ITB - Commercial Combi Oven.pdf

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City of Knoxville Purchasing Division Invitation to Bid

ITB - Commercial Combi Oven

Sealed bids, invited by the City of Knoxville, will be received by the Purchasing Division of the City of Knoxville, in Room 667- 674, City County Building; 400 Main Street; Knoxville, Tennessee, until 11:00:00 a.m. (Eastern Time) on June 11, 2024 at which time they will be opened and publicly read aloud and a contract awarded as soon thereafter as practicable for one (1) Commercial Combi Oven.

The bid opening may be viewed virtually on Zoom through this link:

Topic: ITB - Commercial Combi Oven

Time: Jun 11, 2024 11:00 AM Eastern Time (US and Canada)

Join Zoom Meeting https://us05web.zoom.us/j/85471729740?pwd=wHt36GjoXBUH5alAFEezN4AKTiphv2.1

Meeting ID: 854 7172 9740

Passcode: qBLc33

Scope of Work:

The City of Knoxville is seeking to purchase: one (1) Commercial Combi Oven for the Knoxville Convention Center. Price to include all items in required specifications, as well as delivery and warranty. Delivery will be to: Knoxville Convention Center at 701 Henley St, Knoxville, TN 37902.

Specifications:

Required specifications:

Item Meets Spec? Y/N Price

One (1) - RATIONAL Model No. ICP 20‐

FULL NG 208/240V 1 PH (LM100GG)

(CG1GRRA.0000245) iCombi Pro® 20

Full Size Combi Oven, natural gas, (20) 18" x 26" sheet pan or (40) 12" x 20" steam pan or (20) 2/1 GN pan capacity, mobile oven rack & (10) stainless steel grids included, intelligent cooking system with

(4) assistants; iDensityControl, iCookingSuite, iProductionManager, & iCareSystem, (6) operating modes, (5) cooking methods, (3) manual operating modes, 85° to 572°F temperature range, quick clean, care control, eco mode, 6‐

2 | P a g e point core temperature probe, retractable hand shower, Ethernet interface, Wi‐ Fi enabled, 303,500 BTU, 208/240v/60/1‐ph, 6 ft. cord, 2.2 kW, CE, IPX5, cCSAus, NSF, ENERGY STAR®

2 years parts and labor, 5 years steam generator warranty.

CAP Chef Assistance Program, a RATIONAL certified Chef conducts 4 hours/location specialized application training with personnel, no charge.

RCI RATIONAL Certified Installation, new certified installation for each gas floor iCombi, 100 miles (200 round‐trip) included.

Pre‐Installation Site Consultation, provides an installation consultation to ensure the site has proper space and connections for gas, electric, drain & water, one (1) Consultation is needed for every four (4) cooking systems, includes 100 miles (200 miles round trip).

Commissioning ‐one (1) gas iCombi ‐ the operational function test and gas flue analysis when not completed at time of RATIONAL certified installation. Includes 100 miles (200 miles roundtrip).

One (1) - Installation Kit, for gas iCombi/SCC/CMP 102G (208‐240/60/1ph);

gas iCombi/SCC/CMP 201G (120/60/1ph);

gasiCombi/SCC/CMP 202G (208‐ 240/60/1ph)

One (1) - Water Filtration Single Cartridge System, for any iVario, single Combi model, or XS or half‐size Combi‐Duos, includes: (1) single

3 | P a g e head with pressure gauge, R95‐CL filter & filter installation kit RCI RATIONAL Certified Installation, additional installation cost for a RATIONAL Water Filter System is available when purchased with Certified Installation of RATIONAL unit

Optional requested items:

Item Meets Spec? Y/N Price

Two (2) - Active Green Cleaner Tabs, for all iCombi Pro/Classic, 150 pieces/bucket

Two (2) - Care Tabs, bucket of 150 packets for all iCombi Pro/Classic models and SelfCooking Center® units from 10/2008, with CareControl ‐ Serial SG, SH or SI series

One (1) - (Mobile Oven Rack, type 20‐full size Pro/Classic, (20) 24" x 20" pan capacity, 2‐1/2" spacing

One (1) - Sheet Pan Adapter, top, for 20‐ full size mobile racks with (20) racks, allows use of full size sheet pans without stainless steel grid

One (1) - Sheet Pan Adapter, below, for 20‐ full size mobile racks with (20) racks, allows use of full size sheet pans without stainless steel grid

Ten (10) - Gastronorm Grid Shelf, 2/1 size, 25‐5/8" x 20‐7/8", stainless steel

Delivery Instructions:

Delivery will be to: Knoxville Convention Center at 701 Henley St, Knoxville, TN 37902.

