the Contract. The County may award the Contract to other than low Bidder. The Douglas County Board of Commissioners reserves the right to reject all Bids and to waive informalities.

The Douglas County Board of Commissioners in accordance with Title VI of the Civil Rights Act of 1964 and 78 Stat. 252, 42 USC 2000d-42 and Title 49, Code of Federal Regulations, Department of Transportation, Subtitle A, Office of the Secretary, part 21, Nondiscrimination in federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, minority business enterprises will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, sex, or national origin in consideration for an award.

GENERAL REQUIREMENTS

I. RESTRICTIONS ON COMMUNICATION WITH STAFF: From the issue date of the solicitation and until a supplier is selected for contract award and the selection is made public, bidders are not allowed to communicate for any reason with members of the Board of Commissioners, Douglas County employees and/or contracted agents related to the solicitation except through the issuing officer (or his/her designee) named in the solicitation. Prohibited communication includes all contact or interaction, including but not limited to telephonic communications, emails, faxes, letters, or personal meetings, such as lunch, entertainment, or otherwise. Exceptions to this restriction on communication include the following:

• Communication during pre-bid conference/meeting provided the issuing officer is present, or

• As necessary to perform under any existing contracts with the County, or

• With Douglas County pursuant to the protest process

A bidder’s violation of the restriction on communication can lead to disqualification of the supplier’s response from consideration for contract award and/or other disciplinary action such as suspension or debarment.

II. SCHEDULE: The following schedule is supplied as a guideline rather than a set of absolute deadlines.

The County reserves the right to modify or alter the schedule as needed.

Public Advertisement of Solicitation 26-022 6/30/2026 Deadline for submission of written questions and requests for clarification 5:00 pm, 7/13/2026 Deadline for response to written questions and requests for clarification 5:00 pm, 7/20/2026 Deadline for submission of Bids 10:00 am, 7/24/2026

III. QUESTIONS: Prospective Proposers must submit any questions regarding this solicitation Electronically in BidNet by the due date and time specified in the solicitation. Only questions submitted via BidNet will be accepted and addressed.

Responses to questions received during the solicitation time period are posted on the website at https://www.bidnetdirect.com/georgia/douglascounty in an addendum. Proposers who fail to report a known or suspected problem with this solicitation or who fail to seek clarification or correction of this solicitation do so at their own risk.

IV. PROJECT PLANS: Project plans can be downloaded using the following link:

Uploaded with ITB

V. ADDENDUM: Any necessary additions or corrections will be made by addenda and issued electronically in BidNet. The Addendum will become part of the solicitation. Failure to acknowledge any addenda shall not relieve Bidders of compliance with the terms thereof. The County assumes no responsibility for oral instructions. All requests for clarification and additional information must be made in writing on BidNet. Responses to questions will be posted as addenda in BidNet. It is the bidder’s responsibility to review BidNet periodically to determine if addenda have been prepared and posted.

The successful firm’s proposal and all the addenda will become a part of the agreement resulting from this document.

VI. All work performed under this contract shall be in accordance with the Georgia Department of Transportation Standard Specifications, 2021 Edition, GDOT Supplemental Specifications, 2024 Edition, and applicable Supplemental Specifications and Special Provisions. The applicable GDOT specifications govern over any conflicting requirements that may be found in the Agreement, Supplemental General Provisions, and General Conditions.

The materials used in The Work shall meet all quality requirements outlined in the GDOT Sampling, Testing, and Inspection Guide. Materials will not be considered as finally accepted until all tests, including any to be taken from the finished work, have been completed and evaluated. The contractor shall use suppliers on the appropriate GDOT Qualified Products List. Upon request by Douglas County or its representative, the Contractor shall furnish formal written invoices from the materials suppliers.

The invoices shall show the quantities and the dates shipped.

The Contractor shall maintain a daily summary of weather conditions, personnel on site (including subcontractors), and tasks performed.

Erosion control, monitoring, sampling, and compliance are the responsibility of the Contractor. All testing is to meet the requirements outlined in the GDOT Sampling, Testing, and Inspection Guide.

Test results are to be provided to Douglas County. Douglas County will assign a GDOT-certified testing firm to perform material testing.

Change orders may be required periodically throughout construction of the project. Change Orders must be submitted in writing to Douglas County and include a breakdown of itemized costs and time extension, if applicable. All change order submittals must be placed on the GDOT LAP Change form, signed by the contractor, and must then be approved by the County prior to implementation.

