RFQ _ 26_0908_01 _ Connect Dublin Multimodal .pdf

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Request for Qualifications

To Provide

Connect Dublin Multimodal and Streetscape Plan

For

City of Dublin

RFQ # 26-0908-01

Date of Issuance: September 8, 2026

Issuing Agency: City of Dublin, Georgia

Submission Deadline:

October 12, 2026 @ 2:00PM Eastern Standard Time

City of Dublin 100 S Church Street

Dublin, Georgia 31021

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1. OVERVIEW

The City of Dublin, Georgia (the “City”) is seeking statements of qualification (“Submittal”) from firms, (“Consultant”), to provide planning and design services related to the Connect Dublin Planning and Design Project concerning approximately 13.5 miles of roadway, drainage improvements, and pedestrian facilities, along with various corridor improvements throughout town and the scope and goals of the project are found in the City’s full grant application attached as “Attachment A”, (the “Project”).

2. BACKGROUND

The City was awarded a $1,500,000 Rebuilding American Infrastructure with Sustainability and Equity (RAISE) Grant for the planning and design of the Connect Dublin Project in June of 2024 and completed the Grant Agreement with US Federal Highway Administration in December of 2025, attached hereto as “Attachment B”. Funds will be used to plan and design the Project as outlined in this RFQ, the Attachments, and as negotiated with the successful Consultant. The Project will be administered in compliance with all applicable Federal and State rules and regulations.

The City hopes to engage with a Consultant that will assist with fulfilling the Project and leave us with deliverables that will allow for future successful application(s) for implementation funding.

3. GENERAL PROVISIONS

a. Restriction on Communication:

i. From the advertisement date of this request for qualifications until a successful Consultant is selected and the award is made official and announced, Consultants are not allowed to communicate about this solicitation or scope with any City of Dublin staff or elected official, including City Council members, except for the submission of questions as instructed in this RFQ or with the contact designated below. Violations of this provision may lead to disqualification and rejection of Submittals of the offending Consultant at the discretion of the City Manager.

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b. Point of Contact and Questions or Requests for Clarification concerning this RFQ:

i. Consultants should examine this entire RFQ and all attachments and forms and seek clarification in writing. All questions regarding this RFQ should be addressed to:

Josh W. Powell, City Manager powellj@dublinga.org with the title: “Connect Dublin Multimodal and Streetscape Plan Question” in the subject line.

All questions shall be submitted no later than the date indicated in the schedule below.

Questions received after this date will not receive a response. All valid questions and responses will be posted on the City’s website and the GPR by date set forth in the schedule below.

All submittals shall be submitted no later than the date indicated in the schedule below to the City Manager’s Office at:

City of Dublin, Georgia Attn: Josh W. Powell, City Manager

100 S. Church Street Dublin, Georgia 31021

Submittals must be presented in a sealed opaque envelope, identify the Consultant’s name and the Individual representative’s name and title submitting the Submittal, and reference “RFQ #26-0908-01” and the project name “Connect Dublin Multimodal and Streetscape Plan” clearly on the outside of the envelope or box.

The City reserves the right, in its sole discretion, to waive any technicalities associated with any Submittal if deemed in the best interest of the City.

For electronic version Submittals, the Submittal must be a .pdf document and must follow the same format as the hardcopy submission. Submit the electronic version to Josh W. Powell at powellj@dublinga.org. Upon successful receipt of the electronic submittal, the sender will receive a receipt confirmation email. If you do not receive an email receipt confirmation for your mailto:powellj@dublinga.org mailto:powellj@dublinga.org

RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 4 | Page submittal within one (1) hour of your submittal, please contact Jaime Carter, Administrative Assistant to the City Manager, via email at carterj@dublinga.org, or by phone at (478) 277-5000.

Late submittals will not be accepted or considered. The City assumes no responsibility for Submittals that are received after the prescribed time or that are not properly addressed or identified.

All costs associated with responding to this RFQ are entirely on the Consultant. The City assumes no responsibility for any costs associated with responding to this RFQ.

c. Disadvantaged Business Enterprise (DBE) Goal:

i. There is no DBE goal for this project, however, efforts in Women and Minority Business Enterprise (W/MBE) or Disadvantage Business Enterprise (DBE) inclusion are encouraged.

d. Contract Term and Type:

i. The City anticipates one (1) contract to be awarded to one (1) firm for this Project. The City anticipates that the contract type will be paid via a Firm-Fixed Price and/or Cost-Plus Fixed Fee methodology. As a project specific contract, it is the City’s intention that the agreement will remain in effect until successful completion of the Project.

