CITY OF STOCKBRIDGEFINANCEDEPARTMENT
4640 North Henry Boulevard
Stockbridge, Georgia 30281
(770)770-389-7900
Email to:
IMPORTANT NOTICE–PLEASEREAD CAREFULLY!!
ALL bids MUSTbereceivedat theCity of Stockbridge FinanceDepartment.
BIDSMUSTBERECEIVEDBEFORE12:00(NOON)ONBIDOPENINGDAY
Any bid received later than 12:00 (noon) will not be accepted. TheCityacceptsno responsibilityfordelays inthemail. Bidsaretobemailedordeliveredto:
CITY OF STOCKBRIDGEFINANCEDEPARTMENT
4640 NORTH HENRY BOULEVARD
STOCKBRIDGE, GA 30281
AllbidsshallbesubmittedontheBid ProposalForm.
Anyrevisionsmadeontheoutsideof theenvelopeWILLNOT beconsidered.
PLEASECHECKbidspecificationsandadvertisementfordocumentrequirements.
Documents/FormslistedbelowMUSTbesubmittedwhenrequired.
Omissionof thesedocuments/formswill causeyourbid/proposaltobedeclaredNON-RESPONSIVE.
•BID SUBMITTALFORM
►Official Signatureis required on thisformguaranteeing thequotation.
•CONTRACTORAFFIDAVITandAGREEMENT–ExhibitA
►AffidavitMUSTbe signed,notarizedandsubmittedwithanybidrequiringtheperformanceofphysicalservices.
Iftheaffidavitisnotsubmittedatthetimeofthebid,bidwillbedeterminednon-responsiveandwillbedisqualified.
•BIDBOND(NotRequired)
AllvendorsarerequiredtosubmittheORIGINALAND ATLEASTone(1)duplicatedcopyofanybid submittedto City of Stockbridge. Pleaserefer to yourbidspecificationsto determineifmorethanone(1)copyis required. Non- submission ofa duplicatecopymaydisqualifyyourbid/proposal.
A“SEALEDBIDLABEL”hasbeenenclosedtoaffixtoyourbid. Thislabel must beaffixedtotheoutsideofthe envelopeorpackage,even ifitisa“NOBID”response.Failuretoattachthelabel mayresultinyourbidbeing openedin errorornot routedtotheproperlocationforconsideration. No bidwillbeacceptedafterthedateand timespecified.
ADVERTISEMENT FORBIDS
City of StockbridgeFinanceDepartment
4640 North Henry Boulevard
Stockbridge, Georgia 30281
BID OPENINGDATE:October 13, 2014
Sealedbidsfromqualifiedsupplierswillbereceivedbefore12:00noon,October 13, 2014,in the City of StockbridgePurchasingDepartment,4640 North Henry Boulevard, Stockbridge, Georgia 30281, for furnishingalllabor,materials,equipment,etc., pursuanttothespecifications,conditions,and addenda.
Nobidswillbeacceptedafterthe12:00noondeadline
Sealed Bid#201409-1
PurchaseofOne (1)CompleteUnit
18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity to be custom fabricated and mounted on the City of Stockbridge’s 2014 existing new International Harvester Truck per the attached specifications
Bidsareopenedat2:00P.M., on October 13, 2014,intheCity of StockbridgeCouncil Chambers Library, 4640 North Henry Boulevard, Stockbridge, Georgia 30281.
Nobidmaybewithdrawnforaperiodofsixty (60)daysafterdateofbidopening,unlessotherwise specifiedinthebiddocuments.City of Stockbridgewillconsiderthecompetencyandresponsibilityofbidders inmakingtheaward.City of Stockbridgereservestherighttorejectanyandallbids,towaiveinformalitiesand technicalities,torejectportionsofthebids,andtoawardcontractsinamannerconsistentwiththeCityand thelaws governingtheStateofGeorgia.