VII. DEFINITIONS AND TERMS: Delete the following paragraphs from Section 101 of the 2021 Edition of the Georgia Department of Transportation State of Georgia Standard Specifications Construction of Transportation System and replace with the following:

DELETE: REPLACE WITH:

101.10 Board THE DOUGLAS COUNTY BOARD OF

COMMISSIONERS

101.13 Chief Engineer THE DIRECTOR OF THE DOUGLAS COUNTY

DEPARTMENT OF TRANSPORTATION or his duly authorized representative

101.14 Commissioner THE CHAIRMAN OF THE DOUGLAS COUNTY

BOARD OF COMMISSIONERS

101.22 Department THE DOUGLAS COUNTY DEPARTMENT OF

TRANSPORTATION

101.24 Engineer Same as 101.13 - Chief Engineer (above)

101.62 State Highway Engineer Same as 101.13 - Chief Engineer (above)

101.63 State THE DOUGLAS COUNTY BOARD OF

COMMISSIONERS

101.80 Treasurer THE DIRECTOR OF THE DOUGLAS COUNTY

DEPARTMENT OF PROCUREMENT

VIII. A Preconstruction conference, to include at a minimum a County representative, Contractor, and affected Utility Companies, is mandatory prior to commencing with construction activities. The DBE firm(s) to be used on this project as identified on the DBE Goals Form are to be invited to the preconstruction conference to assure such firms are known to all parties and steps are taken to assure their use on the project.

BID BOND

(Five Percent (5%) of Bid)

KNOW ALL MEN BY THESE PRESENTS, THAT WE ___________________________________

(hereinafter called the PRINCIPAL) and _________________________________________ (hereinafter called the SURETY), a Corporation chartered and existing under the laws of the State of ___________ with its principal offices in the City of _____________ and authorized to do business in the State of Georgia, are held and firmly bound unto Douglas County, Georgia, in the full and just sum of: ________________________________________ Dollars, and ___________ Cents ($____________________) good and lawful money of the United States of America, to be paid upon demand to Douglas County, Georgia, to which payment will and truly to be made, we bind ourselves, our heirs, executors, administrators and assigns jointly and severally and firmly by these presents:

WHEREAS, the Principal is about to submit, or has submitted to Douglas County, Georgia, a Proposal for furnishing materials, labor and equipment for the: P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, Solicitation No. 26-022, Douglas County.

WHEREAS, the Principal desires to file this Bond in accordance with law in lieu of a certified Bidder’s check otherwise required to accompany this proposal.

NOW, THEREFORE, the conditions of this obligation are such that if the Proposal be accepted, the Principal shall within fifteen (15) days after receipt of notification of the acceptance, execute a Contract in accordance with the Proposal and upon the terms, conditions, and prices set forth in the form manner required by Douglas County, Georgia, and execute a sufficient Certificate of Liability Insurance, Performance Bond, and Payment Bond payable to Douglas County, Georgia. The Performance Bond shall be 100% of the total Contract Price, and the Payment Bond shall be 110% of the total Contract Price, in form and with security satisfactory to said Douglas County, Georgia, and otherwise to be and remain in full force and virtue in law; and the Surety shall, upon failure of the Principal to comply with any or all of the foregoing requirements within the time specified above, immediately pay to Douglas County, Georgia, upon demand, the amount hereof in good and lawful money of the United States of America, not as penalty, but as liquidated damages.

IN TESTIMONY THEREOF, the Principal and Surety have caused these presents to be duly signed and sealed this ______________ day of _____________________, 202__.

____________________________(SEAL) ____________________________(SEAL)

Principal Surety

By: ______________________________ By: ______________________________

Address: __________________________ Address: __________________________

Telephone #: _______________________ Telephone #: _______________________

Surety companies executing bonds must appear on the Treasury Department’s most current list (Circular 570, as amended) and be authorized to conduct business in the State of Georgia.

100% PERFORMANCE BOND

KNOW ALL MEN BY THESE PRESENTS, that we , as Principals, hereinafter called Contractor, and , a corporation duly organized under the laws of the State of , listed in the latest issue of U.S. Treasury Circular 570, and registered in the State of Georgia, as Surety, are held and firmly bound unto DOUGLAS COUNTY, hereinafter called Owner, in the sum of Dollars (in words), ($ ) (in figures), for payment of which sum, well and truly to be made, the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Contractor has entered into a written contract dated the ___ day of ____________, 202 , with the Owner for: the P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, Solicitation No. 26-022, Douglas County, in accordance with drawings and specifications prepared by Douglas County Department of Transportation, which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.

NOW THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Contract, then this obligation shall be null and void otherwise shall remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the owner having performed Owner's obligations thereunder, the Surety may promptly remedy the default, or shall promptly:

A. Complete the Contract in accordance with its terms and conditions; or, B. Obtain a bid or bids for completing the Contract in accordance with its terms, and conditions, and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible bidder, arrange for a contract between such bidder and Owner, and make available as Work progresses (even though there should be default or a succession of defaults) under the contract or contracts of completion arranged under this paragraph sufficient funds to pay the cost of completion less the balance of the contract prices; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the Contract Price", as used in this paragraph, shall mean the total amount payable by Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor.

