Mesh Radio RFP 25-0011.pdf

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Attached to
Public Safety Mesh Networking Radio Equipment
Solicitation number
86576
Issued by
Campbell County, Virginia

About this file

This is a Request for Proposal (RFP 25-0011) issued by the City of Galax, Virginia for public safety mesh networking radio equipment. The RFP seeks proposals for the supply, installation, and maintenance of a reliable, scalable, and secure mesh networking radio solution to facilitate critical communications for first responders, emergency medical services, law enforcement, and other public safety officials. The procurement includes 10 repeaters/nodes, 3 deployable kits, and 120 individual units plus associated hardware, software and equipment. Sealed proposals are due February 27, 2025 at 2:00 PM, with questions due by February 13, 2025.

The equipment must meet stringent technical specifications including IP68 rating for dust/water resistance, MIL-STD-810 compliance for environmental durability, and support for approved public safety frequency bands. Required insurance coverage includes Commercial General Liability of $2,000,000 per occurrence and Professional Liability coverage of $2,000,000. Evaluation criteria focus on technical merit, cost, firm experience, support/maintenance capabilities, and compliance with specifications. The RFP includes provisions for cooperative procurement allowing other public bodies to utilize the resulting contract. No specific funding sources or set-asides are mentioned.

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City of Galax

Request for Proposal (RFP) 25-0011

Public Safety Mesh Networking Radio Equipment

January 28, 2025

1. Introduction

The City of Galax (hereinafter referred to as “the City”) is seeking proposals from qualified firms for the supply, installation, and maintenance of public safety mesh networking radio equipment.

This project shall provide a reliable, scalable, and secure mesh networking radio solution that will facilitate critical communications for public safety personnel, including first responders, emergency medical services (EMS), law enforcement, and other public safety officials. Sealed proposals will be received until February 27, 2025 at 2:00 PM.

Submittal of a proposal indicates acceptance of the conditions contained in the RFP. All proposals are public records to the extent required by the Virginia Freedom of Information Act (FOIA). The City of Galax reserves the right to accept or reject any or all proposals, or modify scope of work or services to be provided.

2. Project Overview

The City aims to implement a public safety mesh networking radio system capable of supporting real-time communications, including GPS and data across a wide area. This system will support GPS and data communications and must be capable of functioning in a wide range of environments, including urban, rural, and remote areas, ensuring operational continuity during emergencies. The system should be designed to meet the stringent reliability, security, and operational standards required for critical public safety communications. This will include the supply and installation of radio equipment that will form a resilient, self-healing, and scalable mesh network. Specifications and requirements for the proposed equipment can be found in Section 5 and Section 6 of the RFP document.

3. Objectives and Scope

The goals and scope of the project include, but are not limited to:

● Deployment of a Public Safety Mesh Networking System: Provision of radio equipment that enables real-time GPS and data communication in a mesh network configuration.

● Coverage and Scalability: The system must be scalable, providing seamless coverage over urban, rural, and remote locations and capable of growing with increasing demand.

● Security: The system must include end-to-end encryption, secure authentication, and compliance with cybersecurity standards to ensure the confidentiality, integrity, and availability of communications.

● Reliability and Availability: The system should operate under high-stress conditions, including network congestion, extreme weather, and emergency scenarios.

● Interoperability: The system must integrate with existing public safety communication systems and networks, providing seamless interoperability with different agencies, departments, and jurisdictions.

● Training and Support: The offeror will be responsible for providing training and technical support to ensure the effective use and long-term sustainability of the system.

4. Offeror Requirements

Offerors must meet the following qualifications:

● Proven experience in delivering mesh networking solutions for critical infrastructure or public safety.

● Capability to provide a comprehensive solution that includes hardware, software, installation, training, and ongoing maintenance.

● Ability to integrate new technology as it becomes available, with long-term support options.

● The Offeror must be able to provide a secure solution that meets or exceeds industry standards for public safety communications.

5. Equipment and Technical Requirements

The proposed equipment must meet the following specifications:

5.1 Radio Equipment

● Individual Radio (per device)

● Repeaters/Relays (per device)

● Prepared Kits (Unit total)

● Pricing for the following mesh equipment: 10 repeaters/nodes, 3 deployable kits, 120 individual units and any additional hardware, software, or additional equipment offered.

● Training, Programming, and Integration (see also 5.5 Warranty and Support)

● Mesh Radio Nodes: High-performance, ruggedized radio nodes capable of forming a self-healing, scalable, and secure mesh network.

