RFI #2025-26-011 Delinq Tax_ Required Bid Forms Packet Pricing.pdf

Required Forms

REQUIRED BID FORMS

The bidder must include the following completed checklist items or their bid proposal may be deemed non responsive. Horry County reserves the right to accept or reject any and all bids, in whole or in part, that are deemed to be in the best interest of the County at its sole discretion.

CHECKLIST of REQUIRED FORMS/ITEMS

□ Completed and Signed Request for Information and Quotation Form

□ Completed and Signed Addendum Acknowledgment

□ Completed and Signed Non-Collusion Affidavit Form

□ Completed and Signed Anti-Lobbying Form

□ Signed Debarment, Suspension, and Other Responsibility Matters

□ Signed S.C. Drug-Free Workplace Form

□ Completed Legal Litigation Statement

REQUEST FOR INFORMATION AND

QUOTATION #2025-26-011

DELINQUENT TAX ADVERTISING FOR HORRY COUNTY TREASURER RESPONSE DUE DATE:

Wednesday, October 1, 2025 at 2:00 PM REQUIREMENTS:

1. Advertising must satisfy Section 12-51-40 (d) of South Carolina Code of Laws. By submitting a response to this solicitation, vendor certifies that they will meet this legal requirement.

2. Required type font/size: is Helvetica/5.8 Pt.

3. Contract will be awarded to only ONE vendor, based on the requirements of this formal solicitation.

4. Required publication dates are: November 13th, November 20th, and November 27th, 2025.

5. Electronic file of delinquencies will be ready for submission to the contracted vendor at any point prior to the publication dates.

6. Publication must be distributed throughout Horry County, including the area east of the Intracoastal

Waterway.

7. Pricing shall be firm for each of the three required publications.

8. Estimated number of records for first publication is 4,500 with each subsequent publication being fewer records.

9. Publication quality may be considered in evaluating responses to this solicitation.

10. All respondents must submit a fully executed non-collusion affidavit (attached).

11. Successful respondent shall enter into a professional services contract with Horry (County (sample contract attached).

PRICING

A. Full page ad $___________________ each

B. Three-quarter (3/4) page ad $___________________ each

C. One-half (1/2) page ad $___________________ each

D. One-quarter (1/4) page ad $___________________ each

Optional electronic (Internet) ad $___________________ each

Signature of authorized representative Date

Company

Required Form ACKNOWLEDGEMENT OF ADDENDA

Offeror hereby acknowledges receipt of all Addenda through and including:

Addendum No. , dated .

Addendum No. , dated .

Addendum No. , dated .

Addendum No. , dated .

Company

Authorized Signature

Print Name

NONCOLLUSION AFFIDAVIT OF PRIME BIDDER

State of South Carolina ) County of Horry ) being first duly sworn, deposes and says that:

1. He is of the Bidder that has submitted the attached Bid:

2. He is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid:

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

4. Neither the said Bidder nor any of it’s officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the Owners or any person interested in the proposed Contract; and

5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of it’s agents, representatives, owners, employees, or parties in interest, including this affiant.

Signed

Title

Subscribed and sworn to before me this day of , 20 .

My commission expires on

Title

Required Form

ANTI-LOBBYINGFORM

CERTIFICATION OF RESTRICTIONS ON LOBBYING

I, , hereby certify on (name and title of bidder's official) behalf of that:

(name of bidder)

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit standard Form-LLL, "Disclosure Form to Report Lobbying, " in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all sub awards at all tiers (including subcontracts, sub grants, and contracts under grants, loans, and cooperative agreements) and that all sub recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance is placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Executed this day of , .

By (signature of authorizedofficial)

(title of authorized official)

CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER

RESPONSIBILITY MATTERS

As required by Executive Order 12549, Debarment and Suspension, and implemented under the applicable CFR, for prospective participants in covered transactions, as defined in the applicable CFR

A. The applicant certifies that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department oragency;

(b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal State or local) with commission of any of these offenses enumerated in paragraph (1) (b) of this certification; and

(d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State or local) terminated for cause or default; and

B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.

Address:

Contractor’s Signature

Printed or Typed Name

Title

Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements under the applicable CFR covering New Restrictions on Government-wide Debarment and Suspension (Non- procurement). The certification shall be treated as a material representation of fact upon which reliance will be placed when the Agency determines to award the covered transaction or cooperative agreement.

BB. S.C. DRUG-FREE WORKPLACE (CONTRACTORS OTHER THAN INDIVIDUALS) -

APPLICABLE TO CONTRACTORS RECEIVING $50,000 OR MORE FROM A STATE

AGENCY AND ALL STATE AGENCIES REGARDLESS OF CONTRACT AMOUNT.

As required by the S.C. Drug-Free Workplace Act #593 of 1990 and the Federal Drug-Free Workplace Act of 1988 and implemented under the applicable CFR –

A. The applicant certifies that it will or will continue to provide a drug-free workplaceby:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the contractor’s workplace and specifying the actions that will be taken against employees for violation of such prohibition;

(b) Establishing an on-going drug-free awareness program to inform employeesabout-

(1) The dangers of drug abuse in the workplace;

(2) The contractor’s policy of maintaining a drug-freeworkplace;

(3) Any available drug counseling, rehabilitation and employee assistance programs;

and,

(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

(c) Making it a requirement that each employee to be engaged in the performance of the contract be given a copy of the statement required by paragraph(a);

(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the contract, the employee will –

(1) Abide by the terms of the statement; and

(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

(d) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d) (2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to the State Funding Agency. Notice shall include the identification number(s) of each affected contract;

(f) Taking one of the following actions, within 30 calendar days of receiving noticeunder subparagraph (d) (2), with respect to any employee who is soconvicted-

(1) Taking appropriate personnel action against such an employee up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or

(2) Requiring such employees to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriateagency;

(g) Making a good faith effort to continue to maintain a drug-free workplacethrough implementation of paragraphs (a), (b), (c), (d), (e) and(f).

B. DRUG-FREE WORKPLACE (CONTRACTORS WHO ARE INDIVIDUALS) -APPLICABLE

TO CONTRACTORS RECEIVING $50,000 or MORE FROM A STATE AGENCY.

As required by the S.C. Drug-Free Workplace #593 of 1990 –

(a) As a condition of the contract I certify that I will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the contract; and

(b) If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any contract activity, I will report the conviction, in writing, within 10 calendar days of the conviction to the State Funding Agency.

Signature of Contractor Typed Name and Title

Legal / Litigation Statement Form

Disclose any litigation within the last five (5) years in which a claim has been made against any team member (individual or company) asserting a cause of action other than Employment issues or Contracts not related to your professional work. Explain the issues in these cases (or the fact there are none) as part of your submittal: