RFQ 24_312_K Ice Machine Repair.pdf

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Attached to
RFQ - 24-312-K Ice Machine Repair and Maintenance
Solicitation number
PE-66079-NONST-2025-000000032
Issued by
Cobb County, Georgia

About this file

This document is a Request for Qualifications (RFQ) issued by the City of Roswell, Georgia for Ice Machine Repair and Maintenance services. The City is seeking qualified contractors to provide general maintenance and repair services for ice machines located in various City-owned buildings and facilities. The scope of work includes preventive maintenance, reactive repair, debris/trash removal, and related tasks. The City intends to establish a 3-year term contract with multiple contractors to perform these services. Proposals are due on November 7, 2024, and no cost information will be provided at the proposal opening. The evaluation criteria focus on the contractor's specialized experience, capacity to perform the work, and detailed maintenance and repair practices.

The contract will allow the City to add or subtract ice machines from the service schedule throughout the term. Contractors must be able to respond to normal service calls within 24 hours and emergency calls within 2-4 hours. Contractors must provide a list of licenses, certifications, staff qualifications, and references. Subcontractors are permitted but must be approved by the City. Payments will be made upon completion of work and acceptance of services, with no sales tax charged.

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Request For Qualifications (RFQ) 24-312-K

Ice Machine Repair and Maintenance

All City of Roswell formal solicitations are posted on and responded to using the City’s website1.

A schedule of events and all other information, including standard instructions specific to the relevant solicitation are posted to the website. This document represents the special elements unique to this Requests for Qualifications.

Note:

1. If required, Insurance provisions detailed below and/or posted with the solicitation will apply.

However, the COI and Additional Insured Endorsement (or proof of blanket Additional Insured

Coverage) will be required prior to execution of any contract, but not before.

2. The Sample Contract (if included in this Solicitation) will be the basis for contract and Offerors should consider the included terms and conditions in developing their questions and/or responses.

Do not submit the Sample Contract with your offer. Final contracts will be routed for signature using DocuSign software.

3. Contractor must sign all Exhibits and upload into BonFire, these are required documents.

4. All proposals will be evaluated only and cost will not be a factor in the evaluation. Only the names of the proposals will be provided at the proposal opening. The cost will be required separately.

PROPOSAL DUE DATE:

Thursday, November 7, 2024, at 2:00 p.m. EST.

All questions or requests for clarification must be place on the Bonfire website no later than Thursday, October 24th, 2024, at 4:00 p.m. EST. Questions received after this date and time will not be answered. Only the names of the proposers submitting documents will be given.

1 https://roswellgov.bonfirehub.com/portal/?tab=openOpportunities https://roswellgov.bonfirehub.com/portal/?tab=openOpportunities

1 SCOPE OF PROJECT/SPECIFICATIONS

The main scope of work requirement is posted separately with other project documents on the City’s website. The scope of project information provided below provides a general overview.

1.1 Introduction

The City of Roswell, Georgia, is a northern suburb of Atlanta located in Fulton County with an estimated population of 94,959 residence, and 632 city employees. Roswell is known for its Historic District and has

13 parks with over 1000 acres of active and passive parkland and facilities. The City has a solid financial reputation, and is one of the few municipalities in Georgia with an AAA rating from both Moody and

Standard and Poor’s.

The City’s Vision is to be the #1 family community in America, and we plan to provide our citizens with an exceptional quality of life by living out our core values of accountability, communication, inclusion, innovation, trust, excellence, respect, responsiveness, and transparency.

1.2 Background

The City of Roswell is seeking Request for Qualifications (RFQ) from prospective contractors with experience in performing services related to Ice Machine Repair and Maintenance to perform work at City-owned buildings and facilities. After evaluation and award of the contractor(s) the City intends to establish a 3-year term contract with multiple contractors to perform the services mentioned in the scope of services.

This procurement does not constitute an offer by the City to enter into an agreement and cannot be accepted by any contractor to form an agreement. This procurement is only an invitation for offers from interested contractors and no offer shall bind the City.

Scope of Services and Overview

REQUIREMENTS FOR REQUEST FOR QUALIFICATIONS:

Maintenance and repair will include labor, parts, tools, equipment, miscellaneous materials and supervision to facilitate the general maintenance and standard repair. All work must be performed in compliance with all applicable laws, regulations and codes. Upon agreement, city will have the option to add or subtract other facilities to the schedule.