Price is to include all charges, FOB Destination to the Knoxville Convention Center. Inside delivery is required. No after hour, holiday or weekend deliveries will be accepted.

Bid Submission Requirements:

Bidders must furnish the following information in writing with their submission:

1. Bid Form showing bidder’s name, address, quoted price, business license number, date of expiration of business license. A copy of the bidder’s current business license may be submitted in lieu of providing the license expiration date.

2. Submission Affidavits and Certifications

3. Warranty Information

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Instructions and Conditions:

1. Sealed bids will be received by the Purchasing Division of the City of Knoxville in Room 667-674, City/County Building;

400 Main Street; Knoxville, Tennessee 37902 until June 11, 2024, at 11:00:00 a.m., at which time they will be publicly opened and read aloud and the contract awarded as soon as practicable. No bid will be received or accepted after the above-specified time for the opening of bids. Bids that arrive late due to the fault of U. S. Postal Service, United Parcel Service, FEDEX, any delivery/courier service, or any other carrier of any sort are still considered late and shall not be accepted by the City. Such bids shall remain unopened and will be returned to the submitting entity upon request.

2. The City of Knoxville reserves the right to reject any or all bids, to accept or reject any items thereon, to waive technicalities or informalities, to split orders if in the best interest of the City, to evaluate bids by various criteria, and to accept any bid which, in its opinion, may be for the best interest of the City.

3. No interpretation of the meaning of the plans, specifications, or other pre-bid documents will be made to any bidder orally. Each request for such interpretation should be in writing addressed to Gabriel Massey, Procurement Technician for the City of Knoxville, 400 Main Street, Room 667, Knoxville, TN 37902, or emailed to gmassey@knoxvilletn.gov. To be given consideration, such requests/questions must be received at least five (5) business days prior to the date fixed for the opening of bids. Any and all such interpretations and any supplemental instructions will be in the form of written addenda to the specifications which, if issued, will be posted to the City's website at www.knoxvilletn.gov/bids. Submitting organizations are strongly encouraged to view this website often to see if addenda are posted. Failure of any bidder to receive such addendum or interpretation shall not relieve such Bidder from any obligation under his bid as submitted. All addenda so issued shall become part of the Contract Documents.

4. NO CONTACT POLICY: After the posting of this solicitation to the Purchasing Division's website, any contact initiated by any bidder with any City of Knoxville representative concerning this Invitation to Bid is strictly prohibited, unless such contact is made with the Purchasing Division representative listed herein or with said representative's authorization. Any unauthorized contact may cause the disqualification of the bidder from this procurement transaction.

5. INCLEMENT WEATHER: During periods of inclement weather, the Purchasing Division will enact the following procedures with regard to solicitations and weather delays:

• If City offices are closed due to inclement weather on the date that bids/proposals/qualifications/letters of interest are due into the Purchasing Office, all solicitations due that same day will be moved to the next operational business day.

• The City of Knoxville shall not be liable for any commercial carrier’s decision regarding deliveries during inclement weather.

6. Prior to submitting their bids, bidders are to be registered with the Purchasing Division through the City of Knoxville’s online vendor registration system. Instructions for registering on-line are available at www.knoxvilletn.gov/purchasing. Bid submissions from un-registered bidders may be rejected.

7. Hard Copy Submission Instructions:

Each bid delivered via hardcopy must be submitted in a sealed envelope, addressed to the Purchasing Division; City of Knoxville; City/County Building; 400 Main Street, Room 667-674; Knoxville, Tennessee, 37902. Each sealed envelope containing a bid must be plainly marked on the outside as: “ITB - Commercial Combi Oven.”

8. Electronic Submission Instructions:

Electronic submissions must be submitted online through the City’s Procurement website. DO NOT EMAIL YOUR SUBMISSION. If submitting electronically, a paper bid is not required.

All proposers/bidders must register as a vendor in order to submit an electronic file.

Step One: Register as a City of Knoxville vendor (Vendors are encouraged to complete this step now to ensure seamless submission process prior to deadline.)

To register as a vendor:

• Visit the website at www.knoxvilletn.gov/purchasing

• Click the “Vendor Registration” link

• Click the link titled “Click here to register as a City of Knoxville Vendor” http://www.knoxvilletn.gov/purchasing http://www.knoxvilletn.gov/purchasing

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• Follow the prompts to complete online registration. There is no cost to register as a vendor with the City of Knoxville.

o Note: An account activation email will be emailed to you and may be sent to your spam or junk folder.

