Georgia State Financing & Investment Commission

Request for Qualifications RFQ No. GBA-198B-MW

(Step I)

And

Invitation to Bid (ITB) (Step II)

To Provide Complete Millwork Package Vendors

For

The Georgia Department of Corrections

New State Prison Davisboro, Georgia

TABLE OF CONTENTS

I. PROJECT FACT SHEET

II. RFQ OVERVIEW

1. GENERAL PROJECT INFORMATION

2. PROCUREMENT PROCESS

3. TERMS

III. REQUEST FOR QUALIFICATIONS (FRQ)

1. QUESTIONS

2. MINIMUM QUALIFICATIONS

3. EVALUATION CRITERIA

4. STATEMENT OF QUALIFICATIONS CONTENTS

5. SUBMITTAL OF STATEMENTS OF QUALIFICATIONS

6. FINALIST NOTIFICATION

IV. STEP II – INVITATION TO BID SAMPLE (FROM QUALIFIED FIRMS)

V. FORMS

I. PROJECT FACT SHEET

Complete Millwork Package Vendors RFQ No. GBA-198B-MW

The following Schedule of Events represents the Owner’s best estimate of the schedule that will be followed.

All times indicated are prevailing times in Atlanta. The Owner reserves the right to adjust the schedule as the Owner deems necessary.

STEP I

Date Time Activity

October 7st, 2026 --- RFQ/RFP issued October 21st, 2026 2:00 PM Deadline for written questions November 4th, 2026 2:00 PM Statement of Qualifications Due November 10th, 2026 9:30 AM Evaluation of Pre-Qualifications

STEP II

February 2027 Issue the Invitation to Bid to finalist firms February 2027 Remote Pre-bid meeting with finalist firms March 2027 Bid Submission

Kelsey Ayers e-mail: Kelsey.ayers@GSFIC.ga.gov Phone: 404-270-0207

Upload one (1) electronic copy of the complete package in .pdf format onto the GSFIC / Egnyte ftp site by selecting this link: https://gsfic.egnyte.com/ul/pNZmp64ims and following the upload instructions provided below.

Click on the provided link above, when the page opens, enter name, email address, and company name, click “Continue.”

Drag and drop your file or click the “Browse” button to select a document from your computer. You should see an upload progress bar and when it gets to 100% the upload is complete.

EGNYTE UPLOAD LINK

SCHEDULE OF EVENTS

PROCUREMENT CONTACT

https://gsfic.egnyte.com/ul/pNZmp64ims

II. RFQ OVERVIEW

Complete Millwork Vendor Services

The Georgia State Financing and Investment Commission (GSFIC), as Owner, on behalf the Georgia Department of Corrections (“GDC” or “Using Agency”'), is seeking statements of qualifications from millwork package vendors interested in pre-qualifying as an eligible bidder for the project known as Project No. GBA- 198B Georgia Department of Corrections New State Prison, located in Davisboro, Georgia.

This document designates the qualification criteria for the Project. Firms deemed eligible will be invited to submit a bid for the Project.

1. GENERAL PROJECT INFORMATION

Project Description:

We are seeking qualified vendors to provide a complete millwork package for fully-integrated modular and built-in casework for the new men’s prison campus located in Davisboro, GA for the Georgia Department of Corrections.

The selected vendor(s) will be responsible for furnishing, delivering, and installing as well as coordinating with the Design and Construction Professionals. The millwork scope includes countertops and cabinets for the buildings and space types listed below. The project will require a phased approach with installation beginning June 2027 through February 2028.

The intent of this procurement is to obtain a complete millwork solution that meets operations needs of the facility while complying with all applicable codes and standards. The intent is to procure as much as possible from a single vendor, but we reserve the right to divide the package up if it is in the best interest of the project.

All casework must comply with the Americans with Disabilities Act Accessibility Guidelines.

Millwork Types and Materials include:

1. Window sills are currently provided as part of the Construction Professional’s package and are excluded from this bid.

