IFB 27_004 _ Construction Services Golden Isl.pdf

Brunswick-Glynn County Water and Sewer Commission

IFB No. 27-004 Invitation For Bid

Construction Services for Golden Isles Parkway Force Main Extension

Friday, September 11, 2026

Deadline for questions Tuesday, September 29, 2026, no later than 5:00 p.m. EDT Questions must be directed in writing (via e-mail) to the

Purchasing Director, Pamela Drury-Crosby, email- pcrosby@bgjwsc.org

Bid Responses Due by:

12:00 NOON, EDT Tuesday, October 13, 2026, to:

Purchasing Division Brunswick-Glynn County Water and Sewer Commission

1703 Gloucester Street Brunswick, Georgia 31520

(912) 261-7100

Bids should be clearly labeled as follows:

“IFB No. 27-004

Construction Services for Golden Isles Parkway Force Main Extension”

Submit responses in hard copy only; electronic or fax responses will not be accepted.

Responses received after the deadline or at any other locations will not be accepted.

FOR COMPLETE DETAILS OF THIS SOLICITATION, please visit the Commission website, utilizing the following link:

http://www.bgjwsc.org/departments/procurement/ mailto:pcrosby@bgjwsc.org http://www.bgjwsc.org/departments/procurement/

BIDDING DOCUMENTS

IFB 27-004 Construction Services for

TABLE OF CONTENTS

BIDDING DOCUMENTS

Advertisement for Bids

Instructions to Bidders

Affidavit for Contractor Certification of Qualification Application Content

General Insurance Requirements

Bid Form

Contractor Oath

Bid Bond

Contractor Affidavit

Representation Affidavit

Certificate of Drug Free Workplace

E-Verify Contractor Affidavit and Agreement

E-Verify Subcontractor Affidavit and Agreement (if applicable and not part of bid package submission but must obtained and maintained by prime of all subcontractors utilized on this contract)

EEO Representation

FORM OF CONTRACT

PART A - Agreement Between Owner and Contractor for Construction Contract

PART B- General Conditions – EJCDC

PART C – Code of Regulations Part 200 – Uniform Administrative Requirements - §§ 200.318 through 200.327

PART D - Performance Bond

PART E - Payment Bond

PART F – Certificate of Insurance

PART G - Notice To Proceed

EXHIBIT A – Drawings – Golden Isles Parkway Force Main Extension – July 2026

BRUNSWICK-GLYNN COUNTY

WATER AND SEWER COMMISSION

INVITATION FOR BID

No. 27-004

Construction Services for

1.0 INTRODUCTION

The Brunswick-Glynn County Water and Sewer Commission requests utility contractors to submit bids for furnishing all skill, labor, materials (unless noted otherwise), tools, equipment and incidentals required to install approximately 2,500 linear feet of 8-inch HDPE DR11 sewer force main. The project is located in the north mainland district along Golden Isles Parkway in Glynn County, Brunswick, Georgia.

Sealed bids will be received by the Brunswick-Glynn County Water and Sewer Commission at the Administrative Office located at, 1703 Gloucester Street, Brunswick, Georgia 31520 until 12:00 NOON EST on Tuesday, October 13, 2026, at which time and place they will be publicly opened and read aloud.

2.0 SCOPE OF WORK

The scope of work under this contract consists of furnishing all labor, materials, tools, equipment and incidentals required to be constructed completely in place and ready to operate a new 8-inch sanitary sewer force main. More specifically the work includes but not limited to:

• Installation of approximately 2,500 linear feet of 8-inch HDPE force main and associated fittings and valves.

• Abandonment of approximately 65 linear feet of 6-inch HDPE force main.

• Traffic control.

• Bypass pumping.

• Clearing, grubbing and grassing.

• Erosion and sedimentation control.

• Testing and disinfection.

All services performed shall be in accordance with the applicable Brunswick-Glynn County Water and Sewer Commission Standards. Firms expressing interest should be fully capable of providing the end results requested. All bids must cover the entire work required under this contract.

At the request of the Brunswick-Glynn County Water and Sewer Commission project manager, the Contractor will be responsible for having a representative attend any public meetings that are held regarding this project. This may include community and citizen that may or may not be scheduled outside of typical 8:00 a.m. – 5:00 p.m. working hours.

