FY27 Scott Air_Paks RFB.pdf

POLK COUNTY BOARD OF COMMISSIONERS

P. O. BOX 268

CEDARTOWN, GA 30125

(770) 749-2100

REQUEST FOR BIDS

Date Issued: August 7, 2026

POLK COUNTY GOVERNMENT IS ACCEPTING SEALED BIDS FROM EXPERIENCED AND QUALIFIED

CONTRACTORS FOR SCOTT AIR-PAKS. A CONTRACT WILL BE AWARDED TO THE CONTRACTOR WHOSE BID BEST SATISFIES THE REQUIREMENTS FOR THIS REQUEST AND BEST SERVES THE INTEREST OF POLK COUNTY.

SEALED BIDS WILL BE ACCEPTED UNTIL 10:00AM EST ON WEDNESDAY, SEPTEMBER 16, 2026, IN THE

COMMISSIONERS OFFICE LOCATED AT 216 MAIN STREET IN CEDARTOWN, GA 30125.

Copies of proposal documents may be obtained from the Polk County Administration Office located at 216 Main Street, Cedartown, Georgia 30125. Requests for documents should be filed promptly with Polk County.

Proposal documents are also available on the Polk County Website: polkga.org.

No bid may be withdrawn for a period of 90 days after the proposal deadline for submission.

Polk County Government reserves the right to a) reject any or all proposals or to make no award, b) require modifications to initial proposals, or c) to make partial or multiple awards. The County further reserves the right to excuse technical defects in a proposal and/or informalities when, in its sole discretion, such excuse is in the best interest of the County.

PROPOSAL PACKAGE MUST BE RETURNED IN SEALED ENVELOPE

AND CLEARLY MARKED

SCOTT AIR-PAKS

SEPTEMBER 16, 2026 AT 10:00AM

Request for Bid – Scott Air-Paks

POLK COUNTY GEORGIA

PROPOSAL TERMS AND CONDITIONS

REQUEST FOR BIDS (RFB)

GENERAL CONDITIONS AND CLAUSES

1 CHANGES: No change will be made to this RFB except by written modification by the County. Requests for interpretation or changes must be in writing, directed to the Polk County Fire Chief, Mike Hanuscin, and received at least (5) Five Calendar Days prior to the time set for opening of the bids. Email:

mhanuscin@polkga.org

2 LIABILITY: The County is not liable for any cost incurred in the preparation of the proposal. Nor is the County responsible for costs or damages incurred by Respondents, member(s), partners, subcontractors or other interested parties in connection with the RFB process, including but not limited to costs associated with participating in any conferences, site visits, product/system demonstrations, oral presentations or negotiations. The County shall not be bound by any information provided unless reduced to writing and distributed as a written addendum.

3 BID ACCEPTANCE TIME: Proposals requiring acceptance by the County in less than 90 calendar days could be rejected.

4 BID IDENTIFICATION: All Proposals submitted as a result of this RFB must be returned in a sealed envelope with the following information in the lower left-hand corner of the envelope:

SCOTT AIR-PAKS

SEPTEMBER 16, 2026 AT 10:00AM

5 BID SUBMISSION FORMAT: Bids should be bound or stapled whereby county staff can easily make additional copies. Pages should be 8 ½” X 11” in size with larger sheets folded to fit within bindings. The proposal should be ordered in the following format:

Request for Bids Vendor’s Proposal All Forms in Attachment “A” Proof of Liability Insurance as Required Herein

6 WITHDRAWAL OF BIDS: Bids may be withdrawn by written request only, if the request is received prior to the deadline for submittals. Negligence on the part of a Contractor during the preparation of a proposal establishes no right of withdrawal or modification of a proposal after a proposal has been accepted. No proposal may be withdrawn for a period of 90 days after the deadline for proposal submittals.

7 CLARIFICATION OF BIDS: The County reserves the right to seek clarification of any point in a respondent’s proposal, or to obtain additional information.