Any work that will require the procurement of permits, the awarded contractor will be responsible for obtaining any, and all necessary permits.

Services shall include, but not limited to:

City of Roswell RFQ 24-312-K Ice Machine Repair

1. General services

Contractor is to provide general ice machine repairs services on various buildings and facilities owned and operated by the City of Roswell. The projects may include, but not be limited to:

All preventive services for existing Ice Machines shall be initiated, scheduled, administered, monitored, and updated by the vendor.

Repair services may be initiated by the city or vendor; but must be approved by the city.

All services should be based on the manufacturer’s recommendations. The City shall be informed of the recommendations for each ice machine to create and maintain the proper schedule.

Preventive maintenance (PM) services shall be provided on all ice machines a minimum of 2 times per calendar year.

Ice machine bin cleaning and sanitizing will be done quarterly on designated units. See attached Exhibit B;

Ice machine filters, supplied by the vendor, are to be changed twice annually during each PM; parts mark-up should be included in the proposal.

Checking for refrigerant leaks, cleaning the condenser, coils and checking temperatures for proper operating order.

Tightening all electrical connections and recording amp draw.

Reactive maintenance and repair activities to address failures or reduced performance of existing Ice Machines at City Owned facilities.

2. Response Time for Normal Service Calls: The awarded contractor(s) must be able to respond to a normal service call within 24 hours of receiving a call or purchase order (via e-mail) from the City of Roswell.

3. Emergency Work: Emergency work is defined as an unforeseen combination of circumstances, which includes a threat to the health, wellbeing, and safety of citizens and property. In the event of an unforeseen emergency, a response is required within 2-4 hours of receiving the notice. For emergency calls received outside of normal business hours (evenings, weekends, and/or holidays), the contractor shall provide a contact person’s name and telephone number or have a voice mail paging or answering service.

Contractors using a voice mail paging or answering service shall be required to initiate a call back to the City within 30 minutes.

4. Debris/Trash Removal and Disposal: The Contractor will be responsible for the removal of all debris from the site and all areas of work must be left in a clean and safe condition.

The Contractor must keep the premises free of debris and unusable materials resulting from their work. As work progresses, the successful Contractor will move all debris and materials from the City’s property. Any damage done by the Contractor’s personnel, or their subcontractors, to any part of the building, equipment, furniture, fixtures, landscaping or any other items must be repaired or replaced in an acceptable manner and at no cost to the City. All project related debris and trash will be removed at the expense of the Contractor.

General Qualifications

1. Provide a summary of the vendor’s qualifications demonstrating expertise, years in business, location of office(s), and a brief description of 3 projects involving a similar scope of services performed in the last 5 years;

2. Provide a list of all licenses and certifications, State, local, etc., required to perform this service;

3. Provide a summary of staff’s qualifications and years in business. Staff must be professional and in vendor uniform when working in City buildings and facilities;

4. Vendor shall provide a list of 3 references including the names, addresses, and telephone numbers of recent clients, preferably other public agencies for which the vendor has done similar work.

5. Vendor shall provide a list of any sub-contractors, including the names, addresses, and telephone numbers of recent clients, preferably other public agencies for which the vendor has done similar work.

6. The agreement shall allow the option to add or subtract ice machines to the service schedule program throughout the fiscal year at the discretion of the City;

7. Please provide a detailed list of practices and processes performed related to testing, inspection, PM, cleaning, filter, and other part(s) replacements;

Management Plan

The City requires that each contractor be capable of self-performing as well as managing the work of all sub-contractors (if applicable). Please describe in detail:

1. The capacity and capability to perform multiple projects at multiple locations simultaneously. Please describe how the firm plans to perform multiple tasks and execute the work assigned to the team.

2. Describe the team’s role and duties of each position by indicating who will manage the overall project, provide estimates and quotes, attend pre-project meetings, prepare work orders, supervise the project and perform administrative tasks.