3.0 SPECIAL CONDITIONS

The selected firm shall be a responsible contractor and will be required to have sufficient personnel to complete the tasks required by this scope of services. The firm selected will complete the required tasks in a timely and efficient manner. The selected firm would be expected to enter into a contract for services based upon an agreed fixed-firm price not to exceed amount.

All bids must be made on the bid form included with the Contract Documents for the proposed work.

No bidder may withdraw their bid for a period of thirty (30) days after the date set for the opening thereof. All bids shall remain valid for that period of time.

The award (if an award is made) will be made as provided in the bid. The award shall be made to the lowest responsive and responsible bidder, provided that if the Brunswick-Glynn County Water and Sewer Commission believes that the public interest will be best served by accepting other than the lowest bid, it shall have the authority to accept the bid that will best serve the public interest.

The Brunswick-Glynn County Water and Sewer Commission reserves the right to accept or reject any and all bids, alternate bids, or unit prices and/or waive any irregularities in any bid received.

The Contractor is to complete all work within (60) calendar days of receiving a signed notice to proceed. Specifically, the contract time shall commence upon Notice To Proceed and fully complete the Work within (45) calendar days to Substantial Completion and (15) calendar days from Substantial Completion to Final Completion and in accordance with the terms as stated in the contract agreement. The contractor further agrees to pay Owner, as liquidated damages, $2,000 per day for each calendar day beyond the Contract Time Limit for Final Completion or extension thereof that Work remain incomplete, in accordance with the contract agreement. The Brunswick-Glynn County Water and Sewer Commission requires that the selected firm be available for weekly progress meetings (either onsite at Brunswick-Glynn County Water and Sewer Commission or via teleconference) with all noted deliverables by the end of the subsequent 30-day period. Additionally, updated project schedules will be required from contractor at each weekly progress meeting.

A bid guarantee in an amount not less than five percent (5%) of the amount bid must accompany each bid. Acceptable forms of bid guarantees are a bid bond, certified check or cashier’s check made payable to the Brunswick-Glynn County Water and Sewer Commission. The Brunswick- Glynn County Water and Sewer Commission will return bid guarantees, other than bid bonds, to unsuccessful bidders as soon as practicable, but not sooner than the execution of a contract with the successful bidder. If for any reason whatsoever the successful Bidder withdraws from the competition after opening the bids, or refuses to execute the Contract, the Owner will proceed on the Bid Bond or deposit the certified check or cashier’s check as damages for the Bidder's failure to enter into a contract for the work.

Performance and Payment bonds, each in an amount equal to one hundred percent (100%) of the contract amount will be required of the successful Contractor, to whom the contract for the work is awarded, to be provided at the time of executing said contract. The format for this is included in the sample contract documents.

The Contractor will be required to comply with all applicable Equal Employment Opportunity laws and regulations. The Brunswick-Glynn County Water and Sewer Commission provides equal opportunity for all businesses and does not discriminate against any person or business because of race, color, religion, sex, national origin, disability, or veteran status. This policy ensures all segments of the business community have access to supplying the goods and services needed by the Brunswick-Glynn County Water and Sewer Commission.

The Brunswick-Glynn County Water and Sewer Commission will make an award only to a responsible firm possessing the ability to perform successfully under the terms and conditions of the procurement. Consideration will be given to such matters as firm integrity, compliance with public policy, record of past performance, and financial and technical resources.

The Brunswick-Glynn County Water and Sewer Commission has exclusive and sole discretion to determine the firm whose services will be most advantageous to the Brunswick-Glynn County Water and Sewer Commission, and reserves the right to reject all firms. A number of firms may be asked to express their interest in regard to these services in the form of a bid. Following the receipt of Bids, a certain firm or firms may be selected for further consideration.

The contract, if awarded, will be awarded to the lowest responsive, responsible Bidder. The determination of the Bidder's responsibility will be made by the Brunswick-Glynn County Water and Sewer Commission based on whether the Bidder:

• Maintains a permanent place of business,

• Has the appropriate technical experience,

• Has ability to meet schedule requirements,

• Has adequate equipment to do the work properly and expeditiously,

• Has suitable financial means to meet obligations incidental to this work, and

The Bidder shall furnish, to the Brunswick-Glynn County Water and Sewer Commission, all such information and data for this purpose as the Brunswick-Glynn County Water and Sewer Commission may request. The Brunswick-Glynn County Water and Sewer Commission reserves the right to reject any bid if the evidence submitted by, or investigation of, the Bidder fails to satisfy the Brunswick-Glynn County Water and Sewer Commission that he is properly qualified to carry out the obligations of the Contract.