8 DISQUALIFICATION: Bids may be disqualified for: a) receipt of the bid by the County past the stated deadline; b) any irregularities; c) unbalanced unit price or extensions; d) unbalanced value of any items; e) failure to comply with any requirement of this RFB. If in the opinion of the Polk County Board of Commissioners, the Contractor is not in a position to fulfill the contract, the proposal may be disqualified.

The County reserves the right to waive any minor informality or irregularities.

9 AWARD OF CONTRACT: An award will be made based upon the proposal that best conforms to this RFB and best serves the interest of the County. The County reserves the right to a) reject any or all proposals or to make no award, b) require modifications to initial proposals, or c) to make partial or multiple awards. The County further reserves the right to excuse technical defects in a proposal and/or informalities when, in its sole discretion, such excuse is in the best interest of the County. A binding contract must be signed by both parties prior to providing services.

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

10 EXCEPTIONS TO SPECIFICATIONS: Any award resulting from this RFB shall bind a Contractor to all Terms, Conditions, and Specifications set forth in this RFB. Contractors whose bids do not conform should so note on either a separate page or in the Proposal. While the County reserves the right to make an award based upon a nonconforming proposal, when in the best interest of the County, such awards will not be readily made, and Contractors are urged to conform to the greatest extent possible. No exceptions will be considered to have been taken unless it is properly set out as provided above. No exception will be deemed to have been taken by the County unless incorporated in an award resulting from this RFP and so stated.

11 BID RESULTS: Interested parties may request, in writing, a summary of the proposals by sending a self addressed, stamped envelope with their request to the Polk County Board of Commissioners, P.O. Box 268, Cedartown, Georgia 30125, or by emailing the Administration Office, attention County Clerk.

12 EXECUTION OF CONTRACT: Subsequent to an award, the successful Contractor will be presented with a contract in the form attached hereto as Attachment B. Contract, when provided, is to be executed within Ten

(10) calendar days of NOTICE OF AWARD. If the contract document is mailed, the date of presentation shall be deemed to be the postmark date. The successful Contractor’s proposal and this RFB shall be incorporated into the contract, except to the extent that this RFB conflicts with the contract, in which case the provisions of the contract shall take precedent.

13 INCLUSION: All items and/or services standard, expected, necessary, and/or routine to such services as this and not actually stated in this RFB will be the responsibility of the contractor to provide at no additional cost to the County unless so stated on the Contractor’s proposal as additional cost items and accepted by the County at the time of the award and/or contract.

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

15 INDEPENDENT CONTRACTORS: By submitting a proposal in response to this RFB, the Contractor represents to POLK COUNTY that it is fully licensed, experienced and properly qualified to perform the services requested herein and that it is properly equipped, organized, and financed to perform such services. The Contractor shall finance its own operations hereunder, shall operate as an independent contractor and not as an agent of Polk County and nothing contained in this RFB or a contract resulting from same shall be construed to constitute the Contractor or any of its employees, servants, agents, or subcontractors as a partner, employee, servant, or agent of the County nor shall either party have any authority to bind the other in any respect; it being intended that each shall remain an independent contractor.

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

17 INDEMNITY: Contractor agrees, if entering into a contract as a result of this RFB, to defend, indemnify, and hold harmless Polk County from any and all courses of action or claims of damages arising out of or related to Contractor’s performance or actions or those of its employees or agents, under said contract.

18 ANTI-DISCRIMINATION CLAUSE: Polk County does not discriminate against any person because of race, color, religion, national origin, or handicap in employment or service provided.

GENERAL INFORMATION

Introduction Polk County Government is soliciting bids for the purchase of 30 Scott Air-Pak X3 Pros and 30 Scott AV 3000 HT size medium masks. Cylinders are not part of this bid process.