Any suit under this Bond must be instituted before the expiration of two (2) years from the date on which final payment under the Contract falls due. No right of action shall accrue on this Bond to or for the use of any person or corporation other than the Owner named herein or the heirs, executors, administrators or successors of the Owner.

The Contractor is required to provide the Owner a one-year guarantee covering workmanship and materials of the Project. This Performance Bond shall remain in force for one year from the date of Acceptance of the Project by the Owner.

100% PERFORMANCE BOND

IN WITNESS WHEREOF, this instrument is executed in five (5) counterparts, each one of which shall be deemed an original, this day of _________________, 202 .

Attest:

(SEAL)

Principal (Bidder)

Signature

Typed Name

Title

Surety

Signature Attorney-in-Fact

(Attach Certified and Dated Copy of Power of Attorney)

DO NOT DATE PERFORMANCE BOND. BOND DOCUMENT WILL BE DATED BY BOC.

(Bond must not be dated prior to date of Agreement)

110% LABOR AND MATERIAL PAYMENT BOND

KNOW ALL MEN BY THESE PRESENTS, that we , as Principal, hereinafter called a Contractor, and , a corporation duly organized under the laws of the State of, listed in the latest issue of U.S. Treasury Circular 570, and registered in State of Georgia, as Surety, are held and firmly bound unto DOUGLAS COUNTY, hereinafter called Owner, in the sum of Dollars (in words), ($ ) (in figures), for the payment of which sum, well and truly to be made, the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Contractor has entered into a written contract dated the ___ day of ____________, 202 , with the Owner for: the P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, Solicitation No. 26-022, Douglas County, in accordance with drawings and specifications prepared by Douglas County Department of Transportation, which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.

NOW THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly make payment to all claimants as hereinafter defined, for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall be void; otherwise it shall remain in full force and effect, subject, however, to the following conditions:

A. A claimant is defined as one having a direct contract with the Contractor or with a Subcontractor of the Contractor for labor, material, or both, used or reasonably required for use in the performance of the Contract, labor and material being construed to include that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental of equipment directly applicable to the Contract.

B. The above named Contractor and Surety hereby jointly and severally agree with the Owner that every claimant as herein defined, who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the last of such claimant's work or labor was done or performed, or materials were furnished by such claimant, may sue on this bond for the use of such claimant, prosecute the suit to final judgment for such sum or sums as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expense of any such suit.

C. No suit or action shall be commenced hereunder by any claimant,

1. Unless claimant, other than one having a direct contract with the Contractor, shall have given written notice to any two of the following: the Contractor, the Owner, or the Surety above-named, within ninety

(90) days after such claimant did or performed the last of the work of labor, or furnished the last of the materials for which said claim is made, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were furnished, or for whom the work or labor was done or performed. Such notice shall be served by mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Contractor, Owner or Surety, at any place where any office is regularly maintained for the transaction of business, or served in any manner in which legal process may be served in the state in which the aforesaid project is located, save that such service need not be made by a public officer.

2. After one (1) year from the completion of Contract and the acceptance by Owner of the work thereunder, it being understood, however, that if any limitation embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law.

110% LABOR AND MATERIAL PAYMENT BOND

3. Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which the project, or any part thereof, is situated, and not elsewhere.

4. The amount of this bond shall be reduced by and to the extent of any payment of payments made in good faith hereunder, inclusive of the payment by surety of mechanics' liens which may be filed on record against said improvement, whether or not claim for the amount of such presented under and against this bond.

PROVIDED FURTHER, that the Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications.

PROVIDED FURTHER, that no final settlement between Owner and the Contractor shall abridge the right of any beneficiary hereunder, whose claims may be unsatisfied.

IN WITNESS WHEREOF, this instrument is executed in five (5) counterparts, each one of which shall be deemed an original, this day of , 202 .

Principal (Bidder)

Attest: (SEAL) Surety

__________________________________ Signature

(Attach Certified and Dated Copy of Power of Attorney)

DO NOT DATE PERFORMANCE BOND. BOND DOCUMENT WILL BE DATED BY BOC.

(Bond must not be dated prior to date of Agreement)

EVIDENCE OF COMPLIANCE

WITH

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT

The County and Contractor agree that compliance with the requirements of O.C.G.A. Sec. 13-10-91 and Rule 300-10-1- .02 of the Rules of the Georgia Department of Labor are conditions of this Agreement for the physical performance of services.