ii. Please note, the commencement of work will be immediately following the Notice to Proceed. The Project completion date shall be no later than June 30, 2028, per the City’s agreement with the Federal Highway Administration (FHWA).

e. Contract Amount: The project contract amount will be determined via negotiations with the City and the selected Consultant. If the City is unable to reach a satisfactory agreement and at reasonable rates to be paid for the services to be provided, the City reserves the right to terminate negotiations with the first selected Consultant and begin negotiations with the next highest ranked Consultant and so forth until a contract is achieved or the City closes this RFQ without issuing an award in the sole discretion of the City.

f. Budget: The budget for this project is $1,500,000, which is entirely funded by the RAISE Grant.

mailto:carterj@dublinga.org

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g. Schedule of Events:

The following Schedule of Events represents the City’s best estimate of the schedule that will be followed. All times indicated are Eastern Standard Time. This schedule is subject to modification at the sole discretion of the City. Interviews will be scheduled with individual Consultants within the date range provided below.

PHASE I Connect Dublin Multimodal & Streetscape Plan Date of Issue: Tuesday September 8, 2026 Last day to submit questions Phase I: Monday September 14, 2026, by 2PM Date of final answers Phase I: Thursday, September 17, 2026 @ 5PM

Statement of Qualifications (Submittals) Due: Thursday, September 24, 2026 @ 2PM

Notice to Top Ranked Consultants and Invitation to submit Proposals

Monday, September 28, 2026, by close of business.

Phase II

Submission of Proposals Deadline: Monday, October 12, 2026, by 2PM

Proposal submission location:

100 S. Church St., Dublin, GA 31021 Office of the City Manager https://www.bidnetdirect.com

Phase III Finalists Interviews: October 19-22, 2026, exact date & time TBD Final Selection: By Friday October 23, 2026 Negotiation process between City and selected team: Completed by Friday October 31, 2026

h. Joint Venture Proposals: Joint Venture Proposals are not allowed and will not be considered. The City intends to contract with one primary Consultant.

https://www.bidnetdirect.com/

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i. Open Records Act: Regardless of any attempt to designate or mark any Submittal otherwise, all records received by the City are subject to the Georgia Open Records Act, O.C.G.A. 50-18-70 et. seq. and will be provided upon proper request as provided by law without prior notice to any Consultant.

j. Award Conditions: This is a request and not an offer for contract or a solicitation of bids. Neither the City nor any Consultant will be bound until a written contract, mutually accepted by both parties, is negotiated, executed, and delivered.

4. SCOPE OF SERVICES

Interested Consultants should familiarize themselves with this RFQ and the attachments hereto. The selected Consultant will be responsible for providing the professional services needed to perform the Project, including, but not limited to:

(The following is not a comprehensive list of services/deliverables, but intended to provide Consultants and idea of the type of work expected to be involved as it relates to the Consultant’s Qualifications)

a. Project Management and Coordination

• Deliverables: Coordination with FHWA; Grant Compliance

Assistance/Guidance; Federal and Applicable State Rule and Regulation Compliance throughout.

b. Outreach and Engagement Activities

• Deliverables: Staff; Elected Official; Stakeholder; and Public

Outreach Meetings & Events; Online Outreach

c. Existing Conditions Analysis

• Deliverables: System Inventory and Analysis; Environmental

Screening; GIS Data Compilation and Mapping for the Project.

d. Multimodal and Streetscape Plan Development

• Deliverables: Establish Vision/Goals/Metrics; Bike-Pedestrian

Study; Feasibility Study; Identify Key Downtown and Connector Corridor Improvement Options, Including Multimodal Pathways;

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Transportation Plan for Project Area; Prioritization Plan; Identify Implementation Funding Opportunities

e. Policy Development

• Deliverables: Complete Streets Policy (draft); Traffic Calming Policy

(update to existing).

f. Conceptual Design (30%)

• Deliverables: Conceptual Designs to 30% completion for Project with Cost Estimates

g. Final Plans, Policies, and Designs

• Deliverables: Final Documents

5. SELECTION PROCESS

a. The selection process will be conducted in three phases:

Phase I - Initial Submittal of Qualifications

Phase II – Proposals of Technical Approach and Schedule

Phase III - Interviews and presentations of project approach proposals.

b. A review committee of city staff will rank Submittals in order of preference based on the evaluation criteria outlined herein. The review committee will notify the top-ranked Consultants and invite them to submit Proposals in conformity with Phase II as outlined herein. The review committee will also notify Consultants of dates for interviews for Phase III. The review committee will rank the interviewing Consultants in accordance with the criteria outlined herein. The review committee reserves the right to add additional processes to the selection process and will notify affected Consultants accordingly. The top-ranked Consultant will be contacted for final contract terms and presented to the City’s Mayor and Council for final approval at a public council meeting.

c. Phase I Submittals will be evaluated on the following criteria:

1) Qualifications and credentials of project team.