2. Countertops will be solid surface material, and cabinets will be clad in HPL plastic laminate with melamine interiors, typical and unless noted otherwise

3. Countertops in inmate areas, namely the dayrooms, are to be phenolic material, no substitution will be accepted.

4. Substrates in inmate areas must be plywood, no exceptions..

5. Casework in wet areas must be marine grade, no exceptions.

6. All countertops must support weight of material plus up to 350 pounds of additional weight

7. Metal Casework (Non-hospital) will be part of the millwork scope.

Building and Spaces are:

• 01 Administration and Visitation Building: offices, break and dining, copy/work rooms, restrooms, visitation

• 03 Single Housing Building: dayrooms, break rooms, wellness, exam and medical

• 04 Double Housing Building: dayrooms, break rooms, wellness, exam and medical

• 06 Education and Vocation Building: break and wellness rooms

• 07 Supportive Housing Building: dayrooms, break rooms, wellness, exam and medical

• 08 Medical Building: dayrooms, control rooms, break and copy rooms, wellness, nurse and officer stations, exam, lab, dental, radiology, and support rooms

• 11 Kennel Building: work and break rooms

• 12 Maintenance Building: break and copy rooms

• 13 Facility Entry Building: reception / check-in and break rooms

• 14 Armory Building: work and lab spaces

• 15 Gate House Building: break and workspaces

• 16 Warehouse Building: break and copy rooms, wellness

• 18 Mail House Building: control station, break room

• 18B Gate House Building: break and workspaces

Project Schedule:

The Design Professional is currently finalizing construction documents for the Project, which should be complete and available for distribution to pre-qualified firms in February 2027. It is anticipated that construction will begin in April/May 2027 and must reach material completion within twelve (12) months.

(Note: All of the dates indicated in this section are estimates and as such are subject to change.)

Owner’s Project Management Program (e-Builder) Millwork Contractor shall be required to use the Owner’s free Project Management Program, E-Builder, for contract administration processes including, but not limited to, Requests for Information, Change Orders, Payment Applications, Notices of Non-Compliance and Incumberance Records.

2. PROCUREMENT PROCESS

Selection of the millwork contractor will be a two-step process. During Step One, the Request for Qualifications (“RFQ”), will be reviewed by the owner to determine which firms are most qualified to perform the required services. In Step Two the firms that were determined to be qualified will be invited to submit their bid for the services.

Step I - Request for Qualifications Interested Firms shall submit their Statement of Qualifications to the RFQ in accordance with the instructions below. A Selection Committee consisting of various representatives from the Using Agency, GSFIC, and possibly a third-party representative (e.g. another state representative, etc.) will review each response to determine which firms are most qualified to perform the GC services (“Qualified Firms”). The Selection Committee will evaluate the firms in accordance with the criteria listed below.

Step II – Invitation to Bid Those firms having been deemed eligible to submit a bid will be issued an Invitation to Bid. The Invitation to Bid will contain a link to the Bidding Documents, instructions for submission of Bids and the time for submission of Bids. The lowest responsive bidder shall be awarded the contract for the millwork contractor services, subject to the terms of the Bidding Documents.

Finalist Notification Once the Selection Committee has completed the evaluation of the Statements of Qualifications, a list of the finalist firms will be posted on the Georgia Procurement Registry. Additionally, the eligible firms will be issued a notification to finalists containing information related to the second step in the process.

3. TERMS

All respondents to this RFQ are subject to instructions communicated in this document and additional terms and conditions contained herein.

Restriction of Communications From the issue date of this solicitation until the bid close date, proposers are not allowed to communicate FOR ANY REASON with any members of the Design Firm, the Using Agency, or GSFIC except communications allowed or required during the solicitation process which shall be directed to the GSFIC Procurement Representative. For violation of this provision, the Owner reserves the right to reject the qualifications/proposal of the offending proposer.

Submittal Costs and Confidentiality All expenses for preparing and submitting responses are the sole cost of the party submitting the response.

The Owner is not obligated to any party to reimburse such expenses. All submittals upon receipt become the property of the Owner. Labeling information provided in submittals “proprietary” or “confidential,” or any other designation of restricted use will not protect the information from public view. Subject to the provisions of the Open Records Act, the details of the proposal documents will remain confidential until final award.

Award Conditions This request is not an offer to contract or a solicitation of bids. This request and any proposal submitted in response, regardless of whether the proposal is determined to be the best proposal, is not binding upon GSFIC and does not obligate GSFIC to procure or contract for any services. Neither GSFIC nor any party submitting a response will be bound unless and until a written contract mutually accepted by both parties is negotiated as to its terms and conditions and is signed by GSFIC and a party containing such terms and conditions as are negotiated between those parties. The Owner reserves the right to waive non-compliance with any requirements of this RFQ/RFP and to reject any or all Statements of Qualifications or Proposals submitted in response. Upon receipt and review of responses, the Owner will determine the party(s) and proposal that in the sole judgment of the Owner is in the best interest of the Owner (if any is so determined), with respect to the evaluation criteria stated herein. The Owner then intends to conduct negotiations with such party(s) to determine if a mutually acceptable contract may be reached and in the course of doing so may use ideas expressed in any proposal.