3. Describe firms approach to the close-out of a project, corrections to unacceptable work, and punch list procedures.

4. Provide the physical resources the contractor owns, including equipment, trade tools, and vehicles.

5. Identify 3 projects the contractor has completed during the past 3 years including:

a. The name of the project.

b. The value of the project.

c. Start and end dates of the project.

d. Brief description of the project, including size and major work components.

e. Description of work performed; and

f. Owner references for each project, including contact name and telephone number.

6. Contractor shall provide a list of any sub-contractors, including the names, addresses, and telephone numbers of recent clients, preferably other public agencies for which the vendor has done similar work.

Project Manager for City of Roswell

The successful contractor will report to the Facilities Services Manager (or designee) for building and facility work.

Evaluation Criteria

1. Specialized experience or technical expertise of the firm and its personnel in connection with the scope of services.

2. Capacity of the organization to perform the work within time limitations, emergencies, and potential workload of the firm.

3. Provide detailed list of practices and processes performed related to testing, inspection, PM, cleaning, filter and other part(s) replacement.

SPECIAL RFQ 24-312-K ELEMENTS EXHIBIT A

SAMPLE CONTRACT – DO NOT SUBMIT WITH OFFER

City of Roswell

CONTRACT AGREEMENT

RFQ 24-312-K

This Agreement made and entered into on the execution date by and between the City of Roswell, Georgia, having its principle place of business at 38 Hill Street, Roswell GA 30075 and ___________ having its principle place of business at _____________________.

WHEREAS, the City of Roswell has caused Request for Qualifications 24-312-K to be issued soliciting statements of qualification from qualified contractors to furnish all items, labor services, materials and appurtenances called for by them in accordance with this contract. Selected Contractor is required to provide the services as called for in the Statement of Work; and

WHEREAS, the Contractor submitted a proposal in response to the RFQ; and

WHEREAS, the Contractor’s proposal was deemed by the City of Roswell to be the proposal most advantageous to the City;

NOW THEREFORE, in consideration of the mutual covenant and promises contained herein, the parties agree to compensation according to the agreed upon amount of $_______________ [per year if multi-year award – or in accordance with the Offeror’s proposed per year cost] for services to be provided as follows:

1 Statement of Work

The Contractor agrees to provide all Services and comply with all requirements specified in the Statement of Work, attached and incorporated as Contract Attachment C. The Statement of Work stands as the final negotiated and detailed elements of work required by the contract.

2 Term of Contract

See RFQ 24-312-C Special Elements.

3 Independent Contractor

3.1 The Contractor shall be an independent Contractor.

The Contractor is not an employee, agent or representative of the City of Roswell. The successful

Contractor shall obtain and maintain, at the Contractor’s expense, all permits, license or approvals that may be necessary for the performance of the services. The Contractor shall furnish copies of all such permits, licenses or approvals to the City of Roswell Representative within ten (10) days after issuance of Notice to Proceed.

3.2 No False Representation

Inasmuch as the City of Roswell and the Contractor are independent of one another neither has the authority to bind the other to any third person or otherwise to act in any way as the representative of the other, unless otherwise expressly agreed to in writing signed by both parties hereto. The Contractor agrees not to represent itself as the City’s agent for any purpose to any party or to allow any employee of the Contractor to do so, unless specifically authorized, in advance and in writing, to do so, and then only for the limited purpose stated in such authorization. The Contractor shall assume full liability for any contracts or agreements the Contractor enters into on behalf of the City of Roswell without the express knowledge and prior written consent of the City.

3.3 Invoices

The Contractor may submit progress invoices on a monthly basis for all Services performed in the preceding month. The City of Roswell shall pay undisputed portions of each milestone progress invoice within thirty (30) days of the date of the invoice. Please send all to invoices@roswellgov.com.

4 Indemnification

The Contractor agrees to indemnify, hold harmless and defend the City from and against any and all liabilities, suits, actions, legal proceedings, claims, demands, damages, costs and expenses (including attorney’s fees) rising out of any negligent act or omission of the Contractor, its agents, subcontractors or employees in the performance of this Contract.

mailto:invoices@roswellgov.com

5 Insurance

See RFQ, Exhibit 6

6 Termination

6.1 Notice

Any other provisions of this agreement notwithstanding, each party has the right to terminate this

Agreement if the other party breaches or is in default of any obligation hereunder which default or breach is incapable of cure or which, being capable of cure, has not been cured within thirty (30) calendar days after receipt of written notice of such default (or such additional cure period as the non-defaulting party may authorize in the written notice). In addition, if at any time after commencement of the Services, the City of Roswell shall, in its sole reasonable judgment, determine that such Services are inadequate, unsatisfactory, no longer needed, or substantially not conforming to the descriptions, warranties, or representations contained herein, the City may terminate this Agreement upon thirty (30) days written notice to the Contractor.

