RFQu 24_752_023 Attachment Package.pdf
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- Attached to
- RFQu 24-752-023 Professional Services Geotechnical, Environmental and Construction Material Testing
- Solicitation number
- PE-64410-NONST-2024-000000061
- Issued by
- Dekalb County, Georgia
About this file
This document is an Attachment Package for Request for Qualifications (RFQu) No. 24-752-023 issued by the DeKalb County School District (DCSD) in Georgia for Professional Geotechnical, Environmental and Construction Material Testing Services. The RFQu is seeking qualified firms to provide these services on an as-needed basis for DCSD projects. The package includes various attachments such as checklists, certification forms, rate schedules, and affidavits that must be completed and submitted with the proposal. The RFQu has a due date of April 25, 2024, and the selected firm will enter into a Continuing Contract for Professional Services with DCSD.
The RFQu requires submission of a business license, certificate of insurance, and electronic version of the bid documents. Pricing will be provided on the Design Professional Rate Schedule attachment. There are no set-asides or incumbents specified. Funding for the services will be provided through DCSD's budget, though the specific source and amount is not detailed. The RFQu reserves the right for DCSD to reject any and all proposals.
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DeKalb County School District RFQu No. 24-752-023 Professional Geotechnical, Environmental and Construction Material Testing Services Project No. N/A April 25, 2024 Page 1 of 2
ATTACHMENT A: GEOTECHNICAL, ENVIRONMENTAL AND CONSTRUCTION
MATERIAL TESTING SERVICES CHECKLIST AND CERTIFICATION
The undersigned, hereby acknowledges having received Request for Qualifications (RFQu) No. 24-752-023 for Project No. N/A ; Professional Geotechnical, Environmental and Construction Material Testing Services containing a full set of documents:
Owner’s Project Specific Information
Appendix B: Geotechnical, Environmental and Construction Material Testing Services Review-Minimum Submittal Requirements (11 pages)
Appendix C1: DCSD Elementary School Educational Specifications (9 pages)
Appendix C2: DCSD Middle School Educational Specifications (9 pages)
Appendix C3: DCSD High School Educational Specifications (8 pages)
Appendix D: DCSD Design Guidelines for Facility Construction (51 pages)
Appendix E: DCSD 2023-2024 and 2024-2025 School Calendar (2 pages)
Appendix F: Continuing Contract for Professional Services (38 pages)
IMPORTANT NOTICE: The omission of any of the required items listed below shall cause the bid submission to be declared non-responsive and to be rejected.
Owner’s Standard Forms:
Include with
Proposal
Check Box to
Confirm Inclusion
Attachment A Geotechnical, Environmental and Construction Material Testing Services Checklist and Certification (2 pages)
YES
Attachment B1 Corporate Certificate (1 page) B1 or B2 or B3 as applicable
Attachment B2 Partnership Certificate (1 page)
Attachment B3 Entity Certificate (1 page)
Attachment C Design Professional Rate Schedule (5 pages) YES
Attachment D Offeror’s and Individuals’ Affidavit of Noncollusion (2 pages) YES
Attachment E Conflict of Interest Disclosure Affidavit (2 pages) YES
Attachment F Consent to Release Information (1 page) YES
Attachment G Immigration and Security Certification (2 pages) YES
Attachment H No Submittal Response Form (1 page) N/A
Other Requirements:
Include with
Proposal
Check Box to Confirm Inclusion
Copy of Business License and Certificates YES
Certificate of Insurance YES
Electronic Version of bid documents YES
Professional Geotechnical, Environmental and Construction Material Testing Services Project No. N/A April 25, 2024 Page 2 of 2
Indicate Addenda(s) Nos. _____________________________ received (none unless indicated here). The Geotechnical, Environmental and Construction Material Testing/ Engineer is responsible for reading and understanding all sections of this RFQu, and affirms that the Geotechnical, Environmental and Construction Material Testing /Engineer shall be bound by all of the terms and conditions contained in this RFQu.
Further, the undersigned, being duly sworn, states on oath that no disclosures of ownership have been withheld from the Board, that the information provided herein is current, and Geotechnical, Environmental and Construction Material Testing/Engineer and its officers and employees have not entered into any agreement with any other Geotechnical, Environmental and Construction Material Testing/Engineer or prospective Geotechnical, Environmental and Construction Material Testing/Engineer or with any other person, firm or corporation relating to any prices or other terms named in this RFQu or any other RFQu, nor has it entered into any agreement or arrangement under which a person, firm or corporation is to refrain from responding to this RFQu.
