RFB 2026_008 Brightstar Rd at Brightstar Conn.pdf

REQUEST FOR BID

FOR

Brightstar Rd at Brightstar Connector

Intersection Improvements

RFB 2026-008

ISSUE DATE: October 08, 2026

CLOSING DATE: October 26, 2026

RFB 2026-008 Brightstar Rd at Brightstar Connector Intersection Improvements

I. GENERAL PROJECT INFORMATION AND BACKGROUND: The City of Douglasville (the “City” or “Owner”) is seeking improvements to the Brightstar Rd at Brightstar Connector intersection. The Project will upgrade the traffic signal, signing, striping, and sidewalks at the Brightstar intersection. The traffic signal improvements will include mast arms, video detection, and underground connectivity.

PROCUREMENT METHOD AND AWARD: This Project is being solicited through competitive sealed bidding. The public advertisement will comply with applicable requirements for municipal road contracts.

If an award is made, the City will award the contract to the lowest reliable bidder whose bid is responsive to the requirements of this RFB and who demonstrates the ability to satisfactorily perform the work. The

City reserves the right to reject any or all bids. This solicitation will be conducted in accordance with applicable federal, state, and local laws and City requirements.

II. SCOPE OF WORK: The project includes but is not limited to the following:

A. Construction Phase

1. Contractor is encouraged to attend the Pre-Bid Conference, if one is scheduled.

2. Contractor must maintain the flow of vehicular traffic during intersection improvements

3. Contractor must maintain the flow of pedestrian traffic during intersection improvements

4. Addition and extension of striping, crosswalks, and stop bars surrounding the intersection as outlined in the plans addendum.

5. Installation of sidewalks with ADA compliant ramps as designed in the plans addendum.

6. Contractor shall provide all labor, materials, equipment, construction layout, and required shop drawings to construct the improvements shown in the Contract Documents. Project design and engineering are furnished by the City. The Contractor has no project design obligations and remains responsible for construction means, methods, and safety.

All Local, County, State, and Federal codes and regulations must be followed.

Once a contract is executed between the City of Douglasville and the successful Bidder, the successful

Bidder will be required to perform the work with the project team identified in its bid. The City of

Douglasville must approve in writing any change in, or substitution of, key project team members, contractors, or subcontractors.

B. Time for Performance

TIME FOR PERFORMANCE: The maximum time allowed for completion of all work shall be twenty-six (26) weeks, equivalent to one hundred eighty-two (182) calendar days, after the date specified in the written

Notice to Proceed. Each bidder shall state a committed completion period that does not exceed this maximum and provide a proposed schedule accounting for equipment procurement and delivery, installation, testing, and final completion. The successful bidder’s stated completion period shall be incorporated into the Agreement.

Any request for a time extension due to product availability or delivery delays shall include written manufacturer or supplier documentation explaining the delay and its effect on the completion schedule.

Extensions shall be subject to the Contract Documents and require written authorization by the City.

C. Payment Terms

The Contractor shall submit monthly, itemized Applications for Payment referencing the City-issued purchase order number. Applications shall identify the value of work completed, eligible stored materials and equipment, previous payments, and retainage, with supporting documentation required by the

Contract Documents. The parties agree to Net 30 payment: the City shall pay undisputed amounts due under the Contract within thirty (30) calendar days after receipt of a proper Application for Payment.

Retainage shall be 5%. Final payment and retainage release shall be governed by the Agreement and applicable law.

D. Requests for Information

All requests for information and clarifications regarding this project shall reference RFB 2026-008

Brightstar Rd at Brightstar Connector Intersection Improvements and be submitted via Bidnet Direct at https://www.Bidnetdirect.com no later than the deadline stated in the RFB Estimated Timeline.

Questions and answers will be issued by written addendum and posted on Bidnet Direct.

Only written addenda issued by the City modifies the solicitation. Oral statements do not modify the solicitation. Bidders shall identify in their bids every addendum received by number and date.

Please contact Alyssa Gordon, Procurement Manager at gordona@douglasvillega.gov if further assistance is needed. All firms are responsible for checking Bidnet Direct at https://www.Bidnetdirect.com on a regular basis for updates, clarifications, and announcements.

The City of Douglasville reserves the right to communicate by electronic mail with the primary contact listed in the bidder’s response to the RFB.

From the issue date of this RFB until a final award is made, bidders are prohibited from communicating about this solicitation or Project with City of Douglasville staff or elected officials except as expressly permitted in the RFB. Questions must be submitted as instructed in this solicitation. Unauthorized contact may result in rejection of the offending bidder’s bid.