Required Specifications The Air-Paks and Masks must meet the following specifications:

Self-Contained Breathing Apparatus Requirements

• The SCBA shall consist of the following major sub-assemblies: (1) full facepiece assembly; (2) a removable, positive pressure, mask-mounted regulator with air-saver switch; (3) an automatic dual path redundant pressure reducer; (4) end-of-service time indicators; (5) a harness and back frame assembly for supporting the equipment on the body of the wearer; (6) a shoulder strap mounted, remote gauge indicating cylinder pressure; (7) a rapid intervention crew/universal air connection (RIC/UAC);

(8) a personal alert safety system (PASS); and (9) cylinder and valve assembly for storing breathing air under pressure.

Regulatory Approvals

• The SCBA shall be approved to NIOSH 42 CFR, Part 84 as an open circuit, pressure-demand self-contained breathing apparatus.

• The SCBA shall be certified to NFPA 1970, Standard on Protective Ensembles for Structural and Proximity Firefighting, Work Apparel, Open-Circuit Self-Contained Breathing Apparatus (SCBA) for Emergency Services, and Personal Alert Safety Systems (PASS), 2025 Edition.

• The SCBA shall be compatible with an optional firefighter escape belt that would be compliant to NFPA 1983, incorporated into the 2022 Edition of NFPA 2500, Standards for Operations and Training for Technical Search and Rescue Incidents, and Life Safety Rope and Equipment for Emergency Services.

• All components shall be approved for Intrinsic Safety under UL 913 Class I, Groups C and D, Class II, Groups E, F and G, Hazardous locations.

• The SCBA shall maintain all NIOSH standards with any of the types of cylinders listed as provided by the SCBA manufacturer.

Required Components:

Face Piece Assembly (Model: AV-3000HT)

• The facepiece shall have a large diameter inlet that enables both unrestricted breathing and voice communications, while also allowing for rehydration (oral) without having to remove the facepiece.

• The facepiece shall enable connection of the mask-mounted regulator by way of a quarter (1/4) turn rotation.

• The facepiece shall interface with the mask-mounted regulator, without the use of tools, with an audible click to assure the user that the regulator is properly seated.

• The full facepiece assembly shall be available in three sizes, marked “S” for small, “M” for medium and “L” for large.

• The facepiece sizes shall be color-coded for ease of identification.

• The facepiece nose cup assembly shall be available in three sizes, marked “S” for small, “M” for medium and “L” for large.

• The facepiece assembly, including head harness, shall not be made with natural rubber latex.

• The facepiece shall include a face seal that is secured to the lens by a U-shaped bezel using no more than two fasteners.

• The facepiece shall contain inhalation valves that are contrasting in color and readily visible to enable quick visual inspection.

• Multi-directional voice emitters shall be recessed on both sides of the facepiece and ducted directly to an integral silicone nose cup to enhance voice transmission around the user.

• The facepiece shall meet the requirements of the NFPA 1970, 2025 Edition standard for non-electronic communications.

• The facepiece assembly shall be modular in design to enable ease of upgrading and serviceability.

• The facepiece shall be capable of submersion for cleaning and disinfecting.

• The facepiece shall be able to incorporate multiple electronic communications options (amplification, radio interface, radio direct interface) without affecting NIOSH approvals and/or NFPA certification, where applicable.

• The facepiece shall enable the installation of communications bracket on either the right or left side.

• The facepiece shall be approved for use with multiple respiratory applications (e.g., airline respirator or negative pressure respirator with filters/cartridges) to enable the same user to switch from one application to another without the use of tools and without doffing the facepiece.

Facepiece Lens

• The lens is a component of the facepiece assembly and shall be a single, replaceable, modified-cone configuration, constructed of a high-temperature and radiant-heat-resistant, non-shatter type polycarbonate material.

• The lens shall be coated to resist abrasion and meet the requirements of the NFPA 1970, 2025 Edition standard for lens abrasion.

• The lens shall have an internal anti-fog coating to reduce fogging of the lens.

• The lens shall meet the requirements of the NFPA 1970, 2025 Edition standard for radiant heat and elevated temperature heat and flame resistance tests.

• The facepiece shall meet the penetration and impact requirements of ANSI Z87.