Name of Geotechnical, Environmental and Construction Material Testing/Engineer:
Signature: Printed Name: ____________________________
Title: Date:
Sworn to and subscribed before me this day of , 2_____.
Notary Public: _____________________________ My commission expires: ___/___/___.
(SEAL)
THE DEKALB COUNTY SCHOOL DISTRICT RESERVES THE RIGHT TO REJECT ANY AND ALL
PROPOSALS AND TO WAIVE INFORMALITIES.
Professional Geotechnical, Environmental and Construction Material Testing Services April 25, 2024 Page 1 of 1
ATTACHMENT B1: CORPORATE CERTIFICATE
STATE OF _______________________
COUNTY OF _____________________
I, ________________________________, certify that I am the Secretary of the corporation named as offeror in the foregoing proposal; that ____________________________ who signed said proposal on behalf of the offeror was then _______________________ of said corporation; that said proposal was duly signed for and in behalf of said corporation by authority of its Board of Directors, and is within the scope of its corporate powers; and that said corporation is organized under the laws of the State of ____________________.
[signature]
[typed name]
Subscribed and sworn to before me this ___ day of _______________, 2_____.
Notary Public
My Commission Expires:
ATTACHMENT B2: PARTNERSHIP CERTIFICATE
STATE OF __________________________
COUNTY OF ________________________
On this day of , 20 , personally appeared , who executed the above proposal, and being first duly sworn, deposes and says that he or she is a general partner in the firm of and that said firm consists of himself or herself and and that he or she executed the foregoing proposal on behalf of said firm for the uses and purposes stated therein, and that no one except the above named members of the firm have any financial interest whatsoever in said proposed contract.
[Affiant’s Signature]
Partner Partner
Partner Partner
Subscribed and sworn to before me this ___ day of _______________, 2____.
(seal)
My Commission Expires:
NOTE: If only one partner signs, a Power of Attorney executed by all other partners authorizing him or her to act in the name of the partnership must be attached; otherwise, all partners must sign.
ATTACHMENT B3: ENTITY CERTIFICATE
STATE OF _______________________
COUNTY OF _____________________
I, ________________________________, certify that I am the Secretary of the entity named as offeror in the foregoing proposal; that _____________________________________ who signed said proposal in behalf of the offeror was then _______________________ of said entity; that said proposal was duly signed for and on behalf of said entity by due authority, and is within the scope of its legal powers; and that said entity is a ________________________ organized under the laws of the State of ____________________.
[typed name]
Subscribed and sworn to before me this ___ day of _______________, 2____.
ATTACHMENT D: OFFEROR’S and INDIVIDUALS’ AFFIDAVIT OF NONCOLLUSION (This affidavit to be executed in accordance with O.C.G.A. § 36-91-21(e))
STATE OF ______________________
COUNTY OF ____________________
COMES NOW, ________________________________________________________ (“Offeror”), [Name of Offeror] appearing by and through __________________________________, its _________________________ [insert name of individual with [title] authority to bind Offeror]
(averring both individually and in his or her representative capacity on behalf of Offeror) (the “Individual and Representative Affiant”), and [in these blanks insert the names of all those required to give the oath under O.C.G.A. § 36-91-21(e)]
(collectively, the “Individual Affiants”), and each of the Individual And Representative Affiant and the Individual Affiants, after first being duly sworn, deposes and says that:
1. He, she or it, as applicable, has not directly or indirectly violated subsection (d) of the Official
Code of Georgia Annotated Section 36-91-21, which subsection provides as follows:
(d) Whenever a public works construction contract for any governmental entity subject to the requirements of this chapter is to be let out by competitive sealed bid or proposal, no person, by himself or herself or otherwise, shall prevent or attempt to prevent competition in such bidding or proposals by any means whatever. No person who desires to procure such work for himself or herself or for another shall prevent or endeavor to prevent anyone from making a bid or proposal therefor by any means whatever, nor shall such person so desiring the work cause or induce another to withdraw a bid or proposal for the work.
2. If the Offeror is a partnership, then the Individual and Representative Affiant, together with the
Individual Affiants, constitute all of the partners and any officer, agent or other person who may have represented or acted for them in bidding or proposing for or procuring the contract for the DeKalb County
Board of Education Professional Geotechnical, Environmental and Construction Material Testing Services
(the “Project”).