The determination of responsiveness will be made by the Brunswick-Glynn County Water and Sewer Commission based on a consideration of whether the Bidder has submitted a complete Bid Form without irregularities, excisions, special conditions, or alternative bids for any item unless specifically requested in the Bid Form.

The Brunswick-Glynn County Water and Sewer Commission reserves the right to reject any and all bids including without limitation, the right to reject any or all nonconforming, nonresponsive, unbalanced or conditional bids; the right to award each of the contract components individually or to a single qualified Bidder; the right to waive technicalities and make an award in the best interest of the Brunswick-Glynn County Water and Sewer Commission; the right to award any, all or none.

4.0 PROPOSED SOLICITATION SCHEDULE

The Brunswick-Glynn County Water and Sewer Commission anticipates the following Schedule of Events for this solicitation but reserves the right to amend the proposed schedule without notice at either the convenience or needs of the Brunswick-Glynn County Water and Sewer Commission staff and Governing Board.

Date Event

Friday, September 10, 2026 Solicitation Released; Bid Docs Available for prospective Bidders

Tuesday, September 29, 2026 - 5:00 p.m. EST Deadline for Questions

Tuesday, October 13, 2026 – NOON EDT Bids Due

Thursday, October 15, 2026 Anticipated Award Date

10/15/ - 11/15/2026 Contract Execution Period, Pre-Construction Meeting; Notice To Proceed Issued

Plans, specifications, and bidding documents are on file at the Brunswick-Glynn County Water and Sewer Commission Administration Office, 1703 Gloucester Street, Brunswick, GA 31520.

All documentation related to this solicitation will be available on the Brunswick-Glynn County Water and Sewer Commission website.

https://www.bgjwsc.org/departments/procurement/

Bidders are encouraged to check the website throughout the solicitation process as all updates will be posted there via addenda. Bidders shall thoroughly review all documentation associated with the solicitation prior to submitting a bid.

The selected firm shall be responsible for obtaining any additional information needed for their evaluation and completion of work. Additional evaluation activities will be the responsibility of the selected firm. Any costs involved with additional information are the responsibility of the selected firm.

The Bidder is encouraged to examine the location of the work and inform himself fully as to the conditions present at the site.

Additional information and clarifications desired by a Bidder shall be requested from the Brunswick-Glynn County Water and Sewer Commission in writing and if explanations are necessary, a reply shall be made in the form of an Addendum. Any and all such interpretations and any supplemental instructions will be in the form of written Addenda, which, if issued, shall be emailed to all prospective Bidders, a copy of which will also be posted to Brunswick-Glynn County Water and Sewer Commission website Procurement Solicitation Event page.

Every request for such clarification shall be in writing via email addressed to the Purchasing Director, Pam Crosby at pcrosby@bgjwsc.org. Any verbal statements regarding the same by any person prior to the award shall be considered not authoritative and not binding. The deadline for questions is 5:00 p.m. EST on Tuesday, September 29, 2026.

5.0 INSURANCE REQUIREMENTS

The description section of your insurance certificate must read:

https://www.bgjwsc.org/departments/procurement/ mailto:pcrosby@bgjwsc.org

Brunswick-Glynn County Water and Sewer Commission is named as an additional insured on all coverage except Workers’ Compensation as per written contract. A wavier of Subrogation applies to all policies shown above as per written contract.

Insurance Requirements

Before starting and until acceptance of the Work by Brunswick-Glynn County Water and Sewer Commission, and without further limiting its liability under the Contract, Company shall procure and maintain at its sole expense, insurance of the types and in the minimum amounts stated below:

SCHEDULE AMOUNT

Workers’ Compensation Georgia Statutory coverage Statutory Limits (Workers’ Compensation) and Employer’s Liability (including $500,000 Bodily Injury each accident appropriate Federal Acts) $500,000 Bodily Injury by Disease each Employee $1,000,000 Bodily Injury policy limit

Commercial General Liability Premises-Operations $1,000,000 each occurrence Products-Completed Operations $2,000,000 annual aggregate for bodily injury Contractual Liability and property damage, combined single limit Independent Contractors Broad Form Property Damage Explosion, Collapse and Underground Hazards (XCU Coverage) as appropriate Primary and Non Contributory

Automobile Liability All autos-owned, hired, $1,000,000 each occurrence, combined single limit or non-owned Excess or Umbrella Liability (This is additional coverage and limits $2,000,000 each occurrence and annual aggregate above the following primary insurance:

Employer’s Liability, Commercial General Liability and Automobile Liability)

Company’s Commercial General Liability and Excess or Umbrella Liability policies shall be effective for two years after Work is complete. The above Indemnification provision is separate and is not limited by the type of insurance or insurance amounts stated above. The General liability shall contain a “Per Project Aggregate.”

