RFP 2026_016 CEI Services_ MIB _ 78_ Bid Manu.pdf

City of Tucker

Request for Proposal

RFP 2026-016

Construction, Engineering and Inspection (CEI) Services for SR 410/US 78 @ CR 9476/MOUNTAIN IND BLVD

ROADWAY IMPROVEMENT PROJECT PI 0017399

City of Tucker 1975 Lakeside Parkway, Suite 350

Tucker, Georgia 30234

City of Tucker Request for Proposal 2026-016 CEI Services for SR 410/US 78 @ CR 9476/MOUNTAIN IND BLVD

The City of Tucker, Georgia requests a quote for Construction Engineering and Inspection Services, including Materials Testing in accordance with GDOT Standards and Specifications for the referenced project. The selected firm shall work closely with the selected contractor and City of Tucker Staff to deliver a successful project.

BID ACTIVITY SCHEDULE

RFP Issued June 16, 2026 Pre-Bid Conference NA Deadline for Questions June 25, 2026, at 1:00pm EST Responses to Questions Posted (Addenda) June 29, 2026 Proposal Deadline July 9, 2026, at 1:00pm EST Scoring by Evaluation Committee July 10-17, 2026 Award at Council Meeting August 10, 2026 (Tentative)

SCOPE OF WORK: Refer to Exhibit A.

PRE-PROPOSAL CONFERENCE: There will be no pre-bid conference for this solicitation.

QUESTIONS: Submit all questions in writing to procurement@tuckerga.gov. Reference RFP 2026-016 in the subject line of the email.

ADDENDA: Responses to the questions received will be by addenda and will be posted on the City website www.tuckerga.gov/bids. The signed acknowledgement issued with each addendum must be submitted with the proposal. It is the responsibility of the proposer to verify if any addenda were created.

SUBMITTAL REQUIREMENTS: Contractor shall submit RFP Response electronically to procurement@tuckerga.gov so that it is received no later than July 9, 2026 at 1:00pm EST with the subject line “Submittal: RFP 2026-016”. The submittal shall be two PDF files:

• The proposal shall be named “<Company Name>.RFP 2026-016.Bid Submittal.pdf”.

• The Cost Proposal shall be named “<Company Name>.RFP 2026-016.Cost Proposal.pdf”

The submittal email will be opened to confirm receipt of the submittal; however, the attached PDF files will remain unopened until the public opening.

PROPOSAL OPENING: All proposals received prior to the deadline will be opened publicly on July 9, 2026 at 1:00pm EST at Tucker City all located at 1975 Lakeside Parkway, Suite 350, Tucker GA. A listing of submittals received prior to the bid deadline will be posted on the City website www.tuckerga.gov/bids following the opening of the proposals.

DOCUMENT SUBMITTAL REQUIREMENTS:

1. Proposal for services, including the qualifications of staff that will be assigned to the project and references.

2. Proposal Price Certification (form provided)

3. Cost Proposal (submit as separate file)

4. Proposed List of Subcontractors (form provided)

5. GDOT Qualifications Checklist (form provided)

6. GDOT Certifications/Letters

7. W-9 (form provided)

8. Certificate of Current Insurance for Verification Purposes

9. Notarized Contractor E-Verify Affidavit (form provided)

10. Oath of Non-Collusion (form provided)

11. Contact Information (form provided)

All responses must be received electronically by the Bid Deadline. (Addenda will show any schedule updates). No bids will be received orally, by phone, or by sealed paper documents. Only electronic bids in accordance with submittal requirement instructions will be accepted. Late bids will not be considered. Bids received after the bid deadline will be filed unopened. The City of Tucker reserves the right to reject any and all bids or any part, to waive any formalities to make an award and to re-advertise in the best interest of the City. The City reserves the right to consider past performance in determining the responsibleness of bidders.

The City reserves the right to negotiate pricing with the top scoring bidder and may, in its discretion, award a contract to the responsible and responsive proposer submitting the proposal which is deemed to be the most advantageous to the City, price and other factors being considered, as described in the selection criteria.