The Contractor represents that it employs:

500 or more employees;

100 or more employees; or fewer than 100 employees (Contractor must initial appropriate category).

The Contractor further agrees that its compliance with the requirements of O.C.G.A. Sec. 13-10-91 and DOL

Rule 300-10-1-.02 is attested to on the executed Contractor Affidavit and Agreement attached hereto.

If employing or contracting with any subcontractor(s) in connection with this Agreement, Contractor further agrees:

(1) To secure from the subcontractor(s) such subcontractor(s)') indication of the employee-number category applicable to the subcontractor(s); and

(2) To secure from the subcontractor(s) an affidavit attesting to the subcontractor's compliance with O.C.G.A. Sec. 13-10-91 and DOL Rule 300-10-1-.02; such affidavit being in the form attached hereto and referenced as EXHIBIT A-1; and

(3) To submit such contractor affidavit(s) to the County when the subcontractor(s) is retained, but in any event, prior to the commencement of work by the subcontractor(s),

(4) To submit to the County, such contractor and subcontractor affidavit(s) of “Immigration Compliance Certification,” EXHIBIT A-2, The failure of Contractor to comply with any of the requirements and procedures of the County (i.e. failure to timely supply required affidavits or compliance certification documents; failure to utilize federal work authorization procedures; failure to permit or facilitate audits or reviews of records by County or State officials upon request; and/or failure to continue to meet any of the statutory or County obligations) and to supply the affidavit of compliance at the time of execution of this Agreement and/or the failure of the Contractor to continue to satisfy the obligations of O.C.G.A. Sec. 13-10-91 and DOL Rule 300-10-1-.02 as set forth in this Agreement and during the term of the Agreement shall constitute a material breach of the Agreement and shall entitle the County to dismiss any general contractor or to require the dismissal of any subcontractor of sub/subcontractor (irrespective of tier) for failing to fully comply with these requirements and that upon notice of a material breach of these provisions, the Contractor shall be entitled to cure the breach within ten (10) days and provide evidence of such cure and in compliance with the terms of this Agreement and State law. Should the breach not be cured, the County shall be entitled to all available remedies, including termination of the contract, the requirement that a subcontractor be dismissed from performing work under the contract, and any and all damages permissible by law.

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

Contractor’s Name:

Solicitation/Contract No./Call No.

or Project Description:

Solicitation No. 26-022, Douglas County

P.I.# 0020661 - SR 166 @ Chapel Hill Road Project

CONTRACTOR AFFIDAVIT

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, entity or corporation which is engaged in the physical performance of services on behalf of the Georgia Department of Transportation 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 Number Date of Authorization (EEV / E-Verify User Identification Number)

Name of Contractor

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

Printed Name (of Authorized Officer or Agent of Contractor) Title (of Authorized Officer or Agent of Contractor)

Signature (of Authorized Officer or Agent) Date Signed

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF , 20

[NOTARY SEAL]

Notary Public

My Commission Expires:

Rev. 11/01/15

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

Contractor’s Name:

Sub-Contractor’s (Your) Name:

Sub-Contractor’s Address:

Solicitation/Contract No.: Solicitation No. 26-022, Douglas County

Solicitation/Contract Name: P.I.# 0020661 - SR 166 @ Chapel Hill Road Project

SUBCONTRACTOR AFFIDAVIT

By executing this affidavit, the undersigned subcontractor verifies its compliance with O.C.G.A. §13-10-91, stating affirmatively that the individual, entity or corporation which is engaged in the physical performance of services under a contract with

___________________________ (name of contractor) on behalf of the Georgia Department of Transportation 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 subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with the information required by O.C.G.A. § 13-10-91(b).

Additionally, the undersigned subcontractor will forward notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of receipt. If the undersigned subcontractor receives notice that a sub-subcontractor has received an affidavit from any other contracted sub-subcontractor, the undersigned subcontractor must forward, within five business days of receipt, a copy of the notice to the contractor. Subcontractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number Date of Authorization (EEV / E-Verify User Identification Number)

Name of Sub-Contractor

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

Printed Name (of Authorized Officer or Agent of Sub-Contractor) Title (of Authorized Officer or Agent of Contractor)

Signature (of Authorized Officer or Agent) Date Signed

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF , 20

[NOTARY SEAL]

My Commission Expires:

Rev. 7/24/18

BID PROPOSAL

Proposal of _____________________________________________ (hereinafter called “BIDDER”) a contractor organized and existing under the laws of the state of _______________________, *an individual, a corporation, or partnership doing business as _____________________ ________________________________. *Strike out

Inapplicable Terms.