Company shall specify Brunswick-Glynn County Water and Sewer Commission as an additional insured for all coverage except Workers’ Compensation and Employer’s Liability. Such insurance shall be primary and non-contributory as to any and all other insurance or self-insurance maintained by Brunswick-Glynn County Water and Sewer Commission. The company shall include a Waiver of Subrogation on all required insurance in favor of Brunswick-Glynn County Water and Sewer Commission, its commission members, employees, agents, successors, and assigns.

Such insurance shall be written by a company or companies authorized to do business in the State of Georgia, rated at least A- VII by A M Best and satisfactory to Brunswick-Glynn County Water and Sewer Commission. Prior to commencing any Work under this Contract, certificates evidencing the maintenance of the insurance shall be furnished to Brunswick-Glynn County Water and Sewer Commission for approval.

6.0 INSTRUCTIONS FOR BID SUBMITTAL

Bids are to be submitted with:

• Bid Form from Section 7.0

• A detailed description of the services provided for each line item / equipment location of the project

• Time period for each line item/ equipment location of the project and overall project workflow

• Acknowledgement for any addenda issued

• Bid Bond

Forms:

• Oath

• Affidavit

• Representation

• E-Verify Affidavit

• Certificate of Drug Free Workplace

Please submit one (1) original plus (1) one hard copy and (1) one electronic USB of the bid package.

Sealed bids are due by 12:00 noon (EST) on Tuesday, October 13, 2026. Mandatory label required on outside of envelope: “IFB No. 27-004 Construction Services for Golden Isles Parkway Force Main Extension”. Bids are due by the time and on the date listed above.

ALL LATE BIDS FOR WHATEVER REASON WILL BE RETURNED UNOPENED.

7.0 BID FORM

IFB No. 27-004 Construction Services for Golden Isles Parkway Force Main Extension

GOLDEN ISLES PARKWAY FORCE MAIN EXTENSION

BID FORM

ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL

SITE WORK

1 Mobilization, Demobilization, Insurance, and Bonds 1 LS

2 Maintenance of Traffic 1 LS

3 Erosion, Sedimentation, and Pollution Control 1 LS

4 Clearing, Grubbing, Dewatering and Grassing 1 LS

SUB-TOTAL

SANITARY SEWER

5 8-inch Dia. HDPE DR11 Forcemain 2500 LF

6 Remove Existing 6-inch Dia. HDPE DR11 Forcemain 65 LF

7 6-inch Isolation (Plug) Valve (Dezurik or Mueller Complete) 1 EA

8 8-inch Isolation (Plug) Valve (Dezurik or Mueller Complete) 3 EA

9 8-inch X 8-inch X 6-inch Tee Wye 1 EA

10 8-inch X 8-inch X 8-inch Tee Wye 1 EA

11 Connect to existing 8-inch Plug/Isolation Valve 1 LS

12 Connect Existing 6-inch FM to new 8-inch FM 1 LS

13 ARV Assembly and Pedestal (Complete) 3 EA

14 Fittings Misc. 1 LS

15 Testing 1 LS

16 Record Drawings 1 LS

SUB-TOTAL

ADDITIONAL WORK ITEMS

17 Storm Conflict Resolution 5 EA $ 1,000.00 $ 5,000.00

18 Water Main Conflict Resolution 5 EA $ 1,000.00 $ 5,000.00

19 Unsuitable Soils Removal 100 CY $ 50.00 $ 5,000.00

SUB-TOTAL $ 15,000.00

TOTAL BASE BID TOTAL

TOTAL BASE BID (Figures): $ ___________________________________________________

(Words): _____________________________________________________________

Bidders Name: ________________________________________________________

Signature: ____________________________________________________________

Company Name: _______________________________________________________

Date: _________________________________________________________________

OATH

State of Georgia City of Brunswick County of Glynn

I, _____________________________________________________________ (name of individual), solemnly swear that in the procurement of the contract for

No. 27-004 Construction Services for

Golden Isles Parkway Force Main Extension

GLYNN COUNTY GEORGIA

that I, nor any other person associated with me or my business, corporation, or partnership, has prevented or attempted to prevent competition in the bidding or Bids of said project or from submitting a bid for this project by any means whatever.

