City of Tucker

Invitation to Bid

ITB # 2026-015

STORMWATER SYSTEM REPAIR PROJECTS

BID MANUAL

City of Tucker 1975 Lakeside Parkway, Suite 350

Tucker, Georgia 30234

City of Tucker Invitation to Bid

ITB #2026-015

STORMWATER SYSTEM REPAIR PROJECTS

INVITATION: The City of Tucker, Georgia requests that interested parties submit bids for the Stormwater System Repair Projects. Bids will be accepted until the date and time listed below and will be awarded to the lowest responsible and responsive bidder. Addenda and updates to this bid manual will be posted on the City of Tucker website http://tuckerga.gov/bids, the DOAS/Georgia Procurement Registry Website or may be requested by emailing procurement@tuckerga.gov.

BID ACTIVITY SCHEDULE

Bid Issued May 5, 2026 Pre-Bid Conference N/A Deadline for Questions May 19, 2026 at 1:00 pm EST Responses to Questions Posted (Addenda) May 22, 2026 Bid Deadline / Opening June 4, 2026 at 3:00pm EST Award at Council Meeting (Tentative) July 13, 2026 (Tentative) Completion from Notice to Proceed 120 calendar days

SCOPE OF WORK: Refer to Exhibit A.

PRE-BID CONFERENCE: A pre-bid conference will not be scheduled for this project.

QUESTIONS: Submit all questions in writing to procurement@tuckerga.gov. Reference ITB #2026-015 in the subject line of the email.

ADDENDA: Responses to the questions received will be by addenda and will be posted on the City website www.tuckerga.gov/bids and the DOAS/Georgia Procurement Registry Website. The signed acknowledgement issued with each addendum must be submitted with the proposal. It is the vendors responsibility to verify if any addenda were created.

SUBMITTAL REQUIREMENTS: Vendor shall submit ITB Response electronically to procurement@tuckerga.gov so it is received no later than June 4, 2026, at 3:00pm EST with the subject line “Submittal: ITB #2026-015”. The email must contain the vendor’s contact information. Bid Submittal should be one PDF file and named <Company Name>.ITB 2026- 015.Bid Submittal.pdf. Email will be opened to confirm receipt of the submittal, but the attached PDF file will remain unopened until the public bid opening.

BID OPENING: All bids received prior to the deadline will be opened publicly at 3:00pm EST on June 4, 2026 at Tucker City Hall located at 1975 Lakeside Parkway, Suite 350, Tucker GA.

BID SUBMITTALS: A listing of submittals received prior to the bid deadline will be posted on the City website http://tuckerga.gov/bids following the opening of the bids.

BID DOCUMENT SUBMITTAL REQUIREMENTS:

1. Unit Price Cost Proposal Form (Provided)

2. W-9 Form (provided)

3. Certificate of Current Liability, Worker’s Compensation and Vehicle Insurance

4. Notarized Bid Bond Form (Provided)

5. Notarized Contractor Affidavit Form (Provided)

6. Proposed List of Subcontractors Form (Provided)

7. Related Experience and References Form (Provided)

8. Notarized Contractor’s Oath Form (Provided)

9. Acknowledgement of Addendum issued with each Addendum.

10. Contact Form (Provided)

All responses must be received electronically by the Bid Deadline. (Addenda will show any schedule updates). No bids will be received orally, by phone, or by sealed paper documents. Only electronic bids in accordance with submittal requirement instructions will be accepted. Late bids will not be considered. Bids received after the bid deadline will be filed unopened. The City of Tucker reserves the right to reject any and all bids or any part, to waive any formalities to make an award and to re-advertise in the best interest of the City. The City reserves the right to consider past performance in determining the responsibleness of bidders.

The city reserves the right to negotiate pricing and may, in its discretion, award a contract to the lowest responsible and responsive bidder submitting the proposal.

ITB #2026-015 STORMWATER SYSTEM REPAIR PROJECTS

Exhibit A: Scope of Work

PURPOSE, INTENT AND PROJECT DESCRIPTION

The City of Tucker (City), requests that interested parties submit formal electronic bids for stormwater system conduit repairs at two (2) locations.

The complete scope, specifications, and other relevant information for ITB 2026-015 is available for download on the City of Tucker website: www.tuckerga.gov/bids, the DOAS/Georgia Procurement Registry Website or request via email to procurement@tuckerga.gov.

SCOPE OF WORK

The project is also referred to as Task Order 49.