6.2 Termination for Lack of Funds

If funds are not appropriated or otherwise made available to support continuation in any fiscal year succeeding the first fiscal year, this Contract will be terminated automatically as of the beginning of the fiscal year for which funds are not available. The Contractor may not recover anticipatory profits or costs incurred after termination.

6.3 Immediate Termination

The City of Roswell may terminate the agreement immediately without prejudice to any other right of action or remedy if the Contractor:

6.3.1 Cause for Immediate Termination

Becomes insolvent, makes a general assignment for the benefit of creditors, files a voluntary petition of bankruptcy, suffers or permits the appointment of a receiver for its business or assets, or becomes subject to any proceeding under any bankruptcy or insolvency law, whether domestic or foreign, or has wound up or liquidated, voluntarily or otherwise. In the event that any of the above events occur, the

Contractor shall immediately notify the City of Roswell of each occurrence.

6.3.2 Additional Causes for Immediate Termination

After five (5) days written notice fails to:

6.3.2.1 Maintain the required insurance, or;

6.3.2.2 In any other manner to perform the requirements of the RFQ.

6.4 Anticipatory profits or costs incurred

The Contractor, subcontractors/suppliers/sub-suppliers may not recover anticipatory profits or costs incurred after notice termination, as long as such costs could reasonably have been avoided after notice was provided.

7 Compliance with All Laws and Licenses

The Contractor must obtain all necessary licenses and comply with local, state and federal requirements.

The Contractor shall comply with all laws, rules and regulations of any governmental entity pertaining to its performance under this Agreement.

8 Assignment

The Contractor shall not assign or subcontract the whole or any part of this Agreement without the City of Roswell’s prior written consent.

9 Amendments in Writing

No amendments to this Agreement shall be effective unless it is in writing and signed by duly authorized representatives of the parties.

10 Drug-Free and Smoke-Free Work Place

A drug-free and smoke-free work place will be provided for the Contractor’s employees during the performance of this Agreement; and

The Contractor will secure from any subcontractor hired to work in a drug-free and smoke-free work place a written certification so stating and in accordance with Paragraph 7, subsection B of the Official

Code of Georgia Annotated Section 50-24-3.

The Contractor may be suspended, terminated, or debarred if it is determined that:

1. The Contractor has made false certification herein; or

2. The Contractor has violated such certification by failure to carry out the requirements of Official Code of Georgia Annotated Section 50-24-3.

10.1 Drug-Free Workplace

If Contractor is an individual, he or she hereby certifies that he or she will not engage in the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana during the performance of this contract.

10.1.1 Certification:

If Contractor is an entity other than an individual, it hereby certifies that:

i. A drug free workplace will be provided for the Contractor's employees during the performance of this contract; and

ii. It will secure from any subcontractor hired to work in a drug free workplace the following written certification: "As part of the subcontracting agreement with (Contractor's Name), (Subcontractor's

Name), certifies to the Contractor that a drug free workplace will be provided for the subcontractor's employees during the performance of this contract pursuant to paragraph 7 of subsection B of Code Section 50 24 3."

10.1.2 Penalties:

Contractor may be suspended, terminated, or debarred if it is determined that:

i. The Contractor has made false certification hereinabove; or

ii. The Contractor has violated such certification by failure to carry out the requirements of Official

Code of Georgia Section 50 24 3.

11 Governing Law

This Agreement shall be governed in all respects by the laws of the State of Georgia.

12 Policy on Hiring of Non-Resident Aliens

The final award of a contract is contingent upon compliance with O.C.G.A. 13-10-91 and Chapter 300-

10-1 of the Rules of the Georgia Department of Labor, and the Contractor certifying to the City that it, and all its subcontractors, has registered and currently participates in the federal work authorization program to verify information of all new employees with respect to all public employers, contractors, or subcontractors. Contractor may be suspended, terminated, or debarred if it is determined that the Contractor has made false certification or that the Contractor has violated such certification by failure to carry out this requirement.

