RFB 2025_011 Resurfacing Project (LMIG 2025).pdf

REQUEST FOR BID

FOR

Resurfacing Project (LMIG 2025)

RFB 2025-011

Issue Date: August 01, 2025 Due Date: September 01, 2025

Contents

INVITATION TO BID

INSTRUCTIONS FOR BIDDERS & REQUIRED SUBMITTALS CHECKLIST

PROJECT DESCRIPTION

SCOPE OF WORK & CONSTRUCTION SPECIFICATIONS

BID SCHEDULE & PRICING FORM

CONTRACT ADMINISTRATION & LIQUIDATED DAMAGES

BONDING & INSURANCE REQUIREMENTS

EVALUATION CRITERIA

CONTRACT AWARD PROCESS

LEGAL & COMPLIANCE

APPENDICES

BIDDER REFERENCE SHEET

CONTRACTOR'S BIDDING OATH

INVITATION TO BID

The City of Douglasville is requesting competitive sealed bids for a road resurfacing project described as RFB 2025-011 (Resurfacing Project – LMIG 2025). The project consists of approximately 10.8 miles of plant-mix resurfacing across 40 streets within the city limits.

Bids must be submitted electronically via Bidnetet Direct at https://www.bidnetdirect.com no later than 4:00 PM. on September 01, 2025. Late submissions will not be considered.

All bids must comply with general and special instructions contained in this bid package. The City of Douglasville reserves the right to reject any bid that is non-responsive, incomplete, or otherwise fails to meet bid requirements, and further reserves the right to reject all bids.

All bidders shall comply with statutory requirements governing ethical public contracting and with the Georgia Security and Immigration Compliance Act (O.C.G.A. § 13-10-91). See “Legal and Compliance” for further details.

Please note that no pre-bid meeting will be held. All bids shall be unit price bids using the City’s provided Bid Sheet.

https://www.bidnetdirect.com/

INSTRUCTIONS FOR BIDDERS & REQUIRED SUBMITTALS CHECKLIST

Submission Deadline and Method All bids must be submitted electronically via Bidnet Direct at: https://www.bidnetdirect.com no later than 4:00 PM EDT on September 01, 2025. Late submissions will not be accepted. Bids may be withdrawn through Bidnet Direct or by written request submitted prior to the bid deadline. No withdrawals will be accepted after the bid opening. Bids shall remain valid and may not be withdrawn for a period of sixty (60) calendar days following the bid submission deadline.

Bid Form and Pricing Requirements Bidders shall submit unit pricing for all line items in accordance with the City of Douglasville's Scope of Work using the provided Bid Sheet. Within those line items contractors should account for the cost of:

• All labor and materials

• Unclassified site work

• Required bid, payment, and performance bonds

All bids must represent the total cost to complete the entire scope of work. No additional line items will be added. Partial bids or exclusions will not be accepted.

The quantities listed on the bid sheet are estimates only, provided as a reference to assist in unit pricing. Quantities are NOT guaranteed minimum or predetermined maximums. Actual quantities will vary based on conditions in the field. The total project cost summarized on the bid form is an estimated contract value.

Bid Bond Requirement Each bid shall be accompanied by a bid bond in an amount not less than five percent (5%) of the total bid price. Failure to include a bid bond will render the bid non-responsive.

Note: Performance and payment bonds (each at 100% of the contract value) will be required from the selected contractor prior to the Notice to Proceed. See “Bonding & Insurance Requirements.”

Right to Reject, Waive, or Disqualify The City of Douglasville reserves the right to waive any technicalities, formalities, or irregularities in any bid submission. The City may reject any bid if:

• The bid is incomplete, conditional, or fails to address the full scope of work

• Required forms or certifications are missing

• The bidder has previously failed to perform satisfactorily or complete similar contracts on time with the City.

https://www.bidnetdirect.com/

Subcontractor Disclosure Bidders must clearly identify on the Bid Sheet any portion of the work that will be subcontracted. All subcontractors must meet the same affidavit and licensing requirements as the primary contractor. The City reserves the right to approve or reject any proposed subcontractor.

