RFP 24_752_037 Attachment Package (1).pdf

ATTACHMENT A: COMMISSIONING AUTHORITY CHECKLIST AND CERTIFICATION

The undersigned, hereby acknowledges having received Request for Proposal (RFP) No. 24-752-037 Third Party Commissioning Services containing a full set of documents:

IMPORTANT NOTICE: The omission of any of the required items listed below shall cause the bid submission to be declared non-responsive and to be rejected.

Owner’s Standard Forms:

Include with

Proposal

Check Box to Confirm Inclusion

Attachment A Commissioning Authority Checklist and Certification (2 pages) YES Attachment B1 Corporate Certificate (1 page)

B1 or B2 or B3 as applicable

Attachment B2 Partnership Certificate (1 page) Attachment B3 Entity Certificate (1 page) Attachment C Subcontractor Listing (1 page) YES Attachment D Offeror’s and Individuals’ Affidavit of Noncollusion (2 pages) YES Attachment E Conflict of Interest Disclosure Form (2 pages) YES Attachment F Consent to Release Information (1 page) YES Attachment H Suspension and Debarment Certification (1 page) YES Attachment I1 Price Sheet Sample Project #1-140,000 Square Feet (2 pages) YES Attachment I2 Price Sheet Sample Project #2-300,000 Square Feet (2 pages) YES Attachment I3 Price Sheet Sample Project #3-450,000 Square Feet (2 pages) YES Attachment I4 Price Sheet Champion Theme School (2 pages) YES Attachment I5 Price Sheet Nancy Creek Facility (2 pages) YES Attachment J Immigration and Security Certification YES Attachment K No Submittal Response Form (1 page) N/A

Other Requirements:

Include with

Proposal

Check Box to Confirm Inclusion

Sample Certificate of Insurance, per General Terms and Conditions Item G. YES Copy of Business License, per General Terms and Conditions Item T. YES Acknowledgement of ALL addenda (if any) on next page. YES

Owner’s Appendices:

Appendix A: Owner’s Narrative and Scope of Work (4 pages) Appendix D: DCSD 2023-2024 and 2024-2025 Calendar Appendix E: Continuing Contract for Professional Services (39 pages) Appendix F: Subcontractor Affidavit of Noncollusion (1 page) Owner’s Exhibits:

Exhibit A: Champion Theme School Plans Issued for Bid (189 pages) Exhibit B: Champion Theme School Project Manual (826 pages) Exhibit C: Nancy Creek Facility Plans Issued for Bid (93 pages) Exhibit D: Nancy Creek Facility Project Manual (820 pages) Exhibit E: Nancy Creek Architect Addendum No. 2 (4 pages)

Indicate Addenda(s) Nos. _____________________________ received (none unless indicated here). The Commissioning Authority is responsible for reading and understanding all sections of this RFP and affirms that the Program Manager shall be bound by all of the terms and conditions contained in this RFP.

Further, the undersigned, being duly sworn, states on oath that no disclosures of ownership have been withheld from the Board, that the information provided herein is current, and Firm and its officers and employees have not entered into any agreement with any other Firm or prospective Firm or with any other person, firm or corporation relating to any prices or other terms named in this RFP or any other RFP, nor has it entered into any agreement or arrangement under which a person, firm or corporation is to refrain from responding to this RFP.

Name of Program Manager:

Signature:

Printed Name:

Title: Date:

Sworn to and subscribed before me this day of , 2_____.

Notary Public: _____________________________ My commission expires: __/__/__.

(SEAL)

THE DEKALB COUNTY SCHOOL DISTRICT RESERVES THE RIGHT TO REJECT ANY AND ALL

PROPOSALS AND TO WAIVE INFORMALITIES.

DeKalb County School District RFP No. 24-752-037 Third Party Commissioning Services Project No. N/A June 27, 2024 Page 1 of 1

ATTACHMENT B1: CORPORATE CERTIFICATE

Proposals

STATE OF _______________________

COUNTY OF _____________________

I, ________________________________, certify that I am the Secretary of the corporation named as offeror in the foregoing proposal; that

_____________________________________ who signed said proposal on behalf of the offeror was then _______________________ of said corporation; that said proposal was duly signed for and in behalf of said corporation by authority of its Board of Directors, and is within the scope of its corporate powers; and that said corporation is organized under the laws of the State of

[signature]

[typed name]

Subscribed and sworn to before me this ___ day of _______________, 2_____.