Evaluation of Submittals and Qualifications Evaluation of RFQ Responses will be conducted by a Selection Committee consisting of various project stakeholders. Based upon the predetermined rating criteria contained in the RFQ, the committee will assign a composite rating to each firm. Proposers understand and accept that by responding to this solicitation they are willingly participating in a process that consists to some degree of subjectivity on the part of selection committee members in determining the firm(s) capable of providing the best overall solution.

Reciprocal Preference Law For the purposes of evaluation only, a proposer that resides in the State of Georgia will be granted the same preference over proposers that reside in another State in the same manner, on the same basis, and to the same extent that preference is granted in awarding bids for the same goods or services by such other State to proposers that reside therein. For the purposes of this law, the definition of a resident proposer is one who maintains a place of business with at least one employee inside the State of Georgia. A P.O. Box address will not satisfy this requirement.

Joint-Venture Proposals GSFIC does not generally desire to enter into “joint-venture” agreements with multiple firms. In the event two or more firms desire to “joint-venture,” it is strongly recommended that one incorporated firm propose and maintain status as the primary firm with the remaining firms participating as major consultants.

Small and Minority Business Enterprise It is the policy of the state of Georgia that minority-owned business enterprises (MBE), woman-owned business enterprises (WBE) and small business enterprises (SBE), have a fair and equal opportunity to participate in the state purchasing process. Therefore, the Owner encourages all MBE, WBE and SBE to compete for contracts to provide goods, services, and construction, and encourages contractors to solicit MBE, WBE and SBE in procuring subcontractors and suppliers. This desire on the part of the Owner is not intended to restrict or limit competitive bidding or to increase the cost of the work. The Owner supports a healthy free market system that seeks to include responsible businesses and provides ample opportunity for business growth and development.

Contractors and subcontractors who utilize qualified minority subcontractors may qualify for a Georgia state income tax credits for qualified payments made to minority subcontractors. In accordance with O.C.G.A.

48-7-38, when computing taxable net income of a Georgia based corporation, partnership, or individual, there shall be subtracted from federal taxable income or federal adjusted gross income 10 percent of the amount of qualified payments to certified minority subcontractors for state-agency-related construction projects. For more information on filing only, contact the Georgia Department of Revenue at 404-417-2399.

A company cannot receive an MBE Certification with the state of Georgia government without first receiving the DBE certification. To obtain information on the DBE/MBE Certification contact:

Georgia Department of Transportation One Georgia Center 600 West Peachtree NW Atlanta, Georgia 30308 404-631-1990

Statement of Agreement With submission of a proposal, the Proposer agrees that he/she has carefully examined the Request for Proposal, and the Proposer agrees that it is the Proposer’s responsibility to request clarification on any issue(s) in any section of the Request for Proposal with which the Proposer disagrees or needs clarified.

The Proposer also understands that failure to mention these items in the proposal will be interpreted to mean that the Proposer is in full agreement with the terms, conditions, specifications and requirements in the therein. With submission of a proposal, the Proposer hereby certifies: (a) that this proposal is genuine and is not made in the interest or on behalf of any undisclosed person, firm, or corporation; (b) that Proposer has not directly or indirectly included or solicited any other Proposer to put in a false or insincere proposal;

(c) that Proposer has not solicited or induced any person, firm, or corporation to refrain from sending a proposal.

Debarred, Suspended or Ineligible Firms Contracts will not be executed and bids or proposals will not be solicited or considered from debarred, suspended or ineligible persons or firms during the period of debarment. The list of debarred, suspended or ineligible firms can be located on the Georgia State Financing and Investment Commission’s website at http://www.gsfic.georgia.gov. Once on the website, select the “Doing Business with GSFIC” tab, then select “Procurement Services,” then click on the “Debarred, Suspended or Ineligible Entities” tab for access to the list of those firms currently considered debarred, suspended or ineligible to compete, contract or subcontract for work on projects administered by the Georgia State Financing and Investment Commission.