Bidder Questions and Communication All questions or requests for additional information must reference RFB 2025-011 Resurfacing Project (LMIG 2025) be submitted through Bidnet Direct no later than 4:00 PM EDT on August 11, 2025. Questions should reference this RFB by name and number. Questions and answers will be published in an addendum through Bidnet Direct

From the issue date of this RFP solicitation until a successful proposer is selected and announced, proposers are forbidden to communicate about this solicitation or this Project for any reason with any members of the City of Douglasville administration and government, except for submission of questions as instructed in the RFB, or as provided by any existing work agreement(s). For violation of this provision, the Owner reserves the right to reject the proposal of the offending proposer. If additional assistance is needed, please contact Alyssa Gordon – Senior Accounting Specialist at gordona@douglasvillega.gov.

Required Submittals To be considered responsive, each bid must include the following documents and certifications:

☐ Completed Bid Sheet with unit pricing ☐ Signed Contractor’s Oath (Non-Collusion Affidavit) ☐ References for Similar Projects ☐ Completed E-Verify Affidavit (Contractor) ☐ Completed Contractor & Subcontractor Immigration Affidavits ☐ Current Occupational/Business License ☐ Current Certificate of Existence from the Georgia Secretary of State ☐ Certificate of Liability Insurance, including Workers’ Compensation coverage ☐ Contact information for the designated Project Manager ☐ Completed W-9 Form mailto:gordona@douglasvillega.gov

PROJECT DESCRIPTION

This project is part of the City’s annual resurfacing program funded in part by the Georgia Department of Transportation through the Local Maintenance and Improvement Grant (LMIG). The work consists of approximately 10.8 miles of plant-mix asphalt resurfacing across 40 streets located within the City limits of Douglasville, including a mix of local streets and minor collector roads. Work areas are distributed throughout all five City wards and may be revised at the City's discretion based on funding or scheduling. The streets to be resurfaced are as follows:

LMIG 2025 – Grouped by City Ward Street From To Ward L (ft) PCI

1 Overlook Court Springwood Dr cul-de-sac 1 180 48.1 2 Parkwood Court Parkwood Dr cul-de-sac 1 137 56.6 3 Pine Knoll Court Parkwood Dr cul-de-sac 1 340 53.7 4 Springwood Drive Parkway Cir. Springwood Junction 1 3110 43.1 5 Springwood Junction Arbor Pkwy Springwood Dr 1 250 51.9 6 West Woodridge Place Parkwood Dr cul-de-sac 1 282 66.5 7 Bowden Street Church St Selman Dr 2 2850 52.3 8 Pine Shadow Way Rolling Ln cul-de-sac 2 1170 51.7 9 Rolling Lane John West Rd cul-de-sac 2 1472 54.4

10 Shadow Court Oak Brook Way cul-de-sac 2 1398 33.9 11 Brookfield Way Oak Brook Way cul-de-sac 2 2217 49.9 12 Oak Brook Way John West Rd Shadow Ct 2 212 56.3 13 Somer Mill Road Somerset Way cul-de-sac 2 4317 60.6 14 Ridgemoore Court W. Hills Ct cul-de-sac 2 164 37.9 15 West Hills Court W. Chase Dr cul-de-sac 2 510 53.2 16 Cambridge Drive Huey Rd New Gate Dr 3 1601 57.7 17 Harvester Circle New Gate Dr New Gate Dr 3 1786 45.6 18 Strickland Street, East Hollis St Hwy 92 bridge 3 4395 49.6 19 Elsie Street Colquitt St Cone St 3 625 54.2 20 Green Street Elsie cul-de-sac 3 730 44.8 21 Cynthia Court Stonecreek Dr cul-de-sac 3 500 54.5 22 Stonebush Way Stoneridge Dr cul-de-sac 3 466 28 23 Willowbank Way Chicago Ave cul-de-sac 3 1300 73 24 Chimney Hill Drive Rosemont Dr cul-de-sac 4 915 42.4 25 Pinemont Drive Chimney Hill Dr cul-de-sac 4 1085 50.1 26 Golf Ridge Boulevard Chapel Hill Rd cul-de-sac 4 2105 55.1 27 Sarazen Trail Golf Ridge Blvd cul-de-sac 4 973 51.1 28 Shanon View Parkwood Ave cul-de-sac 4 1074 54.5 29 Woodlawn Drive Shanon View cul-de-sac 4 1588 63 30 Charlton Pl Prestley Mill Rd Parkwood Ave 4 2395 57.2 31 Dover Court Prescot Way cul-de-sac 4 590 52.9 32 Prescot Way Wembley Dr Dover Ct 4 960 52 33 Saddlebrook Way Prestley Mill Rd End 4 2408 57.8 34 Slater Mill Circle Slater Mill Rd Slater Mill Rd 4 2983 53.3 35 Bradmere Lane Parkside Dr cul-de-sac 5 1582 49.2 36 Buckshire Court Bradmere Ln cul-de-sac 5 125 47.1 37 Parkside Drive Fenmore St cul-de-sacs 5 1746 48.5 38 Preston Boulevard Bob Arnold Fenmore St 5 2903 42.3 39 Hanover Street Brunswick Street cul-de-sac 5 2376 60.9

