NOIA DOT0002857 _ Signed.pdf

GDOT_AP01_NOIA50_1152021

NOTICE OF INTENT TO AWARD

Form must be posted to GA Procurement Registry (GPR)

Solicitation Title/Event Name: Impact Attenuators

Solicitation No/Event ID: 48400-DOT0002857

Solicitation Close/Event End Date: 9/26/23 Notice of Intent to Award Posting Date: 10/19/23

Issuing Officer: Beth Bohannon

Issuing Officer Contact Information: bbohannon@dot.ga.gov

The Georgia Department of Transportation intends to award a contract to the apparent successful offeror(s). The Notice of Intent to Award should not be considered as a binding commitment by the State. Inquiries should be addressed to the Issuing Officer. Although the State will provide the reason(s) an offeror was not successful in accordance with Georgia law, please note that the reasons listed beside the names of the unsuccessful offeror(s) should not be interpreted as an exhaustive list. NOTE: In the event any of the following is applicable, then all identified award amounts (if any) are estimates only: (1) this is an open agency contract and/or (2) the state entity has identified primary/secondary awardees. All protests must be submitted electronically via email at doas.protests@doas.ga.gov. Please reference the Georgia Procurement Manual for the supplier protest process updated August 2020: http://doas.ga.gov/state-purchasing/law-administrative-rules-and-policies.

SUCCESSFUL OFFEROR(S) AWARD AMOUNT

Cloverleaf Corporation Open Contract Estimated

Amount $250,000.00

Gulf Material Sales, LLC Open Contract Estimated Amount

$250,000.00

UNSUCCESSFUL OFFEROR(S) REASONS

N/A Choose an item.

Authorized Signature: _______________________________________ _______ Date 10/19/2023 mailto:doas.protests@doas.ga.gov http://doas.ga.gov/state-purchasing/law-administrative-rules-and-policies

Title: Impact Attenuators Event #: 48400-DOT0002857 Closing Date: 09/26/2023

Cloverleaf Corporation Gulf Material Sales, LLC

Status Pass Pass

1 Tax Compliance Form Pass Pass 2 Certificate of Non-Collusion Pass Pass 3 Georgia Security and Immigration Compliance Act Affidavit (eVerify) Pass Pass 4 Georgia Resident Small Business Verification Form Pass Pass 5 Cost Worksheet Pass Pass

Bid Factors

Please provide the following information for your company:

Company Full Legal Name Address Authorized Contact Person's Name Contact Person's Telephone Number Contact Person's Email address

Cloverleaf Corporation REMIT TO: PO Box 7268, Sun City, FL

33586 Physical Corporate:

1916 South Tamiami Trail, Ruskin, FL 33570 Matthew

Schindler 813-649-1336 Matthew@CloverleafCorp.com

Local Georgia: 588 Cochran Highway, Hawkinsville, GA

31036

Gulf Material Sales, LLC.

70393 Bravo Street Covington, LA 70433 Jace Chandler Ph:

(205) 602-9484 Email:

jchandler@gulfmaterialsales.c om

Reciprocal Preference Law O.C.G.A. §50-5-60(b) In which state is your company domiciled?

For the purposes of evaluation only, Suppliers resident in the State of Georgia will be granted the same preference over

Suppliers resident in another state in the same manner, on the same basis, and to the same extent that preference is granted in awarding bids for the same goods or services by such other state to Suppliers resident therein over Suppliers resident in the State of Georgia.

NOTE: For the purposes of this law, the definition of a resident Supplier is a Supplier who is domiciled in the State of Georgia.

Florida Louisiana

Please select the option that most accurately defines your company, based on the definitions below.

***Georgia Resident Business means any business that regularly maintains a place from which business is physically conducted in Georgia for at least one year prior to any bid or proposal to the state or a new business that is domiciled in Georgia and which regularly maintains a place from which business is physically conducted in Georgia; provided, however, that a place from which business is conducted shall not include a post office box, a leased private mailbox, site trailer, or temporary structure.

**A Small business is defined as a business that is independently owned and operated. In addition, such a business must either have fewer than 300 employees or less than $30 million in gross receipts per year.

*A Georgia Resident Small Business would be a business that meets the requirements for both a Georgia Resident and Small

Business.

Also, the State encourages all companies to sub-contract portions of any state contract to small and minority business enterprises.

Suppliers interested in taking advantage of the Georgia income tax incentives provided for by the Official Code of Georgia Annotated Section 48-7-38, relative to the use of minority subcontractors in the performance of contracts awarded by the State of Georgia, h ld h d l d

Georgia Resident Business Small Business

Are you a Women-Owned business?

A business that is at least 51% owned and controlled by one or more women, and primarily managed by one or more women.

No No

Are you a Veteran-Owned Small business?

Veteran-Owned Small Business as used in this provision means a small business that: (i) is at least 51% unconditionally owned by one or more veterans (as defined at 38 U.S.C 101(2)); or in the case of any publicly owned business, at least 51% of the stock of which is unconditionally owned by one or more veterans; and (ii) whose management and daily business operations are controlled by one or more veterans.