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2) Recent experience in completing projects of a similar nature, including references.

3) Workload capacity of the project team members.

4) Available resources dedicated to delivering the project.

5) Each criteria carries an equal weight.

d. Phase II Proposals for Technical Approach:

1) Consultants selected based on Phase I will be notified and invited to submit Proposals for further review.

2) Proposals will be evaluated based on the following criteria:

i. Consultant’s project approach

ii. Project understanding; and

iii. Proposed project schedule.

3) Each criteria carries an equal weight.

e. Phase III Interviews will be evaluated on the following criteria:

1) All criteria from Phase I

2) Demonstrated understanding of Dublin’s needs and goals for the

Project.

3) The Consultant’s Proposed technical approach, including comprehension of the project, responsiveness to the Project Scope and schedule, and ability to integrate innovative strategies to enhance the Project.

4) The Project Team’s suitability and “fit” to provide services for the project.

6. SUBMITTAL AND PROPOSAL REQUIREMENTS

Submittals and Proposals must contain the following information:

a. Format:

a. All Submittals and Proposals should be typed and submitted on standard (8 ½” x 11”) paper, using a minimum size 11 font with no smaller than 0.5-inch margins. The pages should be numbered. Each Submittal is limited to twenty (20) pages or less. Each section must begin on a new page as indicated below. The 20-page limitation does

RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 9 | Page not include the “required forms” specified below. All other Submittal requirements count towards the page limitation.

b. Consultants must submit one (1) original hardcopy version and one

(1) electronic version of the submittal. The Phase I submittal must follow the format and meet the content requirements as outlined below. The deadline for submittals (both hardcopy and electronic) are as indicated in the schedule of events above.

c. Each Submittal shall be prepared simply and economically. Fancy bindings, colored displays, and promotional materials are not desired.

Emphasis must be on completeness, relevance, and clarity of content.

Additional pages, other than what has been specified herein should not be included and will be grounds for disqualification.

b. Phase I:

a. Administrative Requirements: (Counts towards the 20-page limit – except for required forms specified below.)

i. Cover Page: Each submittal must have a separate cover page (both hard and electronic submittal) and each must list the RFQ number, the RFQ title, the proposing firm’s full legal name, mailing address, phone number, fax number, Unique Entity Identification Number (per Executive Order 12549), date of the proposal, and point of contact with contact information.

ii. Cover Letter: Each submittal must include a separate cover letter (both hard and electronic). This letter should at a minimum briefly state the understanding of the work to be done and include a statement why the firm believes it is the best qualified to perform the work. The cover letter should be signed by the Proposer or an authorized representative and be no longer than one (1) page.

iii. Basic Consultant Information:

1. Company name

2. Company headquarters’ address

3. Contact information: name and all contact information (telephone number(s) and email address) of primary

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4. Company website (if available)

5. Office Location(s): If the firm has multiple offices, please include information about the parent company and branch office separately and identify the office from which the project will be managed.

6. Ownership: Provide form of ownership, including state of residency or incorporation, and the number of years in business. Please indicate if firm is a sole proprietorship, partnership, corporation, limited liability company, or other structure.

7. Personnel: Briefly describe the history and growth of your firm. Provide general information about the firm’s personnel resources, including disciplines and numbers of employees and locations and staffing of offices.

8. Subconsultants: If applicable, provide a brief summary of all subconsultants’ history, resources and disciplines. State the expected role for each subconsultant as part of the team.

9. Financial Report: provide the firm’s last annual report or financial statement that will demonstrate its financial stability and ability to undertake this project.

iv. Required Forms: (These forms are attached to the RFQ and do not count towards the 20-page limit)

1. Certification Form: Complete the Certification Form (Form 1 enclosed with RFQ) and provide a notarized original within the firm’s Submittal. This is to be submitted for the primary Consultant ONLY.

2. Georgia Security and Immigration Compliance Act Affidavit: Complete the form (Form 2 enclosed with RFQ), and provide a notarized original within the

RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 11 | Page firm’s Submittal. This is to be submitted for the primary Consultant ONLY.

3. The United States Department of Transportation (USDOT) Standard Title VI/Non-Discrimination Assurances, DOT Order No. 1050.2A (Appendix A):

Per instructions on the form, complete the form (Form 3 enclosed with RFQ) and sign. This is to be submitted by the primary Consultant and sub-consultants.