E. Submission of Bids

Sealed bids shall be completed and submitted electronically in PDF format through Bidnet Direct at http://www.Bidnetdirect.com by October 26, 2026 at 4 PM EDT. The entire submittal should be submitted as one (1) PDF file. Please do not submit individual documents or sections separately.

Electronic submittals must reference RFB 2026-008 – Brightstar Rd at Brightstar Connector Intersection

Improvements. Late bids will not be accepted.

BID PRICING REQUIREMENTS: Bidders shall fully complete the Bid Schedule in Exhibit A, provide an actual, firm price for each item requiring bidder pricing, and submit an actual total lump sum bid for completing the work required by the Contract Documents. The total bid amount entered in BidNet Direct shall match the total bid amount shown in Exhibit A.

Nominal amounts, including one dollar ($1.00), shall not be used as placeholders in place of actual bid pricing. A low or zero price that represents the bidder’s actual, binding offer is not, by itself, a placeholder.

All required bid pricing must be submitted by the bid submission deadline. Bidders will not be permitted to supply missing prices, replace placeholder amounts with new prices, or otherwise materially revise their bid pricing after the deadline.

A bid containing omitted, placeholder, or inconsistent pricing that constitutes a material deviation from the solicitation requirements will be deemed nonresponsive and rejected. Material pricing defects include those that prevent determination of the bidder’s binding price or commitment to perform the required work or prevent comparison of bids on the advertised basis.

https://www.bidnetdirect.com/ mailto:gordona@douglasvillega.gov https://www.bidnetdirect.com/ http://www.bidnetdirect.com/

It is the sole responsibility of the bidder to ensure timely electronic delivery. No submittals will be accepted after the stated bid deadline.

All expenses for preparing and submitting bids are the sole cost of the bidder. The City is not obligated to reimburse such expenses. All submittals become the property of the City of Douglasville upon receipt.

Labeling information “proprietary,” “confidential,” or otherwise restricted does not exempt it from disclosure under the Georgia Open Records Act.

Bid records will be handled in accordance with applicable Georgia law and City procedures.

Any questions regarding this RFB should be submitted as directed in the Requests for Information section.

If further assistance is needed, contact Alyssa Gordon, Procurement Manager, gordona@douglasvillega.gov.

Every bid shall include pricing for all labor and materials, including the cost of payment and performance bonds and unclassified site work, as applicable. Each bid shall be accompanied by a bid bond in the amount of five percent (5%) of the bid. A performance bond and payment bond, each in the amount of one hundred percent (100%) of the contract sum and for the term of the contract, will be required from the successful bidder.

All bids must be accompanied by a Certificate of Insurance to include General Liability Insurance with limits of no less than $1 million per occurrence and $2 million aggregate, and a general liability umbrella policy with a limit of no less than $1 million aggregate; Worker’s Compensation coverage as provided by

Georgia law; Temporary Facilities and Equipment; and Builder’s Risk Insurance. All bonds and insurance policies shall be written by surety companies with an overall A.M. Best rating of A- (Excellent) or better, listed in U.S. Treasury Circular 570, and licensed to do business in the State of Georgia. Such policies shall provide for jurisdiction and venue in Douglas County, Georgia, for resolution of disputes.

A bidder may withdraw its bid through Bidnet Direct, or by written request, before the bid submission deadline. After the bid deadline, a bid may be withdrawn only as permitted by applicable law and subject to any consequences applicable to the bid security. Prior to Notice to Proceed, the Contractor shall present a Liability Insurance Certificate naming the City of Douglasville as an Additional Insured. The

Contractor shall be responsible for injuries or damages resulting from the work to persons or property.

The City reserves the right to reject any or all bids, cancel or readvertise the solicitation, and waive minor informalities or irregularities where permitted. In determining whether a bidder is reliable and capable of performing the work, the City may consider documented past performance and other mandatory responsibility requirements stated in this RFB. Without limiting the foregoing, the City may reject the bid of a bidder that has, within the last five (5) years:

a. Failed to complete on time a similar contract due to delays caused by the bidder or non-conforming work performed by the bidder; or

b. Incurred criminal sanctions against the company or any current bidder officer; or

c. Had its bonding company pay a claim against the bidder’s payment or performance bond due to the bidder’s failure to perform.