THIS BID SUBMITTED TO: DOUGLAS COUNTY, GEORGIA (hereinafter called “COUNTY”)

The undersigned BIDDER proposes and agrees, if this Bid accepted, to enter into an Agreement with the COUNTY in the form included in the Contract Documents to complete all Work as specified or indicated in the Contract Documents for the total Unit Price Fee and within the Contract Time indicated in this Bid.

BIDDER agrees to provide the necessary machinery, tools, apparatus, all materials and labor, and other means of construction necessary to complete the construction of the P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, hereinafter referred to as the “PROJECT”, including, but not limited to, erosion and sediment control, maintenance of traffic, earthwork and grading, excavation, subgrade preparation, culvert construction, drainage construction, asphalt surfacing, concrete surface course, sidewalks, signs, traffic signalization, pavement marking, and grassing as further set forth in the project drawings, technical specifications and bid manual, hereinafter called the “WORK”. The work also includes all explanatory matters.

In submitting this Bid, the BIDDER represents that:

1. BIDDER acknowledges receipt of the following addenda:

2. BIDDER agrees that in case of failure on his part to execute said contract and bond, or provide satisfactory proof of carriage of the insurance required, within fourteen (14) calendar days after the award thereof, the Bid Bond or certified check accompanying his bid and the money payable thereon shall be forfeited to the COUNTY as liquidated damages; otherwise, the check or Bond accompanying this proposal shall be returned to the BIDDER.

3. BIDDER has examined the plans, specifications and related documents with respect to the site of the proposed work. Being familiar with all of the conditions surrounding the construction of the proposed project, including the availability of materials and supplies, the BIDDER agrees to construct the project within the time set forth herein and in accordance with the Contract Documents.

4. BIDDER has examined the Utility Adjustment Schedules (UAS’s), utility plans, and related documents with respect to utility involvement, conflicts, time constraints, and coordination requirements of the proposed work.

5. BIDDER has given the COUNTY written notice of all conflicts, errors or discrepancies discovered in the Contract Documents. BIDDER has received written resolution thereof by Addendum from the COUNTY.

6. BIDDER is aware no submitted bid may be withdrawn after the receipt of bids for a period of one hundred twenty (120) days.

7. This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation.

8. BIDDER has not directly or indirectly induced or solicited any other Bidder to submit a false or sham bid.

9. BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding; and, BIDDER has not sought by collusion to obtain for himself any advantage over any other Bidder or over DOUGLAS

COUNTY, GEORGIA.

Further, BIDDER agrees that the cost of any work performed, materials furnished, services provided or expenses incurred, which are not specifically delineated in the Contract Documents, but which are incidental to the scope, intent, and completion of the Contract, shall be deemed to have been included in the prices bid for the various items scheduled.

BIDDER further proposes and agrees hereby to promptly commence the Work with adequate force and equipment within ten (10) calendar days from receipt of Notice to Proceed, or as may be specified by Special Provision; to continuously pursue the Work without interruption; and, to complete the Work in THREE HUNDRED SIXTY-FIVE

(365) calendar days from Notice to Proceed.

TOTAL LUMP SUM BASE BID PROPOSAL SUM:

(written amount)

The low bidder will be determined based upon the sum of the base bid.

Attached hereto is a bid bond or certified check on the (Bank) _______________________ in the amount of

(Five percent of Total Amount Bid).

The full name and residence of persons or parties interested in the foregoing bid as CONTRACTORS, are named as follows:

Signed, sealed, and dated this _____ day of ________________, 202__.

BIDDER: ___________________________

(company Name)

By: ___________________________

Title: ___________________________

Mailing Address:

Surety companies executing bonds must appear on the Treasury Department’s most current list (Circular 570, as amended) and be authorized to conduct business in the State of Georgia.