Head Harness

• The head harness is a component of the facepiece assembly and shall have five points of suspension connection, four of which shall be adjustable, made in the fashion of a net hood to minimize interference between securing of the facepiece and the wearing of head protection.

• The head harness shall be available in an optional, adjustable five-strap configuration.

• The head harness shall be constructed of a para-aramid material for fire, first responder and CBRN applications.

• The head harness shall include either a positioning strap or an integrated handle to assist with donning of the facepiece.

• Two elastomeric straps, attached to the face seal in four locations, shall provide adjustment for proper seal to the face.

Regulator (Model: E-Z Flo+)

• The mask-mounted regulator shall maintain positive pressure during flows of up to 500 standard liters per minute.

• The mask-mounted regulator shall be available in a continuous hose configuration, with an optional inline quick disconnect coupling.

• The optional quick disconnect coupling shall be easily connected and disconnected by trained individuals with a gloved hand and in limited visibility conditions.

• The optional quick disconnect coupling shall be guarded against inadvertent disconnection during use of the equipment.

• The low-pressure hose shall be equipped with a swivel attachment at the mask-mounted regulator.

• The mask-mounted regulator shall connect to the facepiece by way of a quarter (1/4) turn rotation.

• A latch mechanism shall lock the mask-mounted regulator in place to prevent inadvertent rotation.

• An audible click shall provide notification that the mask-mounted regulator is securely attached to the facepiece.

• The mask-mounted regulator shall be equipped with a gasket to provide a seal against the mating surface of the facepiece.

• The mask-mounted regulator shall contain an air-saver switch to prevent airflow when disconnected from the facepiece.

• The mask-mounted regulator shall reactivate and supply air only in the positive pressure mode when the wearer affects a face seal and inhales.

• The mask-mounted regulator shall have a demand valve to deliver air to the user, activated by a diaphragm responsive to respiration.

• The diaphragm shall include an integrated exhalation valve.

• The mask-mounted regulator shall include a purge valve for use as an emergency bypass.

• The mask-mounted regulator shall be designed to direct the incoming air through a spray bar and over the inner surface of the facepiece lens for defogging purposes.

• The mask-mounted regulator shall incorporate a Heads-Up Display (HUD) to provide visual alerts to the SCBA user of air status and PASS alarm conditions.

• The mask-mounted regulator shall incorporate a latch mechanism to enable removal from the facepiece.

• The mask-mounted regulator shall require pulling back of the thumb latch and a quarter (1/4) turn rotation for removal from the facepiece.

Pressure Reducer with Snap-Change Cylinder Connection

• The pressure reducer shall be mounted at the waist on the backframe and be coupled to the cylinder valve through a stainless steel quick connect snout for engagement and sealing within the cylinder valve outlet.

• The cylinder shall be secured to the pressure reducer with two pull-rings 180° from each other.

• A stainless-steel rod shall secure each of the pull-rings to prevent removal of the cylinder while the SCBA is pressurized.

• The stainless-steel rods shall be actuated when the cylinder is opened and when cylinder pressure is above 30 psig.

• The pressure reducer shall include a back-up pressure reducer connected in parallel with the primary pressure reducer and an automatic transfer valve for redundant control.

• The back-up pressure reducer shall also be the means of activating the low-pressure alarm devices in the mask-mounted regulator.

• The low-pressure alarm warning shall denote a switch from the primary pressure reducer to the back-up pressure reducer whether from a malfunction of the primary pressure reducer or from low cylinder supply pressure.

• A press-to-test valve shall be included to allow functional testing of the back-up pressure reducer.

• The pressure reducer shall have incorporated a resettable over-pressurization relief valve which shall prevent the attached low-pressure hose and mask-mounted regulator from being subjected to high pressure.

End-of-Service-Time Indicator (EOSTI)

• The SCBA shall have two end-of-service time indicators (EOSTI). One shall be both a tactile and audible alarm, and one shall be a Heads-Up Display (HUD).

• The primary EOSTI shall be the integral low-pressure alarm device that shall combine an audible alarm with simultaneous vibration of the facepiece.

