Inspection RFP - Full Version

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The City of Calhoun Georgia

RFP #2023-01-12

Request for Proposal for Water Tank Inspections (21 Tanks)

SUBMISSIONS ARE DUE AT THE ADDRESS SHOWN BELOW NO LATER THAN:

5:00 PM ET, THURSDAY JANUARY 12, 2023

The City of Calhoun

Margaret Boyd, Director of Purchasing

700 West Line Street

Calhoun, GA 30701

Office: (706) 602-5680

Email: maboyd@calnet-ga.net mailto:maboyd@calnet-ga.net

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TABLE OF CONTENTS

SECTION TITLE

I REQUEST FOR PROPOSAL SUBMISSION INSTRUCTIONS

II REQUEST FOR PROPOSAL OVERVIEW AND PROCEDURES

III SCOPE OF SERVICES

A. INTRODUCTION AND PURPOSE

B. SPECIFICATIONS OF WORK

C. REMOTE OPERATED VEHICLE (ROV) INSPECTION SERVICE

D. WASHOUT & DISINFECTION INSPECTION SERVICE

E. SCHEDULE TO COMPLETE

IV QUALIFICATIONS OF BUSINESS AND EVALUATION

V MANDATORY PROPOSAL FORMS

A1. PROPOSAL FORM

A2. SPREADSHEET

B: ADDENDA ACKNOWLEDGEMENT

C1: GEORGIA SECURITY & IMMIGRATION COMPLIANCE (GSIC)

CONTRACTOR AFFIDAVIT & AGREEMENT

C2: NON-COLLUSION AFFIDAVIT

VI DOCUMENTS CHECKLIST

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SECTION I - REQUEST FOR PROPOSAL SUBMISSION INSTRUCTIONS

ALL PROPOSALS RECEIVED WILL BECOME A PART OF THE OFFICIAL CONTRACT FILE AND

MAY BE SUBJECT TO DISCLOSURE.

A complete signed proposal must include the documents listed below:

PROPOSAL FORMAT: Offerors are expected to examine the specifications, price schedule, and all instructions. Failure to do so will be at the Offeror’s risk. Each Offeror shall furnish the information required by the solicitation. The proposal and price schedule must be signed by an officer of the company, who is legally authorized to enter into a contractual relationship in the name of the Offeror.

All proposals are to be provided on USB flash drives or via email in pdf format.

WRITTEN PROPOSAL CONTENT: All proposals should include the information outlined below and in the following order, as presented below:

1. Cover Letter: A brief cover letter of introduction and interest (One page limit for this section).

2. Schedule to Complete (Section III.E)

3. Mandatory Proposal Forms):

Includes all of the Section V Forms: A1-C2 as noted in the Table of Contents;

4. Business Information:

State the full name and address of your organization and the branch office or subordinate element that will perform the services described in this proposal. Include a telephone number, the point of contact and official signature of an authorized company representative. Indicate whether you operate as a single proprietorship, partnership, or corporation. Include the state(s) in which you are incorporated and/or licensed to operate.

5. References (Two Page limit for this section):

Provide a minimum of three (3) references for contracts/work of recent work, less than three years ago, for projects a similar type construction value, and/or complexity as described in the RFP; preference is for public sector references and/or similar renovation project references, if possible. Include the name, address, and telephone number of the point of contact. Provide a brief description of the specific work and/or responsibility the Offeror provided for each referenced project and when such work was completed.

SUBMITTAL FORMAT:

ALL USB proposals must be submitted in a sealed envelope or container with the

OUTERMOST container stating the company name, address, telephone number, the RFP number, and TITLE (RFP #2023-01-12 “Request for Proposal for Water Tank Inspections

(21 Tanks)”. Likewise, emailed proposals should include the above referenced TITLE and RFP number in the subject line.

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If you have a City of Calhoun Vendor Number, please include it on the sealed envelope or container. If you do not know your vendor number, please call (706) 602-5682 or email: purchasing@calnet-ga.net If you do not have a vendor number.

Offerors are responsible for informing any commercial delivery service, if used, of all delivery requirements and for ensuring that the required address information appears on the outer wrapper or envelope used by such service.

No responsibility shall attach to The City of Calhoun for the premature opening of a proposal not properly addressed and identified, and/or delivered to the proper or improper address. Proposals submitted via facsimile will be considered.