Owner’s Rights: The Owner reserves the right to reject any or all Statements of Qualifications or postpone/cancel this selection/solicitation.

DOAS Supplier Relations 200 Piedmont Avenue, S.E.

Suite 1308, West Tower Atlanta, Georgia 30334-9010 404-657-6000 http://www/

III. REQUEST FOR PRE-QUALIFICATIONS

ALL FIRMS INTERESTED IN PRE-QUALIFYING FOR THIS PROJECT SHALL SUBMIT A

STATEMENT OF QUALIFICATIONS IN ACCORDANCE WITH THE TERMS BELOW.

1. QUESTIONS

The deadline for submission of questions relating to the RFQ is the time and date shown in the Schedule of Events shown above. All relevant and significant questions that have been submitted in writing via e-mail prior to the deadline will be compiled, and answers will be posted to the project information on the Georgia Procurement Registry at http://ssl.doas.state.ga.us/PRSapp/ . Questions from Construction Professionals about any aspect of the RFQ, or the project, shall be submitted via e-mail to the Procurement Contact on the Project Fact Sheet.

2. MINIMUM QUALIFICATIONS

Firms must meet the following Minimum Qualifications in order to have their Statement of Qualifications reviewed and scored by the Selection Committee.

The firm or its principals are not currently ineligible, debarred, suspended, or otherwise excluded from bidding or contracting by any state or federal agency, department, or authority.

The firm or its principals have not been terminated for cause or be currently in default on any public works contract.

Firms must be registered to do business in the State of Georgia with the Georgia Secretary of State prior to entering into a contract with the Owner.

The firm must have current Commercial General Liability Insurance coverage with minimum limits of $1,000,000 per occurrence. (The Owner reserves the right to require additional limits and/or coverage for actual contract.)

Firms must have a val id bus iness l icense in the s tate of Georgia. Firms must be registered with the Georgia Secretary of State to do business in the State of Georgia.

Firm must attest to having sufficient cash flow to undertake the project as evidenced by a current ratio (assets/liabilities) of 1.0 or higher (we are not asking for financial statements) The firm must demonstrate a commitment to safety with regard to Worker’s Compensation by having a current Experience Modification Rating (EMR) of 1.2 or less

3. EVALUATION CRITERIA

The Selection Committee will evaluate the Statements of Qualifications which have met the above minimum qualifications according to the Criteria for the evaluation are listed below:

25% - Stability Stability of the firm, including the firm’s corporate history, growth, resources, form of ownership, litigation history, financials, etc.

45% - Experience and Qualifications

Firm’s relevant project experience and qualifications, including the demonstrated ability of firm in successful projects comparable in complexity, size, and function.

Experience with Owners such as the State of Georgia and other similarly structured organizations.

30% - Suitability

Firm’s suitability to provide services for project, including, but not limited to, phased installation, quality assurance plans,

4. STATEMENTS OF QUALIFICATIONS CONTENTS

Statements of Qualifications shall include the following information and required forms.

REQUIRED CONTENTS FOR ALL STATEMENTS OF QUALIFICATIONS

A BASIC INFORMATION

A-1 Provide basic company information:

A. State company name, address, name of primary contact, telephone number and e-mail address. (If the firm has multiple offices, the qualification statement shall include information about the parent company and branch office separately.)

B. Identify office from which the project will be managed (“Project Managing Office or PMO”) and its proximity of the project site to the managing office.

C. Identify dedicated project manager from pre-construction through final installation.

D. Indicate the year the Project Managing Office was established and the number of persons staffing that office, their disciplines, and any AWI/AWMAC/WI (AWS) requirements.

E. Provide form of ownership (LLC, Corporation, Partnership, etc), including state of residency of incorporation, and the year the company was established.

F. Provide general information about the firm's personnel resources, including disciplines and numbers and classifications of employees, and locations and staffing of offices G. List the firm’s annual revenue for the parent office and the local office separately, if applicable, for the past 5 years.

A-2 Describe your experience with ANY litigation with Owners, Contractors, and/or Architects. State basis of litigation (nonpayment, breach of contract, etc).

A-3 State whether the firm, or a member thereof, has ever been removed from a contract or failed to complete a contract as assigned? If so, provide explanation.