• The primary EOSTI shall be located in the positive pressure mask-mounted regulator.

• This alarm device shall indicate either low cylinder pressure (31% +/- 2% for SCBA rated at 4500 psig or 29% +/- 2% for SCBA rated at 5500 psig) or a malfunction of the primary pressure reducer.

• The HUD shall serve as the secondary EOSTI.

• The HUD shall be powered by the SCBA’s single power supply.

• The HUD shall be mounted in the user’s field of vision on the positive pressure mask-mounted regulator.

• The HUD shall display cylinder pressure in increments of 100%, 75%, 50% and 31% (+/- 2%) for SCBA rated at 4500 psig or

29% (+/- 2%) for SCBA rated at 5500 psig.

• The display shall not have a numerical representation of cylinder pressure.

• At greater than three quarters cylinder pressure, two green Light Emitting Diodes (LED) shall be illuminated.

• Between three quarters and one-half cylinder pressure, one green LED shall be illuminated.

• Between one-half and 31% (+/- 2%) cylinder pressure for SCBA rated at 4500 psig, one “yellow” LED shall be illuminated and flash at a rate not less than one (1x) time per second.

• Between one-half and 29% (+/- 2%) cylinder pressure for SCBA rated at 5500 psig, one “yellow” LED shall be illuminated and flash at a rate not less than one (1x) time per second.

• At 31% (+/- 2%) or less cylinder pressure for SCBA rated at 4500 psig, one “red” LED shall be illuminated and flash at a rate to exceed ten times (10x) per second.

• At 29% (+/- 2%) or less cylinder pressure for SCBA rated at 5500 psig, one “red” LED shall be illuminated and flash at a rate to exceed ten time (10x) per second.

• The HUD shall have a low battery indication that is distinct and distinguishable from the cylinder pressure indications.

Back Frame and harness Assembly

• A lightweight, lumbar support style backframe and harness assembly shall be used to carry the cylinder and valve assembly and the pressure-reducing regulator assembly.

• The backframe shall be a solid, one-piece black powder-coated aluminum alloy frame that is contoured to follow the shape of the user’s back.

• The backframe shall include a shroud to streamline hose and wire management by minimizing exposure of the low-pressure hose and electronics molded cable.

• The backframe shall include an over-the-center, adjustable tri-slide fixture, a para-aramid strap and a double-locking latch assembly to secure 30, 45 or 60-minute cylinders.

• The harness assembly shall include a waist pad and shoulder pads constructed of an outer shell material and incorporating a closed-cell foam design to help minimize water and contaminant absorption.

• The harness assembly shall incorporate parachute-type, quick-release buckles with an integrated bail to help secure the webbing.

• The harness assembly shall consist of a one-size, black, para-aramid strap with two red stripes along the outer edges and a reflective stripe in the center for enhanced visibility.

• The harness assembly shall include a seat-belt type waist belt attachment.

• The harness assembly shall include box-stitched construction with no screws or bolts.

• The harness assembly shall be removable from the backframe without the use of tools.

• The harness assembly shall be machine washable to help with contaminant exposure reduction.

• The harness assembly shall accommodate a waist belt extension.

• The harness assembly shall accommodate a mask hook accessory.

• The waist pad shall be attached to the backframe such that movement by the wearer provides natural articulation. Articulation shall be accomplished without the use of mechanical devices.

• The waist pad and belt shall freely wrap around and conform to the user’s hips.

• The shoulder harness shall be fitted with a Drag Rescue Loop (DRL) capable of being deployed in an emergency to drag a downed wearer to safety.

• The DRL shall be sewn into the shoulder harness assembly and shall provide a horizontal pull strength of 1000 lbs.

• The DRL shall be stored in a manner to prevent accidental snag but maintain accessibility with gloved hands.

• The shoulder harness shall be attached to the backframe such that the harness presents itself for ease of donning.

• The shoulder harness shall include reflective material to enhance the visibility of the user in low-light conditions.