ALL PROPOSAL DOCUMENTS MUST BE

SUBMITTED IN A SINGLE PDF FILE

mailto:purchasing@calnet-ga.net

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THE CITY OF CALHOUN

REQUEST FOR PROPOSAL

(RFP #2023-01-12)

For Water Tank Inspections (21 Tanks)

SECTION II - REQUEST FOR PROPOSAL OVERVIEW AND PROCEDURES

A. INTRODUCTION AND PURPOSE

This Request for Proposal is to obtain the services of an experienced water storage tank maintenance firm to provide inspection services and reports on all 21 tanks for the City of Calhoun water system. Any proposal should include all costs associated with labor, materials, equipment, travel, and all other expenses related to the necessary service as defined in the Specifications of Work.

The contractor will provide services per the scope of services as indicated in Section III of this request for proposal (RFP).

B. RFP TIMETABLE

The anticipated schedule for the RFP and contract approval is as follows:

Proposal Documents Available ………………...Thursday December 26, 2022

Deadline for submission of questions ...............Thursday January 5, 2023

Deadline for receipt of proposal ....................... 5:00 P.M. ET, Thursday January 12, 2023

Via Email will be accepted to purchasing@calanet-ga.net or kmccord@calnet-ga.net

C. CONTACT INFORMATION

The contact person for this RFP is Margaret Boyd, Director of Purchasing, (706)602-5680 or email:

maboyd@calnet-ga.net. Technical questions may be directed to Kurt T. McCord, PE at kmccord@calnet-ga.net .

Offerors are encouraged to contact only the contact persons stated above to clarify any part of this RFP.

Any such unauthorized contact shall not be used as a basis for responding to this RFP and also may result in the rejection of the Offeror's submittal.

D. MINIMUM PROPOSAL ACCEPTANCE PERIOD

Proposals shall be valid and may not be withdrawn for a period of sixty (60) days from the date specified for receipt of proposals.

E. ADDITIONAL INFORMATION/ADDENDA

The City of Calhoun will issue responses to inquiries and any other corrections or amendments it deems necessary in written addenda issued prior to the proposal due date. Offerors should not rely on any representations, statements or explanations other than those made in this RFP or in any addendum to this RFP. Where there appears to be a conflict between the RFP and any addenda issued, the last addendum issued will prevail.

Offerors must acknowledge any issued addenda. Proposals which fail to acknowledge the Offeror’s receipt of any addendum will result in the rejection of the proposal if the addendum contained information which substantively changed the Owner’s requirements.

mailto:purchasing@calanet-ga.net mailto:kmccord@calnet-ga.net mailto:maboyd@calnet-ga.net.

mailto:kmccord@calnet-ga.net

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Offerors who obtain this Request for Proposal from Georgia Procurement Registry or from sites are advised to re-visit the above websites to obtain any addenda which may be issued prior to the proposal closing date. The City of Calhoun assumes no responsibility for Offerors’ failure to acknowledge any addenda issued.

F. LATE PROPOSALS, WITHDRAWALS, MODIFICATIONS AND REJECTIONS

Proposals shall not be modified, withdrawn, or canceled by the Offeror for a period of sixty (60) days following the time and date designated for the receipt of proposals, and each Offeror so agrees in submitting his proposal. Negligence on the part of the Offeror in the preparation of his proposal shall not be grounds for the modification or withdrawal of a proposal after the time set for proposal closing.

Proposals received after the proposal due date and time are late and will not be considered. Modifications received after the proposal due date are also late and will not be considered.

G. PROPOSAL CLOSING

Proposal schedule prices will not be opened or read aloud publicly. A list of companies providing proposals may be obtained from Georgia Procurement Registry or The City of Calhoun via email request:

The City of Calhoun purchasing@calnet-ga.net after the proposal due date and time stated herein. A tabulation of prices may be obtained upon award.

H. NON-COLLUSION AFFIDAVIT

By submitting a proposal, the Offeror represents and warrants that such proposal is genuine and not sham or collusive or made in the interest or on behalf of any person not therein named and that the Offeror has not directly or indirectly induced or solicited any other Offeror to put in a sham proposal, or any other person, firm or corporation to refrain from proposing and that the Offeror has not in any manner sought by collusion to secure to that Offeror any advantage over any other Offeror.

By submitting a proposal, the Offeror represents and warrants that no official or employee of The City of

Calhoun has, in any manner, an interest, directly or indirectly in the proposal or in the contract which may be made under it, or in any expected profits to arise therefrom.

I. GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

By submitting a proposal and executing the attached Affidavits, the Offeror verifies its compliance with

O.C.G.A. §13-10-91. The Offeror further agrees to maintain records of such compliance and shall provide a copy of each such verification to The City of Calhoun, at the time the subcontractor(s) is retained to perform such services.

J. COST INCURRED BY OFFERORS

All expenses involved with the preparation and submission of proposals to The City of Calhoun, or any work performed in connection therewith shall be borne by the Offeror(s). No payment will be made for any responses received or for any other effort required of or made by the Offeror(s) prior to the commencement of work as defined by a contract approved by the governing body of The City of

Calhoun.

K. MINORITY BUSINESS ENTERPRISE POLICY STATEMENT

It is the policy of The City of Calhoun government that no person or business shall be excluded from participation, denied the benefits of, or otherwise discriminated against in relation to the award and performance of any contract or subcontract on the grounds of race, color, creed, national origin, age, or sex.

http://ssl.doas.state.ga.us/PRSapp/PR_index.jsp http://ssl.doas.state.ga.us/PRSapp/PR_public_routing.jsp?route_code=nigp_list mailto:purchasing@calnet-ga.net

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L. HOLD HARMLESS AND INDEMNIFICATION

The Offeror agrees, insofar as it legally may, to indemnify and hold harmless The City of Calhoun, its officers, employees and agents from and against all loss, costs, expenses, including attorneys' fees, claims, suits and judgments, whatsoever in connection with injury to or death of any person or persons or loss of or damage to property resulting from any and all operations performed by Offeror, its officers, employees, and agents under any of the terms of this contract.

M. AWARD OF CONTRACT

This is a past performance/technical/price trade-off source selection in which competing Offeror’s past and present performance history and technical ability will be evaluated on a basis approximately equal to price. Award will be made to the responsible Offeror whose proposal represents the best value after evaluation in accordance with the factors listed in Section IV herein. The City of Calhoun may reject any or all proposals if such action is in The City of Calhoun’s interest.

N. QUALIFICATION OF OFFERORS

The City of Calhoun may make such reasonable investigations as deemed proper and necessary to determine the ability of the Offeror to perform the work and the Offeror shall furnish to The City of

Calhoun all such information and data for this purpose as may be requested. The City of Calhoun reserves the right to reject any proposal if the evidence submitted by, or investigations of, such

Offeror fails to satisfy The City of Calhoun that such Offeror is properly qualified to carry out the obligations of the contract and to complete the work contemplated therein.

O. ALTERNATE PROPOSALS

Alternate proposals or proposals that deviate from the requirements of this solicitation will not be considered. Offerors shall not insert in their proposal any written statement which will have the effect of making any material change or changes in the Scope of Services or in any contract between the parties covering subject matter thereof.

P. OPEN RECORDS

In accordance with OCGA Section 50-18-72(a)(34) Any trade secrets obtained from a person or business entity that are required by law, regulation, bid, or request for proposal to be submitted to an agency. An entity submitting records containing trade secrets that wishes to keep such records confidential under this paragraph shall submit and attach to the records an affidavit affirmatively declaring that specific information in the records constitute trade secrets pursuant to Article 27 of Chapter 1 of Title 10. If such entity attaches such an affidavit, before producing such records in response to a request under this article, the agency shall notify the entity of its intention to produce such records as set forth in this paragraph. If the agency makes a determination that the specifically identified information does not in fact constitute a trade secret, it shall notify the entity submitting the affidavit of its intent to disclose the information within ten days unless prohibited from doing so by an appropriate court order. In the event the entity wishes to prevent disclosure of the requested records, the entity may file an action in superior court to obtain an order that the requested records are trade secrets exempt from disclosure. The entity filing such action shall serve the requestor with a copy of its court filing. If the agency makes a determination that the specifically identified information does constitute a trade secret, the agency shall withhold the records, and the requester may file an action in superior court to obtain an order that the requested records are not trade secrets and are subject to disclosure.

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SECTION III - SCOPE OF SERVICES

The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and services necessary as per the scope of services outlined below:

A. INTRODUCTION AND PURPOSE

Request for Proposal is to obtain the services of an experienced water storage tank maintenance firm to provide inspection services and reports on all 21 tanks for the City of Calhoun water system. Any proposal should include all costs associated with labor, materials, equipment, travel, and all other expenses related to the necessary service as defined in the Specifications of Work.