Lastly, I swear that neither I, nor any other person associated with me, or my business, Corporation or partnership has caused or induced any other bidder to withdraw his/her bid from consideration for this project. Said oath is filed in accordance with the requirements set forth in O.C.G.A. § 36-91-21 (e).

This the ___________ day of _________________________ 2026.

Name of Party: ______________________________________________________

Corporate or Partnership Name: ________________________________________

Sworn to and subscribed before me this the _____ day of _______________2026.

NOTARY PUBLIC:

Name: _____________________________________________

My Commission Expires: ____________________________________

(SEAL)

BID BOND

State of Georgia City of Brunswick County of Glynn

KNOW ALL MEN BY THESE PRESENT, that we, , as Principal, and

_, as Surety, are held and firmly bound unto the

Brunswick-Glynn County Water and Sewer Commission in the not to exceed sum of Dollars

($ ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, personal representatives, successors, and assign, jointly and severally, firmly by these presents.

WHEREAS, the Principal has submitted to the Brunswick-Glynn County Water and Sewer Commission a Bid for:

No. 27-004 Construction Services for Golden Isles Parkway Force Main Extension

GLYNN COUNTY, GEORGIA

NOW THEREFORE, the conditions of this obligation are such that if the Bid be accepted, the Principal shall, within fifteen days (15) days after receipt of conformed Contract Documents, execute a contract in accordance with the Bid upon the terms, conditions and prices set forth therein, and in the form and manner required by the Brunswick-Glynn County Water and Sewer Commission and execute a sufficient and satisfactory Performance Bond and Payment bond payable to the Brunswick-Glynn County Water and Sewer Commission, each in an amount of one hundred percent (100%) of the total contract price, in form and with security satisfactory to the Brunswick-Glynn County Water and Sewer Commission, then this obligation shall be void; otherwise, it shall 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 to the foregoing requirements within the time specified above, immediately pay to the aforesaid Brunswick-Glynn County Water and Sewer Commission, upon demand, the amount hereof in good and lawful money of the United States of America, not as a penalty, but as liquidated damages.

This bond is given pursuant to and in accordance with the provisions of O.C.G.A. § 36-91- 50 et seq., as amended from time to time, and all the provisions of the law referring to this character of bond as set forth in said sections or as may be hereinafter enacted and these are hereby made a part hereof to the same extent as if set out herein in full.

(Continued on Next Page)

IN WITNESS WHEREOF, the said Principal has hereunder affixed its signature and said Surety has hereunto caused to be affixed to its corporate signature and seal, by its duly authorized officers, on

This the day of , 2026.

PRINCIPAL:

Signed and sealed in the By:

Presence of:

Title : ___________________________

1. __________________________

2. __________________________

SURETY:

Signed and sealed in the By:

Presence of:

Title : _______________________________

1. ____________________________

2. ____________________________

AFFIDAVIT

This Bid is submitted to Brunswick-Glynn County Water and Sewer Commission by the undersigned who is an authorized officer of the company and said company is licensed to do business in G l y n n C o u n t y , Georgia. Further, the undersigned is authorized to make these representations and certifies these representations are valid. The Bidder recognizes that all representations herein are binding on the Company and failure to adhere to any of these commitments, at the Brunswick-Glynn County Water and Sewer Commission 's option, may result in a revocation of the granted contract.

Consent is hereby given to the Brunswick-Glynn County Water and Sewer Commission to contact any person or organization in order to make inquiries into legal, character, technical, financial, and other qualifications of the Bidder.

The Bidder understands that, at such time as the Brunswick-Glynn County Water and Sewer Commission decides to review this Bid, additional information may be requested. Failure to supply any requested information within a reasonable time may result in the rejection of the Bid with no re-submittal rights.

The successful Bidder understands that the Brunswick-Glynn County Water and Sewer Commission, after considering the legal, financial, technical, and character qualifications of the Bidder, as well as what in the Brunswick-Glynn County Water and Sewer Commission 's judgment may best serve the interest of its rate payers and employees, may grant a contract.

The successful Bidder understands that this bid is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a bid for the same, and is in all respects fair and without collusion or fraud. I understand that collusive bidding is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards.