The work required under this contract includes furnishing materials, qualified labor, equipment, traffic control, erosion control, and site restoration at each location as described in the accompanying construction plans.

1. Conduct all activities as described in accompanying plans, details and exhibits.

2. Seed and straw all disturbed areas.

3. Clean work area.

LOCATION NOTES

1. 1660 East Gate Drive

a. 160 linear feet of 60” diameter CMP, Live Stream base flow. Scope:

i. Cleaning 160 lf 60” diameter CMP

ii. Specialty Cleaning of an estimated 40 linear foot segment.

iii. Internal Point Repair of existing pipe invert prior to pipe lining, 40 linear foot allowance.

iv. Replace downstream headwall lid per GDOT Std. 1125.

v. Spin Cast in place pipe lining of the 160 linear foot segment, 60” diameter pipe.

vi. Bypass pumping of base flow.

vii. Grout pipe connections at junction box structures.

viii. Back fill sinkholes along segment.

ix. Grubbing as necessary to provide access to headwall repair.

x. Clean work area.

b. Reference Video and Report

c. Reference schedule of values from Bid Form for particular scope

2. 3855 Allsborough Drive

a. 2 barrels of 50 linear feet of 72” diameter CMP, live stream base flow. Scope:

i. Specialty Cleaning.

ii. Internal Point repair of existing pipe invert prior to pipe lining, 100 linear foot allowance.

iii. Spin Cast in place pipe lining of the 2 50 linear foot segments under Allsborough

Drive, 72” diameter pipe.

iv. Grout pipe connections at junction box structures.

v. Back fill sinkholes along segment.

vi. Grubbing as necessary to provide access to conduit.

vii. Clean work area.

b. Reference Video and Report

c. Reference schedule of values from Bid Form for particular scope

Videos and Reports for each location at the following SharePoint Link:

TASK ORDER 49 ITB SUPPORT FILES

General Conditions

1. The Contractor shall maintain access to residential properties as necessary by detours or covering of the work area when not mobilized.

2. The Contractor shall furnish, install, maintain and remove all necessary traffic signs, barricades, lights, signals, cones and other traffic control devices, and all flagging and other means of traffic protection and guidance as required by Special Provision 150 of the Georgia Department of Transportation. Such work shall be considered incidental to the overall contract, and no additional compensation will be made.

3. The Contractor will be responsible for calling Georgia 811 in and identifying utility locations.

The City shall be notified of any potential utility conflicts.

4. The work is intended to be conducted within the city right of way and established drainage easements. If necessary, the city will obtain all easements and right of entries which may be necessary to execute the repair.

5. Specifications for repair activities in accordance with Georgia Department of Transportation Standards

6. City of Tucker ordinances and regulations.

7. OSHA standards and guidelines.

8. Any other applicable codes, laws and regulations including but not limited to Section 45- 10-20 through 45-10-28 of the Official Code of Georgia Annotated, Title VI of the Civil Rights Act, Drug- Free Workplace Act, and all applicable requirements of the Americans with Disabilities Act of 1990.

9. Mobilization will be defined under Section 151 of the 2021 Standard Specifications of the Georgia Department of Transportation. One mobilization shall include the cost of mobilization for all teams and subcontractors used by and at the discretion of the Contractor.

10. Out of scope hourly labor shall be paid only upon the prior approval of the city upon confirmation that the work performed is outside of the scope of the original contract.

11. All disturbed areas shall be restored to site conditions prior to disturbance, or better.

12. Refer to organization chart below for city assigned staff for this project. The city reserves the right to substitute staff at any time during the contract period.

13. Reference schedule of values from Cost Proposal Form and exhibits for particular details.

14. The contractor is responsible for inspecting the job site prior to submitting a bid and encouraged to do so. No change orders will be issued for differing site conditions.

15. 5% retainage will be withheld from the total amount due the contractor until Final Acceptance of work is issued by the City. City staff will inspect the work as it progresses.

Special Conditions https://tuckerga-my.sharepoint.com/:f:/g/personal/jmueller_tuckerga_onmicrosoft_com/IgDLXQHi6OntTZ5W_DMREtrPASFsVlQofZ5kbawpOz0T90U?e=mZmRbh

1. Pay Item 4. Storm Line Cleaning

a. These line items contemplate the use of high velocity water jetting of silty and/or sandy sediment.

b. These line items include the cost of capture and haul off of any water and suspended sediment removed from the cleaned conduits and structures.

c. The contractor is responsible for providing their own water source and associated expenses and fees to provide that water. Any water taken from public hydrants must be metered through the utility provider.

d. The contractor must contain all removed material in leak-proof containers, transport to an approved disposal facility or landfill licensed to receive such waste, and provide weigh tickets or disposal receipts with final report.

