WESTSIDE SERVING LINE RFQ 26_212.pdf

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Attached to
WESTSIDE HIGH SCHOOL CAFETERIA SERVING LINES
Solicitation number
PE-72110-NONST-2027-000000069
Issued by
Georgia

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WESTSIDE HIGH SCHOOL CAFETERIA SERVING LINES - RFQ #26-212

This Request for Quotation (RFQ) is issued by the Richmond County Board of Education's Nutrition Services Department for the procurement of serving line equipment for Westside High School in Augusta, Georgia. The project requires two complete serving line systems consisting of three item categories: two hot food counters (Delfield Model No. 000-40014IRU1 with custom Shelley fabrication modifications including five-well configuration), two refrigerated cold pan serving counters (Delfield Model No. 000-40014IRU2 with seven-year compressor warranty), and two cashier's counters (Delfield Model No. 000-40014IRU3). A non-mandatory pre-bid meeting is scheduled for Tuesday, September 15, 2026, at 2:00 p.m. at Westside High School Cafeteria (1002 Patriots Way, Augusta, GA 30907). Sealed bids are due Wednesday, October 7, 2026, at 3:00 p.m. EST at 864 Broad Street, Augusta, GA 30901. The anticipated award date is October 20, 2026, with delivery and installation expected within 60 days of award. All work must be coordinated with Mr. Emmett Rhodes, Department of Maintenance and Facilities, at (706) 737-7189 or (706) 220-8260. The contract term is subject to Georgia state law (O.C.G.A. 20-2-506) with automatic annual renewal unless terminated with 30 days' written notice.

Bid pricing must be submitted as a turnkey price for the complete job as specified and must include all freight, delivery, installation, assembly, electrical connections, plumbing to drains, and removal of existing equipment and disposal of debris. Bidders must indicate pricing validity period and lead time for delivery and installation. The Richmond County School System is tax-exempt and bids should exclude applicable state and federal sales taxes. The award will be made to the lowest responsible and responsive bidder meeting specifications and providing overall general value. Bidders must submit with their proposals a Sex Offender Acknowledgement Form and an E-Verify Affidavit confirming compliance with federal work authorization requirements. A three-year warranty covering replacement or repair of defective materials and workmanship, including labor costs, is required, with service to be provided within 48 hours of notification. Proof of insurance including Workers' Compensation, Contractor's Protective Liability, and Public Liability Insurance with minimum coverage of $200,000 per person and $500,000 per accident must be provided prior to commencement of work.

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864 Broad Street – 4th Floor Augusta, Georgia 30901 – 1215

(706) 826-1000 Fax: (706) 826-4612

Shawnda Stovall DR. MALINDA B. COBB Bobby A. Smith, CPA President Superintendent of Schools Chief Financial Officer

COVER SHEET

SERVING LINE FOR WESTSIDE HIGH SCHOOL RFQ #26-212

Date:

Vendor Name:

Address:

Phone:

Fax:

Email:

BID

TOTAL

Addendum(s) Acknowledged: (If Applicable) #1 Yes: _________________ NO: _______________

#2 Yes: _________________ NO: _______________

#3 Yes: _________________ NO: _______________

#4 Yes: _________________ NO: _______________

BIDS ARE DUE WEDNESDAY, OCTOBER 7, 2026 @ 3:00 P.M.

864 Broad Street – 4th Floor Augusta, Georgia 30901 – 1215

(706) 826-1000 Fax: (706) 826-4612

Shawnda Stovall DR. MALINDA B. COBB Bobby A. Smith, CPA President Superintendent of Schools Chief Financial Officer

TO: DEALERS IN FOOD SERVICE EQUIPMENT FROM:

RICHMOND COUNTY BOARD OF EDUCATION

DATE: September 8, 2026

SUBJECT: SERVING LINE for WESTSIDE HIGH SCHOOL RFQ #26-212

You are invited to submit sealed bids on a SERVING LINE as described in the following specifications. Items will be F.O.B. AUGUSTA, GA 30906. Transport and delivery of product must be on a dealer’s truck or manufacturer’s truck with a deal representative present.

Item marked to the attention of Principal, and marked for and delivered to, W e s t S i d e H i g h School Kitchen, 1002 Patriots Way; Augusta, GA 30907. All freight and delivery charges MUST be included in the unit cost.

We will have a pre-bid meeting on Tuesday, September 15, 2026 @ 2:00 p.m. Location will be Westside High School Cafeteria; 1002 Patriots Way; Augusta, GA 30907.

The company awarded the bid is expected to have delivery and set up completed i n t h e m o s t e x p e d i e n t t i m e f r a m e a v a i l a b l e . P r e f e r a b l y w i t h i n 6 0 d a y s o f a w a r d ( 1 0 - 2 0 - 2 6 ) . A n y D e l a y w i l l n e e d n o t i f i c a t i o n t o the Richmond County Nutrition Services Director. Also note further requirements under the following standard terms and conditions:

STANDARD TERMS AND CONDITIONS

(1) TIME AND PLACE: Bids will be received by the Richmond County School System until 3:00 p.m. EST, on Wednesday, October 7, 2026, at 864 Broad Street, Augusta, GA 30901.

(2) LATE BIDS AND PROPOSALS: Regardless of cause, late bids and quotes will not be accepted and will automatically be disqualified from bid consideration. It shall be solely the vendor’s risk to ensure delivery at the designated office by the designated time. Late bids and quotes will not be opened and may be returned to the vendor.

RICHMOND COUNTY SCHOOL SYSTEM NURTIRITION SERVICES DEPARTMENT

SEPTEMBER 8, 2026 WESTSIDE HIGH SCHOOL SERVING LINE

RFQ#26-212

(3) BID FORM: All bids must be made on the provided bid form. All blank spaces for bid prices must be filled in with ink or typewritten and the Bid Form must be fully completed and executed when submitted. Only one copy of the Bid Form is required.

(4) SEALED BID REQUIREMENT: Each bid must be submitted in a sealed envelope addressed to Dr. Malinda B. Cobb, Superintendent of Schools, c/o Mr. Bobby A. Smith, Chief Financial Officer, Richmond County School System, 864 Broad Street, Augusta, Georgia 30901. Each sealed envelope containing a bid must be plainly marked on the outside “SERVING LINE FOR WESTSIDE HIGH SCHOOL RFQ #26-212” and the envelope must bear on the outside the name and complete address of the vendor. If forwarded by mail, the sealed envelope containing the bid must be enclosed in another envelope addressed to Dr. Malinda B. Cobb, Superintendent of Schools, c/o Mr. Bobby A.

Smith, CFO, Richmond County School System, 864 Broad Street, Augusta, Georgia 30901, RFQ #26- 212.

(5) MANFACTURER’S NAME AND MODEL NUMBERS: Manufacturer’s name and product model numbers as listed in these specifications shall be used to establish minimum quality and design features which are acceptable. Unless so specified, similar products of other reputable manufacturers will be acceptable, provided the minimum specifications are met to the satisfaction of the Director of Nutrition Services or her designated representative. This determination shall rest solely with the Director of School Nutrition or a designated representative, subject to review by the Board of Education. Should manufacturer be other than the particular manufacturer listed herein for proposed use, you must include all technical specifications and warranties with your submitted bid documents. If technical specifications are not included, the alternate product will not be considered. Submission of specifications and warranties does not guarantee approval of acceptance of the product.

(6) DELIVERY AND FREIGHT REQUIREMENTS: Bid prices will include all delivery and freight charges with deliveries to be made to:

Westside High School Kitchen 1002 Patriots Way Augusta, GA 30907

The successful vendor will be required to make delivery to the school site; unload, assemble, place in room as directed, adjust (level), and clean equipment. Transport and delivery of product must be on a dealer’s truck or manufacturer’s truck with a dealer representative present. The vendor shall also be responsible for removing and disposing of all packing materials from the premises. The vendor will need to remove existing serving line(s) and dispose of all debris prior to installing the new material.

(7) NOTIFY: WORK TIME AND DELIVERIES MUST BE CLEARED THROUGH MR. EMMETT

RHODES WITH THE DEPARTMENT OF MAINTENANCE AND F A C I L I T I E S (706) 737-7189

(O) OR (706)220-8260 (C) RhodeEm@boe.richmond.k12.ga.us mailto:RhodeEm@boe.richmond.k12.ga.us

(8) NOTE TO BIDDERS: Bidders must satisfy themselves of the accuracy of the bid pricing by reviewing the bid specifications and a review of the job site. A job-site visit can be scheduled by contacting Emmett Rhodes RhodeEm@boe.richmond.k12.ga.us. After bids have been submitted, the bidder shall not assert that there was a misunderstanding concerning the quantities of work, the utilities available or the nature of the work to be done.