DO NOT WAIT UNTIL SUBMISSION DEADLINE TO REGISTER AS A VENDOR. The electronic submission link will be disabled at 11:00:00 a.m. Eastern time. Vendors will not have the ability to submit any electronic files once the deadline has passed and the City will accept no late submissions.

Step Two: Submit all materials electronically as one (1) file to City’s Procurement website PRIOR to 11:00:00 a.m.

(Eastern Time) on the submission due date.

To submit electronic file:

• Visit the City’s solicitation website at https://www.bidnetdirect.com/tennessee/cityofknoxville

• Select “ITB - ITB - Commercial Combi Oven”

• Click “Place Bid” (located in the blue bar at top of screen)

• Follow the prompts to upload and submit electronic file o The City prefers only one (1) bid file per submission. Files MUST use the following naming convention, listing the firm’s name followed by the title of the project. Example: “ABC Company - ITB

- Commercial Combi Oven.pdf.” Should you need to merge multiple documents into one PDF please utilize Google to download a free software intended for merging pdf documents.

9. All bids must be made on the Bid Form supplied with the contract documents, and no interlineations, excisions, or special conditions shall be made or included in the Bid Evaluation Sheet by the Bidder. Any bid on which there is an alteration of or departure from the Bid Form may be considered irregular and may be rejected. All bids must be signed in full by the Bidder or Bidders in their business name or style when submitted and must show his or their complete address.

10. All bids must be signed with the firm name and by a responsible officer or employee. Obligations assumed by such signature must be fulfilled.

11. Bidders shall verify bids before submission, as bids cannot be withdrawn or corrected after being opened. Bids will be evaluated by unit price.

12. No bidder may withdraw his bid for a period of 60 days after the actual date of the opening thereof.

13. Prices are considered FOB Knoxville unless otherwise stated in the Invitation to Bid.

14. Taxes & Surcharges: If federal excise tax applies, show amount of same and deduct. The City is exempt from

Tennessee sales tax. All charges must be listed on the bid form, unless otherwise stated. Additional charges, including but not limited to fuel surcharges, are NOT payable and will be deducted from any invoices received. The City of Knoxville is not subject to federal or state taxes.

15. Payment for completed services delivered to and accepted by the City shall be at the contract price.

16. Time of delivery is part of the consideration and must be stated in definite terms; time of delivery is guaranteed by the bidder and must be adhered to upon award. If time varies on different items, the bidder shall so state.

17. EEO/AA: The City of Knoxville is an EEO/AA/Title VI/Section 504/ADA/ADEA Employer.

A. Bidders must comply with the President's Executive Orders No. 11246 and 11375 which prohibit discrimination in employment regarding race, color, religion, sex or national origin. Bidders must not maintain or provide for their employees any facilities that are segregated on the basis of race, color, religion or national origin. Bidders must also comply with Title VI of the Civil Rights Act of 1964, Copeland Anti-Kick Back Act, the Contract Work Hours and Safety Standard Act, Section 402 of the Vietnam Veterans Adjustment Act of 1974 and Section 503 of the Rehabilitation Act of 1973, all of which are herein incorporated by reference.

B. All bidders must comply with Title VI of the Civil Rights Act of 1964, as codified in 42 U.S.C. 2000d. The successful bidder must follow Title VI guidelines in all areas including hiring practices, open facilities, insurance, and wages. The City of Knoxville reserves the right to review all compliance records by a contract compliance officer designated by the City.

C. With regard to the services performed under this Agreement, the Contractor will comply with all applicable requirements of the Americans with Disabilities Act, 42 U.S.C. § 12101, et seq. ("ADA"). The Contractor

6 | P a g e agrees that it will defend, indemnify and hold the City harmless against any and all claims, demands, suits or causes of action which arise out of any negligent and/or intentional act or omission by the Contractor, its employees, agents or representatives that violates the ADA. The Contractor agrees that the City will not be responsible for any cost or expenses arising from the Contractor’s failure to comply with the ADA.

18. Included in the Invitation to Bid is an affidavit that the undersigned has not entered into any collusion with any person in respect to this bid. The bidder is required to submit this affidavit with the submission. Also included is the Diversity Business Enterprise Subcontractor/Consultant Statement form. Submissions must indicate on the enclosed form whether or not the bidder intends to use subcontractors and/or suppliers from one of the defined groups.