13 Inclusion and Precedence of Documents

The Referenced RFQ, any files identified as “documents” or “addenda” that are uploaded to the Bonfire

Project website, and the Contractor’s Proposal submitted in response thereto, including any best and final offer, are incorporated in this Agreement; form an integral part of this agreement; and, are attached hereto as follows:

ATTACHMENTS:

Attachment A - RFQ 24-312-K: (Including all files identified as “documents” or “addenda”)

Attachment B - Proposers Offer – Date: ________

Attachment C – Statement of Work

In the event of a conflict in language between this Agreement and the foregoing documents incorporated herein, the provisions and requirements set forth in this Agreement shall govern. In the event of a conflict between the language of the RFQ, as amended, and the Contractor’s proposal, the language in the former shall govern.

14 Subcontractors

The lowest responsive and responsible Offeror will be the prime contractor, if a contract is awarded, and shall be responsible, in total, for all work of any subcontractors. The City of Roswell reserves the right to approve all subcontractors. The Contractor shall be responsible to the City of Roswell for the acts and omissions of all subcontractors or agents and of persons directly or indirectly employed by such subcontractors, and for the acts and omissions of persons employed directly by the Contractor. Further, nothing contained within this document or any contract documents created as a result of any contract award derived from this RFQ 24-305-C shall create any contractual relationships between any subcontractor and the City of Roswell

15 Compliance with Workers Compensation Act

The Contractor is required to supply the City of Roswell with proof of compliance with the Workers’

Compensation Act while performing work for the City of Roswell. Neither the Contractor nor its employees are employees of the City of Roswell. Proof of compliance must be received at the address listed under Section 1.1 within acceptable time limits established by the contract. If the Contractor does not meet the State’s requirement for workers’ compensation coverage, the certificate of insurance shall state that the contractor waives subrogation in regard to workers’ compensation.

16 Substitutions and Change Orders

NO substitutions of material, schedule cancellations, or change orders are permitted after contract award without written approval by the City Administrator. Where specific employees are proposed by the

Offeror for the work, those employees shall perform the work as long as those employees work for the

Contractor, either as employees or subcontractors, unless the City of Roswell agrees to a replacement.

Requests for any substitution will be reviewed and may be approved by the City of Roswell at its sole discretion. Verbal agreements to the contrary will not be recognized.

17 Invoicing and Payment

The City of Roswell agrees to pay the Offeror in current funds for the performance of the contract. Unless otherwise noted in the RFQ 24-312-K Special Elements, the successful offeror will be paid upon completion of work and acceptance of the items or services, the Offeror shall submit an invoice detailing the appropriate charges as currently allowed.

The City will process approved payment requests under this project to the awarded Contractor. Payment to subcontractors and suppliers is the responsibility of the awarded Contractor. The City will not entertain any other payment arrangements.

Invoices shall be submitted to:

Roswell Finance Department

Attn: Accounts Payable invoices@roswellgov.com

38 Hill Street

Roswell, GA 30075

Upon receipt of invoice and inspection and acceptance of the items, the City of Roswell will render payment. All such invoices will be paid within thirty (30) days by the City of Roswell unless any items thereon are questioned, in which event payment will be withheld pending verification of the amount claimed and the validity of the claim. The Offeror will provide complete cooperation during any such investigation.

No sales tax will be charged on any orders.

Successful Offeror(s) must provide the City with a completed and signed W-9

18 Deliveries

In the event there are to be deliveries on site, all goods and materials will be F.O.B. Destination, Freight

Prepaid and Allowed. The onsite delivery address will be within the City of Roswell City Limits, with a specific address to be provided by the City upon request. Unless otherwise noted, the delivery address will correspond to the site of the work in question or as directed by the responsible department.

No freight or postage charges will be paid by the City of Roswell unless such charges are included and accepted in the proposed price and awarded by contract. The Offeror, at Offeror’s expense, will arrange to have someone onsite to inspect and accept delivery. The Offeror has sole responsibility for securing all materials at the project site. Offeror shall transfer and deliver to the department named all of the goods and/or services described in this solicitation for the consideration set forth herein. Risk of loss of the goods shall pass to the department upon acceptance only. Title to the goods shall remain with vendor until acceptance by the department.