No No

Can your company be classified as a Minority Owned Business?

Select the option(s) below that correctly identifies your company based on the below definition of a minority business.

A Minority Business enterprise means a small business concern which is at least 51% owned and controlled by one or more minorities and is authorized to do and is doing business under the laws of the State of Georgia, paying all taxes duly accessed and domiciled within this state (Official Code of Georgia Annotated

§50-5-131).

Not Applicable Not Applicable

Is your company a scrutinized company?

Any Supplier that currently and/or previously, within the last three years, has had business activities or other operations outside of the United States, must certify that it is not a "scrutinized company". A scrutinized company is a company conducting business operations in Sudan that is involved in power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, but excludes a company which can demonstrate any of the following exceptions noted in O.C.G.A. Section 50-5-84. False certification hereunder may result in civil penalties, contract termination, ineligibility to bid on state contractors for three or more years, and/or any other available remedy. If the Supplier is a scrutinized company, the

Supplier shall not be eligible to bid on or submit a proposal for a contract with the State Entity unless DOAS makes a determination in accordance with O.C.G.A. Section 50-5-84 that it is in the best interests of the State to permit the scrutinized company to submit a bid or proposal. Any scrutinized company desiring DOAS to make such a determination should contact both DOAS and the

Issuing Officer immediately.

Please make a selection from the three options:

A. I certify my company is NOT a "scrutinized company"

B. I certify my company is a "scrutinized company" C. I certify I have requested and received written permission from

DOAS to submit a response to this Event in accordance with

A. I certify my company is NOT a "scrutnized company".

A. I certify my company is NOT a "scrutnized company".

CHINA: A scrutinized company is any sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly owned subsidiaries, majority owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit owned or operated by the Government of China. The Government of China means the

People¿s Republic of China led by the Chinese Communist Party. A scrutinized company is ineligible to submit a bid or proposal in response to this solicitation. False certification hereunder may result in a civil penalty in an amount that is equal to the greater of $250,000 or twice the amount of the contract for which a bid or proposal was submitted, contract termination, and any other penalties available under law, rule, regulation or policy.

A. I certify my company is NOT a "scrutnized company".

A. I certify my company is NOT a "scrutnized company".

RUSSIA/BELARUS: A scrutinized company is any sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association, including all wholly owned subsidiaries, majority owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit owned or operated by the Government of Belarus or the Government of Russia. The Government of Belarus means the

Republic of Belarus, and the Government of Russia means the Russian Federation. A scrutinized company is ineligible to submit a response to this solicitation. False certification hereunder may result in a civil penalty in an amount that is equal to the greater of $250,000 or twice the amount of the contract for which a bid or proposal was submitted, contract termination, and any other penalties available under law, rule or policy.

A. I certify my company is NOT a "scrutnized company".

A. I certify my company is NOT a "scrutnized company".

Communication with Issuing Officer

By answering "yes", the bidder acknowledges the rule regarding restrictions on the supplier's communication with state staff members, including by not limited to the Commissioner, GDOT Board Members and Legislators. If a communication is questionable, the bidder agrees to contact the identified Issuing Officer to request assistance.

Yes Yes

Previous Contracts

In order to be eligible for award, the Offer must not have had a contract, agreement, RFQ, ITB, RFP, MOU/MOA, Purchase Order, or any other arrangement with any Government agency, office, department, board, bureau, commission, institution, or other entity terminated any reason other than convenience. Has any of the Offeror's previous GDOT and/or Government agency, office, department, board, bureau, commission, institution, or other entities contract or agreement ever been terminated any reason other than convenience?

No No

Tax Compliance

Suppliers are required to download, complete and attach to this sourcing event the Tax Compliance Form found via the link below.

Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/D ocuments/Maintenance/TaxComplianceForm.pdf

Yes Yes

Security and Immigration Compliance Act Affidavit Suppliers are required to download, complete, notarize and attach to this sourcing event the GA Security and Immigration Compliance Act Affidavit Form found via the link below. Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/D ocuments/Maintenance/ImmigrationAffidavit-EVERIFY.pdf

Yes Yes

NON-COLLUSION

Suppliers are required to download, complete, notarize and attach to this sourcing event the Certificate of Non-Collusion? Has the document been completed and uploaded?

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/D ocuments/Maintenance/CertificateofNon-Collusion.pdf

Yes Yes

Has your company uploaded a copy of the completed Georgia Resident Small Business Verification:

http://www.dot.ga.gov/PartnerSmart/Business/Prequalification/D ocuments/Maintenance/Small_Business_Verification.zip

Yes Yes

Has your company completed and uploaded the required Cost

Worksheet, as outlined in Exhibit C?

Yes Yes

Secretary of State Active/Compliant Active/Compliant DOR Clearance Cleared Cleared State Debarment and Suspension Check Pass Pass Federal Debarment and Suspension Check Pass Pass

COMMENTS:

Prepared By: ___April Bohannon____________________

Reviewed By: ____________________________

ADMINISTRATIVE REVIEW:

Mandatory Requirements Provided:

Responsibility Check

10/16/2023