TheGeorgiaSecurityandImmigrationComplianceActAffidavitformmustbesubmittedwithall bid packages involving the“performanceofphysicalservices”inorder tobe considered.
ThissolicitationandanyaddendaareavailablefordownloadontheCity of Stockbridgewebsite.
Pre-Bid/Bid Conference:
There will be a non-mandatory pre-bid conference held at the WWTP located at 100 Stapleton Drive, Stockbridge, GA 30281 at10:00 A.M., September 29, 2014.
All rights to reject any and all bids and waive informalities is reserved.
Advertised: September 19 & 26, 2014
BID SUBMITTAL FORM
SUBMITBID/PROPOSALTO:
City of StockbridgeFinanceDepartment
4640 North Henry Boulevard
Stockbridge, Georgia 30281
BID/PROJECTNUMBER:#201409-1
PurchaseofOne (1)CompleteUnit Biosolids18Foot,AllHydraulicSludgeSpreader withTwin Drives,372 CubicFootCapacity to be custom fabricated and mounted on the City of Stockbridge’s 2014 existing new International Harvester Truck per the attached specifications
BID DELIVERYDEADLINE:October 13, 2014BEFORE12:00(NOON)EST
NOBIDS/PROPOSALSWILLBEACCEPTEDAFTERTHISDEADLINE
BidOpeningDate:October 13, 2014@2:00P.M.intheCity of StockbridgeCouncil Chambers Library, 4640 North Henry Boulevard, Stockbridge, Georgia 30281.
BUSINESSNAMEANDADDRESSINFORMATION:
Companyname:
Contactname:
Companyaddress:
E-mailaddress:
Phonenumber:
Faxnumber:
NAMEANDOFFICIALTITLEOFOFFICERGUARANTEEINGTHISQUOTATION:
(PLEASEPRINT/TYPE)NAMETITLE
SIGNATUREOFOFFICERABOVE:
TELEPHONE: ______
FAX: _
BIDDERWILLINDICATETIMEPAYMENTDISCOUNT:
BIDDERSHALLINDICATEMAXIMUMDELIVERYDATE:
Bidsreceivedafterthedateandtimeindicatedwillnotbeconsidered.City of Stockbridgereservestherighttorejectanyandallbids,to waiveinformalities,torejectportionsofthebid,to waivetechnicalitiesandtoawardcontractsina mannerconsistentwiththe CityandthelawsgoverningtheStateofGeorgia.
Theenclosed(orattached)bidisinresponsetoBidNumber#201409-1isa firmoffer,asdefinedbysectionO.C.G.A.(s)11-2-205of thecodeofGeorgia(Georgialaws1962pages156-178),bytheundersignedbidder.Thisoffershallremainopenforacceptance for a periodof60dayscalendardaysfromthebidopeningdate,asset forthinthisinvitationtobidunlessotherwisespecifiedin thebiddocuments.
NOTICETOBIDDERS-- BIDQUOTESMUSTINCLUDEALLDELIVERYCHARGES.
SEALED BIDLABEL
SEALED BIDENCLOSED
DELIVERTO:
City of StockbridgeFinance Department
Attn: Purchasing Clerk
4640 North Henry Boulevard
Stockbridge, Georgia 30281
SEALED BID #201409-1 DATE:October 13, 2014
BIDSMUST BERECEIVED BEFORE12:00NOON DESCRIPTION:
PurchaseofOne (1) AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity
PLEASEATTACH LABEL TOOUTSIDEOF BIDPACKAGE
"STATEMENTOFNO BID”
CITY OF STOCKBRIDGEFINANCEDEPARTMENT
4640 North Henry Boulevard
Stockbridge, Georgia 30281
TOALLPROSPECTIVEBIDDERS:
Becauseofthemanyrequeststobeplaced onourvendors'list,wearecontinuouslyupdating thelist. Whilewewanttoincludeallbonafidevendors,wedonotwantto mailbidsto thosevendorswhomay nolongerbeinterested inparticipating in our biddingprocess.