19 Compliance with Laws

The Contractor must, in performance of work under the contract, fully comply with all applicable federal, state, or local laws, rules and regulations, including, but not limited to, the Civil Rights Act of 1964, the

Age Discrimination Act of 1975, the Americans with Disabilities Act of 1990, and Section 504 of the

Rehabilitation Act of 1973. Any subletting or subcontracting by the Offeror subjects subcontractors to the same provision. The Offeror agrees that the hiring of persons to perform the contract will be made on the basis of merit and qualifications and there will be no discrimination based upon race, color, religion, creed, political ideas, sex, age, marital status, physical or mental disability, or national origin by the persons performing the contract.

20 Entire Agreement

This Agreement constitutes the entire Agreement between the parties with respect to the subject matter contained herein; all prior agreements, representations, statements, negotiations, and undertakings are suspended hereby. Either party has relied on any representation, promise, or inducement not contained herein.

(Remainder of this Page left intentionally Blank)

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed by their duly authorized officers as of the day and year set forth next to each signature.

CITY OF ROSWELL: CONTRACTOR:

By: __________________________ By: ________________________________

Title:_________________________ Title:_______________________________

Name:________________________ Name:______________________________

Date: ________________________ Date: ______________________________

ATTACHMENT A

RFQ 24-312-K

ATTACHMENT B

AWARDED SUPPLIER RESPONSE TO RFQ# 24-312-K

ATTACHMENT C

STATEMENT OF WORK

REQUIRED EXHIBITS

ALL DOCUMENTS MUST BE SIGNED IN “BLUE” INK AND RETURNED

WITH YOUR PROPOSAL DOCUMENTS.

CONTINUED ON NEXT PAGE

EXHIBIT 1 = E-VERIFY

EXHIBIT 2 = GEORGIA SECURITY AND IMMIGRATION COMPLIANCE AFFIDAVIT

EXHIBIT 3 = DRUG FREE WORKPLACE

EXHIBIT 4 = NON-COLLUSION

EXHIBIT 5 = WITHDRAWAL REQUEST

EXHIBIT 6 = INSURANCE REQUIREMENTS

City of Roswell Standard Forms

Contractor Affidavit under O.C.G.A. § 13-10-91(b)(l)

The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A § 13-10-91 related to any contract to which Contractor is a party that is subject to O.C.G.A. § 13-10-91 and hereby verifies its compliance with

O.C.G.A. § 13-10-91, attesting as follows:

a) The Contractor has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program;

b) The Contractor will continue to use the federal work authorization program throughout the contract period, including any renewal or extension thereof;

c) The Contractor will notify the public employer in the event the Contractor ceases to utilize the federal work authorization program during the contract period, including renewals or extensions thereof;

d) The Contractor understands that ceasing to utilize the federal work authorization program constitutes a material breach of Contract;

e) The Contractor will contract for the 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.G.A. § 13-

10-91(a), (b), and (c);

f) The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any contract(s) subject to the provisions of O.C.G.A. § 13-10- 91 for the project listed below to which Contractor is a party after the date hereof without further action or consent by Contractor; and

g) Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and identification cards required pursuant to O.C.G.A. § 13-10-91 to the public employer within five business days of receipt.

Federal Work Authorization User ID Number (6 or 7 digits only) 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 ________________, _____, 20__ 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 _____________, 20______.

NOTARY PUBLIC

My Commission Expires: _________________________

City of Roswell, GA

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT

Contractor(s) Name:

Address: __________________________________

By executing this affidavit, the undersigned person or entity verifies its compliance with O.C.G.A.

§ 13- 10-91, stating affirmatively that the individual, firm, or corporation which is registered with, is authorized to participate in, and is participating in the federal work authorization program commonly known as E- Verify,* in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-91.

The undersigned person or entity further agrees that it will continue to use the federal work authorization program throughout the contract period, and it will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the undersigned with the information required by O.C.GA. § 13-10-91(b).