(9) M A T E R I A L SUPPLIERS: The low bidder must supply the names and addresses of material suppliers when requested to do so by the Richmond County School System.

(10) CERTIFICATION: The Richmond County School System may make such investigations as he deems necessary to determine the ability of the bidder to perform the work and the bidder shall furnish the Owner all such information and data for this purpose as it may request.

The School System reserves the right to reject any bid if the evidence submitted by or investigation of such bidder fails to satisfy the Board that such bidder is properly qualified to carry out the obligations of the agreement and to complete the work.

(11) P R O O F O F INSURANCE: The vendor will be required to carry Workmen’s Compensation Insurance, Contractor’s Protective Liability Insurance, and Contractor’s Public Liability Insurance, Personal Injury, including death limits of $200,000 for each person and $500,000 for each accident, Property Damage limits of $100,000 for each accident and $200,000 for the aggregate of operations. Certificate of Insurance must be sent to the Richmond County School System Business Office (perkice@boe.richond.k12.ga.us) once award notice has been made and prior to commencement of work.

(12) PRE-BID CONFERENCE: A non-mandatory pre-bid meeting will be held on Tuesday, September 15, 2026 @ 2:00 p.m. Location: Westside High School Cafeteria; 1002 Patriots Way;

Augusta, GA 30907.

(13) RIGHT TO RE-BID: The Richmond County School System reserves the right to reject any and all proposals. The right is reserved to reject any and all quotations, to omit any items called for or to accept the proposal deemed best for the Richmond County School System.

(14) REJECTION OF PROPOSALS: The Richmond County School System reserves the right to reject, in whole or in part, any and all proposals received, to waive technicalities, or to negotiate any term(s) or provision(s) of such proposals as meet the requirements and specifications of this RFQ, such rejection, waiver, or negotiation to be accomplished in any manner necessary to serve the best interests of the Richmond County School System. The Richmond County School System also reserves the right to be the sole judge of the suitability of any and all proposals for use by the Richmond County School System.

The Richmond County School System reserves the right to reject or otherwise disregard, in whole or in part, any ambiguous proposals or proposals which are uncertain as to terms or compliance with specifications.

mailto:RhodeEm@boe.richmond.k12.ga.us mailto:perkice@boe.richond.k12.ga.us

(15) NON-WITHDRAWAL PERIOD: Proposals may not be withdrawn for a period of thirty (30) days from the date of bid opening.

(16) WARRANTY: The successful vendor will provide in writing to the Richmond County Board of Education, marked to the attention of the Director of School Nutrition, a warranty to replace or repair at no expense to the Richmond County School System any or all items found to be defective in materials, workmanship or damage in shipment for a period of three (3) years from date of acceptance by the Director of School Nutrition. This warranty will include labor costs to perform any warranted work. If there is a standard warranty for a period of longer than three

(3) years, then it will be provided in lieu of the above. Warranty service must be provided within 48 hours of notification.

(17) STATE-MANDATED WALK AWAY PROVISION: In the event a contract is awarded for more than one year: 202-2-506

“Pursuant to O.C.G.A. § 20-2-506, notwithstanding any other provision herein this contract shall terminate absolutely and without further obligation on behalf of the School System at the close of each calendar year in which it was executed and at the close of each successive calendar year for which it may be renewed provided thirty (30) days prior written notice is given by the School System to the vendor prior to the end of such calendar year.

In addition, this contract shall terminate immediately and absolutely at such time that appropriated and otherwise obligated funds are no longer available to satisfy the obligation of the School System under the contract.

This contract shall be deemed to obligate the School System for the sums payable during the calendar year the agreement was executed or in the event of a renewal by the School System for those sums payable at the end of any renewed calendar year.

The contract shall be deemed to have been automatically renewed for each applicable calendar year, not to exceed the initial term of contract, unless positive action is taken by the School System to terminate such contract herein as set forth.”

(18) JURISDICTION AND VENUE: “This contract shall be governed and constructed in accordance with the laws of the State of Georgia, Richmond County. Venue and jurisdiction will be that of a court of competent jurisdiction in Richmond County, Georgia.