4. The United States Department of Transportation (USDOT) Standard Title VI/Non-Discrimination Assurances, DOT Order No. 1050.2A (Appendix E):

Per instructions on the form, complete the form (Form 4 enclosed with RFQ) and sign. This is to be submitted by the Primary and sub-consultants.

5. Certification Regarding Debarment, Suspension, and Other Responsibility Matters – Primary Covered Transactions (49 CFR Part 29 – Appendix A): Per instructions on the form, complete the form (Form 5 enclosed with RFQ) and sign. This is to be submitted by the primary Consultant.

6. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions (49 CFR Part 29 – Appendix B): Per instructions on the form, complete the form (Form 6 enclosed with RFQ) and sign. This is to be submitted by the sub-consultant(s).

7. Certification Regarding Drug-Free Workplace Requirements: Per instructions on the form, complete the form (Form 7 enclosed with RFQ) and sign. This is to be submitted by the primary Consultant and the sub-consultant(s).

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8. Addenda: Sign acknowledgement (Form 8 will be provided if issued) for any addenda issued. This is to be submitted by the Prime ONLY.

b. Qualifications and Experience (Counts towards 20-page limit) This section of the Submittal should demonstrate the Consultant’s Project team members’ credentials and experience in transportation planning. The project team consists of all personnel, including sub-consultants, who will be working on the Project.

i. Qualifications: Provide information on the project team’s professional qualifications and description of experience for key project staff. Include a resume for all project team leaders that includes the following information:

1. Education and relevant professional registrations/certifications

2. Years of professional experience

3. Relevant experience pertaining to their key role as part of this project

ii. Experience: Provide information on the project team’s relevant experience with projects of similar complexity, size, scope, and function. Describe no more than five (5) and no less than three (3) accounts, which demonstrate the project team’s capabilities to provide services for the City of Dublin.

For each project, the following information should be provided:

1. Client name, project location, and dates during which services were performed

2. Clear description of the overall project and services provided

3. Summary of individual roles and involvement of proposed project team leaders

4. Duration of services provided and overall project budget

5. Client’s current contact information (name(s), email address, and phone number) *Please ensure this information is up to date.

This information is limited to one (1) page per project

c. Resources & Workload Capacity (Counts towards 20-page limit)

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This section of the Submittal should describe the project team’s ability to effectively provide services and dedicate sufficient resources for delivering the Project.

i. Organizational Chart: Provide an organizational chart identifying the project team’s key personnel and sub-consultants as follows:

1. Identify the prime consultant’s principal-in-charge, project manager, key project team leaders, and relevant support staff (all listed team members are expected to be active participants in the project)

2. Indicate the reporting structure of the project team This chart may be submitted on an 11” x 17” page that does count towards the 20-page limit.

ii. Statement of Ability: Provide a narrative describing the project team’s capacity to perform the work outlined in this RFQ. The statement of ability should address the following:

1. Provide a summary of the business operations and capabilities of the prime consultant and any sub-consultants as they pertain to the project.

2. Describe extent of key personnel and project manager involvement, including measures to assure the consistency of and retention of the project team’s key personnel.

3. Identify and discuss the primary office which will be responsible for handling the specific project and the number and types of staff within the office and how this office could benefit the project and promote efficiency.

4. If a key leader or subject matter expert is not local to the area, describe the communication and coordination plan for their involvement in the project.

5. Provide an overview of current and projected workload of key personnel.

6. Describe how the organization of the project team can deliver the project on schedule given their workload capacity.

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7. Discuss the advantages of the team and the abilities of the team members that will enable the project to move as expeditiously as possible.

c. Phase II – Technical Approach Submission from Selected Firms:

a. Technical Approach Proposals (20-page limit)

This Proposal should be completed and submitted only by the firms notified by the city that have passed the first review.

Submittals for this Phase II should demonstrate the project team’s understanding and responsiveness to the project scope and schedule and clearly show how the objectives will be met as outlined in the scope of work in the RFQ. All Proposals should include a Cover Page as identified and specified in Phase I.

i. Project Understanding: Provide a statement demonstrating the Consultant’s preliminary understanding of the project by providing a clear and concise description of the project and major issues based on the information provided in this RFQ.