● IP68 Rating: The radio nodes must meet the IP68 standard for dust and water resistance, ensuring they can operate in challenging outdoor environments, including extreme weather conditions (e.g., rain, snow, and flooding).

● MIL-STD-810 Compliance: The radio equipment must meet MIL-STD-810 specifications for environmental testing, ensuring resilience against extreme temperatures, vibrations, humidity, and physical shock. This includes conditions such as exposure to high and low temperatures, humidity, solar radiation, and airborne dust.

● Frequency Band: The equipment must support the frequency bands approved for public safety communications (e.g., VHF, UHF, 700/800 MHz, or others as required by local regulations).

● Power Supply: Support for both AC and DC power input and the ability to operate in environments with inconsistent power sources. The radios must also have power-saving features to extend battery life.

● Portability: Equipment should be designed for portability and ease of deployment in the field, with ruggedized enclosures and ease of transport in emergency situations.

● Communication Modes: Support for real-time GPS and data communications with high availability and low latency.

● Low Latency: The system should support low-latency communication, particularly for

GPS and data transmissions, to enable timely decision-making in emergency situations.

5.2 Network Infrastructure

● Routing and Switching: Scalable routers and switches that enable efficient communication, optimal traffic management, and seamless interoperability across mesh nodes.

● Mesh Network Topology: The system must support both fixed and mobile mesh nodes, with automatic network formation and self-healing capabilities. The network must be able to adapt to changes in topology, such as node failure or relocation, ensuring continuity of service.

● Capacity and Scalability: The system should be able to scale easily, from a few nodes to several hundred or more, without compromising performance or reliability. It must be able to accommodate future growth and expansion.

● Security: The mesh network must use AES-256 encryption or stronger, ensuring the security of all communication channels. The system should also support secure authentication methods, such as multi-factor authentication and secure key management.

● Redundancy and Reliability: The system must incorporate redundant communication links, backup power solutions, and failover mechanisms to ensure continuous operation during failures or crises.

5.3 Integration with Existing Systems

● Compatibility: The proposed solution must integrate seamlessly with existing public safety communication systems, including conventional radios, mobile data terminals, and computer-aided dispatch (CAD) systems.

● Interoperability: The system must support interoperability with other public safety networks, ensuring that agencies and jurisdictions can communicate efficiently during multi-agency responses.

5.4 Performance and Reliability

● Coverage Area: The system must provide wide-area coverage for various environments, including dense urban areas, rural landscapes, and remote locations without cell coverage or internet infrastructure.

● Redundancy: The system must be designed to withstand outages of individual mesh nodes or entire areas and automatically reroute traffic to maintain operational integrity.

● Environmental Resilience: All equipment must meet the MIL-STD-810 specifications for environmental durability and have an IP68 rating to ensure reliable performance in harsh conditions.

5.5 Maintenance and Support

● Training: The offeror must provide on-site or remote training for operational personnel and network administrators on system use, troubleshooting, and maintenance.

● Ongoing Support: Proposals must include a comprehensive support and maintenance plan with service-level agreements (SLAs) covering warranty, repair services, software updates, and 24/7 technical assistance.

● Documentation: Provide comprehensive technical and user documentation that covers installation, operation, configuration, and troubleshooting of the system.

6. Submission Requirements

Sealed proposals will be received until February 27, 2025 at 2:00 PM. Proposals should include three hard copies and an electronic version. Respondents are solely responsible for ensuring they have the current, complete version of the RFP documents, including any addenda, before submitting a proposal. The most current information can be found on the City of Galax webpage: www.galaxva.com. Proposals should be mailed or hand-delivered to:

City of Galax

Attention: Derek Spraker

111 East Grayson Street

Galax, VA 24333

Offerors must submit the following documents and information:

Company Profile: Description of the offeror’s company, including history, qualifications, and experience with similar public safety or critical infrastructure projects.

Proposed Solution: Detailed description of the proposed radio equipment and mesh networking system, including technical specifications, product datasheets, and compliance with IP68 and MIL-STD-810 standards.

Implementation Plan: A timeline detailing the phases of the project, from installation through testing and training, with milestones and expected completion dates.

Cost Breakdown: A detailed breakdown of costs, including the cost of hardware, installation, licensing, training, ongoing maintenance, and any other applicable costs.

Warranty and Support: Information on warranty terms, post-installation support, and any service level agreements (SLAs) offered.

References: Contact details and descriptions of at least three similar projects, including the scope, objectives, and outcomes.