Ifyouchoosenot torespondtotheattachedInvitationtoBid/RequestforProposal,pleasefillout theform belowindicatingwhetheror not you wanttoberetainedonour current vendor list.
Vendorswhodonotrespondinanyway(byeithersubmittingabid orbyreturningthisform)overa periodofoneyearmayberemoved fromthecurrentvendorlist.
Vendorswhodonotwishtobid,often returntheentirebidpackage, and sometimesat considerable postage expense. Returningthe entire bid package isnotnecessary.Simplyreturn thisform.
Thankyou for your cooperation.
City of Stockbridge
"STATEMENTOFNO BID” SEALEDBID
#201409-1
PurchaseofOne (1)CompleteUnit Biosolids Spreader18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity including mounting on the City’s existing new International Truck
IfyoudonotwishtorespondtotheattachedInvitationtoBid/RequestforProposal,pleasecomplete thisformandmail/faxto:
City of StockbridgeFinanceDepartment
Attention:Purchasing Clerk
4640 North Henry Boulevard
Stockbridge, Georgia 30281
I donotwish tosubmita bid/proposalon thissolicitation.
Iwishto be retained on the vendorlistforthiscommodityorservice: YesNo
PleasePRINTthefollowing:
CompanyRepresentative
You areinvited tolistreasonsforyourdecision notto bid:
INVITATIONTOBID
SEALEDBID#201409-1
PurchaseofOne (1)CompleteUnit Biosolids 18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity to be mounted on the City’s existing new International Harvester Truck
BIDOPENINGDATE:October 13, 2014
BidsAreReceivedIntheCity of StockbridgePurchasingDepartment
4640 North Henry Boulevard, Stockbridge, Georgia 30281
Before 12:00(Noon) bythe BidOpeningDate
BidsWillBeOpenedIntheCity of StockbridgeCouncil Chambers Library, 4640 North Henry Boulevard, Stockbridge, Georgia 30281, at2:00p.m. on the BidOpeningDate
VENDORSAREREQUIREDTOSUBMITTHEORIGINALAND1COPYOFBID
(UNLESSOTHERWISESPECIFIEDINBIDSPECIFICATIONS)
NAME:
ADDRESS:
REPRESENTATIVE:
PHONE: FAX:
NOTE:TheCity of StockbridgePurchasingDepartmentwillnotberesponsiblefor theaccuracyor completenessofthecontentofanyCity of StockbridgeInvitationtoBidor Requestfor Proposalor subsequentaddendatheretoreceivedfromasourceotherthantheCity of StockbridgePurchasingDepartment.
InvitationtoBid
PurchaseofOne (1)CompleteUnit Biosolids18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity
Sealed Bid # 201409-1
1. INTRODUCTION
TheCity of Stockbridgeis requestingsealedbidsfromqualifiedvendorsforfurnishing anddeliveringofalllabor,materials,andequipmentandallotherthingsnecessary pursuanttothe specificationsandsupplementalinformationforthe purchaseofone (1)CompleteUnit Biosolids18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity.
Failuretoprovidealltherequiredcertificationsanddocumentslistedanddescribedinthe biddingdocumentmaycause thebidtobe rejected andconsidered non-responsive.
BidsareduetotheCity of StockbridgeFinanceDepartmentbefore12:00(Noon)onOctober 13, 2014. Latebids will not be accepted.
Pleasesubmit an originaland one (1)copyto:
City of StockbridgeFinance Department
Attn: Purchasing Clerk
4640 North Henry Boulevard
Stockbridge, Georgia 30281
BidsWillBeOpenedIntheCity of StockbridgeCouncil Chambers Library, 4640 North Henry Boulevard, Stockbridge, Georgia 30281, at2:00p.m.on the BidOpeningDate
All questions regardingthisInvitation to Bid must bedirected in writingto:
City of StockbridgeFinance Department
Attn: Purchasing Clerk
4640 North Henry Boulevard
Stockbridge, Georgia 30281
Or Email to:
Thedeadlineforquestion submittal is Wednesday, October 1, 2014before5:00PM.