This statement should also demonstrate the Consultant’s familiarity with and understanding of the project area.

ii. Project Approach: Provide a narrative summarizing the Consultant’s proposed approach for successfully completing the Project, including:

1. Methods and means by which the Consultant will perform and complete the services outlined in the

RFQ

2. Description of any unique approaches the project team offers relative to addressing plan development, analyses of data, public engagement, anticipated design concepts, use of any alternative methods for delivery (if applicable), and/or management of the Project

3. Identify any unique challenges or opportunities of the project and how the Consultant intends to mitigate these challenges, including quality control, quality assurance procedures

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4. Provide any specific qualifications, skills, or knowledge of the project and project area which may uniquely benefit the Consultant and Project

5. Describe any innovative strategies or concepts that may apply to or enhance the Project.

iii. Project Schedule: Provide a proposed project schedule identifying key tasks and milestone dates and their associated duration.

d. Phase III – Interviews

a. In Phase III, the review committee will allow presentations in whatever form desired by Consultant. (a 75” Vibe Board will be available for use as desired for display). Presentations should focus on any elements desired to be highlighted by the Consultant from the Phase I Submittals and any additional information Consultant desires to present concerning the criteria outlined in Section 4d above (Phase II Evaluation Criteria). Presentations should be limited to 15 minutes to allow for the review committee to ask questions and seek clarification of Submittals and presentation materials. If additional printed materials are provided during this Phase, they should be limited to 10 pages and direct to the point. Printed materials may be in whatever form is desired by the Consultant. The total maximum time allowed for interviews will be 45 minutes.

b. Topics of discussion during the interview may include, but are not limited to, unique approaches the project team offers, experience in working on federal grant funded projects, and unique challenges of the project and how the team plans to mitigate them.

c. Interviews are requested to be conducted in-person at City Hall in the International Room, 100 S. Church Street, Dublin, Georgia 31021.

Virtual meetings may be arranged if special circumstances warrant them but are not preferred.

7. CONTRACT, TERMS, AND CONDITIONS

a. Final contract terms will be negotiated with the highest ranked Consultant, (the “Contract”). If no successful agreement may be reached, the City reserves the right to move to the next highest ranked Consultant until an agreement is reached or close this RFQ.

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b. In addition to the conditions set forth and referenced in the agreement between the City and FHWA (see Attachment B), the selected Consultant agrees to the following contract terms and conditions. These are not all inclusive of a contract – final contract negotiations will occur – but are the minimum terms and conditions. Products produced by the selected Consultant will become the property of the City and not proprietary of the Consultant.

i. The Submittal becomes a contract only when legally awarded and accepted in writing by the City. This RFQ, any subsequent addendum(s), and the consultant’s proposal will be incorporated into the resulting contract.

ii. The City reserves the right to negotiate final terms with the selected consultant that may vary from those contained in this

RFQ.

iii. The Consultant shall obtain and maintain all licenses, permits, liability insurance, workman's compensation insurance and comply with any and all other standards or regulations required by Federal, State or City statute, ordinances and rules during the performance of any contract between the Consultant and the City.

Any such requirement specifically set forth in any contract document between the Consultant and the City shall be supplementary to this section and not in substitution thereof.

iv. The Consultant shall not commence work under this Contract until he has obtained all the insurance required under this paragraph and such insurance has been approved by the City, nor shall the Consultant allow any subconsultant to commence work on his subcontract until all similar insurance required of the subconsultant has been so obtained and approved. The City requires that they be listed on each of the insurance policies as an “additional insured.” This inclusion must appear on the certificates that are provided to the City before the Consultant or sub-consultant can commence any work for the City. The insurance certificate shall include the following statement:

1. The City of Dublin, Georgia is included as an additional insured with respect to any claim, demand, suit or action brought against the City of Dublin and arising from or related to the performance of the contract to which this certificate is attached.

a. Comprehensive General Liability

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i. The Consultant shall procure and shall maintain during the life of the Contract, such Comprehensive General Liability insurance as shall protect the City, Consultant and any Subconsultant or others working on the premises of the City in connection with this Project, or performing work covered by the contract for this Project from claims for damages for bodily injury, including accidental death, as well as from claims for property damages, which may arise from operations under the Contract, whether such operations are by himself or by anyone directly or indirectly employed or contracted with, by him.

The amount of insurance shall not be less than the following:

$1,000,000 Bodily injury, including death, each occurrence $500,000 Property Damage, each occurrence $1,000,000 Property Damage, in the aggregate:

b. Vehicle Liability

i. The Consultant shall procure and shall maintain during the life of the Contract, Comprehensive Automobile (Motor Vehicle) Liability insurance in amounts not less than the following:

$500,000 Bodily injury or death to any one person $1,000,000 Bodily injury, each occurrence $300,000 Property damage, each occurrence

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The insurance shall be the greater of the above shown figures or that as required by the State of Georgia. The insurance shall include coverage for owned, leased, and rented vehicles, as well as equipment, trailers, etc.