B. SPECIFICATIONS OF WORK

Calhoun Utilities currently owns, operates and maintains one (1) raw water and twenty (20) potable water storage tanks as part of the City’s water distribution system and treatment facilities. The tank names, sizes and type of inspection required are listed on page 13 of this

Request for Proposal. The following specifications shall be strictly adhered to in regard to any and all work tasks performed.

C. REMOTE OPERATED VEHICLE (ROV) INSPECTION SERVICE

1. ROV will be disinfected prior to tank entry.

2. Exterior and Interior inspection with Remote Operated Vehicle (tanks will not be drained).

3. Ensure tanks complies with all federal and state regulations.

4. Provide written report with photographs of inspection.

D. WASHOUT & DISINFECTION INSPECTION SERVICE

1. Washout inspection and disinfection (tank will be drained by Calhoun Utilities)

2. Ensure tanks complies with all federal and state regulations.

3. Provide written report with photographs of inspection.

All applicants must be insured and licensed in the State of Georgia. Certificates of Insurance shall be furnished for all work performed in affiliation with this RFP.

E. SCHEDULE TO COMPLETE

Available start date:

Anticipated completion date of fieldwork:

Anticipated completion date of reports:

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SECTION IV – QUALIFICATIONS OF BUSINESS AND EVALUATION

All questions should be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets with additional as deemed necessary.

1. Legal Name of Business.

2. Permanent main office address and telephone number.

3. When organized.

4. If a corporation, where incorporated.

5. Provide a statement that the applicant has operated under the current corporate name for the last five years. If the corporate name has changed, provide information on the previous corporate name.

6. Contracts on-hand or number of municipalities served (references furnished on request)

7. General character of work performed by your company.

8. Have you ever vacated, been terminated, or failed to complete any work awarded to you? If so, where and why?

9. Have you ever defaulted on a contract? If so, where and why?

10. List the more important projects recently completed by your company, stating the approximate cost for each, and the month and year completed.

11. Provide a statement that the applicant has not been involved in liquidated damages in the past five years or served the Owner with a claim for additional compensation prepared by an attorney or a claims consultant excluding routine change order requests. If this is not the case, please provide an explanation.

12. The applicant shall provide a statement that they have not been involved in litigation as a plaintiff against the

Owner or Engineering Firm in the past five years. If this is not the case, provide an explanation.

13. List your major equipment available for this project.

14. Work experience similar to this project.

15. Background and experience of the principal members of your organization, including the officers.

16. Provide experience of proposed on-site project manager and/or field superintendent who would supervise and be in charge of the project. Experience can be from previous employment but must be pertinent to this project.

If your firm is the successful bidder, at least one of these key personnel must be actively involved in the day-to-day operations of this project.

17. Insurance: The contractor shall procure and maintain the following insurance, to be in effect throughout the term of the project, in at least the amounts and limits as follows:

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a. General Liability Insurance: $1,000,000 combined single limit per occurrence, including bodily and personal injury, destruction of property, and contractual liability.

b. Automotive Liability Insurance: $1,000,000 combined single limit each occurrence, including bodily injury and property damage liability.

c. Worker’s Compensation & Employer’s Liability Insurance: workers Compensation as required by

Georgia Statute.

18. The undersigned authorizes and requests any person, firm, or corporation to furnish any information requested by the City of Calhoun in verification of the recitals comprising the Statement of Qualifications. Dated this day of , 2023.

(Business Name)

By:

Title:

State of Georgia

County of

, being duly sworn deposes and says that he is of

(Business Name) and that the answers to the foregoing questions and all statements therein contained are true and correct.

Subscribed and sworn to before me this _____ day of , 2023.