40 Loxford Street Hanover St cul-de-sac 5 1172 45

SCOPE OF WORK & CONSTRUCTION SPECIFICATIONS

Scope of Work While this is primarily a resurfacing project, our intent is to make any needed repairs to the substructure of these roads so that the surface course will last. Line items have been added for a variety of scenarios that might be encountered in the field. Treatment will vary by street and we are open to the selected contractor’s expertise, but construction work will generally consist of milling, full-depth patching, leveling course as needed, and final surface paving with 9.5mm asphalt. Secondary work will consist of thermoplastic striping, speed hump construction, signal loop installation, and shoulder dressing. Please refer to “Schedule I, Scope of Work” in the appendix for a street-by-street breakdown of anticipated work.

General Specifications All work shall be performed in accordance with the Georgia Department of Transportation (GDOT) Standard Specifications for the Construction of Transportation Systems (2021 Edition) unless otherwise specified.

Description of Construction Line Items

Milling: Full width milling at 1.5” depth. Additional depth, up to 2”, may be required to eliminate surface irregularities or restore curb reveal. Edge milling will be allowed within cul-de-sacs provided the center is in serviceable condition. All side streets should be milled to the back of the radius. We prefer same-day or next-day coverup of milled surfaces but will waive that on a case-by-case basis to boost productivity, if it does not create an unsafe traffic condition.

Patching: Full depth patching to be performed in consultation with the City. Patches should be outlined with paint and inspected prior to work. Typical depth is 3-4” or enough to remove all existing failed asphalt. Replace using 19mm binder asphalt.

Patches will be at least 7.5' wide for milling machine; full-lane width is preferred.

Graded Aggregate Base (GAB): In instances where there appears to be no base material underneath the asphalt, or when truck weight reveals significant deformation of the base, the City may request excavation, installation and compaction of GAB to provide a suitable base for the asphalt. Typical depth 10” below grade with an expected final pavement profile of 6” GAB, 3.5” binder, 1.5” topping. Cost should include the removal of unsuitable soil from the project.

Leveling: Leveling asphalt shall be placed on a spot basis to restore crown, correct rutting, build up depressions, or smooth ride over successive patches. Approximate thickness of 1” compacted.

Gordon, Alyssa Waiting to hear if this needs to be addressed and that’s why it’s highlighted.

This has been updated.

Open Graded Interlayer (OGI): At the contractor’s recommendation, OGI mix may be used to mitigate reflective cracking and/or level pavement. Approximate thickness of 1” compacted.

Tack Coat: Tack coat to be used for bonding between hard surfaces—against all concrete curb and between asphalt layers. Trackless tack coat preferred to minimize tracking onto adjacent pavement and structures.

Asphalt Topping: Final surface lift shall be 9.5mm (local) or 12.5mm (collector) Superpave Type II asphalt or equivalent with a maximum 15% Recycled Asphalt Product (RAP), installed at 165lbs/yd2 (1.5” compacted thickness) unless otherwise directed.

Topcoat should be flush or up to ¼” proud of gutter lip. Workmanship should be neat with a steady centerline, especially on unstriped residential roads.