A-4 The firm, in order to be deemed eligible for evaluation, must provide supporting documentation asserting that the firm meets the minimum qualifications required for this project

A. Firms must have Commercial General Liability Insurance coverage with minimum limits of $1,000,000 per occurrence and $2,000,000 general aggregate for premises and operations coverage, $1,000,000 per occurrence and $2,000,000 general aggregate for products and completed operations coverage, and $1,000,000 for personal and advertising injury coverage. Firm must also have current commercial umbrella liability coverage in the amount of at least $10,000,000 per occurrence and general aggregate (the Owner reserves the right to require additional limits and/or coverage for actual contract). Provide a copy of your current insurance certificate.

B. Georgia Certificate of Existence or Certificate of Authority demonstrating your firm has registered with the Georgia Secretary of State and is authorized to do business in Georgia.

C. Firms must have sufficient cash flow to undertake the project as evidenced by a current ratio (assets/liabilities) of 1.0 or higher. Provide no more than a one-page statement evidencing your current ratio.

A-5 Complete and submit the Certification Form (Exhibit A) as Section “A-5” of the Statement of Qualifications.

A-6 Complete and submit a “CONTRACTOR AFFIDAVIT UNDER O.C.G.A. § 13-10-91(b)(1)” (Exhibit “B”) with response as Section “A-6” of the firm’s Statement of Qualifications. Failure to submit this form with the Statement of Qualifications will result in the firm being eliminated from consideration for this project.

A-7 Complete and submit the “Disclosure Statement” (Exhibit “C”) with response as Section “A-7” of the firm’s Statement of Qualifications.

B

RELEVANT EXPERIENCE AND MINIMUM QUALIFICATIONS

B-1 Provide information on the firm’s experience on projects of similar size, function, and complexity (similar type of construction as the incumbent project). Describe no more than ten (10) and no less than four

(4) projects which demonstrate the firm's capabilities to perform the project at hand. For each project, the following information should be provided:

a. Project name, Owner’s/tenant(s) name, brief description of the project, types of millwork provided, total project cost, firm’s contract amount, location, project duration, and year completed.

b. Indicate the percentage of millwork manufactured by your firm used in this project.

c. Provide contact information (name, phone number and email address) of a facility reference familiar with your firm’s work on this project.

d. List the individuals who served as the key team members (these team members may include but are not limited to: Project Executive/Director, Project Manager, Superintendent, and Cost Estimator) on the projects. Please note whether these individuals are still employed with your firm and if they will be assigned to this project.

e. Indicate if work was installed using in-house employees or subcontracted installers.

C. PROJECT SUITABILITY

C-1 Provide a list of current projects and projects that your Firm have been awarded that may run concurrently with the timeline of this project’s completion.

C-2 Is the firm’s primary business millwork/casework?

C-3 Describe your firm’s manufacturing and fabrication capabilities. (In-house, outsourcing manufacturing, etc.)

C-4 Provide a brief description of your general approach to schedule management before and during installation including if your firm uses its own installation crew or subcontracted installation..

C-5 Provide a brief summary of your quality assurance plan. Describe your firm’s approach for validating compliance with the construction documents.

C-6 Describe your firm’s approach to reviewing plumbing, electrical, AV/LV, and security drawings for coordination/clash detection with casework specification and placement. Elaborate on your firm’s ability to use CAD/BIM software.

C-7 Describe your firm’s specialized environmental certifications or standards required for the project, such as FSC (Forest Stewardship Council) certified woods or AWI (Architectural Woodwork Institute) quality standards. certified under the Sustainable Forestry Initiative, the American Tree Farm System or the Forest Stewardship Council.

C-8 Provide any information that may serve to differentiate the firm from other firms in suitability for the project. Suitability may include, but is not limited to, the size and resources of the firm as related to the size and complexity of the Project, any special or unique qualifications for the project, and any techniques or methodologies offered by the firm that may be particularly suitable for this project type

5. SUBMITTAL OF STATEMENTS OF QUALIFICATIONS

Firms shall submit/upload one (1) electronic copy in .pdf format of the complete qualifications package to a GSFIC ftp site. Submittals must be prepared in a manner that when printed would typically fit on standard (8 ½” x 11”) paper. (The entire response shall not exceed 50 pages. Licenses and forms do not count against the page count). Submittals that include qualifications of more than one firm shall not exceed the page limits. Emphasis should be on completeness, relevance, and clarity of content. To expedite the review of submittals, it is essential that respondents follow the format and instructions outlined below:

Submit one (1) electronic copy of the complete package in .pdf format onto the GSFIC / Egnyte ftp site. Uploaded responses (file names) must reference the RFQ No., and the firm’s name.”