Scope of Work

PURPOSE, INTENT, AND PROJECT DESCRIPTION

The City of Tucker, Georgia requests a quote for Construction Engineering and Inspection Services, including Materials Testing in accordance with GDOT Standards and Specifications for the referenced project. The firm selected shall work closely with the selected contractor and City of Tucker Staff to deliver a successful project.

BACKGROUND

The construction contract has not yet been awarded; however, the bids have been reviewed, and the City intends to award a construction contract in the amount of $8,378,788.82. The construction contract is tentatively scheduled for award on August 10, 2026. The Notice to Proceed date will be determined at a later time. Once construction begins, the project is anticipated to have a duration of approximately 548 calendar days.

This project is funded by City of Tucker capital project budget and grant funding from the Georgia Department of Transportation (GDOT).

PROJECT OBJECTIVES (include but are not limited to)

• Provide services which are required for contract administration, construction inspection, documentation, maintenance of project records and general contract compliance for the project and appropriate with the requirements of GDOT’s Plan Development Process, GDOT Construction Manual and Local Administered Projects (LAP). Such requirements include, but are not limited:

• Labor Interviews, DBE Goal Compliance Review

• Record Keeping including Daily Reports

• Preconstruction Conference

• Quality Assurance

• RFI/Submittal Coordination

• Aid with Audit (if necessary)

• Pay Application Review including contract modifications (as needed)

• Environmental Compliance

• Schedule Management

• Aid with Utility Coordination

• Final Acceptance/Closing Conference Coordination

• Will City staff be responsible for the warranty walk for landscaping and other items covered?

• Erosion Control Reports

• Traffic Control Reports (if required)

• Provide a project manager to coordinate all activities and serve as the contact with the City Staff, provide a PE/Engineer who shall oversee inspections, and shall propose additional recommended personnel. It is expected for the CEI contractor project manager(s) to be on-site through the substantial completion inspection and to be available by phone during project construction hours.

• Become familiar with the construction plans and other contract documents for the project, as well as the Contractors proposed schedule of operations.

• Furnish all materials, equipment, supplies, transportation and incidentals to perform CEI services.

• Observe the Contractor’s work to determine the progress and quality of work, identify discrepancies, report significant discrepancies to City staff and direct the Contractor to correct such discrepancies.

• Monitor contractor timeliness in preparing submittal packages and RFIs for review to Atlas Technical Consultants, the engineer of record, for review.

• Utilize effective control procedures to assure the construction of the project is performed in conformity with the plans, specifications and contract provisions.

• Notify City staff and the Engineer of Record of any unanticipated project conditions.

• Propose projected on-site inspections and costs for testing and inspection. Facilitate such testing and materials samplings and reject the Contractor’s work and materials not meeting the Specifications and/or Special provisions as stated in the plans, specifications and construction contract. A sub-contractor may be utilized. Actual costs will be dictated by actual billed hours.

• Analyze contractor claims for changes and aid in negotiation of prices, as necessary.

• Work with the City to provide status updates to the community as needed and maintain a record of such community interactions and provide copies to the City as required.

• Facilitate a bi-weekly in-person meeting with Construction Company and City staff to update project status and to answer any questions that may arise. Meetings with the City’s Capital Projects Manager may be requested.

• Review the contractor’s Schedule of Values (SOV) and review / approve Payment Applications from the contractor.

• Maintain diaries, logs and records consistent with GDOT PDP Process including digital file structure. Will these go directly to Finance or will PW need to approve to be put in system to be provided to City of Tucker Public Works Staff.

• Assist with utility coordination as needed.

• Manage final punch list field review.

• Work with the contractor to deliver one copy of the “as-built” or “record” plan to the

City upon completion of the project.

• The Contract Documents including but not limited to the scope of work, plans, and specifications.

• City of Tucker ordinances and regulations.

• OSHA standards and guidelines.

• Any other applicable codes, laws and regulations including but not limited to Section 45- 10-

20 through 45-10-28 of the Official Code of Georgia Annotated, Title VI of the Civil Rights Act, Drug-Free Workplace Act, and all applicable requirements of the Americans with Disabilities Act of 1990.