Notary Public

My Commission Expires:

ATTACHMENT B2: PARTNERSHIP CERTIFICATE

STATE OF __________________________

COUNTY OF ________________________

On this ____ day of ______________, 20______, personally appeared

_____________________________, who executed the above proposal, and being first duly sworn, deposes and says that he or she is a general partner in the firm of

_____________________________ and that said firm consists of himself or herself and

____________________________________________ and that he or she executed the foregoing proposal on behalf of said firm for the uses and purposes stated therein, and that no one except the above named members of the firm have any financial interest whatsoever in said proposed contract.

[Affiant’s Signature]

Partner Partner

Partner Partner

_______________, 2____.

(seal)

Notary Public

NOTE: If only one partner signs, a Power of Attorney executed by all other partners authorizing him or her to act in the name of the partnership must be attached; otherwise, all partners must sign.

ATTACHMENT B3: ENTITY CERTIFICATE

STATE OF _______________________

COUNTY OF _____________________

I, ________________________________, certify that I am the Secretary of the entity named as offeror in the foregoing proposal; that _____________________________________ who signed said proposal in behalf of the offeror was then _______________________ of said entity; that said proposal was duly signed for and on behalf of said entity by due authority, and is within the scope of its legal powers; and that said entity is a ________________________ organized under the laws of the State of ____________________.

[typed name]

_______________, 2____.

ATTACHMENT C: SUBCONTRACTOR LISTING

(Proposals)

TO: DEKALB COUNTY BOARD OF EDUCATION RFP No. 24-752-037 hereinafter called “Owner” Project No. Not Applicable

Pursuant to proposal requirements for the Projects known as Third Party Commissioning Services the undersigned proposes to use the following subcontractors for principal portions of the Project:

PORTION OF THE WORK

SUBCONTRACTOR NAME

CONTACT PERSON

ADDRESS

TELEPHONE NUMBER

Use Additional Sheets If Necessary Provide Signature Identical To That OFFEROR: ___________________________________ Shown On The Proposal Form [typed proper name of Offeror]

By: ______________________________________

[name and title]

DeKalb County School District RFP No. 23-752-037

June 27, 2024 Page 1 of 2

ATTACHMENT D: OFFEROR’S and INDIVIDUALS’ AFFIDAVIT OF NONCOLLUSION (This affidavit to be executed in accordance with O.C.G.A. § 36-91-21(e))

STATE OF ______________________

COUNTY OF ____________________

COMES NOW,

_________________________________________________________(“Offeror”), [name of Offeror] appearing by and through __________________________________ , it’s _________________________ [insert name of individual with [title] authority to bind Offeror]

(averring both individually and in his or her representative capacity on behalf of Offeror) (the “Individual And

Representative Affiant”), and [in these blanks insert the names of all those required to give the oath under O.C.G.A. § 36-91-21(e)]

(collectively, the “Individual Affiants”), and each of the Individual And Representative Affiant and the Individual Affiants, after first being duly sworn, deposes and says that:

1. He, she or it, as applicable, has not directly or indirectly violated subsection (d) of the Official

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

(d) 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.

2. If the Offeror is a partnership, then the Individual And Representative Affiant, together with the

Individual Affiants, constitute all of the partners and any officer, agent or other person who may have

DeKalb County School District RFP No. 23-752-037

June 27, 2024 Page 2 of 2 represented or acted for them in bidding or proposing for or procuring the contract for the DeKalb County

Board of Education for DCSD Project – Third Party Commissioning Services (the “Project”).

3. If the Offeror is a corporation or other entity, then the Individual And Representative Affiant, together with the Individual Affiants, constitute all officers, agents, or other persons who may have acted for or represented the corporation or other entity in bidding for or procuring the contract for the Project.

Further, the Individual And Representative Affiant and the Individual Affiants sayeth not.

This _______ day of _______________, 2____

[insert name of Offeror] and ___________________________________________ [insert name of Individual And Representative Affiant]

By: ___________________________________, both individually and on behalf of Offeror as its

[insert title]

Individual Affiants’ signatures and names:

x_____________________________________ x____________________________________ Name: Name:

x_____________________________________ x____________________________________ Name: Name:

x_____________________________________ x____________________________________ Name: Name:

x_____________________________________ x____________________________________ Name: Name:

x_____________________________________ x____________________________________ Name: Name:

x_____________________________________ x____________________________________ Name: Name:

Sworn to and subscribed before me this ___ day of _______________, 2____.

Notary Public: _____________________ My commission expires: __/__/__.

ATTACHMENT E: CONFLICT OF INTEREST DISCLOSURE AFFIDAVIT

I HEREBY CERTIFY, UNDER OATH, that

1. I (Printed Name), ______________________________________ am the (Title)

_________________________________________________ and I am the duly authorized representative of the firm of (Firm Name) ______________________________________

_____________________________________________ (the “Firm”) for purposes of this

Affidavit, whose address is (Firm Address) _________________________

________________________, and I possess the legal authority to make this Affidavit on behalf of myself and the Firm, as follows:

2. The following employee(s), officer(s) or agent(s) of the Firm (collectively, “Firm

Representative”) is/are related, by blood or marriage, to an employee, agent or Board

Member of the DeKalb County Board of Education (collectively, “Owner

Representative”), as indicated below:

Firm Representative Owner Representative Relation

3. Except as listed below under “EXCEPTIONS”, neither the Firm nor any Firm

Representative have any conflicts of interest, whether real or potential, due to kinship, ownership, other clients, other contracts, interests, or otherwise concerning the DeKalb

County Board of Education, the Project or any Owner Representative:

EXCEPTIONS (fully disclose and completely explain)

[Continued on Next Page]

4. This disclosure is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a bid, proposal or qualification statement for the same contract or project, and is in all respects without collusion or fraud.

Wherefore, the foregoing disclosure is fully complete and true, and may be relied upon by the

DeKalb County Board of Education:

Signature: ____________________________________________

Printed Name: ____________________________________________

Firm Name: ____________________________________________

Date: ____________________________________________

Sworn to and described before me this ________ day of _______________________

Personally known: ____________________________________________

OR Produced Identification: ____________________________________________

Type of Identification: ____________________________________________

Notary Public – State of ____________________________________________

My Commission Expires ____________________________________________

Affix Notary Seal Here:

ATTACHMENT F: CONSENT TO RELEASE INFORMATION

The undersigned, having submitted a competitive sealed Proposal to the DeKalb County Board of Education in respect of a local government entity public works construction project (or being a partner in a joint venture that has submitted such proposal), hereby authorizes any person or entity having in its possession, custody or control any information regarding the undersigned to fully disclose and make available such information to the DeKalb County Board of Education, its agents, attorneys and other representatives.

This ___ day of _______________, 2_____.

[Printed name of person or entity consenting to release of information]

By: ___________________________________

Printed name: ___________________________

Printed Title: ____________________________

ATTACHMENT H

SUSPENSION AND DEBARMENT CERTIFICATION

By submitting this RFP/RFQu, the offeror certifies that the proposing company and/or its principals have not been suspended, excluded, disqualified, debarred, proposed for debarment, declared ineligible or voluntarily excluded from participation in any transaction by any federal or state department or agency and that the offeror complies with all applicable orders, rules and regulations related thereto.

Further, by submitting this RFP/RFQu, the offeror certifies that all lower tier participating individuals and/or company(s) and all respective principals of lower tier participants have not been suspended, excluded, disqualified, debarred, proposed for debarment, declared ineligible or voluntarily excluded from participation in any transaction by any federal or state department or agency and that the offeror complies with all applicable orders, rules and regulations related thereto.

The certification placed herein is a material representation of fact upon which reliance will be placed as RFP/RFQu submissions are evaluated and any transaction is entered into. If it is later determined that the prospective offeror has knowingly rendered an erroneous certification, the DCSD may pursue all available remedies, including but not limited to suspension and/or debarment.

The prospective offeror shall provide immediate written notice to the DeKalb County School District Operations Division Procurement Department if at any time the prospective offer learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

The prospective offeror agrees by submitting this form that, should the proposed transaction be entered into, the prospective offeror shall not knowingly enter into any lower tier transaction with a person or entity that is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this transaction.

By signing and submitting this form, the offeror is providing the certification set out above.

Company Name

Signature of Engaging Official: _____________________________

(Offeror Certifying Official Signature)

Date: _____________

RFP No. 24-752-037

Project Name: Size:

NAME OF OFFEROR:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

* List position, number of hours, and hourly rate as indicated.

Position

Assumed Schedule Basis ‐ Offeror's Price Must Account for Reasonable Schedule Changes Please note that Offeror is responsible for checking the accuracy of the information including herein, including calculations and formulas.

ATTACHMENT I1

Third Party Commissioning

Pricing Form

Template Budget: $63,000.00

Commissioning Personnel Cost (fully loaded inclusive of direct and indirect costs, background checks,travel, reimbursable and incidental expenses)

To ta l C os t p er

P os iti on

(10% of Commissioning Personnel Cost)

TO

TA

L

HO

U

RS

Commissioning Services Total Cost

Owner's Contingency

Total Hours per Phase Total Hours for the Project

Ho ur ly B ill in g Ra te

Name

SAMPLE PROJECT #1 140,000 SF

Pr e-de isg n

D es ig n

Ph as e

Pr ec on st ru ct io n

Ph as e

Co ns tr uc tio n

Ph as e

Bu ild in g

En ve lo pe

C om m iss io ni ng

TELEPHONE NUMBER:

Pr ep ar e

Fa ci lit ie s R eq ui re m en ts a nd

O pe ra tio ns

M ai nt en an ce

P la n

Pr ov id e a

CO

Bi e-co m pl ia nt D at ab as e

Cl os e-ou t P ha se (i nc lu di ng

2-m on th w ar ra nt y pe rio d)

[If the Contractor is a joint venture, utilize this section of the proposal form for signatures.]

[typed name of Joint Venture Partner]

[typed name of Joint Venture Partner]

[signature]

[typed name of Joint Venture Partner]

[signature]

By:_______________________________________________

By submission of this Proposal, the Contractor certifies that this Proposal has been derived independently, without consultation, communication or agreement as to any matter relating to this Proposal with any other Contractor or with any competitor. The Contractor hereby certifies that this Proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a proposal for the same Project and is in all respects fair and without collusion or fraud. The Contractor agrees to abide by all conditions of the Request for Proposal.

[typed name and title]

[date of execution]

Respectfully submitted_______________________________________________ [typed name of Contractor]

[signature]

By: ______________________________________________[seal]

[typed name and title]

Respectfully submitted_______________________________________________

By:_______________________________________________

By: ______________________________________________[seal]

[date of execution]

[typed name and title]

[date of execution]

By: ______________________________________________[seal]

The person signing this bid form must be legally authorized to bind the company.

NAME OF OFFEROR:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

* List position, number of hours, and hourly rate as indicated.

Position

Assumed Schedule Basis ‐ Offeror's Price Must Account for Reasonable Schedule Changes Please note that Offeror is responsible for checking the accuracy of the information including herein, including calculations and formulas.

Commissioning Personnel Cost (fully loaded inclusive of direct and indirect costs, background checks,travel, reimbursable and incidental expenses)

Pr ep ar e

Fa ci lit ie s R eq ui re m en ts ra tio ns

M ai nt en an ce

P la n

Pr ov id e a

CO

Bi e-co m pl ia nt D at ab as e

Cl os e-ou t P ha se (i nc lu di ng

2-m ra nt y pe rio d)

Ho ur ly B ill in g Ra te

SAMPLE PROJECT #2 300,000 SF

Pr e-de isg n

D es ig n

Ph as e

Pr ec on st ru ct io n

Ph as e

Co ns tr uc tio n

Ph as e

Bu ild in g

En ve lo pe

C om m iss io ni ng

TELEPHONE NUMBER:

To ta l C os t p er

P os iti on

(10% of Commissioning Personnel Cost)

TO

TA

L

HO

U

RS

Commissioning Services Total Cost

Owner's Contingency

Total Hours per Phase Total Hours for the Project

Name

ATTACHMENT I2

Third Party Commissioning

Pricing Form

Template Budget: $125,000.00

[If the Contractor is a joint venture, utilize this section of the proposal form for signatures.]

[typed name of Joint Venture Partner]

[typed name of Joint Venture Partner]

[signature]

[typed name of Joint Venture Partner]

[signature]

[typed name and title]

[date of execution]

By: ______________________________________________[seal]

By:_______________________________________________

By submission of this Proposal, the Contractor certifies that this Proposal has been derived independently, without consultation, communication or agreement as to any matter relating to this Proposal with any other Contractor or with any competitor. The Contractor hereby certifies that this Proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a proposal for the same Project and is in all respects fair and without collusion or fraud. The Contractor agrees to abide by all conditions of the Request for Proposal.

[typed name and title]

[date of execution]

Respectfully submitted_______________________________________________ [typed name of Contractor]

[signature]

By: ______________________________________________[seal]

[typed name and title]

Respectfully submitted_______________________________________________

By:_______________________________________________

By: ______________________________________________[seal]

[date of execution]

NAME OF OFFEROR:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

* List position, number of hours, and hourly rate as indicated.

Position

Assumed Schedule Basis ‐ Offeror's Price Must Account for Reasonable Schedule Changes Please note that Offeror is responsible for checking the accuracy of the information including herein, including calculations and formulas.

ATTACHMENT I3

Third Party Commissioning

Pricing Form

Template Budget: $190,000.00

Commissioning Personnel Cost (fully loaded inclusive of direct and indirect costs, background checks,travel, reimbursable and incidental expenses)

To ta l C os t p er

P os iti on

(10% of Commissioning Personnel Cost)

TO

TA

L

HO

U

RS

Commissioning Services Total Cost

Owner's Contingency

Total Hours per Phase Total Hours for the Project

Ho ur ly B ill in g Ra te

Name

SAMPLE PROJECT #3 450,000

Pr e-de isg n

D es ig n

Ph as e

Pr ec on st ru ct io n

Ph as e

Co ns tr uc tio n

Ph as e

Bu ild in g

En ve lo pe

C om m iss io ni ng

TELEPHONE NUMBER:

Pr ep ar e

Fa ci lit ie s R eq ui re m en ts ra tio ns

M ai nt en an ce

P la n

Pr ov id e a

CO

Bi e-co m pl ia nt D at ab as e

Cl os e-ou t P ha se (i nc lu di ng

2-m ra nt y pe rio d)

[If the Contractor is a joint venture, utilize this section of the proposal form for signatures.]

[typed name of Joint Venture Partner]

[typed name of Joint Venture Partner]

[signature]

[typed name of Joint Venture Partner]

[signature]

By:_______________________________________________

By submission of this Proposal, the Contractor certifies that this Proposal has been derived independently, without consultation, communication or agreement as to any matter relating to this Proposal with any other Contractor or with any competitor. The Contractor hereby certifies that this Proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a proposal for the same Project and is in all respects fair and without collusion or fraud. The Contractor agrees to abide by all conditions of the Request for Proposal.

[typed name and title]

[date of execution]

Respectfully submitted_______________________________________________ [typed name of Contractor]

[signature]

By: ______________________________________________[seal]

[typed name and title]

Respectfully submitted_______________________________________________

By:_______________________________________________

By: ______________________________________________[seal]

[date of execution]

[typed name and title]

[date of execution]

By: ______________________________________________[seal]

Project Name:

NAME OF OFFEROR:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

* List position, number of hours, and hourly rate as indicated.

Position

Assumed Schedule Basis ‐ Offeror's Price Must Account for Reasonable Schedule Changes Please note that Offeror is responsible for checking the accuracy of the information including herein, including calculations and formulas.

Pr ep ar e

Fa ci lit ie s R eq ui re m en ts ra tio ns

M ai nt en an ce

P la n

Pr ov id e a

CO

Bi e-co m pl ia nt D at ab as e

Cl os e-ou t P ha se (i nc lu di ng

2-m ra nt y pe rio d)

Ho ur ly B ill in g Ra te

Pr e-de isg n

D es ig n

Ph as e

Pr ec on st ru ct io n

Ph as e

Co ns tr uc tio n

Ph as e

Bu ild in g

En ve lo pe

C om m iss io ni ng

TELEPHONE NUMBER:

To ta l C os t p er

P os iti on

(10% of Commissioning Personnel Cost)

TO

TA

L

HO

U

RS

Commissioning Services Total Cost

Owner's Contingency

Total Hours per Phase Total Hours for the Project

Name

Commissioning Personnel Cost (fully loaded inclusive of direct and indirect costs, background checks,travel, reimbursable and incidental expenses)

ATTACHMENT I4

Third Party Commissioning

Pricing Form Champion Theme MS Mechanical & Electrical Systems/Equipment Replacement

Size: 131,176 Square Feet

[If the Contractor is a joint venture, utilize this section of the proposal form for signatures.]

[typed name of Joint Venture Partner]

[typed name of Joint Venture Partner]

[signature]

[typed name of Joint Venture Partner]

[signature]

By:_______________________________________________

The person signing this bid form must be legally authorized to bind the company.

[typed name and title]

[date of execution]

By: ______________________________________________[seal]

By submission of this Proposal, the Contractor certifies that this Proposal has been derived independently, without consultation, communication or agreement as to any matter relating to this Proposal with any other Contractor or with any competitor. The Contractor hereby certifies that this Proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a proposal for the same Project and is in all respects fair and without collusion or fraud. The Contractor agrees to abide by all conditions of the Request for Proposal.

[typed name and title]

[date of execution]

Respectfully submitted_______________________________________________ [typed name of Contractor]

[signature]

By: ______________________________________________[seal]

[typed name and title]

Respectfully submitted_______________________________________________

By:_______________________________________________

By: ______________________________________________[seal]

[date of execution]

Project Name:

NAME OF OFFEROR:

ADDRESS:

CITY, STATE, ZIP CODE:

EMAIL ADDRESS:

* List position, number of hours, and hourly rate as indicated.

Position

Assumed Schedule Basis ‐ Offeror's Price Must Account for Reasonable Schedule Changes Please note that Offeror is responsible for checking the accuracy of the information including herein, including calculations and formulas.

Pr ep ar e

Fa ci lit ie s R eq ui re m en ts ra tio ns

M ai nt en an ce

P la n

Pr ov id e a

CO

Bi e-co m pl ia nt D at ab as e

Cl os e-ou t P ha se (i nc lu di ng

2-m ra nt y pe rio d)

Ho ur ly B ill in g Ra te

Pr e-de isg n

D es ig n

Ph as e

Pr ec on st ru ct io n

Ph as e

Co ns tr uc tio n

Ph as e

Bu ild in g

En ve lo pe

C om m iss io ni ng

TELEPHONE NUMBER:

To ta l C os t p er

P os iti on

(10% of Commissioning Personnel Cost)

TO

TA

L

HO

U

RS

Commissioning Services Total Cost

Owner's Contingency

Total Hours per Phase Total Hours for the Project

Name

Commissioning Personnel Cost (fully loaded inclusive of direct and indirect costs, background checks,travel, reimbursable and incidental expenses)

ATTACHMENT I5

Third Party Commissioning

Pricing Form Nancy Creek Facility Major Building System Replacement (HVAC/Fire Sprinkler)

Size: 57,163 Square Feet

[If the Contractor is a joint venture, utilize this section of the proposal form for signatures.]

[typed name of Joint Venture Partner]

[typed name of Joint Venture Partner]

[signature]

[typed name of Joint Venture Partner]

[signature]

By:_______________________________________________

The person signing this bid form must be legally authorized to bind the company.

[typed name and title]

[date of execution]

By: ______________________________________________[seal]

By submission of this Proposal, the Contractor certifies that this Proposal has been derived independently, without consultation, communication or agreement as to any matter relating to this Proposal with any other Contractor or with any competitor. The Contractor hereby certifies that this Proposal is made without prior understanding, agreement or connection with any corporation, firm or person submitting a proposal for the same Project and is in all respects fair and without collusion or fraud. The Contractor agrees to abide by all conditions of the Request for Proposal.

[typed name and title]

[date of execution]

Respectfully submitted_______________________________________________ [typed name of Contractor]

[signature]

By: ______________________________________________[seal]

[typed name and title]

Respectfully submitted_______________________________________________

By:_______________________________________________

By: ______________________________________________[seal]

[date of execution]

ATTACHMENT J: IMMIGRATION AND SECURITY CERTIFICATION

If you are providing service, performing work or delivering goods to the DeKalb County Board of Education/DeKalb County School District including, but not limited to schools, warehouses and central offices, the applicable Georgia Security and Immigration Compliance documents found here must be completed, signed, notarized and submitted with your bid/proposal. Failure to provide this document with your bid/proposal will result in the disqualification of the bid/proposal.

1) Offeror/Bidder shall at all times comply with the Georgia Security and Immigration Compliance Act, as amended, O.C.G.A. § 13-10-90 et. seq.

2) In order to insure compliance with the Immigration Reform and Control Act of 1986 (IRCA), D.L. 99-603 and the Georgia Security and Immigration Compliance Act, as amended by the Illegal Immigration Reform Act of 2011, O.C.G.A. § 13-10-90 et. seq. (collectively the “Act”), the Offeror MUST INITIAL the statement applicable to Offeror below:

(a) (Initial here): Offeror declares under penalties of perjury that, Offeror has registered at https://e-verify.uscis.gov/enroll/ to verify information of all new employees in order to comply with the Act; is authorized to use and uses the federal authorization program under the federal work authorization user identification number issued on the date of authorization below; will continue to use the authorization program throughout the contract period; Offeror further warrants and agrees Offeror shall execute and return any and all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1-.01 et. seq. [Offerors who initial (a) must attach and return a signed, notarized Contractor Affidavit and Agreement with the Contract if awarded];

or

(b) ________ (Initial here): Offeror/Bidder warrants that he/she does not employ any other persons, and he/she does not intend to hire any employees or to perform the Contract. [Offerors/Bidders who initial (b) must attach and return a signed, notarized Affidavit of Exception with the Contract if awarded];

or

(c) _______ (Initial here) Offeror/Bidder is an individual who is licensed pursuant to Title 26 or Title 43 or by the State Bar of Georgia and is in good standing when such contract is for services to be rendered by such individual and thus does not have to provide an affidavit.

_ 3) _____ (Initial here) Offeror/Bidder will not employ or contract with any subcontrator in connection with a covered contract unless the subcontractor is registered, authorized to use, and uses the federal work authorization program; and provides Offeror/Bidder with all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1-.01 et. seq.

4) _____(Initial here) Offeror/Bidder agrees that, if Offeror/Bidder employs or contracts with any sub-contractor in connection with the covered contract under the Act and DOL Rules 300-10-1-.01, https://e-verify.uscis.gov/enroll/ et seq that Offeror/Bidder will secure from each sub-contractor at the time of the contract the sub-contractor’s name and address, the employee-number applicable to the sub-contractor, the date the authorization to use the federal work authorization program was granted to sub-contractor; the subcontractor’s attestation of the subcontractor’s compliance with the Act and Georgia Department of Labor Rule 300-10-1-.01, et seq.; and the subcontractor’s agreement not to contract with sub-subcontractors unless the sub-subcontractor is registered, authorized to use, and uses the federal work authorization program; and provides subcontractor with all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1- .01 et. seq.

5) ______(Initial here) Offeror/Bidder agrees to provide the DeKalb County School District with all affidavits of compliance as required by O.C.G.A. § 13-10-90 et seq. and Georgia Department of Labor Rules 300-10-1-.01, et seq within five (5) business days of receipt.

Signature Date

EEV/Basic Pilot Program Date of Authorization User Identification Number

Firm Name: __________________________________________________________

Street/Mailing Address: ________________________________________________

City, State, Zip Code: __________________________________________________

Telephone Number: ___________________________________________________

Email Address: _______________________________________________________

SUBSCRIBED AND SWORN

BEFORE ME ON THIS THE

______ DAY OF_____________________, 20____

ATTACHMENT K: NO SUBMITTAL RESPONSE FORM

RFP Number: 24-752-037 DCSD Project No.: N/A Title: Third Party Commissioning Services

If your company will not be submitting a proposal in response to this Request for Proposal, please complete this form and return prior to the RFP due date established within to:

DeKalb County Board of Education (the “Board”)

Procurement Services Attention: Senior Procurement Manager

Email: belinda_quillet@dekalbschoolsga.org

This information will assist Procurement Services in the preparation of future RFPs.

Company Name:

Contact:

Address:

Telephone: _________________________________ Fax:

Email:

Please check reason for a “no submittal.”

_____ Specifications ‘too tight,” geared toward one brand or manufacturer (explain below)

_____ Insufficient time to respond

_____ Specifications unclear (explain below)

_____ We do not offer this service or an equivalent

_____ Our schedule does not permit us to perform

_____ Unable to meet specifications

_____ Unable to meet bond requirements

_____ Unable to hold prices respondent throughout the term of the contract period

_____ Unable to meet insurance requirements

_____ Other

Explanation: __________________________________________________________________________________

If submitting this form, only this form needs to be returned mailto:belinda_quillet@dekalbschoolsga.org