LMIG SPLOST BID PROPOSAL.pdf

LMIG PROJECT:

CHIP SEAL, DEEP PATCHING, MILL TIE-INS,

AND RESURFACING.

SPLOST PROJECT: BUILD 3’ SHOULDERS, WITH

PERMANENT VEGETATION.

REQUEST FOR PROPOSAL - PRL2024-01 THRU PRL2024-11

GREENE COUNTY GEORGIA

ATTN: SCOTT ALLEN

1700 WEST BROAD STREET

GREENSBORO, GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-01 THRU PRL 2024-07

SPLOST PROJECT: BUILD 3’ SHOULDERS WITH PERMANENT VEGETATION.

PROJECTS INCLUDE GRADING, HAULING, COMPACTING, SWEEPING, HYDRO-

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

CONTRACTOR CAN EXCAVATE THE DIRT, FROM OUR BORROW SITE.

PROJECT NUMBER: PRL SB2024-08 THRU PRL SB2024-11

NOTICE TO CONTRACTORS

Sealed proposals will be received by the Greene County Board of Commissioners until

Friday, March 29, 2024 at 10:00 AM, at the Greene County Public Works Building, located at 1700 W. Broad St., Greensboro, GA 30642. The bids will be publicly opened and read aloud. No submitted bid may be withdrawn after the scheduled closing time or receipt of bids for a period of thirty (30) days. No bids will be accepted after 10:00 AM local time on

March 29, 2024.

The work to be done consists of the furnishing of all equipment, labor, and materials for the complete construction of:

LMIG: Deep Patching, Chip Seal, Mill Tie-Ins, And Plant Mix Resurfacing of 21.33 miles of County Roads. Includes Striping, Stop Bars, And Traffic Control.

SPLOST: Build 3’ Shoulders, With Permanent Vegetation. Includes Grading, Hauling, Compacting, Sweeping, Hydro-Seeding, And Traffic Control.

The Bidder is required to submit only the Bid Proposal, which includes:

1. Completed Bid Proposal Form Page

2. Bid Bond or Certified Check

3. Certification of Contractor re: Non-Segregated Facilities

4. Non-collusion Affidavit of Prime Bidder

5. Certifications

6. Completed Schedule of Items…(Sign Each Page)

A pre-bid conference for all bidders will be not be held

Bidding Documents are open to the public at the Greene County Public Works Department.

All work performed for this project will be in accordance with the Georgia Department of

Transportation Standard Specifications, Construction of Transportation Systems, 2001 edition, all addenda issued to the Specifications by the Georgia Department of Transportation and any modifications identified in the bid documents.

The Bidder shall be responsible for performing with his own organization at least fifty percent

(50%) of the work in this contract. The Bidder shall not subcontract, transfer, assign, or otherwise dispose of the contract or any portion thereof, without the written consent of the

County.

The successful bidder shall secure and pay for necessary approvals, permits, assessments, and changes required for construction and installation of this project as required by local, state, and federal regulations.

The successful Bidder will be required to post a performance bond in the amount of the

Contract.

Bidders must comply with Title VI of the Civil Rights Act of 1964, the Anti-Kickback Act, the

Contract Work Hour Standard Act, and the National Occupational Safety and Health Act of

1970.

Bidders must certify that they do not and will not maintain or provide for their employees any facilities which are segregated on a basis of race, color, creed, or national origin.

Bidders must comply with the Georgia Security and Immigration Compliance Act.

The Greene County Board of Commissioners reserves the right to reject all bids and to waive formalities. Any claims for cost incurred for any Bidder in preparation of any part of or total package for this project will not be considered for reimbursement by Greene County.

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

BID PROPOSAL

Proposal of __________________________________________________ (hereinafter called

“Bidder”) a contractor organized and existing under the laws of the State of Georgia, *an individual, a corporation, or partnership doing business as ______________

TO: Greene County

(Hereinafter called “County”)

The Bidder in compliance with your Notice to Contractors and all Bidding Documents for the construction of:

LMIG; Deep Patching, Chip Seal, Mill Tie-Ins, And Plant Mix Resurfacing of 21.33 miles of County Roads. Includes Striping, Stop Bars, And Traffic Control.

SPLOST: Build 3’ Shoulders, With Permanent Vegetation. Includes Grading, Hauling, Compacting, Sweeping, Hydro-Seeding, And Traffic Control.