F. RFB Estimated Timeline

RFB ESTIMATED TIMELINE

Owner issues public advertisement of RFB October 08, 2026 mailto:gordona@douglasvillega.gov

RFB ESTIMATED TIMELINE

Deadline for written questions / requests for clarification October 14, 2026, at 4 PM EDT

Deadline for submission and opening of sealed bids October 26, 2026

Award recommendation to City Council for approval TBD

G. Bidder Qualifications and Reliability Information

1. Bidder Information

a. Firm name, address, and telephone number

b. Primary local contact person(s) and telephone number(s)

c. Total number of firm's local full−time employees

d. Year firm established

e. Listing and description of all current litigation involving the firm

f. Listing and description of all litigation history for the local firm since and including 2018

g. Letter of commitment from Surety or sureties regarding bonding capacity and availability

h. If the bidder is an entity, provide Articles of Organization (for LLC or LP) or Articles of Incorporation

(for corporations), plus proof of current annual registration from the Georgia Secretary of State.

2. Experience:

a. Over five years of business operation is required.

b. Provide a list of projects over $70,000 completed in the last 2 years. Include with list: size, cost including change orders, total fee, time to complete, description, and images.

c. Provide examples of your experience as a prime contractor in handling projects similar in scope

(OR other public and private projects that indicate similar experience). For each of these projects:

1) Provide photographs.

2) Provide an owner reference familiar with your performance on the project. It is the bidder’s responsibility to ensure that the listed contact and phone number are current.

3) Provide at least 3 client references and contact information.

4) List the individual who served as the Project Executive/Director, Project Manager, Superintendent, and Cost Estimator. Please note whether this individual is still employed with your firm.

3. Statement of Firm's capability to absorb additional workload, availability of personnel, and commitment to provide services on a timely basis.

4. Staffing Management

1. Provide a proposed Organizational Chart which identifies individual names and areas of responsibility.

2. Please designate the specific individuals to fill the following key roles on your team:

a) Project Executive

b) Project Manager

c) Superintendent

d) Cost Estimator

e) Other (please describe, if applicable.)

3. Please provide for each of the above personnel:

a) Current resumes listing relevant project experience.

b) Percent of time to be committed to this Project.

4. Please identify the individual who, from project start to finish, will lead your construction team and serve as the principal point of contact between your firm, the City, the City’s

Representative, and other consultants. The information provided will be reviewed as part of the

City’s determination of the bidder’s reliability, capacity, and ability to perform the work within the required schedule.

H. Bid Evaluation, Reliability, and Award

This procurement is being conducted through competitive sealed bidding. Bids will not be ranked using weighted evaluation points. The City will first review each bid for responsiveness to the solicitation requirements and required submittals.

1. Bidder Reliability – The City will review the bidder’s experience and past performance on projects of similar nature and complexity; references; ability to furnish required bonds and insurance; and compliance with all mandatory bid requirements. These factors will be used to determine whether the bidder is reliable and capable of performing the work, not to create a comparative point score.

2. Capacity and Project Understanding – The City may review staffing, equipment, organizational capacity, availability, project schedule, and the bidder’s demonstrated understanding of the work to determine whether the bidder can timely and satisfactorily complete the Project.

3. Bid Price – Bids will be compared based on the completed Bid Schedule / Schedule of Unit Prices and the resulting total bid amount, subject to verification of calculations and the requirements of the solicitation.

4. Award – If an award is made, the City intends to award the contract to the lowest reliable bidder whose bid is responsive to the requirements of this RFB and who demonstrates the ability to satisfactorily perform the work. The City reserves the right to reject any or all bids. No weighted scoring or best-value selection will be used to select a higher-priced bidder over the lowest reliable bidder.

5. Clarifications – The City may request clarification of information submitted to verify responsiveness or bidder reliability, but a bidder will not be permitted to materially revise its bid after the bid deadline except as otherwise authorized by applicable law.

I. General Conditions

SIGNAL SCOPE AND CONTROLLING PLANS: The plan set identified in the plans addendum supersedes earlier project plan sets and governs pole locations and configurations, subject to subsequent written addenda. Luminaire arms shall be 15 feet long. The prestressed concrete strain-pole item is deleted from the addendum. The Contractor shall procure the signal components identified in the Contract Documents.

Separately listed component prices cover procurement and supply; Traffic Signal Installation No. 1 covers the labor to install the signals. Each cost shall be included once in the itemized breakdown.

The Contractor shall notify the City before undertaking rock work for which additional payment is requested, document the conditions and quantities for verification, and obtain the written authorization required by the Agreement. Allowance and contingency funds are payable only for authorized work and are not automatically earned. The same work or cost shall not be paid both through a scheduled item and through the allowance or contingency. Unused allowance and contingency balances shall be deducted at final reconciliation. Any additional payment or time extension remains subject to the Agreement; the availability of contingency funds does not itself establish entitlement.