7. Evaluation Criteria

These criteria are to be utilized in the evaluation of qualifications of each proposal. Individual criteria may be assigned varying weights at the City’s discretion to reflect relative importance.

Technical Merit: The degree to which the proposed solution meets the technical requirements outlined in this RFP, particularly in terms of mesh network resilience, coverage, environmental durability, and security.

Cost: Total cost of ownership, including equipment, installation, training, and long-term support.

Firm Experience: Proven experience in providing solutions for critical communications infrastructure, especially within public safety contexts.

Support and Maintenance: Quality and comprehensiveness of the offeror’s ongoing support and maintenance plan, including training provisions.

Compliance: Adherence to the IP68 and MIL-STD-810 specifications, as well as other security and operational standards required.

9. Questions and Clarifications

Any questions that may arise from this request should be submitted, in writing, to Derek Spraker, Procurement Specialist, at dspraker@galaxva.com by February 13, 2025 at 2:00 PM.

Answers to such questions that materially change the conditions and specifications of this request for proposals will be responded to in the form of an addendum. It is the responsibility of the respondent to check for updates prior to submission.

mailto:dspraker@galaxva.com

ATTACHMENT A

GENERAL TERMS AND CONDITIONS

A. ANTI-DISCRIMINATION: By submitting a proposal, the offeror represents and warrants to City of Galax, Virginia that it will conform to the provisions of the Federal Civil Rights Act of 1964, as amended, the Virginia Fair Employment Contracting Act of 1975, as amended, where applicable, the Virginians with Disabilities Act, the Americans With Disabilities Act, Section 2.2- 4311 of the Virginia Public Procurement Act (VPPA), and all other applicable federal, state and local anti-discrimination laws, codes, rules, and regulations. Without limiting the foregoing, during the performance of this contract, the offeror agrees as follows:

1. The offeror will not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state or federal law relating to discrimination in employment, except where there is a bona fide occupational qualification reasonably necessary to the normal operation of the offeror. The offeror agrees to post in conspicuous places, available to employees, notices setting forth the provisions of this nondiscrimination clause.

2. The offeror, in all solicitations or advertisements for employees placed by or on behalf of the offeror, will state that such offeror is an equal opportunity employer.

3. Notices, advertisements and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting these requirements.

4. The offeror will include the provisions of the above 1, 2 and 3 in every subcontractor or purchase order over $10,000 in connection with this RFP, so that the provisions will be binding upon each subcontractor or vendor.

B. DRUG-FREE WORKPLACE: During the performance of the contract, the offeror agrees to (i) comply with the drug-free workplace provisions of Virginia Code 2.2-4312; (ii) provide a drug-free workplace for the offeror’s employees; (iii) post in conspicuous places, available to employees, a statement notifying employees that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance is prohibited in the offeror’s workplace and specifying the actions that will be taken against employees for violations of such prohibition; (iv) state in all advertisements or solicitations for employees that the offeror maintains a drug-free workplace; and (v) include the provisions of the foregoing clauses in every subcontract or purchase order of over $10,000 in connection with this RFP, so that the provisions will be binding upon each subcontractor or vendor.

C. IMMIGRATION REFORM AND CONTROL ACT OF 1986: By submitting its proposal, the offeror represents and warrants that it does not and will not during the performance of this contract employ illegal alien workers or otherwise violate the provisions of the federal Immigration Reform and Control Act of 1986.

D. APPLICABLE LAWS AND COURTS: This solicitation and any resulting contract shall be governed in all respects by the laws of the Commonwealth of Virginia and any litigation with respect thereto shall be brought in a court of appropriate jurisdiction in the City of Galax, Virginia. The offeror shall comply with all applicable federal, state and local laws, codes, rules and regulations.

E. ETHICS IN PUBLIC CONTRACTING: By submitting their proposals, the offeror represents and warrants that its proposal is made without collusion or fraud and that it has not offered or received any kickbacks or inducements from any other offeror, supplier, or subcontractor in connection with their proposal, and that it has not conferred on any public employee having official responsibility for this procurement transaction any payment, loan, subscription, advance, deposit of money, services or anything of more than nominal value, present or promised, unless consideration of substantially equal or greater value was exchanged. Furthermore, the provisions, requirements, and prohibitions contained in Sections 2.2-4367 through 2.2-4377 of the Virginia Code, pertaining to bidders, offerors, contracts, and subcontractors, are applicable to this RFP and any resulting contract, as are the provisions, requirements, and prohibitions contained in Sections 2.2-3100 through 2.2-3131 of the Virginia Code.

F. QUALIFICATIONS OF OFFEROR: The City may make such reasonable investigations as deemed proper and necessary to determine the ability of the offeror to provide the services/furnish the goods as required under this RFP, and the offeror shall furnish to the City all such information and data for this purpose as may be requested. The City reserves the right to inspect the offeror’s physical facilities prior to award to satisfy questions regarding the offeror’s capabilities. The City further reserves the right to reject any proposal if the evidence submitted by, or investigations of, such offeror fails to satisfy The City that such offeror is properly qualified to carry out the obligations of the contract and to provide the services and/or furnish the goods contemplated therein.

G. DEBARMENT STATUS: By submitting its proposal, the offeror represents and warrants that it is not currently debarred by the Commonwealth of Virginia, or any city, county, town or political subdivision therein, from submitting bids or proposals on contracts for the type of goods and/or services covered by this solicitation, nor is it an agent of any person or entity that is currently so debarred.

H. NONDISCRIMINATION TOWARDS OFFERORS: A bidder, offeror or contractor shall not be discriminated against in the solicitation or award of this contract because of race, religion, color, sex, sexual orientation, gender identity, national origin, age, disability, status as a service disabled veteran, or any other basis prohibited by state law relating to discrimination in employment or because the bidder or offeror employs ex-offenders unless The City has made a written determination that employing ex- offenders on the specific contract is not in its best interest. THE CITY DOES NOT DISCRIMINATE AGAINST FAITH-BASED ORGANIZATIONS.

I. SCC REGISTRATION: Pursuant to Virginia Code § 2.2-4311.2, the offeror must be registered with the State Corporation Commission if so required by Title 13.1 or Title 50 of the Virginia Code or otherwise required by law.

J. MINORITY CONTRACTING: It is the policy of the City to maximize participation by minority and women owned businesses, small businesses, and service-disabled veteran businesses in contracting opportunities.

K. AVAILABILITY OF FUNDS: It is understood and agreed by the offeror that the City shall be bound only to the extent of the funds available or which may hereafter become available for the purpose of the Contract.

L. DEFAULT: In case of failure to deliver goods or services in accordance with the contract terms and conditions or other breach of any resulting contract by the offeror, the City may terminate the contract and/or procure the goods and services from other sources and hold the offeror responsible for any resulting additional purchase and administrative costs. These remedies shall be in addition to any other remedies which the City may have under the contract, at law, or in equity.

M. CONTRACTUAL CLAIMS: The procedure for reviewing and resolving contractual claims and resolving contractual disputes shall be the procedure set forth in Virginia Code § 2.2- 4363.C.

N. WARRANTIES: Any services furnished by the contractor under the contract shall be covered by the most favorable warranties provided by the contractor to any customer; the rights and remedies hereby provided are in addition to any and do not limit those otherwise available to the City. The contractor agrees that if such warranties are in any respect breached, the contractor will pay to the City the full contract price agreed to by the City to be paid for the services furnished under the bid or proposal.

O. MODIFICATIONS, ADDITIONS, OR CHANGES: Modifications, additions, or changes to these terms and conditions may not be made except in writing and agreed to by the City;

however, no fixed priced contract may be increased by more than twenty-five (25) percent of the amount of the contract or $50,000 whichever is greater without the approval of the City.

P. ASSIGNMENT: The contract may not be assigned, sublet, or transferred without the written consent of the City.

Q. OWNERSHIP OF DOCUMENTS: Any reports, photographs, negatives, or other documents prepared by the contractor in the performance or obligations under any resulting contract shall be remitted to the City by the contractor upon completion, termination, or cancellation of the contract. The contractor shall not use, willingly allow, or cause to have such materials used for any purpose other than the performance of the contractor’s obligations under the contract without the prior written consent of the City. The City shall own the intellectual property rights to all materials produced under any resulting contract. All data submitted to the City deemed to be confidential or proprietary by the contractor, whether as a part of the contractor’s proposal or as part of the contractor’s work product under a contract with the City shall be appropriately marked for protection in accordance with the Virginia Freedom of Information Act and the Virginia Public Procurement Act.

R. ENVIORNMENTAL MANAGEMENT: The Contractor will be responsible for complying with all federal, state, and local environmental regulations relating to transportation, handling storage, spillage and any other aspect of providing services specified herein, as applicable. If the City should have to defend any enforcement action against it relating to the services provided by the Contractor under any contract, the Contractor shall indemnify and hold harmless the City for any such actions, including reimbursing the City for all costs associated with defending such actions, attorney fees and costs, and shall correct without cost to the City any defects or deficiencies found that are directly attributable to the Contractor.

S. NO WAIVER: Any failure of the City to demand rigid adherence to one or more of the provisions in the contract, on one or more occasions, shall not be construed as a waiver nor deprive the City of the right to insist upon strict compliance with the terms of the contract.

T. COOPERATIVE PROCUREMENT: If authorized by the Offeror, the contract resulting from the Request for Proposals may be extended to other public bodies, agencies, or institutions within the United States to purchase at contract prices, terms and conditions. Any public entity that uses the contract shall place its own order(s) directly with the Contractor(s). The City of Galax is not a party to such Contracts and is not responsible for placement of orders and payment or discrepancies of the participating public bodies. It is the Contractor’s responsibility to notify the jurisdictions of the availability of the contract(s), if desired. Offerors who do not wish to extend the prices, terms and conditions to other public bodies shall so indicate in the bid.

U. INSURANCE REQUIREMENTS:

• Contractor's Liability Insurance and Indemnification

1. The Contractor shall not commence work under this contract until Contractor has obtained all the insurance required under this paragraph and such insurance has been approved by the City, nor shall the Contractor allow any Subcontractor to commence work on its Subcontract until the insurance required of the Subcontractor has been so obtained and approved.

2. All insurance policies shall be issued by companies authorized to conduct such business under the laws of the State of Virginia and be acceptable to the City.

3. The status of the Contractor in the work to be performed by it under the Contract shall be that of an independent Contractor. As such, Contractor shall exercise due care to safeguard against any and all damage, loss or injury to persons or property that may arise, or be incurred, in or during the conduct or progress of said Work and which arises out of the Work.

4. The Contractor shall assume all responsibility for risks or casualties of every description, for any and all damage, loss or injury, to persons or property arising out of the nature of the work; negligence or failure of its employees and Subcontractors to comply with the Contract Documents; arising from action of the elements or from any unforeseen or unusual difficulty.

The Contractor shall protect, defend, indemnify and save harmless the City, and all of its officers, agents and employees; and the Engineer and/or Engineer, as named on the plans and specifications, and its partners, agents and employees from all claims, demands and liabilities of any kind whatsoever in connection with work resulting from any acts of omission or commission chargeable to the Contractor, its Subcontractors and/or their respective duly authorized servants and/or employees. The Contractor agrees that the foregoing indemnification clause shall be insured under its Commercial General Liability policy, which must be endorsed to include Contractual Liability. If required by the City, the Contractor shall produce evidence of settlement by any such action before payment will be made by the City.

• Compensation Insurance. The Contractor shall procure and shall maintain during the life of this Contract Worker's Compensation Insurance as required by the State of Virginia for all of its employees to be engaged in such work at the site of the project under this Contract and in case any such work is sublet, the Contractor shall require the Subcontractor similarly to provide Worker's Compensation Insurance for all of the latter's employees to be engaged in such work unless such employees are covered by the protection afforded by the Contractor's Worker's Compensation Insurance. In case any class of employees engaged in hazardous work on the project under this Contract is not protected under Worker's Compensation Statute, the Contractor shall provide and shall cause such Subcontractor to provide adequate employer's liability insurance for the protection of such of its employees as are not otherwise protected. The insurance referred to in this paragraph contain provisions waiving underwriters' rights of subrogation against the City.

• Contractors Commercial General Liability Insurance.

1. The Contractor's Commercial General Liability (CGL) shall be in an amount acceptable to the City but not less than $2,000,000.00 per occurrence and $2,000,000.00 general aggregate per project. The City must be named as an additional named insured. The coverage must include:

• Commercial Form

• Premises/Operations

• Underground, Explosions, and Collapse Hazard (if excavation, blasting, tunneling, demolition or rebuilding of any structural support of a building is involved or explosion hazard exists).

• Products/Completed Operations

• Contractual Liability Insurance

• Independent Contractors (if any part of the Work is to be subcontracted)

• Broad Form Property Damage

• Personal Injury

• Cross-Liability Coverage

2. Contractor shall maintain products/completed operations coverage with a combined single limit no less than $2,000,000.00 per occurrence of bodily injury/property damage for a period of at least twelve (12) months following final acceptance of Contractor's work by City.

3. The insurance required herein and approval of Contractor's insurance by the City shall not relieve or decrease the liability of the Contractor hereunder.