Having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all of the conditions surrounding the construction of the proposed project, including the availability of materials and supplies to construct the project in accordance with the contract documents, within the time set forth herein, and at the prices stated below, proposes to enter into a Contract with Greene County to provide the necessary machinery, tools, apparatus, all materials and labor, and other means of construction necessary to complete the work. The undersigned proposes to furnish and construct the items listed in the attached Schedule of Items for the unit prices stated.

Bidder agrees that the cost of any work performed, materials furnished, services provided or expenses incurred, which are not specifically delineated in the Contract Documents, but which are incidental to the scope, intent, and completion of the Contract, shall be deemed to have been included in the prices bid for the various items scheduled.

Bidder further proposes and agrees hereby to promptly commence the Work with adequate force and equipment within ten (10) calendar days from receipt of Notice to Proceed, or as may be specified by Special Provision, and to complete the Work by August 30, 2024 or as may be specified by Special Provision.

*Strike Out Inapplicable Terms.

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

BID PROPOSAL, page 2 of 3

Bidder acknowledges receipt of the following addenda:

The undersigned further agrees that in case of failure on his part to execute said contract and bond, or provide satisfactory proof of carriage of the insurance required, within fourteen (14) calendar days after the award thereof, the Bid Bond or certified check accompanying his bid and the money payable thereon shall be forfeited to the County as liquidated damages;

otherwise, the check or Bond accompanying this proposal shall be returned to the Bidder.

The Bidder declares that he/she understands that the quantities shown on the proposal are subject to adjustment by either increase or decrease, and should the quantities of any of the items of work be increased, the undersigned proposes to do the additional work at the unit prices stated herein; and should the quantities be decreased, he/she also understands that payment will be made on actual quantities at the unit price bid and will make no claim for anticipated profits for any decrease in the quantities, and that actual quantities will be determined upon completion of work, at which time adjustment will be made to the Contract amount by direct increase or decrease.

Attached hereto is a bid bond or certified check on the (Bank) ______________________ in the amount of _______________________________________, (Five percent of Total Amount

Bid).

The full name and residence of persons or parties interested in the foregoing bid as contractors, are named as follows:

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

BID PROPOSAL, page 3 of 3

Greene County, Georgia

Signed, sealed, and dated this _______ day of _______________________, _________.

Bidder:__________________________________________

(Company Name)

By: __________________________________________

Title: __________________________________________

Mailing Address:

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

CERTIFICATION BY CONTRACTOR

Regarding

NON-SEGREGATED FACILITIES

The Bidder certifies that he or she does not, and will not, provide and maintain segregated facilities for his or her employees at his establishments and, further that he or she does not, and will not, permit his or her employees to perform their services at those locations, under his or her control, where segregated facilities are provided and maintained. Segregated facilities include, but are not necessarily limited, drinking fountains, transportation, parking, entertainment, recreation, and housing facilities; waiting, rest, wash, dressing, and locker rooms, and time clock, work, storage, restaurant, and other eating areas which are set apart in fact, or by explicit directive, habit, local custom, or otherwise, on the basis of color, creed, national origin, and race. The Bidder agrees that, except where he or she has obtained identical certifications from proposed subcontractors for specific time periods, he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding

$10,000.00 which are not exempt from the provisions of the Equal Opportunity clause, and that he or she will retain such certifications in his files.

The Bidder agrees that a breach of this certification is a violation of the Equal Opportunity clause in this Contract. The penalty for making false statements is described in 18 U.S.C.

1001.

Bidder

(Signature)

Name of Signer

Title of Signer

Date

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

NONCOLLUSION AFFIDAVIT OF PRIME BIDDER

State of ______________________, County of _____________________. .

________________________________________________, being first duly sworn, deposes and says that:

1. He or She is __________________________________ (owner, partner, officer, representative, or agent) of the Bidder that has submitted the attached Bid;

2. He or She is fully informed respecting the preparation and contents of the attached

Bid and of all pertinent circumstances respecting such Bid;

3. Such Bid is genuine and is not a collusive or sham Bid;

4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees, or parties of interest, including this affiant, has in any way colluded, conspired, connived, or agreed, directly or indirectly, with any other

Bidder, firm or person to submit a collusive or sham Bid in connection with the

Contract for which the attached Bid has been submitted to or refrain from bidding in connection with such Contract, or has in any collusion or communication or conference with any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against

Greene County or any person interested in the proposed Contract; and,

5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the

Bidder or any of its agents, representatives, owners, employees, or parties of interests, including this affiant.

Signed: _____________________________

Name: _____________________________

Title: _____________________________

Subscribed and Sworn to before me this _______ day of ______________________________, _________.

(SEAL)

___________________________________ Title

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

CERTIFICATIONS

Failure to complete appropriate certification requirements identified below or submission of a false certification shall render the bid non-responsive.

EXAMINATION OF PLANS AND SPECIFICATIONS

I certify that I have carefully examined the Plans for this project and the Standard

Specifications, 2001 Standard Edition, and the Supplemental Specifications and Special

Provisions included in and made a part of this Proposal, and have also personally examined the site of the work. On the basis of the said Specifications and Plans, I propose to furnish all necessary machinery, tools, apparatus and other means of construction, and do all the work and furnish all the materials in the manner specified.

I understand the quantities mentioned are approximate only and are subject to either increase or decrease and hereby propose to perform any increased or decreased quantities of work or extra work on the basis provided for in the specifications.

I also hereby agree that Greene County would suffer damages in a sum equal to at least the amount of the enclosed Proposal Guaranty, in the event my Proposal should be accepted and a

Contract tendered me thereunder and I should refuse to execute same and furnish bond as herein required, in consideration of which I hereby agree that in the event of such failure on my part to execute said Contract and furnish bond within fifteen (15) days after the date of the letter transmitting the Contract to me, the amount of said Proposal Guaranty shall be and is hereby, forfeited to Greene County as liquidated damages as the result of such failure on my part.

I further propose to execute the Contract agreement described in the Specifications as soon as the work is awarded to me, and to begin and complete the work within the time limit provided.

I also propose to furnish a Contract Bond, approved by the Greene County Board of

Commissioners as required by the laws of the State of Georgia. This bond shall not only service to guarantee the excellence of both workmanship and materials until the work is finally accepted, as well as to fully comply with all the laws of the State of Georgia.

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

SEEDING, AND TRAFFIC CONTROL. VEGETATION MUST BE ESTABLISHED! THE

CERTIFICATIONS, Page 2 of 2

CONFLICT OF INTEREST

By signing and submitting this Contract I hereby certify that employees of this company or employees of any company supplying material or subcontracting to do work on this Contract will not engage in business ventures with employees of Greene County nor shall they provide gifts, gratuities, favors, entertainment, loans, or other items of value to employees of this

Department.

Also, by signing and submitting this Contract, I hereby certify that I will notify Greene County of any business ventures entered into between employees of this company or employees of any company supplying material or subcontracting to do work on this Contract with a family member of Greene County employees.

Contractor

Signature

Name of Signer

Title of Signer

GREENE COUNTY BOARD OF COMMISSIONERS

1034 SILVER DRIVE

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-01 ARMOUR ROAD 0.75 MILES

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 001 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

Recycled Asph

Conc

Type 12.5 MM

Superpave

813.0 Tons

Bitum Tack Coat

368.0 Gal.

3” Deep

Patching

25MM

80.0 Tons

Bitum Tack Coat

Deep Patching

19.0 Gal.

Centerline

Striping

5” Double

Yellow

0.75 LM

Edge Striping

5” White

0.75 LM X2

Thermoplastic

Stop Bar

24” White

1 - Stop Bar

008 Traffic Control

Lump

TOTAL BID: $

Company Name

Name

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-02 BETHANY ROAD 3.65 MILES

LINE

NUMBER

ITEM DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 002 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

#7 Stone

Bituminous

Surface

Treatment

Chip Seal

44,968.0 SY.

Recycled Asph

Conc

Type 12.5 MM

Superpave 2”

5,036.0 Tons

3” Deep Patching

25MM

368.0 Tons

Bitum Tack Coat

Deep Patching

81.0 Gal.

Mill Tie-Ins

@ Start&Finish, @ Bridge

Smooth Transition

523.0 SY.

Centerline Striping

5” Double Yellow

3.65 LM

Edge Striping

5” White

3.65 LM X2

Thermoplastic

Stop Bar

24” White

1 - Stop Bar

009 Traffic Control Lump Lump

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-03 CM COPELAN RD. 6.4 MILES

LINE

NUMBER

ITEM DESCRIPTION

APPROXIMATE

QUANTITY AND UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 003 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

#7 Stone

Bituminous Surface

Treatment Chip Seal

82,603.0 SY.