Upon submission of a bid, the bidder hereby certifies on behalf of his or her company or organization that:

1. This bid is genuine and not made in the interest of, or on behalf of, an undisclosed person, firm, or corporation.

2. This bid is not submitted in conformity with any agreement or rules of any group, association, organization, or corporation.

3. The bidder has not directly or indirectly induced or solicited any other bidder to submit a false or sham bid.

4. The bidder has not solicited or induced any person, firm, or corporation to refrain from bidding.

5. The bidder has not sought by collusion to obtain for itself any advantage over any other bidder or over the City of Douglasville.

J. EXHIBITS

1. Exhibit “A” – Bid Schedule & Schedule of Unit Prices

2. Exhibit “C” − Bond Attachment

3. Exhibit ‘’D’’ − Disclosure Statement

4. Exhibit “E” − Certification Form

5. Exhibit “F” − Contractor’s Oath

6. Exhibit “G” − Contractors and Subcontractors affidavits of compliance with the Georgia Security and

Immigration Act

7. Exhibit “H” − Attach Corporate of Existence

• Plans will be uploaded as an addendum

RFB 2026-008 Brightstar Rd at Brightstar Connector Intersection Improvements 8

Exhibit A: Bid Schedule & Schedule of Unit Prices

BRIGHTSTAR RD AVENUE INTERSECTION IMPROVEMENT COST ESTIMATE

ROADWAY/SIGNING AND MARKING

PAY ITEM NO. DESCRIPTION UNIT QUANTITY UNIT PRICE TOTAL COST

636-1033 HIGHWAY SIGNS, TP 2 MATL, REFL SHEETING, TP 11 SF 51 $ $

639-1230 5"-2' DASH-6' SKIP WHITE, PAVEMENT MARKING LF 275 $ $

639-1235 12"-SOLID WHITE, PAVEMENT MARKING LF 400 $ $

639-1240 24" - SOLID WHITE, PAVEMENT MARKING LF 110 $ $

639-1245 5"-SOLID WHITE, PAVEMENT MARKING LF 3470 $ $

639-1600 5"-DOUBLE-YELLOW, PAVEMENT MARKING LF 700 $ $

639-2001 ARROW, TP 1, PAVEMENT MARKING EA 3 $ $

639-2001 ARROW, TP 2, PAVEMENT MARKING EA 8 $ $

639-2001 ARROW, TP 3, PAVEMENT MARKING EA 4 $ $

639-3004 STEEL STRAIN POLE, TP IV w/ 55 FT & 65 FT MAST ARMS w/ 15' LUMINAIRE ARM EA 2 $ $

639-4014 STEEL STRAIN POLE, TP IV w/ 65 FT MAST ARM w/ 15' LUMINAIRE ARM EA 1 $ $

647-1000 TRAFFIC SIGNAL INSTALLATION NO. 1 LS 1 $ $

682-2170 PULLBOX, TP 7 EA 1 $ $

680-5260 LUMINAIRE BRACKET ARM, 15 FT ARM EA 3 $ $

680-6130 LUMINAIRE, TP 3, 40 W, LED EA 3 $ $

682-6110 CONDUIT, RIGID, 2 IN (FOR POWER SERVICE) LF 40 $ $

682-6233 CONDUIT, NONMETAL, TP 3, 2 IN LF 1725 $ $

939-5010 ELECTRICAL POWER SERVICE ASSEMBLY (AERIAL SERVICE POINT) EA 1 $ $

682-9950 DIRECTIONAL BORE, 3 IN LF 1370 $ $

682-9950 DIRECTIONAL BORE, 5 IN LF 150 $ $

682-9950 DIRECTIONAL BORE, 7 IN LF 230 $ $

682-9950 DIRECTIONAL BORE, 9 IN LF 100 $ $

682-9950 TRENCH LF 70 $ $

SUBTOTAL $

SUBTOTAL $

CONTINGENCY 10% $

TOTAL $

NOTE: Quantities shown are for estimation purposes only.

Contractor shall field verify prior to ordering materials.

RFB 2026-008 9

BIDDER hereby submits this Bid as set forth above:

Bidder:

(typed or printed name of organization)

By:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed)

Date:

(typed or printed)

If Bidder is a corporation, a partnership, or a joint venture, attach evidence of authority to sign.