Subcontractor's Commercial General Liability Insurance. The Contractor shall either (1) require each of its Subcontractors to procure and to maintain during the life of its subcontract, Commercial General Liability Insurance of the type and in the amounts specified in Sub- Paragraph c hereof, or; (2) to insure the activities of its Subcontractors in its policy, as specified in Sub-Paragraph c hereof.

Professional Liability Insurance. The Contractor’s Professional Liability coverage shall be in an amount acceptable to the City but not less than $2,000,000.00 per occurrence and $2,000,000.00 general aggregate per project. The City must be named as an additional named insured.

S. Scope of Insurance and Special Hazards. The insurance required under Sub- Paragraphs c and d hereof is a minimum to provide adequate protection for the Contractor and its Subcontractors, respectively, against damage claims which may arise from operations under this Contract, whether such operation be by the insured or by anyone directly or indirectly employed by the insured and, also against any of the special hazards which may be encountered in the performance of this Contract.

T. Proof of Carriage of Insurance.

1. The Contractor shall furnish the City annually with a certificate of insurance with, where appropriate, permission of the City to occupy, showing the type, amount, class of operations covered, effective dates and dates of expiration of policies. The certificate must indicate that the City is included as an additional named insured. Such certificates shall also contain substantially the following statement: "The insurance covered by this certificate will not be cancelled or materially altered, except after thirty (30) days written notice has been received by the City.

2. Contractor shall provide copies of any or all required insurance policies on request of City.

V. RENEWAL REQUIREMENTS. If any of the property or casualty insurance requirements are not complied with at their renewal dates, payments to the Contractor will be withheld until those requirements have been met or, at the option of the City, the City may pay the renewal premium and withhold such payment from any monies due the Contractor.

ATTACHMENT B: CERTIFICATIONS

ANTI-COLLUSION STATEMENT

In the preparation and submission of this proposal, we did not either directly or indirectly enter into any combination or arrangement with any person, firm or corporation, or enter into any agreement, participate in any collusion, or otherwise take any action in the restraint of free competition in violation of the Sherman Anti-Trust Act, 15 USCS Sections 1 et seq., or the Conspiracy to Rig Bids to Government Statutes, Virginia Code Sections 59.1-69.6 through

59.1.69.9. The undersigned hereby certifies that this proposal, any ensuing contract, or any claims resulting from either, is not the result of, or affected by, any act of collusion with, or any act of, another person or persons, firm or corporation engaged in the same line of business or commerce; and, that no person acting for, or employed by, Galax City Council or the City of Galax has an interest in, or is concerned with, this proposal; and, that no person or persons, firm or corporation, other than the undersigned, have or are interested in this bid.

Offeror Date

By: _________________________________

Name: _______________________________

Title: ________________________________

CERTIFICATION OF INTEREST & RELATIONSHIPS

WITH THE Galax City Council OF GALAX CITY, VIRGINIA, GALAX CITY GOVERNMENT, AND

GALAX CITY EMPLOYEES

Offeror hereby certifies that neither Offeror, nor any of Offeror’s officers, directors, or executive employees maintain a financial or familial relationship with any person acting for, or employed by, The City of Galax or the Galax City Council of Galax City, Virginia.

To the extent that such relationships exist, Offeror shall reveal the relationship below by describing the nature of the relationship and identifying the person with whom such relationship exists.

□Neither Offeror nor any of its officers, directors, or executive employees maintain a financial or familial relationship with any person acting for, or employed by, The City of Galax, or the City Council of Galax City, Virginia.

□The following individuals currently maintain a financial relationship with Offeror.

City of Galax Employee’s Name:

Position with the City of Galax:

Nature of Relationship:

□The following individuals currently maintain a familial relationship with Offeror.

City of Galax Employee’s Name:

Position with the City of Galax:

Nature of Relationship:

Offeror Date

Name: __________________________________ Title: ______________________

DEBARMENT STATEMENT

I certify that the Offeror is not currently debarred or otherwise declared ineligible by any public agency from bidding for furnishing materials, supplies or services. I further certify that no principal, officer or director of the offeror has been employed by or associated with any firm which is currently debarred or otherwise declared ineligible by any public agency from bidding for furnishing materials, supplies or services.

I certify that the Offeror has never been debarred, or otherwise declared ineligible by any public agency from bidding or furnishing materials, supplies or services. I further certify that no principal, officer or director of the offeror has ever been employed by or associated with any firm which has ever been debarred or otherwise declared ineligible by any public agency from bidding for furnishing materials, supplies or services.

Offeror Date

Name: _______________________________

Title: ________________________________

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