(Notary Public)

My Commission expires: , 20

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EVALUATION

Evaluation Criteria: The city’s staff will review all proposals submitted. After reviewing the proposals, staff at its discretion, may award the Contract to the responsible and responsive proposer submitting the proposal which is deemed to be the most advantageous to the city, price and other factors being considered. The following are the evaluation criteria the city will consider in determining which proposal is most advantageous to the city:

1: Cost:

Evaluation based on unit cost spreadsheet (Spreadsheet includes estimated quantities that will be used for evaluating purposes only). Payment will be issued based on actual work completed. = 30%

2: Experience on similar projects:

Contractor performed satisfactory work on similar projects over the past five years. The ideal contractor should have extensive experience with tank maintenance including completing projects in a timely manner, working within cost constraints, and providing good customer satisfaction. = 20%

3: Schedule to Complete:

Inspections, wash-outs, and reports will need to be performed/prepared in a timely manner. = 20%

4: Project Personnel:

Contractor’s ability to effectively manage personnel, provide experienced and qualified personnel and respond rapidly to task orders. The ideal candidate will propose a project team, project manager with over five (5) years of experience in the construction field. The project manager and key personnel will be evaluated on knowledge, experience, prior collaboration and successful completion of similar projects as proposed in the scope of work. = 10%

5: References and reference projects:

Customer satisfaction with the vendor on prior similar projects. The contractor should provide a minimum of three (3) references. References should include the name, contact names, phone numbers, dates of the project, status or outcome of the project, and brief description of the services performed. = 10%

6: Geographical Proximity:

Location of business and/or crews in relationship to the job sites, which may affect response times if any problems arise. Preference will be given to companies that operate out of Georgia. = 10%

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SECTION V – PROPOSAL FORMS

A1: PROPOSAL FORM

Proposal of

(Hereinafter called "Offeror"), organized and existing under the laws of the State of

, doing business as *.

In compliance with your RFP, the Offeror hereby proposes and agrees to perform and furnish all work for the requirement known as “RFP #2023-01-12 For Water Tank Inspections (21 Tanks)”, in strict accordance with the Proposal Documents, within the time set forth therein, and at the price proposed.

By submission of this Proposal, the Offeror certifies, and in the case of a joint Offer, each party thereto certifies as to its own organization that:

1. The Offeror has examined and carefully studied the Proposal Documents and the Addenda, receipt of all of which is hereby acknowledged at Section V-B.

2. The Offeror agrees that this proposal may not be revoked or withdrawn after the time set for the opening of proposals but shall remain open for acceptance for a period of sixty (60) days following such time.

Company:

Contact:

Address:

Phone: Fax

Email:

By checking this box, I acknowledge that I have read all insurance requirements and will meet requirements listed in RFP #2023-01-12 for Water Tank Inspections (21 Tanks)

Authorized Representative/Title (Print or type)

Authorized Representative (Signature)

Date

MANDATORY SUBMITTAL

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SECTION V –

A2. SPREADSHEET

The City of Calhoun, GA Water Tank Inspections (21 Tanks)

COMPANY NAME: Signature:

TANK NAME SIZE MATERIAL DIA HT INSPECTION COST

GLASSROCK WATER TANK 2MG Steel 75.4 55.4 WASHOUT

HALL WATER TANK 2MG Steel 67.4 53.7 WASHOUT

FAIRMOUNT WATER TANK 500KG Steel 47 37 WASHOUT

MT. ALTO WATER TANK 300KG Steel 31 52.5 WASHOUT

SUGAR VALLEY WATER TANK 2MG Concrete 89.5 39.25 ROV

HWY 53 EAST (MASON RD) WATER TANK 1MG Steel 74.6 28.4 ROV

BROWNLEE MTN RD/SHAW ROAD WATER TANK 2MG Concrete 89.9 38.6 ROV

DALE AVE/COVE ST WATER TANK 1MG Steel 66.3 39.6 ROV

PITTMAN RD WATER TANK 2MG Concrete 92 40 ROV

COOK WATER TANK 6MG Concrete 162.5 38.8 ROV

FIRE TOWER/BROGDON WATER TANK 1MG Steel 66.5 39.34 ROV

RAW WATER SURGE TANK 250KG Steel 20 120 ROV

BOONE FORD WATER TANK 3MG Steel 118.3 35.1 ROV

KIRBY ROAD WATER TANK 2MG Steel 104 33.5 ROV

ANTIOCH WATER TANK 300KG Steel 25.8 75.89 ROV

HWY 41 SOUTH WATER TANK 1MG Steel 74.5 32 ROV

RANGER WATER TANK 500KG Steel 47 37 ROV

BRITTANY DRIVE CONCRETE CLEAR WELL 2MG Concrete ROV

BRITTANY DRIVE STEEL CLEAR WELL 300KG Steel 55.3 16.5 ROV

MAULDIN CLEAR WELL (ROUND) 1MG Concrete 97.3 18 ROV

MAULDIN CLEAR WELL (SQUARE) 250KG Concrete ROV

TOTAL COST - ALL TANK INSPECTIONS:

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Company Name (printed):

B: ADDENDA ACKNOWLEDGEMENT

The Offeror has examined and carefully studied the Specifications and the following Addenda, Receipt of all of which is hereby acknowledged:

Addendum No.

dated

Acknowledgement

Initial

Offerors must acknowledge any issued addenda. Proposals which fail to acknowledge the Offeror’s receipt of any addendum will result in the rejection of the proposal if the addendum contained information which substantively changes the Owner’s requirements.