Recycled Asph Conc

Type 12.5 MM

Superpave 2”

9,251.0 Tons

25MM

391.0 Tons

Bitum Tack Coat

Deep Patching

91.0 Gal.

Mill Tie-Ins @

Bridge & Countyline

312.0 SY.

Centerline Striping

5” Double Yellow

5.78 LM

5” Skip/Solid

Yellow

0.67 LM

008 5” Skip Yellow

0.10 LM

Edge Striping

5” White

6.40 LM X2

010 Traffic Control Lump Lump

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-04 PARKS MILL RD. 1.15 MILES

LINE

NUMBER

ITEM DESCRIPTION

APPROXIMATE

QUANTITY AND UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 004 QUANTITIES FOR CHIP SEAL, DEEP PATCHING AND RESURFACING.

Recycled Asph Conc

Type 12.5 MM

Superpave 1 ½”

1,303.0 Tons

630.0 Gal.

25 MM

186.0 Tons

Bitum Tack Coat

Deep Patching

48.0 Gal.

Centerline Striping

5” Double Yellow

1.15 LM

Edge Striping

5” White

1.15 LM X2

Thermoplastic

Stop Bar

24” White

2 - Stop Bars

008 Traffic Control

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-05 ASKEW ROAD 1.92 MILES (Deep Patch Only)

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 005 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

3” Deep Patching

12.5 MM

260.0 Tons

Deep Patching

62.0 Gal.

Traffic Control Lump Lump

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-06 FARMINGTON RD. 7.36 MILES (Deep Patch Only)

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 006 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

3”

12.5 MM

450.0 Tons

105.0 Gal.

GREENSBORO GA. 30642

LMIG PROJECT: DEEP PATCHING, CHIP SEAL, MILL TIE-INS, AND PLANT MIX

RESURFACING OF 21.33 MILES OF COUNTY ROADS. ASKEW, FARMINGTON, AND

RICHLAND CONNECTOR WILL BE DEEP PATCHED ONLY.

PROJECTS INCLUDE STRIPING, STOP BARS, AND TRAFFIC CONTROL.

PROJECT NUMBER: PRL 2024-07 RICHLAND CONN. 0.1 MILE (Deep Patch Only)

LINE

NUMBER

ITEM DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 007 QUANTITIES FOR CHIP SEAL, DEEP PATCHING, AND RESURFACING.

12.5 MM

97.0 Tons

26.0 Gal.

Right Turn Arrow

(1)

Right Turn Arrow

Left Turn Arrow

(1)

Left Turn Arrow

TOTAL BID: $_________________

Title

I certify that I personally examined the work sites and I understand that the above quantities are approximate and subject to increase or decrease.

Signature Title Date

The Bidder whose signature appears on this document, having personally appeared before me, duly sworn, deposes and says the above statements are true and correct.

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

______ DAY OF , 20 .

Notary Public

My Commission Expires:

GREENSBORO GA. 30642

SPLOST PROJECTS: BUILD 3’ SHOULDERS WITH PERMANENT VEGETATION.

SHOULDERS MUST BE COMPACTED AND FLUSH WITH EDGE OF PAVEMENT.

VEGETATION MUST BE ESTABLISHED!

PROJECT INCLUDES GRADING, HAULING, COMPACTING, SWEEPING, HYDRO-

SEEDING, AND TRAFFIC CONTROL. THE CONTRACTOR CAN EXCAVATE THE

DIRT FROM OUR BORROW SITE.

PROJECT NUMBER: SB2024-08 PARKS MILL ROAD 1.15 MILES

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 008 QUANTITIES FOR SHOULDER BUILDING.

GRADING

HAULING

1.15 LM X2

PERMANENT

VEGETATION

Hydro-Seeding

1.15 LM X2

TRAFFIC

CONTROL

GREENSBORO GA. 30642

SPLOST PROJECTS: BUILD 3’ SHOULDERS WITH PERMANENT VEGETATION.

SHOULDERS MUST BE COMPACTED AND FLUSH WITH EDGE OF PAVEMENT.

VEGETATION MUST BE ESTABLISHED!

PROJECT INCLUDES GRADING, HAULING, COMPACTING, SWEEPING, HYDRO-

SEEDING, AND TRAFFIC CONTROL. THE CONTRACTOR CAN EXCAVATE THE

DIRT FROM OUR BORROW SITE.

PROJECT NUMBER: SB2024-09 BETHANY ROAD 3.65 MILES

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 009 QUANTITIES FOR SHOULDER BUILDING.

GRADING

HAULING

3.65 LM X2

PERMANENT

3.65 LM X2

CONTROL

GREENSBORO GA. 30642

SPLOST PROJECTS: BUILD 3’ SHOULDERS WITH PERMANENT VEGETATION.

SHOULDERS MUST BE COMPACTED AND FLUSH WITH EDGE OF PAVEMENT.