The undersigned person or entity further agrees to maintain records of such compliance and provide a copy of each such verification to the City of Fairburn within five (5) business days after any subcontractor(s) is/are retained to perform such service.

E Verify TM Company Identification Number Date of Authorization

BY: Authorized Officer or Agent Date (Name of Person or Entity)

SUBSCRIBED AND SWORN BEFORE

ME ON THIS THE

__________ DAY OF , 20_

[NOTARY SEAL]

Notary Public

My Commission Expires:

* Or any subsequent replacement operated by the United States Department of Homeland

Security, or any equivalent federal work authorization program operated by the United States

Department of Homeland Security to verify information of newly hired employees, pursuant to the

Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-60

DRUG-FREE WORKPLACE

The undersigned certifies that the provisions of Code Sections 50-24-1 through 50-24-6 of the Official Code of Georgia Annotated, relating to the “Drug-free Workplace Act”, have been complied with in full. The undersigned further certifies that:

(1) A drug-free workplace will be provided for the Service Provider’s employees during the performance of the Contract; and

(2) Each Service Provider who hires a subcontractor to work in a drug-free workplace shall secure from the subcontractor the following written certification:

“As part of the subcontracting agreement with (Service Provider), (subcontractor) certifies to the Service

Provider that a drug-free workplace will be provided for the subcontractor’s employees during the performance of this Contract pursuant to paragraph (7) of the subsection (b) of Code Section 50-24-03.”

Also, the undersigned further certifies that he/she will not engage in the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana during the performance of the Contract.

Company Name

BY: Authorized Officer or Agent Date (Service Provider Signature)

Title of Authorized Officer or Agent of Service Provider

Printed Name of Authorized Officer or Agent

NON-COLLUSION AFFIDAVIT

The undersigned bidder or agent, being duly sworn on oath, says that he/she has not, nor has any other member, representative, or agent of the firm, company, corporation, or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding.

He/She further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee gift, commission or thing of value on account of such sale.

OATH AND AFFIRMATION

I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND

INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE

AND CORRECT.

Dated this day of , (Name of Organization)

(Title of Person Signing)

(Signature)

(Bid Number)

STATE OF ___________________________)

COUNTY OF )

Before me, a Notary Public, personally appeared the above named and swore that the statements contained in the foregoing document are true and correct.

Subscribed and sworn to me this day of .

Notary Public Signature:

My Commission Expires:

WITHDRAWAL REQUEST

City of Roswell Purchasing Department

a. Prior to the due date, a submitted proposal may be withdrawn by the Offeror by submitting a written request to the

Buyer named herein. A person authorized to sign for the Offeror must sign all such requests.

The City reserves the right to add provisions to the contract to be consistent with the successful Offeror's offer and to negotiate with the successful Offeror other additions to, deletions from, and/or changes in the language in the Contract, provided that no such addition, deletion or change in Contract language would, in the sole discretion of the City affect the evaluation criteria set forth herein, or give the successful Offeror a competitive advantage.

Any exceptions to the agreement must be clearly identified, accompany the Offeror's proposal, and be attached to the agreement. Offerors are cautioned that any exception submitted that will give the Offeror a competitive advantage over another Offeror or that will cause a failure to meet a mandatory requirement of the RFP will not be accepted.

Prior to award, the apparent winning Offeror(s) may be required to enter discussions with the city to resolve any contractual differences before an award is made. These discussions are to be finalized and all exceptions resolved within one (1) week of notification, if not, this could lead to rejection of the Offeror's proposal. The offer will not retype the enclosed contract.

I. CERTIFICATION

By my signature below, it is certified that my firm can meet all terms of the RFP and will perform the services specified and for the privilege of doing so on the City of Fairburn premises. I understand that, upon proper acceptance of this offer by the City of Fairburn, a contract will thereby be created.

Given under my hand this day of , 20 .

Name of Firm

Signature

Title

Business Address

Sworn to and subscribed before me this day of , 20 .

Email address

RFQ 24-312-K Ice Machine Repair.pdf
EVERIFY FORM - Copy.pdf
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT AFFIDAVIT.pdf
Drug Free Workplace.pdf
Non Collusion form.pdf
WITHDRAWAL REQUEST.pdf

File details come from the government source that posted it. Updated .