Bidders are advised that the City tracks use of such use, but it does not influence or affect evaluation or award.

19. In compliance with Tennessee state law, bids must be accompanied by a certification attesting that, to the best of the bidder's knowledge, the bidder does not engage in investment activities in Iran. The Iran Divestment Act of 2014 Certification of Noninclusion form may be found in this solicitation document.

20. Attention of all bidders is directed to the set off provision contained in Article II, Section 24-33, entitled, "Debts owed by persons receiving payments other than salary", and Section 2-1049 entitled "Receipt of benefits from City contracts by council members, employees, and officers of the City" of the Code of the City of Knoxville.

21. Before a Purchase Order is issued, the submitting entity, if selected, must provide the City Purchasing Division with a copy of its valid business license or with an affidavit explaining why it is exempt from the business licensure requirements of the city or county in which it is headquartered. If a contract is signed, the contractor’s business license shall be kept current throughout the duration of the contract, and the contractor shall inform the City of changes in its business name or location. Any Agreement to purchase resulting from this Invitation to Bid shall be governed by and construed in accordance with the substantive laws of the State of Tennessee and its conflict of laws provisions. Venue for any action arising between the City and the Vendor from the Agreement shall lie in Knox County, Tennessee.

22. By execution and delivery of a bid submission, the bidder agrees that any additional terms and conditions, whether submitted to the City purposely or inadvertently, shall have no force or effect.

23. Indemnification and Hold Harmless: This indemnification clause will not be altered in any way. Failure to agree with this indemnification clause may result in the City moving to the next responsible responsive bidder.

By acceptance and delivery of the Purchase Order resulting from the award of this Invitation to Bid, the Vendor agrees to the following:

Contractor shall defend, indemnify and hold harmless the City, its officers, employees and agents from any and all liabilities which may accrue against the City, its officers, employees and agents or any third party for any and all lawsuits, claims, demands, losses or damages alleged to have arisen from an act or omission of Contractor in performance of this Agreement or from Contractor's failure to perform this Agreement using ordinary care and skill, except where such injury, damage, or loss was caused by the sole negligence of the City, its agents or employees.

Contractor shall save, indemnify and hold the City harmless from the cost of the defense of any claim, demand, suit or cause of action made or brought against the City alleging liability referenced above, including, but not limited to, costs, fees, attorney fees, and other expenses of any kind whatsoever arising in connection with the defense of the City; and Contractor shall assume and take over the defense of the City in any such claim, demand, suit, or cause of action upon written notice and demand for same by the City. Contractor will have the right to defend the City with counsel of its choice that is satisfactory to the City, and the City will provide reasonable cooperation in the defense as Contractor may request. Contractor will not consent to the entry of any judgment or enter into any settlement with respect to an indemnified claim without the prior written consent of the City, such consent not to be unreasonably withheld or delayed. The City shall have the right to participate in the defense against the indemnified claims with counsel of its choice at its own expense.

Contractor shall save, indemnify and hold City harmless and pay judgments that shall be rendered in any such actions, suits, claims or demands against City alleging liability referenced above.

The indemnification and hold harmless provisions of this Agreement shall survive termination of the Agreement.

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Diversity Business Enterprise (DBE) Program:

The City of Knoxville strongly encourages prime contractors to employ diverse businesses in the fulfillment of contracts/projects for the City of Knoxville.

The City of Knoxville’s Fiscal Year 2023 goal is to conduct 4.3% of its business with minority-owned businesses, 10.3% of its business with woman-owned businesses, and 34.8% with small businesses.

While the City cannot engage (pursuant to state law) in preferential bidding practices, the City does strongly encourage prime contractors to seek out and hire diverse businesses in order to help the City meet its goals as stated above. As such, the City encourages prime contractors to seek out and consider competitive sub-bids and quotations from diverse businesses.

For DBE tracking purposes, the City requests that prime contractors, who are bidding, proposing, or submitting statements of qualifications, report whether or not they plan to employ DBE’s as sub-contractors or consultants. With that in mind, please fill out, sign, and submit (with your bid/proposal) the Subcontractor/Consultant statement included in the submission forms based on the following definitions:

CITY OF KNOXVILLE DIVERSITY BUSINESS DEFINITIONS

Diversity Business Enterprise (DBE’s) are minority-owned (MBE), women-owned (WBE), service-disabled veteran-owned (SDVBE), and small businesses (SBE), who are impeded from normal entry into the economic mainstream because of past practices of discrimination based on race or ethnic background. These persons must own at least 51% of the entity and operate or control the business daily.