BID SCHEDULE OF ITEMS

P.I.# 0020661 - SR 166 @ CHAPEL HILL ROAD PROJECT

BID ITEM NO. DESCRIPTION UNIT QTY UNIT COST TOTAL

150-1000 TRAFFIC CONTROL - - PI 0020661 LS 1

210-0100 GRADING COMPLETE - - PI 0020661 LS 1

310-1101 GR AGGR BASE CRS, INCL MATL TN 1348

441-0016 DRIVEWAY CONCRETE, 6 IN TK SY 154

441-0108 CONC SIDEWALK, 8 IN SY 288

441-0754 CONCRETE MEDIAN, 7 1/2 IN SY 293

441-5025 CONCRETE HEADER CURB, 4 IN, TP 9 LF 295

441-6222 CONC CURB & GUTTER, 8 IN X 30 IN, TP 2 LF 984

634-1200 RIGHT OF WAY MARKERS EA 16

643-8200 BARRIER FENCE (ORANGE), 4 FT LF 2030

318-3000 AGGR SURF CRS TN 20

402-1812 RECYCLED ASPH CONC LEVELING, INCL BITUM MATL & H LIME TN 264

402-3121 RECYCLED ASPH CONC 25 MM SUPERPAVE, GP 1 OR 2, INCL BITUM

MATL & H LIME TN 357

402-3190 RECYCLED ASPH CONC 19 MM SUPERPAVE, GP 1 OR 2,INCL BITUM

MATL & H LIME TN 238

402-3600 RECYCLED ASPH CONC 12.5 MM, SMA, GP 2 ONLY, INCL POLYMER-

MODIFIED BITUM MATL & H LIME TN 314

413-0750 TACK COAT GL 402

432-5010 MILL ASPH CONC PVMT, VARIABLE DEPTH SY 1627

439-0022 PLAIN PC CONC PVMT, CL 3 CONC, 10 INCH THK SY 560

456-2084 SINUSOIDAL EDGELINE RUMBLE STRIPS - GROUND IN PLACE SKIP, 6 IN

(150 MM) GLM 2

441-0301 CONC SPILLWAY, TP 1 EA 1

BID ITEM NO. DESCRIPTION UNIT QTY UNIT COST TOTAL

500-3900 CLASS B CONCRETE, INCL REINF STEEL CY 2

550-2180 SIDE DRAINPIPE, 18 IN, H 1-10 LF 38

550-3318 SAFETY END SECTION 18 IN, STORM DRAIN, 4:1 SLOPE EA 3

550-3418 SAFETY END SECTION 18 IN, SIDE DRAIN, 4:1 SLOPE EA 1

550-3618 SAFETY END SECTION 18 IN, SIDE DRAIN, 6:1 SLOPE EA 1

550-5180 STORM DRAINPIPE, 18 IN, CLASS III LF 101

550-5360 STORM DRAINPIPE, 36 IN, CLASS III LF 90

550-6820 FLARED END SECTION, 18 IN, STORM DRAIN, TEMPORARY EA 3

668-2100 DROP INLET, GP 1 EA 5

668-4300 STORM SEWER MANHOLE, TP 1 EA 2

668-4311 STORM SEWER MANHOLE, TP 1, ADDL DEPTH, CL 1 LF 8.32

163-0232 TEMPORARY GRASSING AC 1

163-0240 MULCH TN 23

163-0301 CONSTRUCT AND REMOVE CONSTRUCTION EXITS EA 2

163-0310 CONSTRUCTION EXIT TIRE CLEANING STATION (PER DAY) EA 2

163-0527 CONSTRUCT AND REMOVE RIP RAP CHECK DAMS, STONE PLAIN RIP

RAP/SANDBAGS EA 19

163-0550 CONSTRUCT AND REMOVE INLET SEDIMENT TRAP EA 5

165-0010 MAINTENANCE OF TEMPORARY SILT FENCE, TP A LF 100

165-0030 MAINTENANCE OF TEMPORARY SILT FENCE, TP C LF 750

165-0041 MAINTENANCE OF CHECK DAMS - ALL TYPES LF 190

165-0101 MAINTENANCE OF CONSTRUCTION EXIT EA 2

165-0105 MAINTENANCE OF INLET SEDIMENT TRAP EA 5

165-0310 MAINTENANCE OF CONSTRUCTION EXIT TIRE WASH AREA (PER EACH) EA 2

167-1000 WATER QUALITY MONITORING AND SAMPLING EA 3

167-1500 WATER QUALITY INSPECTIONS MO 12

171-0010 TEMPORARY SILT FENCE, TYPE A LF 200

171-0030 TEMPORARY SILT FENCE, TYPE C LF 1500

700-8100 FERTILIZER NITROGEN CONTENT LB 75

700-6910 PERMANENT GRASSING AC 2

700-7000 AGRICULTURAL LIME TN 5

700-8000 FERTILIZER MIXED GRADE TN 2

700-9300 SOD SY 322

636-1033 HIGHWAY SIGNS, TP 1 MATL, REFL SHEETING, TP 9 SF 132

636-1036 HIGHWAY SIGNS, TP 1 MATL, REFL SHEETING, TP 11 SF 104

636-1041 HIGHWAY SIGNS, TP 2 MATL, REFL SHEETING, TP 9 SF 254

636-2070 GALV STEEL POSTS, TP 7 LF 676

636-2080 GALV STEEL POSTS, TP 8 LF 72

636-2090 GALV STEEL POSTS, TP 9 LF 168

636-3010 GROUND-MOUNTED BREAKAWAY SIGN SUPPORT EA 4

429-1000 RUMBLE STRIPS EA 9

653-1804 THERMOPLASTIC SOLID TRAF STRIPE, 8 IN, WHITE LF 595

653-1906 THERMOPLASTIC SOLID TRAF STRIPE, 6 IN, WHITE LF 1832

653-2602 THERMOPLASTIC SOLID TRAF STRIPE, 6 IN, YELLOW LF 1381

653-4830 THERMOPLASTIC SKIP TRAF STRIPE, 18 IN, WHITE GLF 110

653-6004 THERMOPLASTIC TRAF STRIPING, WHITE SY 24

653-6006 THERMOPLASTIC TRAF STRIPING, YELLOW SY 202

654-1001 RAISED PVMT MARKERS TP 1 EA 44

654-1003 RAISED PVMT MARKERS TP 3 EA 93

TOTAL:

Note: Bidders are responsible for verifying quantities.

This unit price bid schedule can be inserted as an amended page in the bid documents. DO NOT DISASSEMBLE THE BID DOCUMENTS.

INSURANCE REQUIREMENTS