The entire submittal should be submitted as ONE (1) file. Please do not submit individual documents or sections separately.

(File Name Example: RFQ No.-, ABC Company)

Upload Instructions:

Upload one (1) electronic copy of the complete package in .pdf format onto the GSFIC / Egnyte ftp site by selecting the link listed on the Project Fact Sheet and following the upload instructions provided below.

Click on the provided link above, when the page opens, enter name, email address, and company name, click “Continue.”

Drag and drop your file or click the “Browse” button to select a document from your computer. You should see an upload progress bar and when it gets to 100% the upload is complete.

Proposers are reminded that failure to comply with the following could result in your submission being deemed non-responsive. Non-responsive submittals will not be considered by the selection committee:

• The total page count of the submittal must not exceed 50 pages (licenses and forms do not count against the page count).

• No links to external electronic documents are permitted.

• Be sure to include the following completed exhibits in your submission. (Forms located at the end of this document):

o Exhibit A – Certification Form o Exhibit B – Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l) o Exhibit C – Disclosure Statement

• Statements of Qualifications must be electronically received by the Owner prior to the deadline indicated in the Schedule of Events (located on Project Fact Sheet).

• Printed copies will not be accepted.

• Firms are encouraged to verify with GSFIC that their submittal was received and should do so on the date they are due. Contact the point of contact on the Project Fact Sheet, for assistance or confirmation that the file was received.

(Experience with the ftp site indicates that uploads do not always receive the confirmation statement that the file was “successfully uploaded.” Typically, for files ranging in size from 5 – 10 Mb, it should not take more than one or two minutes to complete the upload.)

6. FINALIST NOTIFICATION

Once the review of the qualifications is complete, a listing of the firms determined to have met the prequalification criteria will be posted on the Georgia Procurement Registry.

End of Section

IV. STEP II - INVITATION TO BID (ITB)

(From Qualified Firms)

GSFIC will issue an Invitation to Bid similar to the sample provided below to those firms determined to be “Eligible Firms” during the RFQ process to submit bids to perform the Millwork Contractor Services for the Project.

PRE-BID SITE VISIT. A virtual mandatory Pre-Bid Site Visit will be held remotely on (Insert Date), at (Insert Time).

Bidders will be allowed to tour the project site at the mandatory pre-bid site visit. Failure to attend the site visit will automatically result in disqualification from the bid process. GSFIC reserves the right to disqualify a potential bidder due to a failure by the bidder to arrive for the pre-bid conference by the scheduled time.

Bids Submitted Via e-Builder. Each bid must be submitted via GSFIC’s on-line bidding and project management system, e-Builder. No paper bids will be accepted. Bidders must submit the Bid Verification and e-Verify Affidavit and other all forms required in the bid documents by uploading the forms to e-Builder. All forms must be fully completed and executed when submitted.

Bid Opening. Bids will be opened at 2:00 P.M. on (Insert Bid Opening Date). Bidder retains full responsibility for assuring that bids are received prior to the time stated for bid opening.

Bid Documents. Bid documents are available at no charge and may be downloaded from e-Builder by utilizing the link provided below. Instructions for registering and bidding in e-Builder are provided with this invitation to bid. Bidder should check the web site daily for updates, addenda and any other additional information.

Design Professional. Questions regarding the Bidding Documents should be directed to the Design Professional listed below. No questions other than those submitted in writing will be accepted, and only written responses will be binding upon GSFIC.

(Design Professional Name)

Contracting Officer. Questions regarding the ITB Process, e-Builder and all other questions should be directed to the contracting officer listed below.

Contracting Officer:

Georgia State Financing and Investment Commission

270 Washington Street, Second Floor Atlanta, Georgia 30334

Phone:

Fax:

Email:

V. FORMS

(Exhibit A)

CERTIFICATION FORM

I, _, being duly sworn, state that I am_______________(title) of _____________________(firm) and hereby duly certify that I have read and understand the information presented in the attached proposal and any enclosure and exhibits thereto.

I further certify that to the best of my knowledge the information given in response to the request for proposals is full, complete and truthful.

I further certify that the proposer and any principal employee of the proposer has not, in the immediately preceding five years, been convicted of any crime of moral turpitude or any felony offense, nor has had their professional license suspended, revoked or been subjected to disciplinary proceedings.