2. Pay Item 6. Specialty Storm Line Cleaning

a. For large debris, Specialty Storm Line Cleaning is paid on a linear foot basis of the distance upon which the material is moved after standard storm line cleaning (items 4 and 5). For root cleaning, the linear foot basis is the length of pipe affected with roots and length of pipe over which a root removal tool is utilized after standard storm line cleaning is employed.

b. The determination for Specialty Cleaning deployment and its quantity will be determined in conjunction with and subsequent to the standard storm line cleaning.

3. Pay Item 39. Earthwork and Grading “Grading Complete” are those activities, including but not limited to excavation, demolition, backfill and grading not identified in the unit price quantities schedule to ensure that the completed grading work conforms to the horizontal and vertical alignment and typical cross-sections shown on the plans or directed by the engineer of record.

4. Pay Item 41 Miscellaneous: 41.2 Debris Removal, Tandem Dump Truck This line item is intended to pay for the use of the truck, including mileage. The quantity of material hauled will be measured and scheduled under a different line item

PROSECUTION AND PROGRESS

The Contractor will mobilize with sufficient forces such that all construction identified as part of this contract shall be substantially completed by 120 calendar days. The contractor will be considered substantially complete when all work required by this contract has been completed.

The normal workday for this project shall be 8:00AM to 7:00PM and the normal workweek shall be Monday through Friday. The City will consider extended workdays or workweeks upon written request by the Contractor on a case-by-case basis. No work will be allowed on national holidays (i.e. Memorial Day, July 4th, Labor Day, etc.).

The work will require the bidder to provide all labor, administrative forces, equipment, materials and other incidental items to complete all required work. The City shall perform a Final Inspection upon substantial completion of the work. The contractor will be allowed to participate in the Final Inspection. All repairs shall be completed by the contractor at the contractor’s expense prior to issuance of Final Acceptance.

The contractor shall be assessed liquidated damages in the amount of $500.00 per calendar day for any contract work that is not completed by 120 calendar days. Liquidated damages shall be deducted from the 5% retainage held by the City. The contractor will also be assessed liquidated damages in the amount of $200.00 per calendar day for not completing any required Punch List work within 45 calendar days.

The contractor shall provide all material, labor, and equipment necessary to perform the work without delay until final completion.

PERMITS AND LICENSES

The contractor shall procure all permits and licenses, pay all charges, taxes and fees, and give all notices necessary and incidental to the due and lawful prosecution of the work.

BONDING AND INSURANCE REQUIREMENTS

No bid may be withdrawn for a period of ninety (90) days after the bid deadline/opening.

All bids must be accompanied by a Bid Bond of a reputable bonding company authorized to do business in the State of Georgia, in an amount equal to at least five percent (5%) of the total amount of the bid.

Upon Notice of Award, the successful contractor shall submit a Performance Bond payable to the City of Tucker in the amount of 100% of the total contract price. The successful contractor shall also submit a Payment Bond in the amount of 100% pursuant to O.C.G.A. § 36- 91-70 and 90.

Upon Notice of Award, the successful contractor shall procure and maintain the following insurance policies:

1. Commercial General Liability coverage at their sole cos and expense with limits of not less than

$3,000,000 in combined single limits for bodily injury and/or property damage per occurrence, and such policies shall name the City of Tucker as an additional named insured.

2. Statutory Workers Compensation and Employers Liability Insurance with limits of not less than $1,000,000, which insurance must contain a waiver of subrogation against the City of Tucker and its affiliates.

3. Commercial automobile liability insurance with limits of not less than $1,000,000 combined single limit for bodily injury and/or property damage per occurrence, and such policies shall name the City of Tucker as an additional named insured.

EXISTING CONDITIONS / DEVIATION OF QUANTITIES

All information given in this ITB concerning quantities, scope of work, existing conditions, etc. is for information purposes only. It is the Contractor’s responsibility to inspect the project site to verify existing conditions and quantities prior to submitting their bid. This is a Unit Price bid and no payment will be made for additional work without prior written approval from the City. At no time will Contractor proceed with work outside the prescribed scope of services for which additional payment will be requested without the written authorization of the City.