Utility adjustments: Contractor will be responsible for adjusting all utilities flush with final paved surface. Coordinate with the City’s project manager to acquire manhole and water valve risers from DDCWSA. Risers should be installed or removed at no additional cost to the City beyond the labor assumed in the line item for topping. This line item is for utility adjustments where risers will NOT work, whether the utility is too high or needs to be installed at a variable angle matching the grade of the road. This line item should cover the cost to cut the final asphalt, adjust the utility to grade, and secure it with a concrete collar.

Speed humps: Speed humps shall be 22’ in length with 6’ ramps and a 10’ tabletop, constructed to 4” height using concrete blocks to define the edge. Shoulder taper shall be approximately 6” to 1’. See MUTCD Figure 3B-30 for standard reference:

https://mutcd.fhwa.dot.gov/htm/2009/part3/fig3b_30_longdesc.htm

Pavement Markings: Temporary lane markings and stop bars should be placed immediately after paving or when a milled surface will be left overnight. All permanent striping will be thermoplastic and must be completed more than two weeks after final paving. Striping should match existing configurations unless otherwise directed by the City.

Signal Loops: For roads with signalized intersections, signal loops removed by milling should be reinstalled to restore function to the traffic signal within 30 days.

Traffic Control / Work Zone Setup: The Contractor shall maintain safe and effective traffic control at all times. Proper signage, barricades, and flagging shall be in place prior to the commencement of any work activity. The selected contractor shall work with the City to provide advance notice to the public before conducting work that will significantly impact traffic along collector roads or at a signalized intersection.

Other Site Work https://mutcd.fhwa.dot.gov/htm/2009/part3/fig3b_30_longdesc.htm

Cleanup and Restoration: Cleanup operations shall be completed within 24 hours following placement of final surface lift. All debris, surplus material, and work-related waste shall be removed from the project site by the Contractor. No separate payment will be made for cleanup, haul-off, or disposal. These costs are to be included in other unit bid items.

1. Shoulder Dressing: : On roads without curb and gutter, the contractor shall be required to remove all vegetation in the existing roadway and to 12 inches outside the edge of the new pavement before beginning work. More material may be removed if necessary to ensure adequate drainage. After the new surface has been placed, the contractor shall blade the disturbed material to the extent that the shoulder is left in a neat and presentable condition. All excess material shall be removed from the project. No direct payment shall be made for this work.

BID SCHEDULE & PRICING FORM

Insert form here. Reminder about unit pricing. Total price is an estimated contract value.

Item No.

Item Description Estimated Quantity

Unit s

Unit Price

Bid Amount

1 Milling 1.5” 188,161 SY

2 Full-depth Patch 8,156 TN

3 GAB/Gravel 100 TN

4 Asphalt Leveling 529 TN

5 Open Graded Interlayer (OGI) 3,121 TN

6 Bituminous Tack Coat 10,000 GL 7 9.5 MM Superpave Type II;

Blend 1

12,740 TN

Incl Bitum Matl & H Lime

8 12.5 MM Superpave 2630 TN

9 Utility Adjustment 1 EA 10 Speed Table 4 EA 12 Traffic Loop (6x40 Quadrupole) 3 EA

13 Traffic Control 1 Lum p

14 Thermoplastic Solid Traffic Stripe, 5 in, White

13,950 LF

15 Thermoplastic Solid Traffic Stripe, 5 in, Yellow

19,610 LF

16 Thermoplastic Solid Traffic Stripe, 24 in, White

204 LF

17 Thermoplastic Arrows 6 EA

18 Thermoplastic Crosswalk 4 EA

19 Thermoplastic Gore, Yellow 1 Lum p

Waiting to hear if Todd has these figures to enter.

Updated.

20 Thermoplastic Parking Space 10 EA

CONTRACT ADMINISTRATION & LIQUIDATED DAMAGES

General Administration:

The City will designate a Project Manager to serve as the primary point of contact for scheduling, inspections, and general coordination. The selected contractor must also provide a 24-hour contact person prior to mobilization.

The Contractor will submit daily material reports to the City’s designated Inspector or Project Manager. Reports should include square yards of milling completed and tons of asphalt placed (by mix type).