• The shoulder harness shall accommodate two distinct positions for a chest strap attachment.

Rapid Intervention Crew / Universal Air Connection (RIC/UAC)

• The SCBA shall incorporate a RIC/UAC fitting to be compliant with the NFPA 1970, 2025 E dition standard.

• The RIC/UAC shall be an integral part of the pressure reducer and protected by the backframe.

• The RIC/UAC inlet connection shall be within 4” (4-inches) of the cylinder valve.

• The self-resetting relief valve shall be color-coded to identify pressure rating of the SCBA.

• The RIC/UAC shall have a check valve to prevent the loss of air when the high-pressure air source has been disconnected.

Personal Alert Safety System (PASS) with Firefighter Locator

• Operation of this distress alarm shall be initiated with the opening of the valve of a charged SCBA cylinder.

• The system shall feature a “hands-free” reset capability that may be activated by means of a slight movement of the SCBA when the system is in a pre-alarm mode.

• The system shall operate from a single power source containing six “AA” batteries.

• The system shall have a battery check function that provides an LED indication of battery status while the SCBA is not pressurized.

• When the PASS is manually activated, the locator system shall immediately emit a 2.4 GHz signal able to be received b y a separate hand-held receiver.

• When the PASS is activated due to lack of motion, the locator system shall have a ten second delay prior to emitting a 2.4

GHz signal able to be received by a separate hand-held receiver.

• The locating system shall be programmable with eight alpha-numeric characters to provide identification information.

• The PASS device shall contain two components: a Console and a Sensor Module.

• When the PASS device goes into pre-alarm, the user shall be notified through a distinct light pattern in the HUD display located on the mask-mounted regulator.

Console

• The console shall be located on the user’s right shoulder harness.

• The control console shall come with a mechanical (analog) pressure gauge that is angled at 30°.

• The console shall contain an integral, edge-lit, mechanical pressure gauge that is automatically turned on by opening the cylinder valve.

• The console shall display to the user the following:

- Pre-Alarm: alternating red flashing LEDs;

- Full Alarm: dual flashing red LEDs and a flashing PASS icon;

- Low Battery: red flashing LEDs;

- Normal System Operation: flashing green LED.

• The console shall contain a photo sensing diode that automatically adjust the brightness of the HUD as the ambient lighting conditions change.

• The console shall contain an integrated RFID tag.

• The console shall contain push buttons for user interface.

• The push buttons shall be designed to minimize accidental activation.

• A yellow color-coded push button shall permit system reset.

• A red color-coded push button shall permit manual activation of the full alarm mode.

• The console shall be equipped with an LED “External HUD” allowing others to determine the user’s cylinder pressure through the same color-code scheme as the HUD display on the mask-mounted regulator.

• A green LED shall be illuminated across the gauge face to indicate a cylinder with greater than 50% cylinder pressure.

• A yellow LED shall be illuminated across the gauge face to indicate a cylinder between 50% and 31% (+/- 2%) cylinder pressure for SCBA rated at 4500 psig or 29% (+/- 2%) cylinder pressure for SCBA rated at 5500 psig.

• A red LED shall be illuminated across the gauge face to indicate a cylinder with less than 31% (+/- 2%) cylinder pressure for SCBA rated at 4500 psig or 29% (+/- 2%) cylinder pressure for SCBA rated at 5500 psig.

Sensor Module

• The system shall include a sensor module mounted to the SCBA backframe and located in an area between the cylinder and backframe in a manner designed to protect the assembly from damage.

• The sensor module shall contain a motion sensor that is sensitive to user hip movement to reduce false activations.

• The sensor module shall contain redundant, dual sound emitters for the audible alarm and dual visual “buddy” indicator lights.

• The sensor module sound emitters shall be oriented in multi-directions for optimal sound projection.

• The sensor module sound emitters shall broadcast a unique alarm tone for the following conditions:

- Pre-alarm PASS

- Full-alarm PASS

- Low battery

• The visual indicators on the backframe-mounted sensor module shall flash green during normal operation.