Any contract issued will be on the basis of the Bidder’s service, financial plans and arrangements being feasible and adequate to fulfill the conditions set forth in this project and the successful Bidder’s response.

Company Name:

Authorized Person: Signature:

(Print/Type)

Title: Date:

Address:

Telephone: Fax: Email:

REPRESENTATION

EQUAL EMPLOYMENT OPPORTUNITY (EEO) PRACTICE:

EEO Plan: The successful Bidder will develop and implement an EEO policy that, as a minimum, will recruit, hire, train, and promote, at all levels, without regard to race, color, religion, national origin, sex, or age, except where sex or age is a bona fide occupational qualification.

EEO For Veterans/Handicapped: The successful Bidder will also provide equal employment opportunities for qualified disabled veterans, handicapped persons and veterans of the Vietnam Era.

EEO For Successful Bidder Programs: The successful Bidder will ensure equal employment opportunity applies to all terms and conditions of employment, personnel actions, and successful Bidder-sponsored programs. Every effort shall be made to ensure that employment decisions, programs and personnel actions are non-discriminatory. That these decisions are administered on the basis of an evaluation of an employee's eligibility, performance, ability, skill, and experience.

EEO Acquisitions: The successful Bidder will develop and implement a policy that will give equal opportunity to the purchase of various goods and services from small businesses and minority-owned businesses.

a. Does the Bidder have the above EEO policy in place?

[ ] Yes [ ] No

b. If the answer to a. above is no, will the Bidder have such a policy in place for the project?

[ ] Yes [ ] No

Statement of Assurance: The Bidder herein assures the Brunswick-Glynn County Water and Sewer Commission that it is in compliance with Title VI & VII of the 1964 Civil Rights Act, as amended, in that it does not on the grounds of race, color, national origin, sex, age, disability, or veteran status, discriminate in any form or manner against employees or employers or applicants for employment and is in full compliance with A.D.A.

(Firm's Name)

(Authorized Signature)

(Title) (Date)

CERTIFICATE OF DRUG FREE WORKPLACE

In order to have a drug- free workplace, a business shall:

Publish a statement notifying employees that the unlawful, manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specifying the actions that shall be taken against employees for violation of such prohibition.

Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

As a condition of working on the commodities or contractual services then under bid, the employee shall notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of any controlled substance law of the United States or any State, for a violation occurring in the workplace no later than five (5) days after such conviction.

Impose a sanction on, or require satisfactory participation in a drug abuse assistance or rehabilitation program if such in available in the employee’s community, by any employee who is so convicted.

Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements.

Company Name:

Authorized Signature:

Title:

Date:

E-VERIFY CONTRACTOR AFFIDAVIT AND

AGREEMENT

Georgia Security Immigration and Compliance (GSIC) Act

The Brunswick-Glynn County Water and Sewer Commission and Contractor agree that compliance with the requirements of O.C.G.A. § 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.

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 contracting with the Brunswick-Glynn County Water and Sewer Commission has registered with and is participating in the federal work authorization program known as: "E-Verify”, web address https://e-verify.uscis.gov/enroll/ operated by the United States Citizenship and Immigration Services Bureau of the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99- 603], in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-

91. The undersigned Contractor also verifies that he/she/it is using and will continue to use the federal work authorization program throughout the contract period.

The undersigned Contractor agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services pursuant to the contract with the Brunswick-Glynn County Water and Sewer Commission, Contractor will secure from each subcontractor(s) similar verification of compliance with O.C.G.A. § 13- 10-91 on the Subcontractor Affidavit provided in Rule 300-10-01-.08 or a substantially similar form. Contractor further agrees the Contractor will advise the Brunswick-Glynn County Water and Sewer Commission of the hiring of a new subcontractor and will provide the Brunswick-Glynn County Water and Sewer Commission with a Subcontractor Affidavit attesting to the Subcontractor’s name, address, user identification number, and date of authorization to use the Federal Work Authorization Program within five (5) days of the hiring before the Subcontractor begins working on the Project.

Contractor also agrees to maintain all records of such compliance for inspection by the Brunswick-Glynn County Water and Sewer Commission at any time and to provide a copy of each such verification to the Brunswick-Glynn County Water and Sewer Commission at the time the subcontractor(s) is retained to perform such services.

https://e-verify.uscis.gov/enroll/

E-Verify Employment Eligibility Verification User I.D. Number

Date of Authorization to Use Federal Work Authorization Program

Name of Contractor

Title of Authorized Officer or Agent of Contractor

Signature and Printed Name of Authorized Officer or Agent

Sworn to and subscribed before me on this the day of , 2026.