Prior to execution of the Contract and at all times the Contract is in force, the Contractor shall obtain, maintain and furnish the County Certificates of Insurance from licensed companies doing business in the State of Georgia and an A.M. Best Rating A-6 or higher and acceptable to the County covering:

1. Statutory Workers' Compensation Insurance

(a) Employers Liability Bodily Injury by Accident- $500,000 Each Accident Bodily Injury by Disease - $500,000 Policy Limit Bodily Injury by Disease - $500,000 Each Employee

2. Comprehensive General Liability Insurance

(a) $1,000,000 Limit of Liability per Occurrence for Bodily Injury and Property Damage

(b) Owner's and Contractor's Protective

(c) Blanket Contractual Liability

(d) Blanket "X", "C" and "U"

(e) Products/Completed Operations Insurance

(f) Broad Form Property Damage

(g) Personal Injury Coverage

3. Automobile Liability

(a) $1,000,000 Limit of Liability per Occurrence for Bodily Injury and Property Damage

(b) Comprehensive Form covering all Owned, Non-owned and Hired Vehicles

4. Umbrella Liability Insurance

(a) 4,000,000 Limit of Liability

(b) Coverage at least as Broad as Primary Coverage as outlined under Items 1, 2, 3 above

5. Douglas County Board of Commissioners (DCBC), its subcontractors and affiliated companies, its officers, directors and employees shall be named on the Certificates of Insurance as Additional Insureds and endorsed onto the policies for Comprehensive General Liability, Automobile Liability and Umbrella Liability Insurance maintained pursuant to this Contract in connection with liability of Douglas County, arising out of Contractor's operations. Copies of the endorsements shall be furnished by the County prior to execution of the Contract. Such insurance is Primary Insurance and shall contain a Severability of Interest clause with respects to each Insured. Such policies shall be noncancelable except on thirty (30) days written notice to the County. Any separate insurance maintained in force by the Additional Insureds named above shall not contribute to the insurance extended by Contractor's Insurer(s) under this Additional Insured Provision.

Certificate Holder Should Read:

Douglas County Board of Commissioners

P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, Solicitation No. 26-022 Douglas County, Georgia

Agent: ____________________________________ Telephone No. _________________________

Address: ________________________________________________________________________

CORPORATE CERTIFICATE

I, ____________________________________, certify that I am the Secretary of the Corporation named as

Contractor in the foregoing proposal; that ____________________________, who signed Proposal on behalf of the Contractor, was then (title) _________________________________ of said Corporation; that said

Proposal was duly signed for and in behalf of said Corporation by authority of its Board of Directors, and is within the scope of its corporate powers, that said Corporation is organized under the laws of the State of

___________________________, this ___________ day of ____________________, 202__.

(SEAL) _____________________________________

(Signature)

(Company)

(Address)

(Telephone No.)

OATH OF SUCCESSFUL BIDDER

Personally, appeared before the undersigned officer duly authorized by law to administer oaths and who, after being first duly sworn, depose and say that they are all the officers, agents, persons, or employees who have acted for or represented

(Company Name) ________________________________________________

(Address) _______________________________________________________

(Telephone No.) _____________________________ in bidding or procuring a Contract with Douglas County, Georgia on the following project(s):

P.I.# 0020661 - SR 166 @ Chapel Hill Road Project, Solicitation No. 26-022

And that said (has/have) not by (himself/themselves) or through any persons, officers, agents or employees prevented or attempted to prevent by any means whatsoever competition in such bidding; or by any means whatsoever prevented or endeavored to prevent anyone from making a bid therefore or induced or attempted to induce another to withdraw a bid for said work.