• The visual indicators shall flash red when the device is in pre-alarm and full-alarm.

• The visual indicators shall flash orange when the SCBA has reached one-half cylinder pressure.

• The visual indicators shall flash a combination of red, green, and white when the SCBA has reached 31% (+/- 2%) cylinder pressure for SCBA rated at 4500 psig or 29% (+/- 2%) cylinder pressure for SCBA rated at 5500 psig.

• The sensor module shall have a Bluetooth® chipset integral to the unit to provide wireless connectivity to external devices.

Warranty

• The SCBA shall be covered by a warranty providing protection against defects in materials and workmanship.

• The warranty period shall be for as long as the SCBA is owned by the original purchaser.

• This warranty shall not require a registration in order to activate.

• This warranty shall not be contingent upon completing mandatory overhaul or recommended preventative maintenance.

Universal Emergency Breathing Safety System (UEBSS)

• The optional Universal Emergency Breathing Safety System (UEBSS) shall be certified to the NFPA 1970, 2025 Edition standard.

• The UEBSS shall have one of each of the following requirements; (1) a manifold with one each of a Rectus socket and Rectus plug, both of which have check valves, (2) 40” minimum low-pressure hose, (3) a pouch for storing the hose, and (4) a dust cap for the socket and plug.

• The UEBSS shall be positioned on the wearer’s right side and shall be capable of allowing for six feet of hose between like systems.

• The manifold shall be made of aluminum and anodized.

• The socket and plug shall have spacing, no less than 15° off-center.

• The socket shall have a double action to disengage, noted as a “push-in/pull-back”.

• The plug and socket shall be equipped with a check valve.

• The hose shall be made of high temperature rubber capable of sustaining a maximum 250 psig of pressure.

• The containment system shall include a pouch and shall be made of para-aramid materials and shall be capable of storing 36” of hose.

• The pouch shall be attached to the SCBA by snap fasteners.

• The pouch shall have a pull-strap to assist with opening of the flap and gaining access to the hose and manifold assembly.

• The pouch shall be marked “UEBSS” and be constructed of reflective material.

• The pouch shall be removable from the backframe without the use of tools.

• The UEBSS shall have provision for connection of a supplied airline for extended duration use while reserving the cylinder supply for egress.

• The UEBSS shall connect to a supplied airline using an extended duration airline adapter.

• The optional extended duration airline adapter shall have a plug on one end to connect to the UEBSS and a socket on the other end to connect to a supplied airline.

• The optional extended duration airline adapter shall be able to accommodate Industrial Interchange (e.g. Hansen, Foster, parker, etc.), HK or twist lock fittings.

• The optional extended duration airline adapter shall have a check valve to prevent the accidental loss of air when the adapter is disconnected from the supplied airline.

BID FORM

TO: Polk County Board of Commissioners 216 Main Street Cedartown, GA 30125

Bid Package: SCOTT AIR-PAKS

Total Cost: __________________

Expected Delivery Date: ___________________

All bids submitted shall be subject to acceptance or rejection and Polk County specifically reserves the right to accept or reject any or all bids, to waive any technicalities and formalities in the bidding.

The undersigned understands that any conditions stated above, clarifications made to the above or information other than that requested should be under separate cover and to be considered only at the discretion of the Public Works Department.

Name of Individual, Partner Company or Corporation Title Address

Authorized Signature City, State, Zip Code

Company phone number

The County reserves the right to a) reject any or all proposals, or to make no award, b) require modifications to initial proposals or c) to make partial or multiple awards. The County further reserves the right to excuse technical defects in a proposal when, in its sole discretion, such excuse is in the best interest of the County.