Name:

My Commission Expires:

(NOTARY SEAL)

As of the effective date of O.C.G.A. § 13-10-91, the applicable federal work authorization program is the "EEV/Basic Pilot Program" operated by the U.S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA).

E-VERIFY SUBCONTRACTOR AFFIDAVIT AND

AGREEMENT

Georgia Security Immigration and Compliance (GSIC) Act

The Brunswick-Glynn County Water and Sewer Commission and Subcontractor agree that compliance with the requirements of O.C.G.A. § 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.

By executing this affidavit, the undersigned subcontractor verifies its compliance with

O.C.G.A. § 13-10-91, stating affirmatively that the individual, firm, or corporation which is contracting with a Contractor contracting with the Brunswick-Glynn County Water and Sewer Commission has registered with and is participating in the federal work authorization program known as: E-Verify”, web address https://e-verify.uscis.gov/enroll/ operated by the United States Citizenship and Immigration Services Bureau of the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603], in accordance with the applicable provisions and deadlines established in O.C.G.A. §13-10-91.

The undersigned Subcontractor also verifies that he/she/it is using and will continue to use the federal work authorization program throughout the contract period.

The undersigned Subcontractor agrees that, should it employ or contract with any other subcontractor(s) in connection with the physical performance of services pursuant to the contract with the Brunswick-Glynn County Water and Sewer Commission, Subcontractor will secure from such subcontractor(s) similar verification of compliance with O.C.G.A. § 13- 10-91 on the Subcontractor Affidavit provided in Rule 300-10-01-.08 or a substantially similar form. Subcontractor further agrees the Subcontractor will advise the Brunswick- Glynn County Water and Sewer Commission of the hiring of a new subcontractor and will provide the Brunswick-Glynn County Water and Sewer Commission with a Subcontractor Affidavit attesting to the Subcontractor’s name, address, user identification number, and date of authorization to use the Federal Work Authorization Program within five (5) days of the hiring before the Subcontractor begins working on the Project. Subcontractor also agrees to maintain all records of such compliance for inspection by the Brunswick-Glynn County Water and Sewer Commission at any time and to provide a copy of each such verification to the Brunswick-Glynn County Water and Sewer Commission at the time the subcontractor(s) is retained to perform such services.

E-Verify Employment Eligibility Verification User I.D. Number

Date of Authorization to Use Federal Work Authorization Program

Name of Subcontractor

Title of Authorized Officer or Agent of Subcontractor

Signature and Printed Name of Authorized Officer or Agent

Sworn to and subscribed before me this the day of _, 2026.

Name:

My Commission Expires:

(NOTARY SEAL)

As of the effective date of O.C.G.A. § 13-10-91, the applicable federal work authorization program is the "EEV/Basic Pilot Program" operated by the U.S. Citizenship and Immigration Services Bureau of the U.S.

Department of Homeland Security, in conjunction with the Social Security Administration (SSA).

Note: To be obtained and maintained by prime contractor if subs are used

CERTIFICATE OF INSURANCE

This is to certify that

(Insurance Company) of (Insurance Company Address) has issued policies of insurance, as identified by a policy number to the insured name below, and that such policies are in full force and effect at this time. Furthermore, this is to certify that these policies meet the requirements described in the General Conditions of this project; and it’s agreed that none of these policies will be canceled or changed so as to affect this Certificate until thirty (30) days after written notice of such cancellation or change has been delivered to:

BRUNSWICK-Glynn County WATER AND SEWER COMMISSION

1703 GLOUCESTER STREET, BRUNSWICK, GEORGIA 31520

It is further agreed that the Brunswick-Glynn County Water and Sewer Commission shall be named as an additional insured on the Contractor’s policy.

1. Insured:

2.

Project Name:

No. 27-004 Construction Services for Golden Isles Parkway Force Main Extension

GLYNN COUNTY, GEORGIA

3. Policy Number(s): ______________________________________________________________________________

(Insurance Company)

(Authorized Representative)

Date: _______________________________

Address: __________________________________________________

Note: Please attach Certificate of Insurance form to this page at time of Contract Execution

CERTIFICATE OF INSURANCE