The City reserves the right to add, modify, or delete quantities. The City may also elect to add or eliminate certain work locations at its discretion. The Contractor will not be entitled to any adjustment of unit prices or any other form of additional compensation because of adjustments made to quantities and/or work locations. Contractor will be paid for actual in-place quantities completed and accepted for pay items listed in the Bid Schedule. All other work required by this ITB, plans, specs, standards, etc. but not specifically listed in the Bid Schedule shall be considered “incidental work” and included in the bid prices for items on the Bid Schedule.

TRAFFIC CONTROL

The contractor shall, at all times, conduct their work so as to ensure the least possible obstruction of traffic.

The safety and convenience of the general public and the residents along the roadway and the protection of persons and property shall be provided for by the contractor as specified in the State of Georgia, Department of Transportation Standard Specifications Sections 104.05, 107.09 and 150.

Traffic, whose origin and destination is within the limits of the project shall be provided ingress and egress at all times unless otherwise specified by the City. The ingress and egress includes entrances and exits via driveways at various properties, and access to the intersecting roads and streets. The contractor shall maintain sufficient personnel and equipment (including flaggers and traffic control signing) on the project at all times, particularly during inclement weather, to ensure that ingress and egress are safely provided when and where needed.

Two-way traffic shall be maintained at all times, unless otherwise specified or approved by the City. In the event of an emergency, the Contractor shall provide access to emergency vehicles and/or emergency personnel through or around the construction area. Any pavement damaged by such an occurrence will be repaired by the Contractor at no additional cost to the City.

The contractor shall furnish, install and maintain all necessary traffic signs, barricades, lights, signals, cones and other traffic control devices, and all flagging and other means of traffic protection and guidance as required by Special Provision 150 of the Georgia Department of Transportation. Such work shall be considered incidental to the overall contract, and no additional compensation will be made.

CLEANUP

All restoration and clean-up work shall be performed daily. Operations shall be suspended if the contractor fails to accomplish restoration and clean-up within an acceptable period of time. Asphalt and other debris shall be removed from gutters, sidewalks, yards, driveways, etc. Failure to perform clean-up activities may result in suspension of the work. Milling operation shall be followed immediately by clean-up at which the contractor is to provide power brooms, vacuum sweepers, power blowers, or other means to remove loose debris or dust. Do not allow dust control to restrict visibility of passing traffic or to disrupt adjacent property owners. All pavement areas shall be clean and dry prior to placing tack coat, asphaltic concrete or other materials.

SAFETY

Beginning with mobilization and ending with acceptance of work, the contractor shall be responsible for providing a clean and safe work environment at the project site. The contractor shall comply with all OSHA regulations as they pertain to this project.