Minority: A person who is a citizen or lawful admitted permanent resident of the United States and who is a member of one (1) of the following groups:

a. African American: persons having origins in any of the Black racial groups of Africa;

b. Hispanic American: persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race;

c. Native American: persons who have origin in any of the original peoples of North America;

d. Asian American: persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands.

Minority Business Enterprise (MBE) is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more minority individuals.

Woman Business Enterprise (WBE) is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more women.

Service-Disabled Veteran Owned Business Enterprise (SDVBE) is a continuing, independent, for profit business that performs a commercially useful function, owned by any person who served honorably on active duty in the armed forces of the United States with at least a twenty percent (20%) disability that is service connected, meaning such disability was incurred or aggravated in the line of duty in the active military, naval or air service, and is at least fifty-one percent (51%) owned and controlled by one (1) or more service disabled veteran.

Small Business Enterprise (SBE) is a continuing, independent, for-profit business which performs a commercially useful function and has total gross receipts of not more than ten million dollars ($10,000,000) average over a three-year period or employs no more than ninety-nine (99) persons on a full-time basis.

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Persons with Disabilities Business Enterprise (PDBE) is business owned by a person with a disability that is a continuing, independent, for-profit business that performs a commercially useful function, and is at least fifty-one percent (51%) owned and controlled by one (1) or more persons with a disability; or, in the case of any publicly owned business, at least fifty-one percent (51%) of the stock of which is owned and controlled by one or more persons with a disability and whose management and daily business operations are under the control of one or more persons with a disability. “Person with a disability” means an individual who meets at least one of the following: (A) Has been diagnosed as having a physical or mental disability resulting in marked and severe functional limitations that is expected to last no less than 12 months; (B) Is eligible to receive social security disability insurance (SSDI); or (C) Is eligible to received supplemental security income (SSI) and has a disability as defined in (A) above.

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Bid Form

To: City of Knoxville Purchasing Department City/County Building Suite 667-674 400 Main Street Knoxville, TN 37902

Having carefully examined the specifications entitled “ITB - Commercial Combi Oven” to open on June 11, 2024, at 11:00:00 a.m. Eastern Time and the other Contract Documents and addenda, we hereby propose to furnish the goods, and delivery as described herein for the following sum:

BID: Total charge (includes shipping): _______________________________________________________

GUARANTEE of delivery no later than: ____________after awarded. ____________ (Bidder must initial)

Firm Name: ____________________________________________________________________________

Official Address: ________________________________________________________________________

DUNS #: _______________________________________________________________________________

Business License Expiration Date: ___________________________________________________________

By: ____________________________________ Name: _________________________________

Signature Printed

Date: _________________________________________________________________________________

Title: __________________________________________________________________________________

Email: _________________________________________________________________________________

Phone: ________________________________________________________________________________

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Submission Affidavits and Certifications

We ___________________________________________________________________________

(Bidder/Proposer Company Name) do certify that on the

(Solicitation Title/Project Name) we are in receipt of the following checked items and do hereby certify or affirm as follows:

SUBCONTRACTOR/CONSULTANT STATEMENT

Please select one:

Option A: Intent to subcontract using Diverse Businesses A Diversity business will be employed as subcontractor(s), vendor(s), supplier(s), or professional service(s). The estimated percentage of the amount that we plan to pay is:

Total Estimated Percentage of Subcontractor Service:

Diversity Business Enterprise Utilization

Description of Work/Project Percentage Diverse Classification

(MBE, WBE, SBE, SDVBE, PDBE)

Name of Diverse Business

Option B: Intent to perform work “without” using Diverse Businesses We hereby certify that it is our intent to perform 100% of the work required for the contract, work will be completed without subcontracting, or we plan to subcontract with non-diverse companies.

Option C: Intent to self-perform work as a Diversity Business Enterprise We intend to self-perform 100% of the work required for the contract as a Diversity Business Enterprise.

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NON-COLLUSION AFFIDAVIT

(1) Submitted proposal is genuine and is not a collusive or sham proposal;

(2) Neither the said firm nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this signatory, has in any way colluded, conspired, connived or agreed, directly or indirectly, with any other vendor, firm or person to submit collusive or sham proposal in connection with the contract or agreement for which the attached proposal has been submitted or to refrain from making a proposal in connection with such contract or agreement, or collusion or communication or conference with any other firm, or, to fix any overhead, profit, or cost element of the proposed price or the proposed price of any other firm, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Knoxville or any person interested in the proposed contract or agreement; and

(3) The scope of service outlined in the proposal is fair and proper and is not tainted by collusion, conspiracy, connivance, or unlawful agreement on the part of the firm or any of its agents, representatives, owners, employees, or parties including this signatory.