The City reserves the right to add or remove street segments from the resurfacing list based on field conditions, funding constraints, or scheduling considerations.

Project Duration:

The successful bidder shall complete all work described within 180 calendar days from the date of issuance of the Notice to Proceed by the City of Douglasville. Requests for time extensions due to weather delays or unforeseen conditions must be submitted in writing and approved by the City in advance.

Work Schedule, Holidays, Weather Restrictions The contractor shall submit a master project schedule to the City at least five (5) business days prior to the start of work. The contractor shall thereafter submit a weekly work schedule to the City identifying the specific streets that will be under construction that week.

Regular work hours are Monday through Friday, 7:00 AM to 7:00 PM. Additional work times will be allowed but will require prior approval from the City. The Contractor shall not work on any City or Federal holidays (actual or observed). A list of the official City holidays can be found on the City's website.

Best practices should be followed for various weather conditions. Asphalt topping should not be placed unless the temperature is at least 45 degrees Fahrenheit and rising.

Pay Applications

The Contractor shall submit monthly pay applications for review and payment processing. All invoices must be Net 30 and will be reviewed and reconciled against the daily material reports submitted to the Project Manager or Inspector. The City will withhold retainage in accordance with Georgia law and the terms of the bid documents. Incomplete or unsupported pay applications may be returned without payment until adequately revised.

Punch List and Final Acceptance Upon achieving substantial completion, defined as completion of all paving, striping, utility adjustments, and restoration work sufficient for safe public use, the Contractor shall notify the City in writing and request a preliminary final inspection.

The City will prepare a Punch List identifying remaining deficiencies or incomplete items. All Punch List work must be completed within twenty-one (21) calendar days from the date of issuance. If the Contractor is in liquidated damages status at the time the Punch List is issued, assessment of damages will be suspended during the 21-day period. After that period, liquidated damages shall resume if work remains incomplete.

Liquidated Damages Liquidated Damages will be assessed at $500 per day for failure to substantially complete the project within the contract duration. The Contractor acknowledges that delayed performance will damage the City, but by their nature such damages are difficult to ascertain.

Accordingly, the liquidated damages provisions to be stated in the Contract documents will apply as the amounts are a reasonable estimate of damages. Liquidated damages are not intended to be a penalty and are solely intended to compensate for damages which the City incurs as a result of delay in project completion.

BONDING & INSURANCE REQUIREMENTS

Bid Bond All bids must be accompanied by a Bid Bond in the amount of five percent (5%) of the total base bid price. The bid bond must be issued by a surety company authorized to do business in the State of Georgia. Failure to submit a valid bid bond will result in the rejection of the bid as non-responsive. No certified checks or cash equivalents will be accepted in lieu of a bid bond.

Performance and Payment Bonds The successful bidder shall furnish the following bonds within ten (10) calendar days of Notice of Award:

• A Performance Bond in the amount of 100% of the total contract amount, guaranteeing faithful performance of the contract.

• A Payment Bond in the amount of 100% of the total contract amount, guaranteeing payment to subcontractors and suppliers.

These bonds must be issued by a surety company licensed in the State of Georgia and acceptable to the City, must remain in effect for the full term of the contract, and must include the City of Douglasville as the obligee.

Insurance Requirements Prior to the issuance of a Notice to Proceed, the Contractor must furnish certificates of insurance meeting the following minimum requirements:

Commercial General Liability Insurance Minimum Limits: $1,000,000 per occurrence / $3,000,000 aggregate. Coverage to include: Bodily Injury, Property Damage, Personal and Advertising Injury, and Products/Completed Operations. The City of Douglasville must be listed as an Additional Insured

Workers’ Compensation Insurance Statutory limits as required by Georgia law. Employer’s Liability: $1,000,000 each accident / $1,000,000 disease-policy limit / $1,000,000 disease-each employee

Commercial Automobile Liability Insurance Minimum Limits: $1,000,000 combined single limit. Coverage to apply to all owned, hired, and non-owned vehicles used in performance of the contract.

The City of Douglasville must be listed as an Additional Insured.