Proprietary Information:
Careful consideration should be given before submitting confidential information to the City. The Georgia Open Records Act permits public scrutiny of most materials collected as part of this process. Please clearly mark any information that is considered a trade secret, as defined by the Georgia Trade Secrets Act of 1990, O.C.G.A. §10-1-760 et seq., as trade secrets are exempt from disclosure under the Open Records Act. City of Stockbridge does not guarantee the confidentiality of any information not clearly marked as a trade secret.
Qualifications of Offers:
Bidders must have a current business license from their home office jurisdiction and provide a copy of that license with the submittal of their bid response. City of Stockbridge vendors doing business in City of Stockbridge must have a current City of Stockbridge Business License.
Bids from any offeror that is in default on the payment of any taxes, license fees, or other monies due to City of Stockbridge will not be accepted.
Bidders are to submit at least (3) three references from projects with similar experience using the materials and process in this Invitation to Bid.
2. INSTRUCTIONS
2.1InformationRequirements
In orderto beconsideredforthis project, Vendorsmust submit the followinginformation:
2.1. aProposal SubmittalLetter(Complete and submit Attachment 9).
BidsmustbeaccompaniedbyTransmittalLetterandsignedbyauthorized officer(s).
2.1. bInformation on Vendor
Name of Vendor
Contact PersonAddress
Phone and faxnumbers
2.1. c.CostProposal (Complete and submit)
2.1. d.Required Certifications
This project will befunded by the City of Stockbridge. The requiredcertificationsmustbecompletedandsubmittedwiththisbid. Failureto providealltherequiredcertificationsandinformationmay causethebidtoberejected and considered non-responsive.
2.2Bid Submission
Vendorsshallsubmitoneoriginalandonecopy oftheircompletebidinonesealed envelope. The envelope mustbelabeledwith the attached label.
TheCityreservestherighttorejectanyorallbids,or,whereitmayservethebest interestoftheCity,torequestadditionalinformationorclarificationfromVendors. TheCity,atitssolediscretion,alsoreservestherighttowaiveany informalitiesor technicalities relativetoanyor all bids.
2.3BidEffectivePeriod
Each bidshallremain open foraperiod ofsixty(60)days beginning with thedatethat bids areopened.
2.4ReservedRights
TheCity of Stockbridgereservestherighttorejectanyorallbidsandtowaivewhatitconsiderstobe informalities and minorirregularities in bids received.
2.5Delivery
Delivery is required within 90 calendar days after receipt of individual orders.
3. CONTRACTREQUIREMENTS
3.1 General
TheselectedfirmwillberequiredtoenterintoaContractwiththe City of Stockbridgefortheprovisionof services herebycontemplated.
TheVendorwillberequiredtocomply withallapplicableprovisionsofthelawsandregulationsrequiredby the StateofGeorgia,as wellas those required byCity of Stockbridge.
Certainclausesandcertificationsincluding,butnotlimitedto,thefollowingwillberequiredin the Contract:
• Access torecords
• Federal changes
• Cleanair
• Termination
• Governmentdebarment(executedcertificationrequired)
• Lobbying
• Clean water
• Breaches and dispute resolution
• Seismicsafetyrequirements
• Cleanwater
• Incorporation of FTA terms
• Civil rights
• Lobbyingdisclosure(executed certification required)
• Immigration Acts
3.2 IndependentContractor Status
Under the Contract,the Vendor shallbe anindependent Contractor andnotanagentof the City ortheCity Council. TheVendorshallbefully responsibleforallacts andomissionsofitsemployees,subcontractorsandtheirsuppliers,andspecificallyshall be responsible for sufficientsupervisionandinspectiontoensurecompliance inevery respectwiththe Contractrequirements. Thereshall benocontractual relationship between anysubcontractororsupplierandthe CitybyvirtueoftheContractwiththeVendor. No provisionofthisContractshallbeforthe benefitofany party otherthan theCity of Stockbridge andthe Vendor/Contractor.