3. If the Offeror is a corporation or other entity, then the Individual And Representative Affiant, together with the Individual Affiants, constitute all officers, agents, or other persons who may have acted for or represented the corporation or other entity in bidding for or procuring the contract for the Project.
Further, the Individual And Representative Affiant and the Individual Affiants sayeth not.
This _______ day of _______________, 2____
[insert name of Offeror] and
[insert name of Individual And Representative Affiant]
By: ___________________________________, both individually and on behalf of Offeror as its
[insert title]
Individual Affiants’ signatures and names:
x_____________________________________ x____________________________________ Name: Name:
x_____________________________________ x____________________________________ Name: Name:
x_____________________________________ x____________________________________ Name: Name:
x_____________________________________ x____________________________________ Name: Name:
x_____________________________________ x____________________________________ Name: Name:
x_____________________________________ x____________________________________ Name: Name:
Sworn to and subscribed before me this ___ day of _______________, 2____.
Notary Public: _____________________ My commission expires: __/__/__.
ATTACHMENT E: CONFLICT OF INTEREST DISCLOSURE AFFIDAVIT
I HEREBY CERTIFY, UNDER OATH, that
1. I (Printed Name), ______________________________________ am the (Title)
_________________________________________________ and I am the duly authorized representative of the firm of (Firm Name) ______________________________________
_____________________________________________ (the “Firm”) for purposes of this
Affidavit, whose address is (Firm Address) _________________________
________________________, and I possess the legal authority to make this Affidavit on behalf of myself and the Firm, as follows:
2. The following employee(s), officer(s) or agent(s) of the Firm (collectively, “Firm
Representative”) is/are related, by blood or marriage, to an employee, agent or Board
Member of the DeKalb County Board of Education (collectively, “Owner
Representative”), as indicated below:
Firm Representative Owner Representative Relation
3. Except as listed below under “EXCEPTIONS”, neither the Firm nor any Firm
Representative have any conflicts of interest, whether real or potential, due to kinship, ownership, other clients, other contracts, interests, or otherwise concerning the DeKalb
County Board of Education, the Project, or any Owner Representative:
EXCEPTIONS (fully disclose and completely explain)
[Continued on Next Page]
4. This disclosure is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a bid, proposal or qualification statement for the same contract or project and is in all respects without collusion or fraud.
Wherefore, the foregoing disclosure is fully complete and true, and may be relied upon by the
DeKalb County Board of Education:
Signature: ____________________________________________
Printed Name: ____________________________________________
Firm Name: ____________________________________________
Date: ____________________________________________
Sworn to and described before me this ________ day of _______________________
Personally known: ____________________________________________
OR Produced Identification: ____________________________________________
Type of Identification: ____________________________________________
Notary Public – State of ____________________________________________
My Commission Expires ____________________________________________
Affix Notary Seal Here:
ATTACHMENT F: CONSENT TO RELEASE INFORMATION
The undersigned, having submitted a competitive sealed Proposal to the DeKalb County Board of Education in respect of a local government entity public works construction project (or being a partner in a joint venture that has submitted such proposal), hereby authorizes any person or entity having in its possession, custody or control any information regarding the undersigned to fully disclose and make available such information to the DeKalb County Board of Education, its agents, attorneys and other representatives.
This ___ day of _______________, 2_____.
[Printed name of person or entity consenting to release of information]
By: ___________________________________
Printed name: ___________________________
Printed Title: ____________________________
ATTACHMENT G: IMMIGRATION AND SECURITY CERTIFICATION
If you are providing service, performing work, or delivering goods to the DeKalb County Board of Education/DeKalb County School District including, but not limited to schools, warehouses and central offices, the applicable Georgia Security and Immigration Compliance documents found here must be completed, signed, notarized, and submitted with your bid/proposal. Failure to provide this document with your bid/proposal will result in the disqualification of the bid/proposal.
1) Offeror/Bidder shall at all times comply with the Georgia Security and Immigration Compliance Act, as amended, O.C.G.A. § 13-10-90 et. seq.