By: _____________________________________ (Signature of Bidder)

(Name Printed)

(Title)

Sworn to and subscribed before me this ________ day of __________________________________, 202__.

NOTARY PUBLIC

(SEAL) __________________________

CERTIFICATIONS

Failure to complete appropriate certification requirements identified below or submission of a false certification shall render the bid non-responsive.

EXAMINATION OF PLANS AND SPECIFICATIONS

I certify that I have carefully examined the Plans for this Project and the Georgia Department of Transportation State of Georgia Standard Specifications Construction of Transportation Systems, 2013 Edition, and the 2016 GDOT Supplemental Specifications Modifying the 2013 Standard Specifications Construction of Transportation Systems and the Special Provisions and any supplementary specifications included in and made a part of this Proposal, and have also personally examined the site of the work. On the basis of the said specifications and plans, I propose to furnish all necessary machinery, tools, apparatus and other means of construction, and do all the work and furnish all the materials, in the manner specified.

I also hereby agree that Douglas County would suffer damages in a sum equal to at least the amount of the enclosed Proposal Guaranty, in the event my Proposal should be accepted and a Contract tendered me thereunder and I should refuse to execute same and furnish Bonds and Liability Insurance as herein required, in consideration of which, I hereby agree that, in the event of such failure on my part to execute said Contract and furnish said Bonds and Liability Insurance within fifteen (15) days after the date of the letter transmitting the Contract to me, the amount of said Proposal Guaranty shall be and is hereby forfeited to Douglas County as liquidated damages as the result of such failure on my part.

I further propose to execute the Contract agreement described in the Specifications as soon as the work is awarded to me, and to begin and complete the work within the time limit provided or suffer liquidated damages in accordance with applicable specifications and regulations. I also propose to furnish Performance and Payment Bonds and Liability Insurance, approved by the Douglas County Board of Commissioners, as required by the laws of the State of Georgia. These Bonds shall not only serve to guarantee the completion of the work on my part, but also to guarantee the excellence of both workmanship and materials until the work is finally accepted, as well as to fully comply with all the laws of the State of Georgia.

CONFLICT OF INTEREST

By signing and submitting this Contract, I hereby certify that employees of the company or employees of any company supplying material or subcontracting to do work on this Contract will not engage in business ventures with employees of Douglas County nor shall they provide gifts, gratuities, favors, entertainment, loans or other items of value to employees of this department.

Also, by signing and submitting this Contract I hereby certify that I will notify Douglas County through its Engineer of any business ventures entered into between employees of this company or employees of any company supplying material or subcontracting to do work on this Contract with a family member of Douglas County employees.

DRUG-FREE WORKPLACE CERTIFICATION

The undersigned certifies that the provisions of Code Sections 50-24-1 through 50-24-6 of the Official Code of Georgia Annotated, relating to the "Drug-free Workplace Act", have been complied with in full. The undersigned further certifies that:

1. A drug-free workplace will be provided for the Contractor's employees during the performance of the Contract; and

2. Each Contractor who hires a Subcontractor to work in a drug-free workplace shall secure from that Subcontractor the following written certification:

"As part of the subcontracting agreement with ___________________________________ (Contractor’s Name), ____________________________ (Subcontractor’s Name) certifies to the Contractor that a drug-free workplace will be provided for the Subcontractor's employees during the performance of this Contract pursuant to paragraph (7) of subsection (b) of Code Section 50-24-3."

Also, the undersigned further certifies that he will not engage in the unlawful manufacture, sale distribution, dispensation, possession, or use of a controlled substance or marijuana during the performance of the Contract.

NON-COLLUSION CERTIFICATION

I hereby certify that I have not, nor has any member of the firm(s) or corporation(s), either directly or indirectly entered into any agreement, participated in any collusion, nor otherwise taken any action in restraint of free competitive bidding in connection with this submitted bid.

It is understood and agreed that this Proposal is one of several competitive bids made to Douglas County, and in consideration of mutual agreements of the bidders, similar hereto, and in consideration of the sum of One Dollar cash in hand paid, receipt whereof is hereby acknowledged, the undersigned agrees that this Proposal shall be an option, which is hereby given by the undersigned to Douglas County to accept or reject this Proposal at any time within that prescribed bid hold period unless the successful bidder agrees in writing to a longer period of time for the Award, and in consideration of the premises, it is expressly covenanted and agreed that this Proposal is not subject to withdrawal by the Proposer or Bidder, during the term of said option.

Witness my hand and seal this, the __________day of ______________________, 202___.

Contractor:

The bidder(s) whose signature(s) appears on this document, having personally ___________________________________ appeared before me, and being duly (Print Company Name) sworn, deposes and says that the above statements are true and…