3.3Tort Immunity
No officer, employee, or agent of the City acting within the scope of his/her employment or function shall be held personally liable in tort or named as a defendant in any action for injury or damage suffered because of any act, event, or failure to act.
3.4LicensesandPermits
TheVendorissolelyresponsibleforobtaininganylicenseorotherauthorizationrequired bylaw to perform theservices required in this Contract.
Vendor must supply the following documents with bids documentation:
- Business License
- W9 Form
- Certificate of Insurance
- E-Verify Form
4.SCOPEOFWORK
4.1 General
The City of Stockbridge is seekingsealed bids from qualified firms orindividuals interested in a contract forthe manufacturing andsupplyofOne (1)CompleteUnit18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity to be custom fabricated and mounted on the City of Stockbridge’s 2014 existing new International Harvester Truck per the attached specifications. The spreader shall bedelivered to City of Stockbridge.Unitmustbe completewith all components installedandfully operational. Biddersareadvisedif awardedthebidanysubsequentchangesor adjustments to the approved specifications mustbe madein writing by the City of Stockbridge Finance Department. Failure toobtainthiswrittenapprovalcouldresultinrefusaltoaccept deliveryof vehicle.
Upondelivery,aManufacturer'sStatementofOrigin(MSO) mustbe provided. Itemdeliveredwithoutthese documentswillbe refused. City of Stockbridge 30day paymentperiodbeginsatthetimetheitem,thesedocuments,andadealer's invoice arereceived.
The submission of the bid by a vendor implies vendor acceptance of the terms and conditions herein, unless otherwise stated. All deviations from the specifications must be noted in detail and submitted with the formal bid. The absence of a written list of specification deviations at the time of submittal of the Bid will hold the Bidder strictly accountable to the City to the specifications as written. Any deviations from the specifications as written not previously submitted, as required by the above, will be grounds for rejection of the material or item when delivered.
REQUIRED CERTIFICATIONS/ATTACHMENTS
Thefollowingcertificates/attachmentsmustshowthat theyhave beenacknowledged (completely filledout, signed,statedN/A withreasons)andreturnedwith bid.Anyforms not returnedwill causebid tobenonresponsive and thus notconsidered.
ATTACHMENT1
NON-COLLUSION BIDDING CERTIFICATE
This FormMustBeSigned andReturnwith Bid orBidwillbedeemedNon-responsive.
Bysubmissionofthiscertificate,eachProposerandeachpersonsigningonbehalfofanyProposer certifies underpenaltyofperjury, that to thebestofits knowledge and belief:
1. Thecostorpricestobenegotiatedshallhavebeenarrivedatindependentlywithoutcollusion, consultation,communicationoragreement,forany purposeofrestrictingcompetitionastoany matter relatingto such costs orprices with anyotherProposerorwith anycompetitor.
2. Unlessotherwiserequiredbylaw,thecostorpricestobenegotiatedhavenotbeenknowingly disclosedbythefirmpriortotheopeningofpricenegotiations,directlyorindirectlytoany otherProposerortoanycompetitor; and,
3. Noattempthasbeenmadeorwillbemadeby theProposertoinduceanyperson,partnershipor corporationtosubmitornotsubmita StatementofQualificationsforthepurpose ofrestricting competition.