c. Workers' Compensation The Consultant shall procure and shall maintain during the life of the Contract, Worker’s Compensation insurance for all of his employees to be engaged in work on the project under this Contract. This insurance should be for the amount required by the State of Georgia.

v. Indemnification:

The Consultant agrees to protect, defend, indemnify, and hold harmless the City and its mayor, council members, officers, employees, legal representatives and agents from and against any and all losses, penalties, damages, settlements, claims, costs, charges and all other expenses and liabilities of every nature and kind including but not limited to attorney fees, and other legal cost, in connection with or in any way arising directly or indirectly out of or resulting from the work agreed to, or the work performed, by Consultant under the terms of any contract or agreement (including any bidding process). Without limiting the foregoing, any and all such claims, suits, or other actions relating to personal injury, death, damage to property, defects in material or workmanship, actual or alleged violations of any applicable Statue, ordinance, administrative order, rule or regulation, or any decree of any court shall be included in the indemnity hereunder.

This indemnification and hold harmless covenant is effective, to the extent caused by or resulting from the negligence, recklessness, or intentionally wrongful conduct of Consultant or other persons employed or utilized by the Consultant in the performance of the contract. Consultant’s obligations under this indemnification and hold harmless covenant also apply with respect to the enforcement of any of said indemnity and hold harmless covenants referenced above, including without

RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 19 | Page limitation any attorney’s fees and legal cost related thereto. The provisions of this paragraph are cumulative and in no way shall diminish the obligations resting upon Consultant under any other provision of the Contract or by operation of law. In claims against any person or entity indemnified above, which claims are made by an employee of the Consultant, a subconsultant, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, the indemnification obligations and hold harmless obligations stated above and agreed upon shall not be limited by a limitation on amount or type of damages, compensation or benefits payable by or for the Consultant or a subconsultant under worker’s compensation acts, disability benefit act or other employee benefit acts.

ATTACHMENTS AND FORMS ON FOLLOWING PAGES

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Attachment A – RAISE GRANT APPLICATION

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Attachment B – USDOT GRANT AGREEMENT

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RFQ #26-0908-01 – FORM #1 – CERTIFICATION FORM

CITY OF DUBLIN RAISE GRANT PLANNING PROJECT

CERTIFICATION FORM

STATE OF ________________

CITY OF ______________

__________________________________, being first duly sworn, deposes and says that:

1) The undersigned, as Consultant, certifies that every provision of this RFQ and attachments and forms thereto have been read and understood.

2) The Consultant hereby provides the following representations and assurances to the City of Dublin, Georgia (the “City”):

i. The Consultant represents that it has familiarized itself with and assumes full responsibility for having familiarized itself with the nature and extent of this RFQ, the Project, the locality, local conditions, state, and local laws, ordinances, rules, and regulation, as well as all applicable statutes, regulations, executive orders (Eos), Office of Management and Budget (OMB) circulars, terms and conditions, and approved applications; all as may be applicable to the Project and the scope of work or that may in any manner affect performance of the work for the Project, including those requirements, terms, and conditions contained within this RFQ. The Consultant further represents that it has correlated its Submittal with the requirements of this RFQ; and

ii. The Consultant will comply with all requirements, stipulations, terms and conditions as stated in this RFQ; and

iii. The Consultant currently complies with all Federal, State, and local laws and regulations regarding employment practices, equal opportunities, industry and safety standards, performance and any other requirements as may be relevant to the requirements of this RFQ; did not participate in the development or drafting specifications, requirements, statement of work, etc., relating to this RFQ; and

iv. The Consultant has not colluded with other Consultants possibly interested in this RFQ in arriving at or determining prices and conditions to be submitted; and

v. No person associated with Consultant’s firm is an employee of the City. Should Consultants, or Consultant’s firm have any currently existing agreements with the City, RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 60 | Page

Consultant must affirm that said contractual arrangements do not constitute a conflict of interest in this solicitation; and

vi. Such agent, as indicated below, is officially authorized to represent the Consultant in whose name the Submittal is submitted.

NAME OF CONSULTANT

BY:________________________________ Print Name:__________________________

Title:_______________________________ Date:_______________________________

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RFQ #26-0908-01 – FORM #2 – GEORGIA SECURITY AND IMMIGRATION

COMPLIANCE ACT AFFIDAVIT

GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT: E-VERIFY AND

SAVE PROGRAM

The Owner participates in the Georgia Security and Immigration Compliance Act with regard to Contractors and Subcontractors. The Act is explained in detail in this document.

Additionally, there are three documents included that must be completed and returned to the Owner with your bid package, as applicable. These are:

Contractor Affidavit and Agreement

Subcontractor Affidavit – if applicable

Sub-subcontractor Affidavit – if applicable

Failure to return the completed documents, if required, shall result in disqualification of the bid in its entirety.