The contractor will be responsible for providing all labor, materials, and equipment necessary to perform the work. This is a lump sum priced project. No change order will be issued for unforeseen schedule delays.

The contractor is responsible for inspecting the jobsite prior to submitting a quote. No change orders will be issued for differing site conditions.

SPECIAL CONDITIONS

1. The selected firm shall be GDOT prequalified in work class 8.01 The selected firm or subcontractor shall be GDOT prequalified or registered in work classes 6.04(a) and 6.04(b).

2. The selected firm shall have recent (within the past 24-month) construction inspection experience within Dekalb County on a similar project. Please provide previous experience in proposal.

3. Daily records, reports, and pictures shall be provided to the City on a weekly basis.

4. A weekly report shall be provided to the City of Tucker staff by 10:00AM every Friday.

5. The City will provide a meeting space at City Hall as needed. Coordination with City staff is required.

6. The selected firm shall furnish all personnel, technology, and equipment required to deliver the intent of this solicitation and in compliance with all GDOT processes and procedures.

PLANS / DRAWINGS

Design plans prepared for the City of Tucker by Atlas Technical Consultants may be accessed from the ITB 2026-013 solicitation documents on the City of Tucker website.

www.tuckerga.gov/bids.

********************End of Scope of Work******************** http://www.tuckerga.gov/bids

RFP STANDARD INFORMATION

1. Authority

This RFP is issued under the authority of the Purchasing Division of the City of Tucker.

The RFP process is a procurement option allowing the award to be based on stated evaluation criteria. The RFP states the relative importance of all evaluation criteria. No other evaluation criteria, other than as outlined in the RFP, will be used.

2. Offeror Competition

The City encourages free and open competition among offerors. Whenever possible, the City will design specifications, proposals, and conditions to accomplish this objective, consistent with the necessity to satisfy the City’s need to procure technically sound, cost‐ effective services and supplies.

3. Receipt of Proposals and Public Inspection

(a) Public Information

All information received in response to this RFP, including copyrighted material, is deemed public information and will be made available for public viewing and copying shortly after the time for receipt of Proposals has passed with the following four exceptions: (1) bona fide trade secrets meeting confidentiality requirements that have been properly marked, separated and documented; (2) matters involving individual safety as determined by the City of Tucker (3) any company financial information requested by the City of Tucker to determine Contractor responsibility, unless prior written consent has been given by the offeror; and (4) other constitutional protections.

(b) Procurement Officer Review of Proposals

Upon opening the Proposals received in response to this RFP, the procurement officer in charge of the solicitation will review the Proposals and separate out any information that meets the referenced exceptions in Section 3.a. above, providing the following conditions have been met:

• Confidential information is clearly marked and separated from the rest of the

Proposals.

• The Proposals do not contain confidential material in the cost or price section.

• An affidavit from an offeror’s legal counsel attesting to and explaining the validity of the trade secret claim is attached to each Proposal containing trade secrets.

Information separated out under this process will be available for review only by the procurement officer, the evaluation committee members, and limited other designees.

Offerors must be prepared to pay all legal costs and fees associated with defending a claim for confidentiality in the event of a “right to know” (open records) request from another party.

4. Classification and Evaluation of Proposals

(a) Determination of Responsive or Non‐responsive

All Proposals will initially be classified as either “responsive” or “non‐responsive”.

Proposals may be found non‐responsive any time during the evaluation process or contract negotiation if any of the required information is not provided; the submitted price is found to be excessive or inadequate as measured by criteria stated in the RFP; or the Proposals is not within the plans and specifications described and required in the RFP. If a Proposal is found to be non‐responsive, it will not be considered further.

(b) Determination of Responsibility

The procurement officer will determine whether an offeror has met the standards of responsibility. Such a determination may be made at any time during the evaluation process and through contract negotiation if information surfaces that would result in a determination of non‐responsibility. If an offeror is found non‐responsible, the determination must be in writing, made a part of the procurement file, and mailed to the affected offeror.

5. City’s Rights Reserved

Issuance of the RFP in no way constitutes a commitment by the City of Tucker to award and execute a contract. Upon determination such actions would be in its best interest, the City, in its sole discretion, reserves the right to:

• cancel or terminate this RFP;

• reject any or all Proposals received in response to this RFP;

• waive any undesirable, inconsequential, or inconsistent provisions of this RFP which would not have significant impact on any proposal;

• not award if it is in the best interest of the City not to proceed with contract execution;

or

• if awarded, terminate any contract if the City determines adequate City funds are not available.

6. General Information

1. Only those firms or teams with the necessary resources and a commitment to complete all work on schedule should submit a Proposal.

2. The City may select the best qualified contractor based on the information received from interested firms as a result of this solicitation.

3. City of Tucker reserves the right to cancel any and all Request for Proposals at any time when it is determined to be in the best interest of the City.

4. City of Tucker also reserves the right to increase, reduce, add or delete any item in this solicitation as deemed necessary.

5. It is the responsibility of all firms interested in submitting proposals for this advertisement to routinely check the posting on the website for any revisions to this

RFP.

6. Incomplete submittals will not be considered. Late submittals will not be accepted.

PROPOSAL SUBMISSION AND EVALUATION

1. Preparation of Proposal

Each Proposal should be prepared simply and economically, avoiding the use of elaborate promotional materials beyond those sufficient to provide a complete presentation. If supplemental materials are a necessary part of the technical Proposals, the Offeror should reference these materials in the technical Proposals, identifying the document(s) and citing the appropriate section and page(s) to be reviewed.

2. Submittal Requirements

Failure to meet these requirements will result in the Proposals being determined “non‐ responsive” and the entire submittal will be rejected. Unless otherwise specified, all requirements will count toward the page limit.

1. Submittals of firm information and Proposals should be no more than ten (10) pages single‐sided, 8½” x 11” pages in length. The 10‐page limit does not include the cover page, tabs or title pages, and the required City forms. Any other supplemental information and pages outside the page limit will not be reviewed and will be considered as non‐responsive to the page limit requirement.

2. Provide firm name, address, telephone number, e‐mail address for the primary contact person, former firm names, official Georgia address (if applicable), and joint venture partner information (if applicable). If the firm has branch offices, state which office will perform most of the work.

3. In table format, provide a brief description of CEI services or related projects completed within the last three (3) years. Include the name of the project owner, contact name and email or phone number.

4. Provide an Organizational Chart of key personnel.

5. Provide the resumes of key personnel who will perform the work. Contractors shall clearly indicate the designated staff that will act as the primary point of contact with the City. Personnel information should include professional registrations, years of experience, years with firm, and description of responsibilities associated with no more than two (2) specific previous projects performed by the individual. Show all licenses and certifications of key personnel including registered professional engineer, land surveyor, and landscape architect.

6. The contractor may provide no more than three (3) additional references in addition to the related project experience provided in item 3 above.

7. The contractor shall submit the required forms provided as part of the bid package, which will not be counted toward the 10-page limit.

3. Evaluation Process

All responsive Proposals will be evaluated based on stated evaluation criteria. In scoring against stated criteria, the City may consider such factors as accepted industry standards and a comparative evaluation of all other qualified RFP responses in terms of differing price, quality, and contractual factors. These scores will be used to determine the most advantageous offering to the City.

Selection and award will be based on the offeror’s Proposals and other items outlined in this RFP. Submitted responses may not include references to information located elsewhere, such as Internet websites or libraries, unless specifically requested.

Information or materials presented by offerors outside the formal response or subsequent discussion/negotiation or “best and final offer,” if requested, will not be considered, will have no bearing on any award, and may result in the offeror being disqualified from further consideration.

4. Selection Criteria

The Evaluation Committee will evaluate the quality and completeness of each proposal as it addresses each requirement of the RFP. The RFP carries a total weight of 100 points.

Proposals will be evaluated and scored in categories. Each category is assigned a maximum point value. Firms will be evaluated and rated based on the criteria below:

Staff Experience - 40 points

Firm Qualifications and Similar Project Experience – 25 Points

Cost Proposal – 35 points Proposers shall provide not to exceed amounts for Engineering services and for Testing services. Proposers should submit clearly defined staff rates and estimated number of hours for proposed assigned staff.

5. Oral Presentations

The City reserves the right to invite Offerors to present their proposal to the Technical Evaluation Team. Evaluation criteria for such presentations will be provided to offerors prior to presentations.

6. City’s Right to Investigate and Reject

The City may make such investigations as deemed necessary to determine the ability of the offeror to provide the supplies and/or perform the services specified.

TERMS AND CONDITIONS

1. The City reserves the right to amend this RFP prior to the due date. All amendments and additional information will be posted to the DOAS/Georgia Procurement Registry, and also the City’s website at: www.tuckerga.gov/bids. Offerors are encouraged to check this website frequently.

2. A submitted Proposal may be withdrawn prior to the due date by written request emailed to the Procurement Manager at procurement@tuckerga.gov. A request to withdraw a Proposals must be signed by an authorized individual.

http://www.tuckerga.gov/

3. The cost for developing the Proposal is the sole responsibility of the Offeror. The City will not provide reimbursement for such costs.

4. If an Offeror has any existing client relationship that involves the City of Tucker, the

Offeror must disclose each relationship.

5. It is the policy of the City of Tucker that minority business enterprises shall have a fair and equal opportunity to participate in the City purchasing process. Therefore, the City of Tucker encourages all minority business enterprises to compete for, win, and receive contracts for goods, services, and construction. Also, the City encourages all companies to sub‐contract portions of any City contract to minority business enterprises. However, there is no DBE minimum goal for this project.

6. The City of Tucker adheres to the guidelines set forth in the Americans with Disabilities

Act. Offerors should contact the Issuing Officer at least one day in advance if they require special arrangements when attending the Offeror's Conference, if any. The Georgia Relay Center at 1‐800‐255‐0126 (TDD Only) or 1‐800‐255‐0135 (Voice) will relay messages, in strict confidence, for the speech and hearing impaired.

7. The Contractor will comply with all City, State of Georgia, Title VI and Federal laws, rules, and regulations.

8. This RFP expressly limits acceptance to the terms stated below. Any additional or different terms proposed by Contractor and expressed in any form (acknowledgements, confirmations, invoices, catalogs, brochures, technical data sheets, etc.), whether before or after Contractor’s receipt of this contract, shall not be binding upon City. City’s silence or acceptance of the Materials shall not constitute consent to such additional or different terms.

9. Contractor shall be responsible for and shall indemnify and hold City harmless from any and all claims, demands, costs, damages and expenses of whatever nature (including, without limitation, attorney’s fees) relating to or arising from (a) Contractor’s breach of any of the representations and warranties contained herein; (b) Contractor’s failure to follow City’s specifications; (c) Contractor’s other breach of the terms hereof; or (d) any other act(s) or omissions(s) of Contractor, its employees, independent contractors, agents, and suppliers.

10. At City’s option, Contractor shall either issue an appropriate credit or undertake, at

Contractor’s sole cost, corrections to materials made necessary by reason of Contractor’s failure to follow City’s specifications or Contractor’s other breach of the terms hereof. The remedies afforded by City in this paragraph are in addition to, not in lieu of, any other remedy herein or provided by law or equity.

11. Contractor shall, at its own cost and expense, obtain and maintain worker’s compensation, general commercial liability and commercial automobile insurance covering the period of the project. The minimum limit for Worker’s Compensation insurance shall be the statutory limit for such insurance and must contain a waiver of subrogation against the City of Tucker. The minimum limits for commercial general liability, which must include personal liability coverage, shall be $1,000,000 per person and $2,000,000.00 per occurrence for bodily injury and $500,000 per occurrence for property damage and shall name the City of Tucker as an additional named insured. The automobile liability insurance shall have limits of not less than $1,000,000 combined single limit for bodily injury and/or property damage per occurrence, and such policies shall name the City of Tucker as an additional named insured. In addition to above general coverage, contractor shall maintain Professional Liability Insurance with limits of $2,000,000 per occurrence and aggregate. All insurance shall be obtained from a responsible insurance company legally licensed and authorized to transact business in the state of Georgia and shall provide for thirty (30) days prior notice of cancellation to City.

Upon request, Contractor shall deliver to City a certificate or policy of insurance evidencing Contractor’s compliance with this paragraph. Contractor shall abide by all terms and conditions of the insurance and shall do nothing to impair or invalidate the coverage.

12. Contractor shall at all times be acting as an independent contractor and not be considered or deemed to be an agent, employee, joint venture or partner of City. Contractor shall have no authority to contract for or bind City in any manner.

13. Contractor may not assign this agreement or any of its rights or responsibilities hereunder, without City’s prior written consent.

14. Upon not less than two (2) days prior notice, City shall have the right to inspect and audit all records (including, without limitation, financial records) of Contractor which pertain to Contractor’s fulfillment of this agreement and charge therefore.

15. In the event of Contractor’s breach hereunder, City, in addition to the recovery of all monies and damages owed to City, shall be entitled to recover from Contractor the reasonable attorney’s fees and court costs incurred by City as a result of such breach.

16. Miscellaneous

(a) No remedy of City shall be exclusive of any other remedy herein or provided by law as equity, but each shall be cumulative. (b) City’s failure or forbearance to enforce any term hereof shall not be deemed to be a waiver of such right or claim, or any right of claim hereunder. Moreover, City’s waiver of any term hereof shall not operate or be construed as a waiver of any subsequent breaches of the same or any other term. (c) If any of the terms hereof shall be determined to be invalid or unenforceable, the remaining terms shall remain in full force and effect. (d) The terms contained in this contract constitute the entire agreement between City and Contractor and supersedes all other oral or written Proposals, purchase orders, invoices, agreements and communications between City and Contractor relating to the subject matter hereof. (e) No term of this agreement may be modified or waived except by an instrument in writing signed by an authorized representative of the party against which enforcement of such modification or waiver is sought. (f) This agreement and all disputes arising hereunder shall be governed by and construed in accordance with the laws of the State of Georgia.

Request For Proposal 2026-016 CEI Services for SR 410/US 78 @ CR 9476/MOUNTAIN IND BLVD ROADWAY

IMPROVEMENT PROJECT PI 0017399

Proposal Price Certification

In compliance with the attached specification, the undersigned understands the minimum scope requirements of the City of Tucker for this project.

The undersigned offers and agrees that if this proposal is accepted by the Mayor and City Council within one hundred twenty (120) days of the date receipt of quote, that the undersigned will furnish any or all of the deliverables and additional services offered, at the quoted price, to the designated point(s) within the time specified.

DATE_________________

COMPANY__________________________________________________________________

AUTHORIZED SIGNATURE____________________________________________________

PRINT / TYPE NAME __________________________________________________________

CONTACT’S EMAIL ADDRESS __________________________________________________

PROPOSED SUBCONTRACTORS FORM: RFP 2026-016

Please complete this form and return as part of your bid package when it is submitted.

If no subcontractors are proposed, please indicate “N/A”.

Name of Proposer

1. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided and GDOT Area Class (if applicable):

2. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided and GDOT Area Class (if applicable):

3. Subcontractor Name: _____________________________________________________

% of Bid Amount: __________________________________________________________

Description of Work provided and GDOT Area Class (if applicable):

Duplicate if needed.

Company Name:

Select all that apply.

WORK CLASS

Pre-

Qualified Registered Pre- Qualified Registered

Please include qualification / registration credentials in submittal.

8.01 - CONSTRUCTION ENGINEERING

6.04(a) - LABORATORY TESTING OF ROADWAY

CONSTRUCTION MATERIALS

6.04(b) - FIELD TESTING OF ROADWAY

CONTRUCTION MATERIALS

SUB-CONTRACTOR

Construction, Engineering and Inspection (CEI) Services for SR 410/US 78 @ CR

9476/MOUNTAIN IND BLVD ROADWAY IMPROVEMENT PROJECT PI

0017399

GDOT Work Class for which the Proposer can meet Qualification Requirements

Indicate which Work Class your firm or proposed subconsultant/subcontractor has qualified with

GDOT

PRIME

CONSULTANT

REVISED 10.25.2022

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

GEORGIA E-Verify and Public Contracts: The Georgia E-Verify law requires contractors and all sub-contractors on Georgia public contract (contracts with a government agency) for the physical performance of services over $2,499 in value to enroll in E-Verify, regardless of the number of employees.

Contractor Name:

Solicitation/Bid number or Project Description:

By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. § 13-10-91, stating affirmatively that the individual, entity or corporation which is engaged in the physical performance of services under a contract on behalf of the City of Tucker, Georgia has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91.

Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period as required by O.C.G.A. § 13-10-91(b) and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present and affidavit to the contractor with the information required by O.C.G.A. § 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number Date of Authorization (EEV/E-Verify Company Identification Number)

Name of Contractor

I hereby declare under penalty of perjury that the foregoing is true and correct

Printed Name (of Authorized Officer or Agent of Contractor) Title (of Authorized Officer or Agent of Contractor)

Signature (of Authorized Officer or Agent) Date Signed

SUBSCRIBED AND SWORN BEFORE ME ON THIS THE

DAY OF , 20

[NOTARY SEAL]

Notary Public

My Commission Expires:

OATH OF NON-COLLUSION

COMES NOW, ______________________________________________ (“Consultant”), [name of Consultant] appearing by and through _______________________________________________________, [name of individual with authority to bind Consultant] its _____________________________________ (“Individual And Representative Affiant”), and [title]

[insert the names of all those required to give the oath]

(collectively, “Individual Affiants”), and each of the Individual And Representative Affiant and

Individual Affiants, after first being duly sworn, deposes and says that:

1. Consultant has not directly or indirectly violated subsection (d) of the Official Code of

Georgia Annotated Section 36-91-21, which provides as follows:

Whenever a public works construction contract for any governmental entity subject to the requirements of this chapter is to be let out by competitive sealed bid or proposal, no person, by himself or herself or otherwise, shall prevent or attempt to prevent competition in such bidding or proposals by any means whatever. No person who desires to procure such work for himself or herself or for another shall prevent or endeavor to prevent anyone from making a bid or proposal therefor by any means whatever, nor shall such person so desiring the work cause or induce another to withdraw a bid or proposal for the work.

Code Section 36-91-21(d) also applies to municipal street system contracts pursuant to

Official Code of Georgia Annotated Section 32-4-122.

2. Individual And Representative Affiant is the officer of Consultant whose duty it is to make the payment.

3. If Consultant is a partnership, then Individual and Representative Affiant and Individual

Affiants together constitute all of the partners and any officer, agent or other person who may have represented or acted for Consultant in bidding for or procuring the contract.

4. If Consultant is a corporation, then Individual and Representative Affiant and Individual

Affiants together constitute all officers, agents, or other persons who may have acted for or represented Consultant in bidding for or procuring the contract.

Further affiants sayeth not.

This ____ day of ________________, 20___.

By: _________________________________________, individually and on behalf of Consultant [signature of Individual And Representative Affiant]

Name: _____________________________ Title: ______________________________

Individual Affiants’ signatures and names:

Name: Name:

Name: Name:

Name: Name:

Subscribed and Sworn before me on this ______ day of ________________, 20_____.

NOTARY PUBLIC

My Commission Expires:

Contact Information Form

Please fill out this form with the appropriate contact information for your company.

Full Legal Name of Company:

Date:

Contractor Information:

Primary Contact Person:

Title: Telephone Number:

E-mail Address:

Secondary Contact Person:

Title: Telephone Number:

E-mail Address:

Preferred Contact for Administration: (i.e. Document Processing) (Choose one)

☐ Primary Contact ☐ Secondary Contact

Address:

City / State / Zip:

Mailing Address (If different than above):

City / State / Zip:

Federal Employee ID Number (FEIN):