*********************************END OF SCOPE OF WORK**************************

LOCATION A: 1660 EAST GATE DRIVE

Item No. Item Projected

Units Unit Proposed Unit Price Proposed Cost

1.1 Mobilization 1 EA

1.2 Out of Scope Work, Foreman 6 HR

1.3 Out of Scope Work, Laborer 10 HR

2 Traffic Control

2.2 Traffic Control Minor 2 – Includes Cones and Signage 4 Per Day

3 TV Inspection and Jet-Vac Cleaning

3.1 TV Storm Lines (includes DVD & Report) 160 LF

4 Storm Line Cleaning (less than 25% full)

4.11 60" PIPE - Cleaning less than 25% full 160 LF

6 Specialty Storm Line Cleaning, Applicable to heavy roots, Large diameter rocks, large debris, etc

6.2 42" to 96" PIPE 40 LF

16.2 Cast-in-Place Concrete Headwall- GDOT Std. Det. 1125 7

19 Internal Pipe Point Repairs (Including cutting, trimming, jacking, etc.)

19.7 60" Diameter 40 LF

30 Grout Connection To Structure

30.12 60" Grout Each End to Structure 2 EA

33 LINING REQUIREMENTS

Spin Cast / Geopolimer Lining

33.6 60" Cent. Spin Cast Lining 160 LF

39.2 Tree Removal 13"-23" 4 EA

39.3 Tree Removal >23" 1 EA

39.4 Clear & Grubbing 50 SY

39.9 Finish Grading 50 SY

39.11 Debris Removal 10 CY

39.12 GRADING COMPLETE 1 LS

40.14 Seed & Straw (Permanent Grassing) 50 SY

41.2 Debris Removal, Tandem Dump Truck 1 Per Load

41.13 Bypass pumping setup-equipment and hose placement 1 EA

41.15 6" Pumping Operation Time 24 HR

LOCATION A: 1660 EAST GATE DRIVE SUBTOTAL: $

General Conditions

Earthwork & Grading

Erosion Control

Miscellaneous Items

ITB #2026-015 STORMWATER SYSTEM REPAIR PROJECTS

Unit Price Cost Proposal Form

Cast-in-Place Concrete Headwall

LOCATION B: 3855 ALLSBOROUGH DRIVE

Item No. Item Projected

Units Unit Proposed Unit Price Proposed Cost

1.1 Mobilization 1 EA

1.2 Out of Scope Work, Foreman 6 HR

1.3 Out of Scope Work, Laborer 10 HR

2 Traffic Control

2.2 Traffic Control Minor 2 – Includes Cones and Signage 4 Per Day

3 TV Inspection and Jet-Vac Cleaning

3.1 TV Storm Lines (includes DVD & Report) 100 LF

5.13 72" PIPE - Cleaning 25% full or greater 100 LF

6 Specialty Storm Line Cleaning, Applicable to heavy roots, Large diameter rocks, large debris, etc

6.2 42" to 96" PIPE 100 LF

19.8 72" Diameter 100 LF

30.14 72" Grout Each End to Structure 4 EA

33.7 66" Cent. Spin Cast Lining 100 LF

33.8 72" Cent. Spin Cast Lining 100 LF

39.9 Finish Grading 50 SY

39.11 Debris Removal 30 CY

39.12 GRADING COMPLETE 1 LS

40.14 Seed & Straw (Permanent Grassing) 50 SY

41.2 Debris Removal, Tandem Dump Truck 3 Per Load

41.13 Bypass pumping setup-equipment and hose placement 1 EA

41.15 6" Pumping Operation Time 32 HR

LOCATION B: 3855 ALLSBOROUGH DRIVE $

ITB #2026-015 STORMWATER SYSTEM REPAIR PROJECTS

Unit Price Cost Proposal Form

Earthwork & Grading

Erosion Control

Miscellaneous Items

General Conditions

Storm Line Cleaning (25% full or greater)

Internal Pipe Point Repairs (Including cutting, trimming, jacking, etc.)

Grout Connection To Structure

Spin Cast / Geopolimer Lining

Proposed Cost

LOCATION A: 1660 EAST GATE DRIVE $

LOCATION B: 3855 ALLSBOROUGH DRIVE $

TOTAL COST PROPOSAL $

DATE

COMPANY NAME

AUTHORIZED SIGNATURE

PRINT NAME

CONTACT'S EMAIL ADDRESS

Proposal Price Certification

ITB #2026-015 STORMWATER SYSTEM REPAIR PROJECTS

Unit Price Cost Proposal Form - Location Summary

In compliance with the attached specification, the undersigned understands the City’s minimum scope requirements.

The undersigned offers and agrees that if this proposal is accepted by the Mayor and City Council within one hundred twenty (120) days of the date of proposal opening, that the undersigned will furnish any or all of the deliverables and additional services offered, at the quoted price, to the designated point(s) within the time specified.

BID BOND

KNOW ALL MEN BY THESE PRESENTS, THAT

(Name of Contractor) at

(Address of Contractor)

(Corporation, Partnership and / or Individual) hereinafter called Principal, and

(Name of Surety)

(Address of Surety)

A corporation of the State of __________________ , and a surety authorized by law to do business in the State of Georgia, hereinafter called Surety, are held, and firmly bound unto

(Name of Obligee) City of Tucker Georgia

(Address of Obligee) 1975 Lakeside Parkway, Suite 350, Tucker, Georgia 30084

Hereinafter referred to as Obligee, in the penal sum of Dollars ($_______________) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.

WHEREAS, the Principal is about to submit, or has submitted, to the City of Tucker, Georgia, a proposal for furnishing materials, labor, and equipment for:

ITB # 2026-015

STORMWATER SYSTEM REPAIRS

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

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

PROVIDED, FURTHER, that Principal and Surety agree and represent that this bond is executed pursuant, to and in accordance with the applicable provisions of the Official Code of Georgia Annotated, as Amended, including, but not limited to, O.C.G.A. § 13-10-20, et. Seg. And § 36- 91-50, et.

Seg. and is intended to be and shall be constructed as a bond in compliance with the requirements thereof.

Signed, sealed, and dated this _________day of _______________________A.D., 20____.

ATTEST:

(Principal Secretary) (Principal)

(SEAL) BY:

(Witness to Principal) (Address)

(Address) (Surety)

ATTEST:

BY:

(Attorney-in-Fact) and Resident Agent

(Attorney-in-Fact)

(SEAL)

(Address)

(Witness as to Surety)

REVISED 10.25.2022

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

GEORGIA E-Verify and Public Contracts: The Georgia E-Verify law requires contractors and all sub-contractors on Georgia public contract (contracts with a government agency) for the physical performance of services over $2,499 in value to enroll in E-Verify, regardless of the number of employees.

Contractor Name:

Solicitation/Bid number or Project Description:

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, entity or corporation which is engaged in the physical performance of services under a contract on behalf of the City of Tucker, Georgia has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91.

Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period as required by O.C.G.A. § 13-10-91(b) and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present and affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

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

Name of Contractor

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

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

Signature (of Authorized Officer or Agent) Date Signed

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF , 20

[NOTARY SEAL]

Notary Public

My Commission Expires:

ITB 2026-015 STORMWATER SYSTEM REPAIRS

PROPOSED SUBCONTRACTOR FORM: ITB 2026-015

Please complete this form and return it as part of the submitted bid package.

Name of Bidder

1. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided: _______________________________________________

2. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided: _______________________________________________

3. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided: _______________________________________________

4. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided: _______________________________________________

REFERENCES FORM: ITB 2026-015

Please complete this form and return it as part of the submitted bid package.

Name of Bidder

REFERENCE #1

Contact Name: ___________________________________________________________

Contact Number/Email__________________________________________________________

Brief Description of work provided:___________________________________________

REFERENCE #2

Contact Name: ___________________________________________________________

Contact Number/Email:_________________________________________________________

Brief Description of work provided:___________________________________________

REFERENCE #3

Contact Name: ___________________________________________________________

Contact Number/Email:_________________________________________________________

Brief Description of work provided:___________________________________________

Please complete and submit in bid package

OATH OF NON-COLLUSION

COMES NOW, ______________________________________________ (“Contractor”), [name of Contractor] appearing by and through _______________________________________________________, [name of individual with authority to bind Contractor] its _____________________________________ (“Individual And Representative Affiant”), and [title]

[insert the names of all those required to give the oath]

(collectively, “Individual Affiants”), and each of the Individual And Representative Affiant and

Individual Affiants, after first being duly sworn, deposes and says that:

1. Contractor has not directly or indirectly violated subsection (d) of the Official Code of

Georgia Annotated Section 36-91-21, which provides as follows:

Whenever a public works construction contract for any governmental entity subject to the requirements of this chapter is to be let out by competitive sealed bid or proposal, no person, by himself or herself or otherwise, shall prevent or attempt to prevent competition in such bidding or proposals by any means whatever. No person who desires to procure such work for himself or herself or for another shall prevent or endeavor to prevent anyone from making a bid or proposal therefor by any means whatever, nor shall such person so desiring the work cause or induce another to withdraw a bid or proposal for the work.

Code Section 36-91-21(d) also applies to municipal street system contracts pursuant to

Official Code of Georgia Annotated Section 32-4-122.

2. Individual And Representative Affiant is the officer of Contractor whose duty it is to make the payment.

3. If Contractor is a partnership, then Individual and Representative Affiant and Individual

Affiants together constitute all of the partners and any officer, agent or other person who may have represented or acted for Contractor in bidding for or procuring the contract.

4. If Contractor is a corporation, then Individual and Representative Affiant and Individual

Affiants together constitute all officers, agents, or other persons who may have acted for or represented Contractor in bidding for or procuring the contract.

Further affiants sayeth not.

This ____ day of ________________, 20___.

By: _________________________________________, individually and on behalf of Contractor [signature of Individual And Representative Affiant]

Name: _____________________________ Title: ______________________________

Individual Affiants’ signatures and names:

Name: Name:

Name: Name:

Name: Name:

Subscribed and Sworn before me on this ______ day of ________________, 20_____.

NOTARY PUBLIC

My Commission Expires:

Contact Information Form

Please fill out this form with the appropriate contact information for your company.

Full Legal Name of Company:

Date:

Contractor Information:

Primary Contact Person:

Title: Telephone Number:

E-mail Address:

Secondary Contact Person:

Title: Telephone Number:

E-mail Address:

Preferred Contact for Administration: (i.e. Document Processing) (Choose one)

☐ Primary Contact ☐ Secondary Contact

Address:

City / State / Zip:

Mailing Address (If different than above):

City / State / Zip:

Federal Employee ID Number (FEIN):