VEGETATION MUST BE ESTABLISHED!

PROJECT INCLUDES GRADING, HAULING, COMPACTING, SWEEPING, HYDRO-

SEEDING, AND TRAFFIC CONTROL. THE CONTRACTOR CAN EXCAVATE THE

DIRT FROM OUR BORROW SITE.

PROJECT NUMBER: SB2024-10 ARMOUR ROAD 0.75 MILE

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 010 QUANTITIES FOR SHOULDER BUILDING.

GRADING

HAULING

0.75 LM X2

PERMANENT

0.75 LM X2

CONTROL

GREENSBORO GA. 30642

SPLOST PROJECTS: BUILD 3’ SHOULDERS WITH PERMANENT VEGETATION.

SHOULDERS MUST BE COMPACTED AND FLUSH WITH EDGE OF PAVEMENT.

VEGETATION MUST BE ESTABLISHED!

PROJECT INCLUDES GRADING, HAULING, COMPACTING, SWEEPING, HYDRO-

SEEDING, AND TRAFFIC CONTROL. THE CONTRACTOR CAN EXCAVATE THE

DIRT FROM OUR BORROW SITE.

PROJECT NUMBER: SB2024-11 CM COPELAN ROAD 6.4 MILES

LINE

NUMBER

ITEM

DESCRIPTION

APPROXIMATE

QUANTITY AND

UNITS

UNIT PRICE BID AMOUNT

DOLLARS CTS DOLLARS CTS

SECTION 011 QUANTITIES FOR SHOULDER BUILDING.

GRADING

HAULING

6.40 LM X2

PERMANENT

6.40 LM X2

CONTROL

TOTAL BID: $_________________

Title

I certify that I personally examined the work sites and I understand that the above quantities are approximate and subject to increase or decrease.

Signature Title Date

The Bidder whose signature appears on this document, having personally appeared before me, duly sworn, deposes and says the above statements are true and correct.

CONTRACTOR/SUBCONTRACTOR EXEMPTION

Is this contract for the physical performance of services*?

Yes________ No_________

Does this vendor have one or more employees (excluding self)?

Will any additional people not classified as employees provide these services?

If the contractor answers yes to both of the first two questions, the contractor is required by law to fill out the contractor affidavit prior to contract being accepted. If additional persons not classified as employees provide the services, a subcontractor affidavit is required for all individuals/companies not considered employees of the contractor. Otherwise, the contractor is exempt from signing the contractor affidavit.

Authorized Officer or Agent Date

(Contractor Signature)

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

CONTRACTOR AFFIDAVIT AND AGREEMENT

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. 13-10-91, stating affirmatively that the individual, firm, or corporation which is contracting with the Greene County Board of

Commissioners has registered with and is participating in a federal work authorization program* [any of the electronic verification of work authorization programs operated by the United States Department of Homeland

Security or any equivalent federal work authorization program operated by the United States Department of

Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and

Control Act of 1986 (IRCA), P.L. 99-603], in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91.

The undersigned further agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services pursuant to this contract with the Greene County Board of

Commissioners, contractor will secure from such subcontractor(s) similar verification of compliance with

O.C.G.A. 13-10-91 on the Subcontractor Affidavit provided in Rule 300-10-01-.08 or a substantially similar form and provide copies to the Greene County Board of Commissioners within five (5) business days of entering into a contract with such subcontractor.

E-Verify * Company Identification Number Date Authorized to Use e-Verify

Company Name Authorized Officer/Agent Date

Printed Name of Authorized Officer/Agent Title of Authorized Officer/Agent of Contractor

______ DAY OF ______________, 20

SUBCONTRACTOR AFFIDAVIT AND AGREEMENT

By executing this affidavit, the undersigned subcontractor verifies its compliance with O.C.G.A. 13-10-

91, stating affirmatively that the individual, firm, or corporation which is engaged in the physical performance of services under a contract with _________________________________________________ (Name of Contractor) on behalf of the Greene County Board of Commissioners has registered with and is participating in a federal work authorization program* [any of the electronic verification of work authorization programs operated by the United

States Department of Homeland Security or any equivalent federal work authorization program operated by the

United States Department of Homeland Security to verify information of newly hired employees, pursuant to the

Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603], in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91.

E-Verify * Company Identification Number Date Authorized to Use e-Verify

Company Name Authorized Officer/Agent Date

Printed Name of Authorized Officer/Agent Title of Authorized Officer/Agent of Contractor

______ DAY OF ______________, 20__.