Responsibility for Damages The Contractor shall be solely responsible for any and all damage to persons or property that may occur as a result of operations under this contract. The City shall not be held liable for any injuries or damages resulting from the work. Damage complaints received by the City will be forwarded to the project manager for resolution.

EVALUATION CRITERIA

All bids will first be screened for completeness and responsiveness. Incomplete bids or those failing to meet the mandatory submission requirements will not be evaluated. All responsive bids will be reviewed by a City-appointed Evaluation Committee. The Evaluation Committee will assess each bid based on the criteria below and may conduct reference checks on the top-ranked candidate(s) prior to recommending contract award.

Evaluation Criteria and Scoring:

Criteria Maximum Points

1. Qualifications and Experience

Demonstrated experience with similar projects completed within the past five (5) years, including relevant references.

40 points

2. Understanding of Project and Expertise

Evidence that the bidder understands the scope, has relevant technical expertise, and can effectively carry out the work.

30 points

3. Capacity and Availability

Staffing, equipment, and resource availability to complete the work within the required timeline.

15 points

4. Pricing

Competitive and complete unit pricing for the scope of work as described in the bid form.

15 points

Additional Notes:

In the event of similarly qualified bidders with close evaluation scores, the Evaluation Committee may shortlist several candidates and conduct interviews or request clarifications before making a final selection.

The City reserves the right to reject any or all bids, to waive technicalities, and to award the contract in the best interest of the City.

CONTRACT AWARD PROCESS

The following outlines the estimated timeline for the selection process:

August 01, 2025 RFB Advertised August 11, 2025 at 4:00 PM EDT Last Day for questions to be submitted September 01, 2025 at 4:00 PM EDT Deadline for bid submission TBD Selection deadline TBD Council Approval and Contract Authorization TBD Pre-Construction Meeting TBD Notice to Proceed

*Dates and Time are subject to change

LEGAL & COMPLIANC

Contractor’s Oath / Non-Collusion Affidavit Each bid must include a signed Contractor’s Oath and Affidavit of Non-Collusion, which affirms the bidder has not engaged in collusive practices with any other bidder or party;

the bid is made in good faith without fraud or intent to mislead; the signer is duly authorized to represent the bidder. The required form is included in the appendix.

Business License and Certificate of Existence The awarded contractor must hold a valid Occupational or Business License from its primary place of business and a Certificate of Existence issued by the Georgia Secretary of State within the past 12 months. These documents must be submitted with the bid as evidence of legal and active business standing.

Equal Opportunity and Non-Discrimination The City of Douglasville is an Equal Opportunity Employer. Bidders and contractors shall not discriminate on the basis of race, color, national origin, sex, age, religion, disability, or any other protected category in employment or performance of this contract. Compliance with all applicable federal and state non-discrimination laws is required.

Disadvantaged Business Enterprise (DBE) Participation

The City hereby notifies all bidders that it will affirmatively ensure that, in any contract entered into pursuant to this advertisement, Disadvantaged Business Enterprises (DBEs) as defined at 49 CFR Part 23 will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, national origin, sex, age, or disability in consideration for an award.

E-Verify and Georgia Security & Immigration Compliance In accordance with the Georgia Security and Immigration Compliance Act (O.C.G.A. § 13-10-91), all contractors and subcontractors performing work under this contract must be registered with and use the E-Verify federal work authorization program; and submit a Contractor Affidavit and, if applicable, Subcontractor Affidavit confirming compliance. Failure to provide these affidavits shall render the bid non-responsive and ineligible for award. Blank affidavit forms are provided in the appendix.

No Sanctuary Policy Compliance Pursuant to O.C.G.A. § 36-80-23, the City of Douglasville may not enter into a contract for the physical performance of services with any contractor that is not in compliance with Georgia’s No Sanctuary Policy. Each bidder must affirm that neither it nor its subcontractors operate as a sanctuary as defined under Georgia law.

APPENDIX

Include all remaining documents:

Bidder Reference Sheet Georgia Security & Immigration Compliance Contractor Affidavit Subcontractor Affidavit Contractor’s Bidding Oath Schedule I – Scope of Work Schedule II – Bid Sheet

BIDDER REFERENCE SHEET

References must be provided by ALL responding Vendors using the form below. It is the vendor’s responsibility to provide COMPLETE and ACCURATE reference information on the form below, INCLUDING PHONE NUMBERS AND EMAIL ADDRESSES.