(19) DUTY TO PROTECT: The Contractor (or Vendor) shall not knowingly send any employee, agent or subcontractor personnel who is a registered sex offender or who has been convicted of sexual abuse to any school building or school property when students are attending school or a school related activity.

The Contractor (or Vendor) shall make periodic criminal history record inquiries as authorized by O.C.G.A. §35-3-34, as now written, or here-after amended; or allowed by all or any other laws allowing such inquiry, to identify these persons who have been convicted of sexual abuse or any other act which would require such person to be entered into a national or state sexual offender registry.

For the purpose of this policy, the term periodic shall mean that the criminal history record inquiries shall be made current upon the awarding of a successful bid on contract and checked no less than annually during the duration of the contract. See ATTACHMENT “A” for Sex Offender Acknowledgement Form.

(20) E-VERIFY: The Contractor agrees to comply with the requirements of A.R.S. § 41-4401.

a. The Contractor warrants compliance with all Federal immigration laws and regulations relating to employees and warrants its compliance with Section A.R.S. § 23-214, Subsection A. (That subsection reads: “After December 31, 2007, every employer, after hiring an employee, shall verify the employment eligibility of the employee through the E-Verify program.)

b. A breach of a warranty regarding compliance with immigration laws and regulations shall be deemed a material breach of the contract and the Contractor may be subject to penalties up to and including termination of the contract.

c. The Owner retains the legal right to inspect the papers of any employee who works on the contract to ensure that the Contractor or its subcontractor(s) is/are complying with the foregoing warranty under paragraph (a).

See ATTACHMENT “B” for E-Verify Affidavit Form.

(21) SMOKE FREE ENVIRONMENT: Bidder shall post notice and prohibit employees from using or displaying tobacco products, including smokeless tobacco, while the employee is on duty at the assigned location. There shall be no use of any tobacco products on any property of the Richmond County School System.

(22) AWARD METHOD: Contract will be awarded based on lowest responsible and responsive bidder meeting specification and overall general value received.

(23) TIME OF THE ESSENCE: Failure of the successful vendor to perform contracted service or deliver the merchandise within the required time shall constitute a material breach of contract.

If a breach occurs, the vendor may be responsible for any damages the school system incurs.

(24) NONDISCRIMINATION CLAUSE:

The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employers, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or if all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html or at any USDA office, or call (866) 632- 9992 to request the form. You many also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S.

Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (in Spanish).

USDA is an equal opportunity provider and employer.

(25) CERTIFICATION REGARDING DEBARMENT:

The vendor certifies, by submitting proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any governmental agency. Signed certification regarding lobbying; debarment, suspension and other responsibility matters; and drug-free work place requirements form #AD-1048. This form is located at the end of this document and must be completed and submitted with the vendor’s bid quote.

(26) TAX EXEMPT:

The Richmond county School system is exempt for State sales taxes. Bid prices shall exclude Federal or State taxes that can be eliminated in sales to public school systems in the state of Georgia.

http://www.ascr.usda.gov/complaint_filing_cust.html mailto:program.intake@usda.gov

(27) QUESTIONS, REQUEST FOR CLARIVICATION, OR INTERPRETATIONS

REGARDING THIS REQUEST FOR QUOTATION: All communications concerning this request for quotation must be submitted in writing by electronic mail to:

Richmond County School System – Business Office – 706-826-1298 Attn: Ms. Cecilia Perkins; perkice@boe.richmond.k12.ga.us

Only written questions submitted by email will be accepted. No response other than what is written and distributed by the Business Office will be binding upon the Richmond County School System.

Originating departments may be called upon for clarification in their area of expertise at the discretion of the Business Office. Written responses to questions, requests for clarification, or interpretations will be furnished to all participating vendors.

All requests for clarification or interpretations must be submitted to the Business Office on or before the close of business SEPTEMBER 29, 2026, 5:00 P.M.

(28) ADDENDUMS: In the event an addendum becomes necessary, it will originate in the Business Office and will be distributed via the website www.rcboe.org/bids. Any addenda issued during the time of the request for proposal distribution should be acknowledged by the participating contractor and attached to their response form.