SignatureofAuthorized Agent
Name/TitleofAuthorized Agent
Date
ATTACHMENT 2
NON-COLLUSION AFFIDAVIT OF SUB-CONTRACTOR
State of ______
County of ______
______, being first duly sworn, deposes and says that:
(1) He/She is______(owner, partner officer, representative, or
agent) of ______, the sub-contractor that has submitted the attached RFP;
(2) He is fully informed respecting the preparation and contents of the attached RFP and of all pertinent circumstances respecting such RFP;
(3) Such RFP is genuine and is not a collusive or sham RFP;
(4) Neither the said sub-contractor nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affidavit, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Vendor, firm or person to submit a collusive or sham RFP in connection with the Contract for which the attached RFP has been submitted or refrain from proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Vendor, firm or person to fix the price or prices in the attached RFP or of any other Vendor, or to fix any overhead, profit or cost element of the proposing price or the proposing price of any other Vendor, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against Rockdale County or any person interested in the proposed Contract; and
(5) The price or prices quoted in the attached RFP are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the sub-contractor or any of its agents, representatives, owners, employees, or parties in interest, including this affidavit.
______
(Signed)
______
(Title)
Subscribed and Sworn to before me this ______day of ______, 20 ___.
Name______
Title______
My commission expires (Date)
ATTACHMENT3
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS;PRIMARYCOVERED TRANSACTIONS
This FormMustBeSigned andReturnwith Bid orBidwillbedeemedNon-responsive.
TheProposer,
that it and its principals:
, certifies tothebestofits knowledgeand belief,
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarilyexcludedfrom coveredtransactions byanyFederal,State,orlocaldepartmentor agency;
2. Havenotwithinathree-yearperiodprecedingthisProposalbeenconvictedoforhadacivil judgmentrenderedagainstthemforcommissionoffraudoracriminaloffenseinconnection withobtaining,attempting toobtain,orperforming apublic (Federal,Stateorlocal)transaction or Contractunder a public transaction;violationof Federalor State antitruststatuesor commissionof embezzlement,theft,forgery,bribery,falsificationor destructionof records, makingfalsestatements,or receivingstolen property;
3. Arenotpresentlyindictedfororotherwisecriminallyorcivillychargedbyagovernmental entity(Federal,State,orlocal)withthecommissionofany oftheoffensesenumeratedin paragraph (2)ofthis certification; and
4. Havenotwithinathree-yearperiodprecedingthisapplication/Proposalhadoneormorepublic transactions (Federal,State, or local)terminatedfor causeor default.
Where the Contractor is unable to certifyto anyof the statements in this certification, such participant shall attachan explanation to thisProposal.
TheContractor, ,certifiesor affirmsthetruthfulnessandaccuracy ofthe contentsofthestatementssubmittedonorwiththisCertificationandunderstandsthat the provisions of31 U.S.C. Sections 3801 EtSeq., are applicable thereto.
SignatureofAuthorized Agent
Name/TitleofAuthorized Agent
Date
Witness
ATTACHMENT4
INELIGIBILITY CERTIFICATE
This FormMustBeSigned andReturnwith Bid orBidwillbedeemedNon-responsive.
IherebycertifythatIamaprincipalanddulyauthorizedagentof ______, and it is also whose addressis ______, certifies that the Contractor, noranyofitssubcontractorstobeusedinperforming thisContract,arelistedonthelistofIneligibleContractorsmaintainedbytheComptrollerGeneral oftheUnited States.
SignatureofAuthorized Agent
Name/TitleofAuthorized Agent
Date
ATTACHMENT5
CERTIFICATION OF CONSULTANTDRUG-FREEWORKPLACE
This FormMustBeSigned andReturnwith BidorBidwillbedeemedNon-responsive.
IherebycertifythatIamaprincipalanddulyauthorizedagentof ______,
and it is also whose addressis ______, certifies that:
1. TheprovisionsofSection50-24-1through50-24-6oftheOfficialCodeofGeorgiaAnnotated, relatingto the“Drug-FreeWorkplaceAct” havebeencompliedinfull; and
2. Adrug-freeworkplacewillbeprovidedfortheconsultant’semployeesduringtheperformance oftheContract; and
3. Eachsubcontractorhiredbytheconsultantshallberequiredtoensurethatthesubcontractor’s employeesare provideda drug-free workplace. The Consultantshallsecure fromthat subcontractorthefollowing writtencertification: “Aspartofthesubcontracting agreementwith the Consultant,certifiestothe Consultantthatadrug-free workplace willbe providedforthe subcontractor’semployeesduring theperformanceofthisContractpursuanttoparagraph(7)of subsection (b)oftheOfficial CodeofGeorgiaAnnotated Section 50-24-3”; and
4. It is certified that the undersigned will not engage in the unlawful manufacture, sale, distribution,dispensation,possession,oruse of acontrolledsubstance ormarijuana duringthe performanceofthe Contract.