2) In order to insure compliance with the Immigration Reform and Control Act of 1986 (IRCA), D.L. 99-603 and the Georgia Security and Immigration Compliance Act, as amended by the Illegal Immigration Reform Act of 2011, O.C.G.A. § 13-10-90 et. seq. (collectively the “Act”), the Offeror MUST INITIAL the statement applicable to Offeror below:
(a) (Initial here): Offeror declares under penalties of perjury that, Offeror has registered at https://e-verify.uscis.gov/enroll/ to verify information of all new employees in order to comply with the Act; is authorized to use and uses the federal authorization program under the federal work authorization user identification number issued on the date of authorization below; will continue to use the authorization program throughout the contract period; Offeror further warrants and agrees Offeror shall execute and return any and all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1-.01 et. seq. [Offerors who initial (a) must attach and return a signed, notarized Contractor Affidavit and Agreement with the Contract if awarded];
or
(b) ________ (Initial here): Offeror/Bidder warrants that he/she does not employ any other persons, and he/she does not intend to hire any employees or to perform the Contract. [Offerors/Bidders who initial (b) must attach and return a signed, notarized Affidavit of Exception with the Contract if awarded];
or
(c) _______ (Initial here) Offeror/Bidder is an individual who is licensed pursuant to Title 26 or Title 43 or by the State Bar of Georgia and is in good standing when such contract is for services to be rendered by such individual and thus does not have to provide an affidavit.
_ 3) _____ (Initial here) Offeror/Bidder will not employ or contract with any subcontractor in connection with a covered contract unless the subcontractor is registered, authorized to use, and uses the federal work authorization program; and provides Offeror/Bidder with all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1-.01 et. seq.
4) _____(Initial here) Offeror/Bidder agrees that, if Offeror/Bidder employs or contracts with any sub-contractor in connection with the covered contract under the Act and DOL Rules 300-10-1-.01, https://e-verify.uscis.gov/enroll/ et seq that Offeror/Bidder will secure from each sub-contractor at the time of the contract the sub-contractor’s name and address, the employee-number applicable to the sub-contractor, the date the authorization to use the federal work authorization program was granted to sub-contractor; the subcontractor’s attestation of the subcontractor’s compliance with the Act and Georgia Department of Labor Rule 300-10-1-.01, et seq.; and the subcontractor’s agreement not to contract with sub-subcontractors unless the sub-subcontractor is registered, authorized to use, and uses the federal work authorization program; and provides subcontractor with all affidavits required by the Act and the rules and regulations issued by the Georgia Department of Labor as set forth at Rule 300-10-1- .01 et. seq.
5) ______(Initial here) Offeror/Bidder agrees to provide the DeKalb County School District with all affidavits of compliance as required by O.C.G.A. § 13-10-90 et seq. and Georgia Department of Labor Rules 300-10-1-.01, et seq within five (5) business days of receipt.
Signature Date
EEV/Basic Pilot Program Date of Authorization User Identification Number
Firm Name: __________________________________________________________
Street/Mailing Address: ________________________________________________
City, State, Zip Code: __________________________________________________
Telephone Number: ___________________________________________________
Email Address: _______________________________________________________
SUBSCRIBED AND SWORN
BEFORE ME ON THIS THE
______ DAY OF_____________________, 20____
ATTACHMENT H: NO SUBMITTAL RESPONSE FORM
RFQu Number: 24-752-023 Title: Professional Geotechnical, Environmental and Construction Material Testing Services
If your company will not be submitting a proposal in response to this Request for Qualifications, please complete this form and return or email, prior to the RFQu due date established within to:
DeKalb County Board of Education (the “Board”) Attention: Senior Procurement Manager
Email: belinda_quillet@dekalbschoolsga.org
This information will assist Procurement Services in the preparation of future RFQu’s.
Company Name:
Contact:
Address:
Telephone: _________________________________ Fax:
Email:
Please check reason for a “no submittal.”
_____ Specifications ‘too tight,” geared toward one brand or manufacturer (explain below)
_____ Insufficient time to respond
_____ Specifications unclear (explain below)
_____ We do not offer this service or an equivalent
_____ Our schedule does not permit us to perform
_____ Unable to meet specifications
_____ Unable to meet bond requirements
_____ Unable to hold prices respondent throughout the term of the contract period
_____ Unable to meet insurance requirements
_____ Other
Explanation:
If submitting this form, only this form needs to be returned.
mailto:belinda_quillet@dekalbschoolsga.org
| Attachment A Geotechnical, Environmental Checklist |
| Attachment B1 Corporate Certificate |
| Attachment B2 Partnership Certificate |
| Attachment B3 Entity Certificate |
| Attachment D Offeror's and Individuals Affidavit of Noncollusion |
| Attachment E Conflict of Interest Disclosure Affidavit |
| Attachment F Consent to Release Information |
| Attachment G Immigration and Security |
| Attachment H No Submittal Response |
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