Attest:

(individual’s signature)

Name:

(typed or printed)

Title:

(typed or printed)

Date:

(typed or printed)

Address for giving notices:

Bidder’s Contact:

Name:

(typed or printed)

Title:

(typed or printed)

Phone:

Email:

Address:

Bidder’s Contractor License Number:

RFB 2026-008 10

BIDDERS’ DISCLOSURE STATEMENT

All bidders should be aware that the Project is a public project, and the City is a public agency. Pursuant to the laws, rules, and Executive Orders of the State of Georgia, the City of Douglasville shall make every effort to avoid even the appearance of a conflict of interest or impropriety in the procurement, award, and performance of any resulting contract. Each bidder must include a Disclosure Statement with its submittal answering the following questions:

1. Describe any business transactions occurring within the prior two years between your firm and the City of

Douglasville. <Insert Response Here>

2. Describe any gift, hospitality, or benefit of any sort that your firm has provided to the City of Douglasville, t within the prior one-year period.

<Insert Response Here>

3. A conflict of interest or potential conflict of interest is defined as any action, decision, or recommendation by a person acting in a capacity as a public official, the effect of which is or could be to the private monetary or financial benefit or detriment of the person, the person’s relative, or any business with which the person or a relative of the person is associated. The potential conflict of interest is viewed from the perspective of a reasonable person who has knowledge of the relevant facts. Based upon this definition, describe any conflict of interest or potential conflict of interest that your firm has with the City of Douglasville. <Insert Response

Here>

This Disclosure Statement should be dated and signed by an authorized signer for the bidder and submitted with the Bidder’s submittal.

Name of Firm

Authorized Signature Date

Printed Name and Title of Authorized Agent

RFB 2026-008 11

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 300-10-1-.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.

RFB 2026-008 12

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

Name of Public Employer

Signature by Authorized Officer or Agent Date

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 “EEV / Basic Pilot

Program” operated by the U. S. Citizenship and Immigration

RFB 2026-008 13

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

Name of Public Employer

Signature by Authorized Officer or Agent Date

Printed Name of Authorized Officer/Agent of Subcontractor

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 “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).

RFB 2026-008 14

CERTIFICATION FORM

I, ____________________, being duly sworn, state that I am ____________________ (title) of

________________________ (firm) and hereby duly certify that I have read and understand the information presented in the attached bid and any enclosure and exhibits thereto.

I further certify that to the best of my knowledge the information given in response to the request for bids is full, complete and truthful.

I further certify that the bidder and any principal employee of the bidder have not, in the immediately preceding five years, been convicted of any crime of moral turpitude or any felony offense, nor has had their professional license suspended, revoked or been subjected to disciplinary proceedings.

I further certify that the bidder has not, in the immediately preceding five years, been suspended or debarred from contracting with any federal, state or local government agency, and further, that the bidder is not now under consideration for suspension or debarment from any such agency.

I further certify that the bidder has not in the immediately preceding five years been defaulted in any federal, state or local government agency contract, and further, that the bidder is not now under any notice of intent to default on any such contract.

I acknowledge, agree and authorize, and certify that the bidder acknowledges, agrees and authorizes, that the

City of Douglasville may, by means that the City of Douglasville deems appropriate, determine the accuracy and truth of the information provided by the bidder and that the City of Douglasville or their agents may contact any individual or entity named in the RFB for the purpose of verifying the information supplied therein.

I acknowledge and agree that all the information contained in the RFB is submitted for the express purpose of inducing the City to award a contract.

A materially false statement or omission made in conjunction with this bid is sufficient cause for suspension or debarment from further contracts, or denial of rescission of any contract entered into based upon this bid thereby precluding the firm from doing business with, or performing work for, the State of Georgia. In addition, such false statement or omission may subject the person and entity making the bid to criminal prosecution under the laws of the State of Georgia of the United States, including but not limited to O.C.G.A. §16-10-20, 18 U.S.C.

§§1001 or 1341.

Signature

SWORN AND SUSCRIBED BEFORE ME

This __________ (day) of __________ (month), 20__________ (year)

NOTARY PUBLIC SIGNATURE

My Commission Expires: ____________________

NOTARY SEAL

RFB 2026-008 15

List of Similar Projects:

1. Project Name: _________________________________________________

Project Location: __________________________________________________

Project Owner: ___________________________________________________

Owner Contact (Name and Phone): ___________________________________

Project Contract Amount: ___________________________________________

Description of Project: ______________________________________________

RFB 2026-008 16

2. Project Name: _________________________________________________

Project Location: __________________________________________________

Project Owner: ___________________________________________________

Owner Contact (Name and Phone): ___________________________________

Project Contract Amount: ___________________________________________

Description of Project: ______________________________________________

RFB 2026-008 17

3. Project Name: _________________________________________________

Project Location: __________________________________________________

Project Owner: ___________________________________________________

Owner Contact (Name and Phone): ___________________________________

Project Contract Amount: ___________________________________________

Description of Project: ______________________________________________