SignatureofAuthorized Agent
Name/TitleofAuthorized Agent
Date
ATTACHMENT6
CITY OF STOCKBRIDGE CONFLICTOFINTERESTANDPROHIBITION AGAINST CONTINGENTFEESCERTIFICATION
This FormMustBeSigned andReturnwith Bid orBidwillbeDeemedNon-responsive.
IherebycertifythatIamaprincipalanddulyauthorizedagentof ______, and, it is also whose addressis ______, certifiesthattothebestofitsknowledgetherearenocircumstances which shall causeaConflict ofInterest in performingservices forCity of Stockbridge.
SignatureofAuthorized Agent
Name/TitleofAuthorized Agent
Date
ATTACHMENT7
NON-SEGREGATED FACILITIES
This FormMustBeSigned andReturnwith BidorBidwillbeDeemedNon-responsive.
TheBiddercertifiedthathedoesnot,andwillnot,provideandmaintainsegregatedfacilitiesforhis employeesathisestablishmentsand,furtherthathedoesnot,andwillnot,permithis employeesto performtheir servicesatthose locations,under hiscontrol,where segregatedfacilitiesare provided andmaintained. Segregatedfacilitiesinclude,butarenotnecessarily limitedto,drinkingfountains, transportation,parking,entertainment,recreation,andhousing facilities;waiting,rest, wash, dressing,andlocker rooms,andtime clock,work,storage,restaurant,andother eatingareaswhich aresetapartinfact, orby explicitdirective,habit,localcustom, orotherwise,onthebasisofcolor, creed,nationalorigin, andrace. TheBidderagreesthat,exceptwherehe hasobtainedidentical certificationsfromproposed Contractorsforspecific time periods,he willobtainidentical certifications from proposed subcontractors priorto the award ofsubcontracts exceeding$10,000.00 whicharenotexemptfromtheprovisionsoftheEqualOpportunity clause,andthathewillretain such certificationsin his files.
TheBidder agreesthatabreachofthiscertificationisinviolationsoftheEqualOpportunity clause in this Contract. Thepenaltyformakingfalsestatements is prescribed in 18 U.S.C. 1001.
Contractor
Signature
Name andTitle of Signer
Date
ATTACHMENT8
BUY AMERICA
This FormMustBeSigned andReturnwith Bid orBidwillbeDeemedNon-responsive.
TheBuyAmericarequirements applyto thefollowingtypes ofcontracts: Construction contractsand acquisition ofgoods and rollingstock (valuedat morethan $100,000).
CertificateofCompliance
Thebidderorofferorherebycertifies that it will meet the requirements of49 U.S.C. 5323 (j) (i) and the applicableregulations in 49 CFR Part 661.
Date
Signature
CompanyName
Title
Certificate ofNon-Compliance
Thebidder,orofferor,herebycertifies that it cannot complywith the requirements of49 U.S.C. 5323 (j)(k), but it mayqualifyfor an exception pursuantto 49 U.S.C. 5323 (j) (2) (b)or (j) (2) (d)and the regulations in 49CFR661.7.
Date
Signature
CompanyName
Title
Note: Biddermust complete eithertheCertificateof Compliance or the Certificate of Non-Compliance.
ATTACHMENT9
CERTIFICATION REGARDINGLOBBYING
This FormMustBeSigned andReturnwith Bid orBidwillbeDeemedNon-responsive.