PROPOSAL SCHEDULE

ACTIVITY DATE ACTION

Request for Proposals Issued 8/7/2026 Begin Advertisement Proposal Submission Deadline 9/16/2026 Submit Bids to Polk County Estimated Award Date October 2026 Estimated Bid Award

ATTACHMENT A

POLK COUNTY, GEORGIA

NON-COLLUSION AFFIDAVIT

The following affidavit shall accompany the proposal:

STATE OF: __________________________________

COUNTY OF: ___________________________________

Owner, Partner or Officer of Contractor: __________________________________________

Company Name, Address, County and State:

The undersigned, being of lawful age, being first duly sworn, on oath says that he/she is the agent authorized by the Contractor to submit the attached proposal and that neither he/she nor the Contractor has directly or indirectly violated any of the provisions of Section 36-91- 21(d) of the Official Code of Georgia Annotated. In making such representation, affiant further states for himself/herself and on behalf of Contractor, that he/she is not a party to any collusion among Contractors in restraint of competition or by agreement to submit a proposal at a fixed price or to refrain from submitting a proposal; or with any office of Polk County or any of its employees as to quantity, quality or price in the prospective contract; or any discussion between Contractors and any official of Polk County or any of its employees concerning exchange of money or other things of value for special consideration in submitting a Proposal for:

POLK – SCOTT AIR-PAKS

CONTRACTOR NAME ________________________________________

SIGNATURE _____________________________________________

TITLE __________________________________________________

Subscribed as sworn to before me this day of 20 __ .

NOTARY PUBLIC ________________________________________

CONTRACTOR’S DECLARATION

The Contractor understands, agrees and warrants:

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

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

That this proposal may be withdrawn by requesting such withdrawal in writing at any time prior to WEDNESDAY, SEPTEMBER 16, 2026, but may not be withdrawn after such date and time.

That Polk County reserves the right to reject any or all proposals and to accept that proposal which will, in its opinion, best serve the public interest. Polk County reserves the right to waive any technicalities and formalities in the proposal process.

That by submission of this proposal the Contractor acknowledges that Polk County has the right to make any inquiry or investigation it deems appropriate to substantiate or supplement information supplied by the Contractor.

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

Contractor’s Name: _________________________________________

Phone: _________________________________________________

Name Print: _____________________________________________

Signature: ______________________________________________

Date: __________________________________________________

Email __________________________________________________

DRUG-FREE WORKPLACE CERTIFICATE

By signature on this certificate, the Contractor certifies that the provisions of O.C.G.A. Section 50- 24-1 through 50-24-6 related to the “Drug-Free Workplace Act” will be complied with in full. The Contractor 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 O.C.G.A. Section 50-24-3(b)(7).”

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

Contractor:________________________________________________________

By: ____________________________________________________________

Name Printed: __________________________________________________

Title: _________________________________________________________

Date: __________________________________________________________

CERTIFICATE OF NON-DISCRIMINATION

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

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

In the event of the Contractor is in non-compliance with this non-discrimination clause, the contract may be canceled or terminated by Polk County. The Contractor may be declared, by Polk County, ineligible for further contracts with Polk County until satisfactory proof of intent to comply shall be made by the Contractor.

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

CONTRACTOR

SIGNATURE

TITLE

O.C.G.A. § 50-36-1(e)(2) S.A.V.E Affidavit

By executing this affidavit under oath, as a contractor for contracted services, as referenced in O.C.G.A.

§ 50-36-1, from Polk County Georgia, the undersigned applicant verifies one of the following with respect to my application for a public benefit:

1) I am a United States Citizen.

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

3) I am a qualified alien or non-immigrant under the Federal Immigration and

Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency.

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

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

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

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

Executed in (city), (state).

Signature of Applicant

Printed Name of Applicant

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

DAY OF , 20 .

NOTARY PUBLIC

My Commission Expires:

E-VERIFY COMPLIANCE AFFIDAVIT

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

Federal Work Authorization User Identification number (Not Required if Less than 10 Employees)

Signature (if less than 10 employees)

Date of Authorization

Name of Contractor

Name of Project

Name of Public Employer

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

Executed on _________, ____, 20____ in ____________(city) ____________ (state).

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE _____ DAY OF ______________, 20_____

NOTARY PUBLIC

My Commission Expires: