RFP for 2024 Leak Detection.pdf
PDF 8 MB Posted
- Attached to
- 2024LeakDetectionSurvey
- Solicitation number
- PE-75553-NONST-2024-000000027
- Issued by
- Ware County, Georgia
About this file
This document is a Request for Proposal (RFP) issued by Dalton Utilities for a 2024 Leak Detection Survey of their water distribution system. The scope of work requires the contractor to perform a leak detection survey and pinpointing project covering approximately 125 miles of water distribution lines and all connected valves, hydrants, and services. The contractor will be required to provide a detailed report identifying the location, size, and type of each leak, as well as the estimated leak rate. The project must be completed within 60 calendar days of the notice to proceed, and progress billing will be allowed. Bids are due by 10:00 AM on November 15th, 2024.
The RFP outlines the bid requirements, including the need to complete the provided bid sheet, provide a total bid price, and submit a proposal detailing the methodology, equipment, and personnel planned for the project. It also specifies the insurance and E-Verify requirements for the contractor and any subcontractors. Dalton Utilities will provide a field technician to assist with locating the distribution system components, and the contractor will be responsible for any necessary pot holing to access the water mains.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
REQUEST FOR PROPOSAL FOR
2024 LEAK DETECTION SURVEY FOR
DALTON UTILITIES WATER DISTRIBUTION SYSTEM
SCOPE OF WORK
Perform a leak detection survey and pinpointing project to cover approximately 125 miles of water distribution lines and all connected valves, hydrants, services, etc. At a minimum, the final report shall include the following items for each leak: location, size/type of facility, description, equipment used to find leak, estimated leak rate in gallons per minute (gpm), and a picture of the leak location. Each leak is to be clearly marked in the field, as well as documented in the report. It will not be necessary to pinpoint leaks on private lines; however, all leaks discovered on private service lines are to be reported to Dalton Utilities. Dalton Utilities will supply a field technician at all times to assist with locating mains, valves, services, and hydrants. Any pot holing required to gain access to the mains for the purpose of testing is the responsibility of the contractor.
PROJECT REQUIREMENTS
A breakdown of the size and material of the water mains within the area of study and additional system information pertinent to the project are included as
Attachment B.
Equipment to be used should be included in the bid, as well as, names and qualifications of laborers to perform work.
A detailed report of leak locations, estimated GPM loss, and street address.
A weekly progress report is to be supplied to the field technician that includes the area covered, the location of any potential leaks, and the area expected to be covered the following day.
A Final Report shall include: a summary of the project, survey review, with observations noted, sheets with data on each individual leak with a drawing of its location, picture, and a prioritization schedule of all leaks graded on a 1 to 5 scale.
Pre-project meeting will be held at Dalton Utilities prior to beginning any fieldwork.
Project must be completed within 60 calendar days of notice to proceed and issuance of a purchase order.
Project will be constructed under a Purchase Order from Dalton Utilities.
Progress billing will be allowed. Contractor should submit a schedule to determine monthly progress billing.
RFP for 2024 Leak Detection Survey
BID REQUIREMENTS
Complete the bid sheet (Attachment C) and provide a total bid price for the project based on the assumed units. This bid is for all labor and equipment necessary to complete the project. A proposal detailing the methodology, equipment, and personnel planned for this project must be submitted with the bid.
Bids are due back to Charlie Morrow via email:
Email: cmorrow@dutil.com
Bids are due by 10:00 AM on November 15th, 2024.
INSURANCE REQUIREMENTS
In accordance with Dalton Utilities’ policy requiring General Liability Insurance, and
Workman’s Compensation Insurance for all entities performing projects for Dalton
Utilities, we are requesting that all contractors submit to Dalton Utilities an active
Certificate of Insurance showing General Liability and Workmen’s Compensation
Insurance. General Liability and Workmen’s Compensation insurance requirements shall meet or exceed the minimum requirements of Dalton Utilities’ standards as shown on Attachment D.
E-VERIFY REQUIREMENTS
All contractors and subcontractors performing work for Dalton Utilities must participate in the E-Verify Program pursuant to the Georgia Security and Immigration
Compliance Act (SB 529). See Attachment E.
Attachment B
CLEVELAND HWY
WARING RD
REED RD
CR
OW
VA
LL
EY
R
D
NORTH BY-PASS
DAWNVILLE RD
BE
AV
ER
DA
LE
RD
GA HWY 2
PRATERS MILL RD
HIGHWAY 2
LA
KE
KA
TH
Y R D
LA
KE
FR
AN
CI
S R
D
CR
OW
R D
WILLIAMS RD
HA
IG
M
ILL
LA
KE
R D
REN
FR
OE R
D
PLEASANT GROVE DR
REED POND RD
GOOD HOPE RD
OLA DR
ME
ER
S R D
FREEPORT RD
UNDERWOOD RD
FRONTIER TRL
TUNNEL HILL-VARNELL RD
VIC
K D
R
LA
UR
A D R
WHEAT DR
CHEROKEE TRL
VISTA DR
W BROADACRE RD
3RD ST
MAPLE GROVE RD
KITTLE RD
SO
NY
A D R
WESTBROOK RD
CHEROKEE ESTATES RD
RA
US
CH
EN
BE
RG
R D
DOVER ST
CO
UN
TR
Y W
AY
HAIG MILL
RD
E BROADACRE RD
VIL
LA
GE
D
R
POPLAR SPRINGS RD
OLD PRATER MILL RD
BRYLOW DR
ST
AN
DI
NG
R D
THOMAS RD
Mc
GA
UG
HE
Y C
HA
PE
L R
D
WILLOWDALE RD
VA
RN
EL
L R
AIL
RO
AD
ST
CHATTANOOGA RD
CLIFFS ST
OLD PRATER MILL RD NE
TIMBERGHOST RD
97 SPRINGS RD
NEELY RD
MA
PL
E G
RO
VE
D
R
UPPER VARNELL RD
S BROOKER DR
QUILLIAN RD
RICKY DR
BEULAH DR
BA
Y D
R
BRADY DR
BROOKER RD
ANNIE LN
IZLAR WAY
NELSON KILE RD
ORCHARD WAY
LAKEWOOD DR
OLD CADY RD
PE
RC
HE
RO
N
DR
JUSTIN LN
GO
LF
VI
EW
DR
COHUTTA-VARNELL RD
EDWARDS PARK
CHAROLAIS TRL
KE
RR
R D
STINSON DR
NEW HOPE CHURCH RD
RU
BY
D R
PA
LM
S
WA
Y
N OAKS DR
LEE BRYANT RD
SILHOUETTE WAY
SC
AR
LE
T D
R
DA
NT
ZL
ER
C
IR
FL
EM
IN
G
ST
SA
TC
HE
R
DR
PIO
NE
ER
D
R
McCAMISH RD
HALEY DR
AB
BE
Y L N
1S T S
T
CAPRICE RD
N PARK DR
MANIS RD
I-75 NORTHBOUND
RAISIN WAY
ESTATE DR
HA
ZE
L D R
JOHNNY DR
2N D
ST
WE
XF
OR
D P
L
HAIG MILL DAM RD
I-75 SOUTHBOUND
RU
FU
S D R
COCHRAN DR
AV
IS
DR
LE
LIA
D R
GILLUM DR
OLD BEAVERDALE RD
N
SU
MM
IT
DR
TE
A R
OL
L D
R
W
PA
RL
IAM
EN
T D
R
SE
WA
RD
W
AY
CO
AS
T D R
HAVEN DR
GIDDENS RD
PALIMINO DR
TE
E T
OP
D
R
NE
W
HO
PE
R D
MERCER DR
KID
S D
R
HAZEL LN
YORK ST
HEATHER WAY
GROOMS DR
E H
ILL
VIE
W
DR
ANDY LN
VANN WAY
CHATHAM DR
HO
PE
W
AY
TIL
LM
AN
D
R
PEGGY LN
CA
YL
OR
D
R
WILLIAMS DR
W
HI
LL
VIE
W
DR
McFALLS ST
PACER LN
LY
NN
D R
RA
Y D
R
SAGAMORE DR
DUSTIN DR
DURGAN PL
KIM
BE
RL
Y P
AR
K D
R
N WHITFIELD DR
OA
KV
IEW
D
R
NADINE WAY
WILDWOOD RD
KIN
NA
MO
N
DR
DEER TRL
LO
FT
WO
OD
DR
FA
IR
WA
Y D
R
DIETZEN WAY
JO
HN
SO
N
RD
SU
SA
N
LN
PATRICIA LN
LEE JOAN DR
E R
IN
DA
D
R
KAY DR
ROYAL OAK DR
RO
BE
RT
S D
R
DO
G
LE
GG
D R
N T
HO
RN
TO
N A
VE
DAVIDWOOD DR
DA
RIS
DR
TO
M
MA
NI
S R D
TANGLEWOOD DR
E VARNELL MAIN ST
CHADWICK DR
CO
US
IN
D
R
CA
SE
Y L N
BIR
DI
E L N
EMMETT DR
SH
AR
ON
DA
LE
D
R
E LANGSTON WAY
WE
LS
H
DR
PIEDMONT DR
TR
AN
QU
IL
WA
Y
LY
NN
WO
OD
D R
ROSEN DR
GARDEN LN
TIM
BE
RL
AN
D
DR
FA
LC
ON
DR
BE
LG
IAN
D
R
SH
AD
OW
R
OC
K L
N
HOLLYWOOD DR
STRIPLIN TRL
FORREST PARK RD
KEMPTON LN
DE
SO
TO
TR
L
RENFROE CUT-OFF
BATTLE RIDGE DR
BOYD RD
BROCK DR
DIS
CO
VE
RY
LN
TH
RA
SH
ER
H
ILL
S R D
SA
RA
TO
GA
DR
LA
TO
NI
A D
R
GOOD OLE BOYS DR
HIDDEN LAKE RD
RAPALA DR
GA
IL
DR
SHADY ACRES RD
EDWARDS DR
NIX RD
MEADOWDALE DR
ARABIAN DR
BLACKBERRY WAY
VA
RN
EL
L C
ED
AR
ST
AR
BO
R T
RL
RIDGEHAVEN WAY
VINE DR
BULL RUN DR
CO
RO
NE
T D
R
CO
UN
TR
Y C
LU
B W
AY
STA
LLI
ON WAY
TONYA DR
AL
PH
AR
ET
TA
D
R
VICTORY PKWY
SALLY DR
SH
AL
LO
WF
OR
D
RD
SOSEBEE DR
WADE DR
PHILLIP DR
SU
TT
ON
D
R
CANTERBURY
MARESCA DR
RIDERWOOD DR
BL
OO
MI
NG
TO
N
DR
DR
IVE
R L N
ROWLAND WAY
BR
ID
LE
LN
NORTHGATE DR
BE
TH
AN
Y D
R
LINDA SUE DR
BE
DF
OR
D
DR
MARLOW WAY
MI
ST
Y M
EA
DO
WS
D R
MARSHALL DR
SK
YV
IEW
D
R
TA
BB
Y W
AY
SA
NT
A F E T
RL
WILLOW OAK LN
ROSEWOOD DR
RIDGEFIELD WAY
JA
ME
S C T
WI
GG
S D R
GL
EN
DA
LE
D R
GL
ISS
ON
D
R
NELMS LN
CENTENNIAL PKWY
DI
AN
E D R
SANDY DUNES
BENT TREE RD
SIMPLE WAY
AL
MA
D R
SHAMROCK DR
BA
TTL
E WAY
JEANETTE DR
AMAZING WAY
ALBERTSON DR
ABILENE TRL
APPALOOSA DR
WHISTLE WAY
OAKLAKE DR
ALLISON DR
DIXON DR
SP
RI
NG
ST
BROOKER FARM RDFREEDOM LN
VE
TE
RA
NS
D R
SHELIA CT
CA
YL
OR
R
ID
GE
R D
PIN
EW
OO
D
RD
SUSAN DR
LINGERFELT WAY
PADDLE WHEEL CT
FELKER CIR
VINYARD DR
BROTHERS LN
HARPER LN
SIE
NN
A D R
TR
AIL
BL
AZ
ER
LN
THISTLE DR
CONCORD DR
LA
GE
NI
A C
T
DELBERT WAY
REMINGTON WAY
WESTWOOD CIR
PLAINVIEW DR
YARDLEY LN
HIGHLAND POINTE DR
PIE
RC
E R D
OH
AN
A W
AY
BRENT LN
CHURCHILL WAY
JEFFERSON TR
SMITH INDUSTRIAL BLVD
C & L DR
KIK
ER
LN
N SUMMITT DR
BLUE HERON WAY
KIN
GS
RD
WATT DR
HO
NE
YS
UC
KL
E L
N
MALLARD RD TOWNSHIP DR
CREEKWOOD LN
SUSSEX WAY
MEGAN DR
FONDEL LN
HASKELL WAY
CLEAR OAKS DR
BAIRD WAY
RAINDANCE RD
DUKES WAY
ST
IN
NE
TT
D R
CRABTREE DR
DU
RH
AM
ST
AU
TU
MN
C
T
MI
LL
ER
G
RO
VE
D R
RU
RI
TA
N
DR
ELMWOOD DR
CHATT
AN
OOGA A
VE
STIRRUP LN
RIVERBURCH PKWY
SWANSON DR
CO
NN
IE
DR
GLAZE DR
SOMERSET PL
WYNFIELD DR
CH
ES
TN
UT
TR
L
NATURE WAY
UPTON DR
ROY WAY
PRINCE WAY
AS
HL
EY
LN
GOLDEN ROD LN
RACKLEY DR
ADAIR WAY
CORSON WAY
MILLICAN LN
MA
LL
OR
Y D
R
ATHENS WAY
OSPREY DR
MIA WAY
PERIWINKLE WAY
CLASSIC LN
SADDLE WAY
MILL TRACE RD
GR
AY
FO
X W
AY
MCGILL WAY
MALVIN WAY
HI
CK
OR
Y S
T
DI
NN
ER
BE
LL
LN
JANINE WAY
SIR JON DR
SYDNEY CIR
STACKSTONE DR
PECAN WAY
BOMBAY WAY
TODD AVE
ANN DR
LUKE POWELL RD
CL
AS
SIC
C
HA
SE
D R
MIMOSA ST
OLD WARING RD
HO
RS
ES
HO
E W
AY
HIAWASSEE WAY
CA
LL
IE
CI
R
RICHMOND DR
SOUTH RIDGE DR
CHESTNUT OAK DR
OS
TE
R
DR
N B
RO
AD
RIC
K D R
YU
MA
W
AY
CA
TT
LE
MA
N D R
ROSLYN CT
BROWN BEAR PATH
RED OAK DR
ANDROS DR
GR
OV
E L
EV
EL
D
R
OLD McGAUGHEY CHAPEL RD
BROOKLAND DR
SU
NR
AY
D
R
SAINT IVES WAY
KENNEDY WAY
BRIGHTON WAY
TURRENTINE DR
OV
ER
LA
ND
TR
L
CA
ME
RO
N
DR SU
MM
IT
VIE
W
DR
JULIE KAY DR
CA
MD
EN
W
AY
MONTICELLO WAY
SCOTT LANCE WAY
CLIFFS DR
SYCAMORE DR
JA
RR
ET
T W
AY
OLD
HAIG
MILL
RD
GR
OV
E P
AR
KW
AY
PU
RY
EA
R
DR
SILAS WAY
SW
INN
EY
DR
WO
OD
LIN
E D
R
REVERE RUN
BR
OA
DA
CR
E D R
EDELWEISS WAY
SCHOFIELD WAY
RE
NO
W
AY
GROVES RD
ED
INBU
RGH PL
THORNTREE WAY
ROCHESTER PL
MI
DD
LE
SU
MM
IT
DR
MOORE DR
W LANGSTON WAY
ROLAND HILLS DR
EN
ZIA
N
DR
RO
LL
IN
G
ME
AD
OW
S R
D
HIGHGATE CT
BREWER WAY
TRINITY WAY
CLIFTON HEIGHTS
PA
DG
ET
T W
AY
DOT CRESCENT DR
SNEED WAY
LOWELL DR
W ENVIRONS LN
ENVIRONS LN
BR
IAR
WO
OD
DR
ASBURY WAY
HA
WK
SN
ES
T W
AY
ASHTON WOODS WAY
CRICKET WAY
TERRAPIN WAY
TOMAHAWK TR
N TINKER WAY
CALLOWAY DR
SPRING VALLEY DR
BU
RK
ET
T D
R
HU
NT
ER
WO
OD
LN
VICKSBURG WAY
ABBOTT WAY
TOWNSHIP PLACE
BARBARA RUTH DR
KELLER WAY
WO
OD
RI
DG
E L N
HO
RN
BE
AM
W
AY
HARDY WAY
TOOMBS WAY
ME
MO
RIA
L G
AR
DE
NS
SHIRE CT
RO
SS
W
AY
WA
YN
E W
AY
RO
SS
C T
FLEMING PL
AP
PL
E T
RE
E W
AY
SAMUEL WAY
RO
CK
RI
DG
E
DR
DIAMONDBACK WAY
HA
TH
AW
AY
WO
OD
BU
RY
TR
DA
LT
ON
C
T
OTWAY DR
DRUCILLA WAY
RIDERWOOD DR
NO
RT
H B Y-P
AS
S
AUTUMN CT
TUNNEL HILL-VARNELL RD
RE
ED
R D
CO
UN
TR
Y W
AY
CHATTANOOGA RD
CR
OW
VA
LL
EY
R
D
HAIG MILL RD
OLD HAIG MILL RD
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan, METI, Esri China (Hong Kong), (c) OpenStreetMap contributors, and the GIS User Community
2024 Leak Detection Survey
Dalton Utilities Whitfield Co, Ga October 23, 2024
LDS Water Mains 2024 Main Material
Cast Iron Copper Galvinized
HDPE SDR 11
HDPE SDR 9
PEX
PVC
Centerlines County Road Interstate Primary Secondary
Main Material Length in Ft Length in Miles Cast Iron 117594 22.27 Copper 914 0.17 Galvanized 61 0.005
HDPE11 476438 90.23
HDP11 57433 10.87
PVC 7211 1.36
PEX 408 0.07
Main Diameter Length in Ft Length in Miles 2" 4334 0.82 2.25" 14287 2.71 4" 14436 2.73 6" 424101 80.32 8" 145634 27.58 10" 3467 0.65 12" 53800 10.19
Attachment C
DALTON UTILITIES
Bid Tab
2024 Water Leak Detection Survey
004113-3
Bid
Unit Total
Item
No.
Approx.
Quantity Unit Description Price Price
1.) 125.00 Miles Survey of Cast Iron Water Mains $ $
125.00 Miles Total Miles
SUBTOTAL
$TOTAL BID FOR 2024 LEAK DETECTION SURVEY
Attachment D
Attachment D to RFP for 2024 Leak Detection Survey
Insurance Requirements
I. Insurance:
The Contractor shall provide to the Owner proof and scope of insurance coverage in the form of a Certificate of Insurance currently in force. The Certificate of Insurance must list Dalton Utilities and the City of Dalton as additional named insured and will not be cancelled or materially altered unless at least 30 days prior written notice has been given to Dalton Utilities. This coverage must include but is not limited to:
A. Compensation Insurance:
1. Workman's Compensation for any employee engaged in any work on project
2. Other Workman's Compensation for any employee engaged in any work on project not covered by Workman's Compensation
B. General Liability:
Comprehensive General Liability for products and completed operations shall be XC, U, and the ISO Broadform General Liability endorsement or its equivalent. This coverage shall include:
1. Bodily Injury Insurance in an amount not less than $1,000,000 for bodily injury, including accidental death, to any one person, and subject to the same limit for each person, in an amount not less than $2,000,000 on ac-count of one accident.