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C: GEORGIA SECURITY & IMMIGRATION COMPLIANCE (GSIC) AFFIDAVIT

The City of Calhoun and Contractor agree that compliance with the requirements of O.C.G.A.

§ 13-10-91, as amended, and DOL Rule 300-10-1-.02 of the Rules of the Georgia Department of Labor are conditions of this Agreement for the physical performance of services.

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

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

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

(1) To secure from the subcontractor(s) an affidavit attesting to the subcontractor’s compliance with O.C.G.A. §

13-10-91, as amended, and DOL Rule 300-10-1-.02; such affidavit being in the form attached hereto; and

The failure of Contractor to supply the affidavit of compliance at the time of execution of this Agreement and/or the failure of Contractor to continue to satisfy the obligations of O.C.G.A. § 13-10-91, as amended, and DOL Rule 300-10-1-.02 as set forth in this Agreement throughout the contract period shall constitute a material breach of the contract. Upon notice of such breach, Contractor shall be entitled to cure the breach within ten days, upon providing satisfactory evidence of compliance with the terms of this Agreement and State law. Should the breach not be cured, The City of Calhoun shall be entitled to all available remedies, including termination of the contract and damages.

SEE AFFIDAVIT ON FOLLOWING PAGE

https://law.justia.com/codes/georgia/2010/title-13/chapter-10/e/13-10-91 https://law.justia.com/codes/georgia/2010/title-13/chapter-10/e/13-10-91 https://dol.georgia.gov/gdol-rules-chapter-300-10-1-public-employers-their-contractors-and-subcontractors-required-verify

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C1: CONTRACTOR AFFIDAVIT & AGREEMENT UNDER O.C.G.A. § 13-10-91(b)(1)

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, as amended, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of The City of Calhoun, 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 provisions and deadlines established in O.C.G.A. § 13- 10-91, as amended.

Furthermore, the undersigned 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 Company Identification Number Date of Authorization

Name of Contractor:

Name of Project: RFP #2023-01-12 For Water Tank Inspections (21 Tanks)

Name of Public Employer: The City of Calhoun Georgia

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

Executed on , , 2023 in (City/County), (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 , 2023

Notary Public

My Commission Expires:

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Company Name (printed):

C2. Non-collusion Affidavit

State of Georgia County of Gordon

, being first duly sworn, deposed and says that:

(Print name of proposal preparer)

(1) He/she is of .

(Owner, partner, officer, or authorized agent) (company/business)

(2) He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;

(3) Such proposal is genuine and is not a collusive or sham;

(4) Neither the said business nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affidavit, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other proposer, firm or person to submit a collusive or sham proposal in connection with the work for which the attached proposal has been submitted or to refrain from pricing in connection with such contract, or has in any manner directly or indirectly sought by agreement or collusion or communication or conference with any other business, firm or person to fix the price or prices in the attached proposal or of any other proposal, or to fix any overhead, profit or cost element of the proposal price or the proposal price of any other business, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Calhoun (Local Public Agency) or any person interested in the proposed work and;

(5) The price or prices quoted in the attached proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the business or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.

By:

Title:

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE ______ DAY OF ______________,2023.

(Notary Public)

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SECTION VI DOCUMENTS CHECKLIST:

PROPOSAL DOCUMENTS CHECKLIST:

1. Cover Letter

2. Schedule to Complete (Section III.E)

3. Mandatory Documents (Section V)

A. Proposal Form (A1) and Cost Spreadsheet (A2)

B. Acknowledgement of Addenda

C. Georgia Security & Immigration Compliance (GSIC) Act Affidavit, Contractor

Affidavit & Agreement (C1) and Non-collusion Affidavit (C2)

4. Business and Personnel Information (Section IV – Qualifications)

5. References/Reference Projects