(29) INSPECTION OF PUBLIC RECORDS: All information received from vendors shall be subject to inspection once the bid is awarded under Georgia Public Records Act.

mailto:perkice@boe.richmond.k12.ga.us http://www.rcboe.org/bids

SERVING LINE

Westside High School

General Construction:

We will have a pre-bid meeting on Tuesday, September 15, 2026 @ 2:00 p.m. Location will be Westside High School Cafeteria; 1002 Patriots Way; Augusta, GA 30907.

Westside High School – two serving lines

Item No. 1 - Two (2) Each

A. 2 CUSTOM - Delfield Model No. 000-40014IRU1 SHELLEY CUSTOM FABRICATION SH-5-NU FIVE WELL HOT FOOD COUNTER WITH ENCLOSED BASE 36 INCHES HIGH, 2" TOP EXTENSION, 76" S/S V-TRAY SLIDE 12" WIDE WITH 3 RIBS, LOCATED ON CUSTOMER SIDE, MOUNTED 34" HIGH, 76"

S/S WORKSHELF 8" WIDE, LOCATED ON OPERATOR SIDE, MOUNTED 36" HIGH, LINE-UP

INTERLOCK, LAMINATE FINISH , FORMICA BLACK 909 - 58, S/S OPEN UNDERSTORAGE P-60/P-74 16" HEIGHT, FLEXISHIELD FACTORY INSTALLED TO BASE, NOTE: MODIFY WORKSHELF TO BE 6" WIDE , (2) 705B SQ CUTOUT- PROVIDE CUTOUT FOR (2) HALF SIZE PANS ON LEFT END TO HOLD

SILVERWARE/NAPKINS , (2) 116D 1/2 SIZE PAN, 6" DEEP

B. 2 - 000-CCA14IRU1 SHELLEY CUSTOM FABRICATION FLEXIBLE SHIELD, CONVERTS TO THREE POSITIONS 73.378 INCHES LONG X 17.5 INCHES WIDE X 16 INCHES HIGH WITH GLASS SHELF, WITH LED LIGHT ON FIRST TIER, NOTE: MODIFY FRONT GLASS TO HAVE A FULL FRONT GLASS ON THE LEFT SIDE IN FRONT OF (2) WELLS AND CONVERTABLE ON THE RIGHT, IN FRONT OF (3)

WELLS

Item No. 2 - Two (2) Each

A. 2 CUSTOM - Delfield Model No. 000-40014IRU2 SHELLEY CUSTOM FABRICATION SCSC-60-BP 60" REFRIGERATED COLD PAN SERVING COUNTER 36 INCHES HIGH, 2" TOP EXTENSION, 62" S/S V-TRAY SLIDE 12" WIDE WITH 3 RIBS, LOCATED ON CUSTOMER SIDE, MOUNTED 34" HIGH, 62"

S/S WORKSHELF 10" WIDE, LOCATED ON OPERATOR SIDE, MOUNTED 36" HIGH, LINE-UP

INTERLOCK, LAMINATE FINISH, FORMICA BLACK 909 - 58, S/S OPEN UNDERSTORAGE 16" HEIGHT, FLEXISHIELD FACTORY INSTALLED TO BASE, NOTE: MODIFY WORKSHELF TO BE 6" WIDE

B. 2 - W00007AN 7-year compressor warranty, standard

C. 2 - 0550000N WARRANTY, 2YR, S/L, NO CHARGE

D. 2 - 000-CCA14IRU2 SHELLEY CUSTOM FABRICATION SINGLE TIER DISPLAY, FIXED SNEEZE GUARD

FRONT, SINGLE SERVICE 59.378 INCHES LONG X 14 INCHES WIDE X 15 INCHES HIGH WITH GLASS

SHELF, WITH LED LIGHT ON FIRST TIER

Item No. 3 - Two (2) Each

2 CUSTOM - Delfield Model No. 000-40014IRU3 SHELLEY CUSTOM FABRICATION SCS-30, 30" CASHIER'S COUNTER 36 INCHES HIGH, DRAWER ON RIGHT END, 30" S/S V-TRAY SLIDE 12" WIDE WITH 3 RIBS LOCATED ON CUSTOMER SIDE 34" HIGH, LINE-UP INTERLOCK, LAMINATE FINISH FORMICA BLACK 909 - 58, 115V/15A OUTLET WITH 10 AMP.