I further certify that the proposer has not, in the immediately preceding five years, been suspended, debarred, or otherwise excluded or ineligible from contracting with any federal, state or local government agency, and further, that the proposer is not now under consideration for suspension or debarment from any such agency.

I further certify that the proposer has not in the immediately preceding five years been defaulted or terminated for cause in any federal, state, or local government agency contract and further, that the proposer is not now under any notice of intent to default on any such contract.

I acknowledge, agree and authorize, and certify that the proposer acknowledges, agrees and authorizes, that the Owner and/or GSFIC may, by means that either deems appropriate, determine the accuracy and truth of the information provided by the proposer and that the Owner and/or GSFIC may contact any individual or entity named in the Statement of Qualifications for the purpose of verifying the information supplied therein.

I acknowledge and understand the successful Proposer will be required to certify compliance with the Immigration Reform Act of 1986 (IRCA), D.L. 99-603 and the Georgia Security and Immigration Compliance Act OCGA 13-10-90 et.seq., by meeting or having complied with the provisions in the Act and by executing any affidavits required by the rules and regulations issued by the Georgia Department of Labor set forth at Rule 300- 10-1-.01: Contractor will also be required to warrant that Contractor has included a similar provision in all written agreements with any subcontractors engaged to perform services under this Contract.

I acknowledge and agree that all of the information contained in the Statement of Qualifications is submitted for the express purpose of inducing the Owner to award a contract.

A material false statement or omission made in conjunction with this proposal is sufficient cause for suspension or debarment from further contracts, or denial of rescission of any contract entered into based upon this proposal thereby precluding the firm from doing business with, or performing work for, the State of Georgia. In addition, such false statement or omission may subject the person and entity making the proposal to criminal prosecution under the laws of the State of Georgia of the United States, including but not limited to O.C.G.A. §16-10-20, 18 U.S.C. §§1001 or 1341.

Signature Sworn and subscribed before me

This day of , 20 .

NOTARY PUBLIC NOTARY SEAL

My Commission Expires:

(Exhibit B)

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

The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A § 13-10-91 related to any Contract to which Contractor is a party that is subject to O.C.G.A. § 13-10-91 and hereby verifies its compliance with O.C.G.A. § 13-10-91, attesting as follows:

a) The Contractor has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program;

b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof;

c) The Contractor will notify the public employer in the event the Contractor ceases to utilize the federal work authorization program during the contract period, including renewals or extensions thereof;

d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of Contract;

e) The Contractor will contract for the 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(a), (b), and (c);

f) The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any contract(s) subject to the provisions of O.C.G.A. § 13-10- 91 for the project listed below to which Contractor is a party after the date hereof without further action or consent by Contractor; and

g) Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and identification cards required pursuant to O.C.G.A. § 13-10-91 to the public employer within five business days of receipt.

Federal Work Authorization User Identification Number Date of Authorization

Name of Contractor Name of Project

Georgia State Financing and Investment Commission 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:

EXHIBIT C - DISCLOSURE STATEMENT

All proposers should be aware that the project you are submitting a proposal on is a public project, and the Owner (GSFIC) is a public agency. Pursuant to the laws, rules and Executive Orders of the State of Georgia, GSFIC shall make every effort to avoid even the appearance of a conflict of interest or any impropriety in both the selection process for this project and the negotiation and performance of any resulting contract. As part of any submittal you intend to make for this project, you must include this Disclosure Statement with your submittal that answers or addresses the following specific statements:

1. Describe any business transactions occurring within the prior two years between your firm and GSFIC, the Using Agency, or the ultimate end-user of the proposed project.

2. Describe any gift, hospitality, or benefit of any sort that your firm has provided to GSFIC, the Using Agency, or the end-user of the proposed project within the prior one-year period.

3. A conflict of interest or potential conflict of interest is defined as any action, decision, or recommendation by a person acting in a capacity as a public official, the effect of which is or could be to the private monetary or financial benefit or detriment of the person, the person’s relative, or any business with which the person or a relative of the person is associated. The potential conflict of interest is viewed from the perspective of a reasonable person who has knowledge of the relevant facts. Based upon this definition, describe any conflict of interest or potential conflict of interest that your firm has with GSFIC, the Using Agency, or the end-user of this project.

This Disclosure Statement should be dated and signed by an authorized signatory for the Proposer and submitted with the Proposer’s Submittal as a deliverable.

Name of Firm

Authorized Signature Date