NO CONTACT/NO ADVOCACY AFFIDAVIT

1. NO CONTACT POLICY: After the posting of this solicitation to the Purchasing Division's website, any contact initiated by any proposer with any City of Knoxville representative concerning this proposal is strictly prohibited, unless such contact is made with the Purchasing Agent (Penny Owens) or the listed point of contact. Any unauthorized contact may cause the disqualification of the proposer from this procurement transaction

2. NO ADVOCATING POLICY: To ensure the integrity of the review and evaluation process, companies and/or individuals submitting proposals for any part of this project, as well as those persons and/or companies representing such proposers, may not lobby or advocate to the City of Knoxville staff including, but not limited to, members of City Council, Office of the Mayor, ASM Convention Center, or any other City staff.

Any company and/or individual who does not comply with the above stated “No Contact” and “No advocating” policies may be subject to having their proposal rejected from consideration.

DRUG-FREE WORKPLACE AFFIDAVIT

Bidder has personal knowledge of the policies of the above-named firm with respect to the maintenance of a drug-free workplace; and certifies that all provisions and requirements of the Tennessee Drug-Free Workplace Program, as established by Tenn. Code Ann. §§ 50-9-101 et. seq., have been met and implemented.

CHILD CRIME AFFIDAVIT

The proposer agrees not to allow any employee or volunteer who is awaiting trial or has been convicted of a felony crime involving the sexual exploitation of children, sexual offenses involving children or violent crimes to participate in this Agreement at sites where children may be present. Failure by the proposer to comply with this requirement is grounds for immediate termination of the Agreement.

IRAN DIVESTMENT ACT

CERTIFICATION OF NONINCLUSION

NOTICE: Pursuant to the Iran Divestment Act, Tenn. Code Ann. § 12-12-106 requires the State of Tennessee Chief Procurement Officer to publish, using creditable information freely available to the public, a list of persons it determines engage in investment activities in Iran, as described in § 12-12-105. Inclusion on this list makes a person ineligible to contract with the state of Tennessee; if a person ceases its engagement in investment activities in Iran, it may be removed from the list. A list of entities ineligible to contract in the State of Tennessee Department of General Services or any political subdivision of the State may be found here:

12 | P a g e https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/public-information-library/List_of_persons_pursuant_to_Tenn._Code_Ann._12-12- 106_Iran_Divestment_Act_updated_with%20NY12.04.23.pdf

By submission of this form, the proposer certifies that the above-named firm, under penalty of perjury to the best of its knowledge and belief, and any proposed suppliers are not on the list created pursuant to § 12-12-106.

NON-BOYCOTT OF ISRAEL

For submissions with a total cost of $250,000 or greater, the Signatory certifies that the proposed firm and any subcontractors or suppliers certify that the firms, subcontractors and suppliers are not boycotting Israel pursuant to Tenn.

Code Ann. §12-4-1 and will not during the term of any award.

Notarization of Affidavits In order for a submission to be considered for award, the following section must be notarized hereby certifying or affirming that the Bidder/Proposer is in receipt and has acknowledged each clause in the Submission Affidavits and Certifications section above. At the discretion of the City of Knoxville Purchasing Division, a submission that has not been notarized may be deemed non-responsive.

State of ____________________________________ County of __________________________________

Proposer’s Name: _______________________________________________________________________

Being duly sworn, deposes, and says that:

They are a principal officer of ________________________________ , the firm submitting the attached proposal, their title being _____________________________________ , and has authority to affirm and/or certify the listed declarations.

Signed

Title

Subscribed and sworn to before me this _________ day of _________________________, 20_______.

NOTARY PUBLIC My Commission expires https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/public-information-library/List_of_persons_pursuant_to_Tenn._Code_Ann._12-12-106_Iran_Divestment_Act_updated_with%20NY12.04.23.pdf https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/public-information-library/List_of_persons_pursuant_to_Tenn._Code_Ann._12-12-106_Iran_Divestment_Act_updated_with%20NY12.04.23.pdf https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/public-information-library/List_of_persons_pursuant_to_Tenn._Code_Ann._12-12-106_Iran_Divestment_Act_updated_with%20NY12.04.23.pdf