BREAKER, ASSY, CAT5, JACK W/ BOX, IN BASE

Dealer Responsibilities:

1. Identify the exact location of all power outlets.

3. Remove and dispose of old unit(s).

4. Deliver and fully install unit.

5. Make all final electrical connections.

6. Plumb to drains.

7. Check all utilities and measurements before placing order with factory.

Owner Responsibilities:

1. Provide any electrical outlets needed to add additional power to the new serving line.

2. Remove existing serving line.

3. Coordinate calendar for installation date.

4. Examine carefully and approve final drawings.

Richmond County School System

Nutrition Services Department Serving Line for Westside High School

RFQ #26-212

Bid Form

COMPANY NAME:

ADDRESS:

TELEPHONE NUMBER:

FAX NUMBER: _

EMAIL:

SUBMITTED BY (please print):

SIGNATURE AND DATE:

TITLE:

ITEM BRAND/MODEL

Hot Food Counter (2 qty) Cold Food Counter (2 qty) Cashier Stand (2 qty)

TURNKEY PRICING FOR COMPLETE

JOB AS SPECIFIED

My prices are good for ______________ days from anticipated award date of October 20, 2026

Provide Lead time for delivery and installation once award is made and order is placed: ________days

BIDS ARE DUE WEDNESDAY, OCTOBER 7, 2026 @ 3:00 P.M.

SERVING LINE FOR WESTSIDE HIGH SCHOOL ATTACHMENT “A”

SEX OFFENDER ACKNOWLEDGEMENT FORM

Read, sign and return this form to the Richmond County Board of Education along with bid proposal

The C o n tr ac t or (or V e n do r ) sha l l not k n o w i n g l y send an y employ ee, agent or s u bc on tr ac t or personnel who is a registered sex offender or who has been convicted of sexual abuse to any school building or school property when students are attending school or a school related activity.

The Contractor (or Vendor) shall make periodic criminal history record inquiries as authorized by O.C.G.A. §35-3-34, as now written, or here-after amended; or allowed by all or any other laws allowing such inquiry, to identify these persons who have been convicted of sexual abuse or any other act which would require such person to be entered into a national or state sexual offender registry.

For the purpose of this policy, the term periodic shall mean that the criminal history record inquiries shall be made current upon the awarding of a successful bid on contract and checked no less than annually during the duration of the contract.

Upon notification and acceptance of the bid, the Contractor (or Vendor) shall certify to the Richmond County Board of Education that periodic criminal history record checks are made by the company for all employees and that to the best of the Contractor’s (or Vendor) knowledge it has no employee or agent who has been convicted of a sex offense or who is a registered sex offender, who will be assigned to any school building or school property while students are attending school or a school related activity.

I have read and understand the above Richmond County Board of Education Policy regarding my or my company’s obligation as a contractor (or vendor). I further acknowledge that the failure to comply with the requirements to identify a sex offender, to comply with any part of this policy, to assign a sex offender to any school building or school property while students are attending school or a school related activity will constitute a breach of the contract.

Company Name:

Contractor/Vendor Signature Date Signed

Witness Signature Date Signed

SERVING LINE FOR WESTSIDE HIGH SCHOOL ATTACHMENT “B”

E-VERIFY AFFIDAVIT

under O.C.G.A. § 13-10-91(b)(4)

Read, fill out and return this form to the Richmond County School System

By executing this affidavit, the undersigned Contractor verifies its compliance with Immigration Reform and Control Act of 1986 (IRCA), Pub.L. 99-603, stating affirmatively that the individual firm or corporation which is engaged in services on behalf of the Richmond County School System has registered with, is authorized to use and uses the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established by federal law and regulation.

Furthermore, the undersigned Contractor will continue to use the federal work authorization program throughout the contract period. Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows:

Federal Work Authorization User Identification Number:

Date of Authorization:

Name of Project:

SERVING LINE FOR WESTSIDE HIGH

SCHOOL

Solicitation Number (if applicable): RFQ #26-212

Name of Public Employer: Richmond County School System

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on _______________________, _________, 202___ in ____________________ (city), ________ (state).

Signature of Authorized Officer or Agent

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE ___________________ DAY OF _____________________________________________ ,202_________.

NOTARY PUBLIC

My Commission Expires: ____________________________________________________________________________

General Construction:
Westside High School – two serving lines
Item No. 1 - Two (2) Each

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