The undersigned Proposer has read and understands the provisions contained herein and agrees to be bound by same. Please sign below to acknowledge you have read and understand the RFP requirements.

PROPOSER

Name of Firm

By: _________________________

Name: ______________________

Title: _______________________

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RFQ #26-0908-01 – FORM #3 – USDOT STANDARD TITLE VI/ NON-

DISCRIMINATION ASSURANCES - DOT ORDER NO. 1050.2A (APPENDIX A)

UNITED STATES DEPARTMENT OF TRANSPORTATION (USDOT)

STANDARD TITLE VI / NON-DISCRIMINATION ASSURANCES

Consultant Information

Legal Name of Firm: ___________________________________________

Type of Firm: ☐ Prime Consultant ☐ Subconsultant

Address: _____________________________________________________

City: _________________________ State: ______ Zip: __________

Telephone: ____________________ Email: ____________________

Federal Tax ID (Optional): _____________________________________

ASSURANCE

During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the "Contractor"), agrees as follows:

1. Compliance with Regulations

The Contractor (including consultants) will comply with the Acts and Regulations relative to Non- Discrimination in Federally Assisted Programs of the U.S. Department of Transportation, as they may be amended from time to time, which are incorporated by reference and made a part of this agreement.

2. Non-Discrimination

The Contractor, regarding the work performed during the contract, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The Contractor shall not participate directly or indirectly in discrimination prohibited by the applicable Acts and Regulations.

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3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment

In all solicitations for subcontracted work, procurement of materials, or leasing of equipment, each potential subcontractor or supplier shall be notified of the Contractor's obligations under this agreement and the applicable Acts and Regulations regarding non-discrimination.

4. Information and Reports

The Contractor shall provide all information and reports required by the applicable Acts, Regulations, and directives, and shall permit access to books, records, accounts, facilities, and other sources of information necessary to determine compliance.

5. Sanctions for Noncompliance

In the event of noncompliance with the non-discrimination provisions of this agreement, the Recipient may impose sanctions as permitted by law and applicable regulations.

6. Incorporation of Provisions

The Contractor shall include the provisions of this assurance in every subcontract, including procurements of materials and leases of equipment, unless exempt by applicable regulations or directives.

CERTIFICATION

I hereby certify that the above-named firm will comply with the requirements of USDOT Order No.

1050.2A, Appendix A, and all applicable federal non-discrimination statutes and regulations as a condition of participation in RFQ #26-0908-01.

Authorized Representative

Printed Name: _______________________________________________

Title: _______________________________________________________

Signature: _________________________________________________

Date: ______________________

Witness / Notary (If Required by Procuring Agency)

Witness Name: ______________________________________________

Signature: _________________________________________________

Date: ______________________

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RFQ #26-0908-01 – FORM #4 - USDOT STANDARD TITLE VI/ NON-

DISCRIMINATION ASSURANCES - DOT ORDER NO. 1050.2A (APPENDIX E)

UNITED STATES DEPARTMENT OF TRANSPORTATION (USDOT)

STANDARD TITLE VI / NON-DISCRIMINATION ASSURANCES

DOT Order No. 1050.2A – Appendix E

Pertinent Nondiscrimination Authorities Acknowledgement

Appendix E is typically incorporated into federally assisted contracts and identifies the non-discrimination of statutes, regulations, executive orders, and authorities with which contractors and consultants agree to comply during contract performance. [dot.ca.gov], [dot.ca.gov]

Consultant Information Legal Name of Firm: __________________________________________ Type of Firm: ☐ Prime Consultant ☐ Subconsultant Business Address: ____________________________________________

City: ____________________ State: ______ Zip: ___________ Telephone: ________________________________________________ Email: ____________________________________________________ RFQ Number: 26-0904-01

APPENDIX E CERTIFICATION

During the performance of this contract, the Contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the "Contractor"), agrees to comply with all applicable nondiscrimination statutes, regulations, and authorities, including but not limited to the following:

[dot.ca.gov], [dot.ca.gov] Pertinent Nondiscrimination Authorities ☐ Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.) and 49 CFR Part 21, prohibiting discrimination based on race, color, or national origin. [dot.ca.gov], [dot.ca.gov] ☐ Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. § 4601 et seq.), prohibiting unfair treatment of persons displaced by federally funded projects.

[dot.ca.gov], [dot.ca.gov] ☐ Federal-Aid Highway Act of 1973 (23 U.S.C. § 324), prohibiting discrimination based on sex.