2. Property Damage Insurance in an amount not less than $1,000,000 for any one damage claim, and in an aggregate amount up to $2,000,000 dur-ing a period of 12 months.
3. Automobile Liability including bodily injury and property damage of aforesaid amounts.
4. Owner's Protective Liability Insurance to be issued in the name of Dalton
Utilities for liability and property damage in the same amounts as stipu-lated for the contractor
5. Umbrella Policy to provide for increase in coverage of basic policies to an amount not less than $5,000,000.
6. Builder's Risk or Installation Floater Insurance for fire and increase of coverage in the amount at all times at least equal to the amount paid on account of work and materials to be set up in the name of Dalton Utilities or Contractor as their interest
Attachment E
004549-1
E-Verify Affidavit
Contractor Affidavit under O.C.G.A. §13-10-91(b)(1)
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 engaged in the physical performance of services on behalf of the Water, Light and Sinking Fund Commission of the City of Dalton, Georgia d/b/a
Dalton Utilities 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 and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.C.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
Name of Contractor
Name of Project
Name of Public Employer
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on ______________, ___, 202___ in ________________ (city), ___________ (state).
Signature of Authorized Officer or Agent
Printed Name and Title of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME
ON THIS THE ____ DAY OF____________, 202___.
NOTARY PUBLIC
My Commission Expires: _____________
004549-2
Subcontractor Affidavit under O.C.G.A. §13-10-91(b)(3)
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 Water, Light and Sinking Fund Commission of the City of Dalton, Georgia d/b/a Dalton Utilities 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 OC.G.A. §13-10-91. Furthermore, the undersigned subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the subcontractor with the information required by O.C.G.A. §13-
10-91(b). Additionally, the undersigned subcontractor will forward notice of the receipt of an affidavit from a sub-subcontractor to the contractor within five business days of receipt. If the undersigned subcontractor receives notice of receipt of an affidavit from any sub-subcontractor that has contracted with a sub-subcontractor to forward, within five business days of receipt, a copy of such notice to the contractor.
Subcontractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:
Name of Subcontractor
Executed on ___________, ___ 202___ in __________________ (city), ________ (state).
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE ___ DAY OF__________, 20___.
My Commission Expires: _______________
004549-3
Sub-subcontractor Affidavit under O.C.GA. §13-l0-91(b)(4)
By executing this affidavit, the undersigned sub-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 for ___________________________________ (name of subcontractor or sub-subcontractor with whom such. sub-subcontractor has privity of contract) and
__________________________________________ (name of contractor) on behalf of the Water, Light and
Sinking Fund Commission of the City of Dalton, Georgia d/b/a Dalton Utilities 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 sub-subcontractor will continue to use the federal work authorization program throughout the contract period and the undersigned sub-subcontractor will contract for the physical performance of services in satisfaction of such contract only with sub-subcontractors who present an affidavit to the sub-subcontractor with the information required by O.C.G.A. §13-10-91(b). The undersigned sub-subcontractor shall submit, at the time of such contract, this affidavit to
_________________________________________ (name of subcontractor or sub-subcontractor with whom such sub-subcontractor has privity of contract). Additionally, the undersigned sub-subcontractor will forward notice of the receipt of any affidavit from a sub-subcontractor to
_________________________________________ (name of subcontractor or sub-subcontractor with whom such sub-subcontractor has privity of contract). Sub-subcontractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:
Name of Sub-subcontractor
Executed on ___________, _____, 202___ in __________________ (city), ______(state).
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE __ DAY OF___________,202___.
My Commission Expires: _____________
File details come from the government source that posted it. Updated .