Theundersigned certifies,to thebestofhis orherknowledgeandbelief,that:
1. Noappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toany personforinfluencingor attemptingtoinfluenceanofficeroremployeeofa Local, State or Federal agency,inconnection withtheawarding ofany contract,theentering into ofany cooperativeagreement,andthe extension, continuation, renewal, amendment, ormodification ofanycontract, grant, loan, orcooperativeagreement.
2. The undersigned shall require that the languageof thiscertification be included in the award documentationsforsub-awardsatalltiers(including subcontracts,sub-grants,andcontractsundergrants, loans,andcooperativeagreements)and thatallsub-recipientsshallcertifyanddiscloseaccordingly.
Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransaction wasmadeorentered into. Submissionof thiscertificationisaprerequisiteformaking orentering into this transaction imposedby 31,U.S.C1352 (asamended by theLobbying DisclosureActof1995). Any person whofails to file the requiredcertification shallbesubject to acivilpenalty ofnot less than$10,000, andnot morethan$100,000foreachsuchfailure. [Note: Pursuantto31U.S.C.1352(c)(1)-(2)(A),any personwho makesaprohibitedexpenditureorfailstofileoramendarequiredcertificationordisclosureform shallbe subject toacivilpenalty ofnotlessthan$10,000,andnotmorethan$100,000foreachsuchexpenditureor failure.]
TheContractor,
,certifiesoraffirmsthetruthfulnessandaccuracyofeachstatementof
its certificationanddisclosure,ifany. Inaddition,theContractorunderstandsandagreesthattheprovisions of31 U.S.C. 3801, etseq.,applytothiscertification and disclosure, ifany.
SignatureofContractor’sAuthorized Agent:
Nameand TitleofContractor Authorized Agent:
Date:
Telephone#:
FirmorCompanyName:
Address:
ATTACHMENT10
PROPOSAL SUBMITTAL LETTER
ThisFormMustBe Signed and ReturnwithBid orBidwillbeDeemed Non-responsive.
The undersigned,______, hereby submits its bid proposal to furnish all labor, materials, equipment, delivered by the undersigned, to the Cityof Stockbridge, Georgia.
TheundersignedacknowledgesandagreesthattheProposalsubmittedby theundersigned shallbebindingupontheundersignedandthatifCity of Stockbridge,Georgia,awardstheContract totheundersigned,theProposalmadeby theundersignedanddeliveredtoCity of Stockbridge, Georgia herewith, together with such award, will constitute a legal, valid and binding Contractbetweenthe undersignedandCity of Stockbridge,Georgia.The Contractcreatedpursuant totheprevioussentenceshallincorporatedthetermsandconditionsof thebidincluding,but notlimitedto,the bid Scope ofWork, Solicitationinstructionsand Conditions,the Contract Provisions and theContractor’s Cost Proposal, all as described in thebid.
IN WITNESS WHEREOF, theundersigned has duly executedand delivered this Proposal Submittal Letterthis ______dayof ______, 2014
By
Title
Sworn to and subscribedbeforemethe dayof ______, 2014.
NotaryPublic
MyCommission Expires:
Date
ATTACHMENT11
BID FORM
PurchaseofOne (1)CompleteUnit Biosolids18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity, including mounting on the City’s existing truck.
City of Stockbridge, Georgia
Item# / DESCRIPTION / QUANTITY / TOTALCOST
1 / PurchaseofOne (1)CompleteUnit Biosolids18Foot,AllHydraulicSludgeSpreader withTwin Drives,372CubicFootCapacity, including mounting on the City’s existing truck / 1 / $______
Pointof DeliveryforVehicleis:City of Stockbridge
100 Stapleton Drive
Stockbridge, Georgia 30281
Attention:Brad Holtsinger
Phone: (404) 862-3743
DeliveryTime: calendardays.
CompanyName
Authorized Representative’s Signature
Name of Authorized Representative
Date