[dot.ca.gov], [dot.ca.gov] ☐ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794) and 49 CFR Part 27, prohibiting discrimination based on disability. [dot.ca.gov], [dot.ca.gov] ☐Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), prohibiting discrimination based on age. [dot.ca.gov], [dot.ca.gov] ☐Airport and Airway Improvement Act of 1982, as amended, prohibiting discrimination based on race, creed, color, national origin, or sex. [dot.ca.gov], [dot.ca.gov] ☐ Civil Rights Restoration Act of 1987, expanding the scope and applicability of Title VI, Section 504, and the Age Discrimination Act to all programs and activities of recipients. [dot.ca.gov], [dot.ca.gov] ☐ Titles II and III of the Americans with Disabilities Act (ADA) and implementing regulations at 49 CFR Parts 37 and 38. [dot.ca.gov], [dot.ca.gov]

RFQ# 26-0908-01 Connect Dublin Multimodal & Streetscape 65 | Page

☐ Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations. [dot.ca.gov], [dot.ca.gov] ☐ Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency (LEP). [dot.ca.gov], [dot.ca.gov] ☐Any additional applicable USDOT nondiscrimination requirements, regulations, guidance, and directives issued by the sponsoring agency. [faa.gov], [apply07.grants.gov]

Contractor Acknowledgement The undersigned acknowledges and certifies that the firm identified above will comply with all applicable nondiscrimination requirements contained in USDOT Order No. 1050.2A, Appendix E, throughout the performance of services under RFQ #26-0908-01. [dot.ca.gov], [dot.ca.gov]

Authorized Representative Firm Name: ________________________________________________ Printed Name: ______________________________________________ Title: ____________________________________________________ Signature: ________________________________________________ Date: _____________________________________________________

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RFQ #26-0908-01 – FORM #5 - REGARDING DEBARMENT, SUSPENSION, AND

OTHER RESPONSIBILITY MATTERS

Primary Covered Transactions (49 CFR Part 29, Appendix A) This certification is required by Federal regulations implementing Executive Order 12549. By signing and submitting this proposal, the prospective primary participant is providing the certification set forth below.

[highways.dot.gov], [fhwa.dot.gov]

Consultant Information Legal Name of Firm: _______________________________________ Type of Firm: ☐ Prime Consultant ☐ Subconsultant Business Address: _________________________________________

City: _____________________ State: ______ Zip: _________ Telephone: ______________________________________________ Email: _________________________________________________ RFQ Number: 26-0904-01

Certification The prospective primary participant certifies to the best of its knowledge and belief that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in covered transactions by any Federal department or agency.

(b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for:

Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction;

Violation of Federal or State antitrust statutes;

Embezzlement;

Theft;

Forgery;

Bribery;

Falsification or destruction of records;

Making false statements; or Receiving stolen property.

(c) Are not presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (b) of this certification.

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

EXCEPTION

☐ The prospective participant is unable to certify to one or more of the statements above.

If checked, attach a detailed explanation on a separate sheet and identify the paragraph(s) to which the exception applies. [fhwa.dot.gov], [federal.elaws.us]

Authorized Representative Certification I certify that I am authorized to execute this certification on behalf of the firm identified above and that the information provided herein is true and correct to the best of my knowledge and belief.

Firm Name: ______________________________________________ Printed Name: ___________________________________________ Title: _________________________________________________ Signature: _____________________________________________ Date: _________________________________________________

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RFQ #26-0908-01 – FORM #6 - CERTIFICATION REGARDING DEBARMENT,

SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION

Lower Tier Covered Transactions (49 CFR Part 29, Appendix B)

This certification is required of all lower-tier participants (including subconsultants, subcontractors, suppliers, and vendors) participating in federally assisted contracts. By signing and submitting this form, the prospective lower-tier participant provides the certification set forth below. [fhwa.dot.gov], [highways.dot.gov]

Lower Tier Participant Information Legal Name of Firm: ________________________________________ Type of Firm: ☐ Subconsultant ☐ Subcontractor ☐ Supplier ☐ Vendor Business Address: __________________________________________

City: _____________________ State: ______ Zip: _________ Telephone: ________________________________________________ Email: ___________________________________________________ RFQ Number: 26-0904-01 Prime Consultant: __________________________________________

Certification The prospective lower-tier participant certifies, by submission of this proposal, that neither it nor its principals:

(a) Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in covered transactions by any Federal department or agency.

(b) Will knowingly enter into any lower-tier covered transaction with a person who is proposed for debarment, debarred, suspended, declared ineligible, or voluntarily excluded from participation in a covered transaction unless specifically authorized by the appropriate Federal agency.

(c) Agree to include this certification, without modification, in all…