1. __________________________________________________ Company

Address, City, State, Zip Code

Telephone Number

Name of Contact Person

E-Mail Address

Type of Project

Dates: ___________________________________________________

Georgia Security and Immigration Compliance

Compliance with the requirements of O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300¬10-1-.02 are conditions of this contract. Contractor certifies that it has the following number of employees (check one appropriate box):

500 or more employees, or

100 or more employees, or fewer than 100 employees, as identified in O.C.G.A. 13-10-91. In the event the Contractor employs or contracts with any subcontractor(s) in connection with this contract, the Contractor will secure from the subcontractor(s) such subcontractor(s’) indication of the employee-number category applicable to the subcontractor. The contractor’s compliance with the requirements of O.C.G.A. 13-10-91 and Rule 300-10-1-.02 is attested by the execution of the contractor affidavit as shown in Rule 300- 101-.07, or a substantially similar contractor affidavit, which document is attached to this Contract, and is a part of this Contract.

In the event the Contractor employs or contracts with any subcontractor(s) in connection with this contract, the Contractor will secure from such subcontractor(s) attestation of the subcontractor’s compliance with O.C.G.A. 13-10-91 and Rule 300-10-1-.02 by the subcontractor’s execution of the subcontractor affidavit shown in Rule 300-10-1-.08 or a substantially similar subcontractor affidavit, and maintain records of such attestation for inspection by the City at any time. Such subcontractor affidavit shall become a part of any contractor/subcontractor agreement.

CONTRACTOR AFFIDAVIT AND AGREEMENT REGARDING GEORGIA SECURITY AND

IMMIGRATION COMPLIANCE.

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 City of Douglasville 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 City of Douglasville, 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. Contractor further agrees to maintain records of such compliance and provide a copy of each such verification to the City of Douglasville at the time the subcontractor(s) is retained to perform such service.

Company ID Number: EEV/Basic Pilot Program* Authorization Date

Name of Contractor Name of Project

City of Douglasville

Name of Public Employer

Signature by Authorized Officer or Agent Date

* As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the

“EEV / Basic Pilot Program” operated by the U. S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA).

Printed Name of Authorized Officer/Agent of Contractor

Title of Authorized Officer/Agent of Contractor

SUBSCRIBED AND SWORN BEFORE ME ON THIS

THE DAY OF _______________________________ _, 20 _____

Notary Public

My Commission Expires: _______________________

* As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the

SUBCONTRACTOR AFFIDAVIT FOR GEORGIA SECURITY AND IMMIGRATION

COMPLIANCE.

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 City of Douglasville 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.

Company ID Number: EEV/Basic Pilot Program* Authorization Date

Name of Subcontractor Name of Project

City of Douglasville

Name of Public Employer

Signature by Authorized Officer or Agent Date

Printed Name of Authorized Officer/Agent of Subcontractor

* As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the

Title of Authorized Officer/Agent of Subcontractor

SUBSCRIBED AND SWORN BEFORE ME ON THIS

THE DAY OF ________________________________ , 20 _____

Notary Public

My Commission Expires: _______________________

* As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the

CONTRACTOR'S BIDDING OATH

We, the undersigned do hereby swear under oath that regarding the subject work, we have not violated OCGA subsection 36-91-21(d) by preventing or attempting to prevent competition in bidding, by preventing or endeavoring to prevent anyone from making a bid or proposal therefore by any means whatever, nor by inducing another to withdraw a bid or proposal for the work.

Further, if the contractor is a partnership, all of the partners and any officer, agent, or other person who may have represented or acted for the contractor in bidding for or procuring the contract are shown and signed below. If the contractor is a corporation, all officers, agents, or other persons who may have acted for or represented the corporation in bidding for or procuring the contract are shown and signed below.

Sworn or affirmed this __________________ day of _________________ , 2025.

Printed name:

Printed name:

Printed name:

Printed name:

Schedule I – Scope of Work Attach PDF