Rental of Various Heavy Equipment [Three (3) Year Multiyear Contract]

INVITATION NO. 21-101466 Page 1 of 42 Department of Purchasing and Contracting Maloof Administration Building, 1300 Commerce Drive, 2nd Floor, Decatur, Georgia 30030 December 27, 2021 INVITATION TO BID (ITB) NO. 21-101466 FOR RENTAL OF VARIOUS HEAVY EQUIPMENT [THREE (3) YEAR MULTIYEAR CONTRACT] DEKALB COUNTY, GEORGIA Procurement Agent: Michele L. Smith Email: mlsmith1@dekalbcountyga.gov Deadline for Submission of Questions: 5:00 P.M. ET, January 5, 2022 Bid Opening: 3:00 P.M. ET, January 26, 2022 via Zoom Video Conference: https://dekalbcountyga.zoom.us/j/89807151182 Validity of Bid: 90 Days ____________________________________________________________________________________________________________ FIRM’S NAME AND ADDRESS: (Street, City, State and Zip Code. Type or print):

_____________________________________________________________ _____________________________________________________________ Federal Tax ID No. ______________________________ ARE YOU A DEKALB COUNTY FIRM? Yes ____ No ____ TELEPHONE AND FAX NUMBERS WITH AREA CODE: Phone: ________________________________________ Fax: __________________________________________ E-mail: ________________________________________ SIGNATURE OF PERSON AUTHORIZED TO SIGN BID AND DATE: _______________________________________________ SIGNER’S NAME AND TITLE (Type of Print): _______________________________________________ THE RESPONSIBILITY FOR SUBMITTING A RESPONSE TO THIS BID TO THE DEPARTMENT OF PURCHASING AND CONTRACTING OF DEKALB COUNTY GOVERNMENT ON OR BEFORE THE STATED DATE AND TIME WILL BE SOLELY AND STRICTLY THE RESPONSIBILITY OF THE BIDDER. https://dekalbcountyga.zoom.us/j/89807151182 INVITATION NO. 21-101466 Page 2 of 42 TABLE OF CONTENTS FOR INVITATION TO BID NO. 21-101466 TITLE PAGE NO. INVITATION TO BID OVERVIEW…………………………………………………………………… 3 INVITATION TO BID PROCEDURES………………………………………………………………... 5 GENERAL TERMS AND CONDITIONS ……………………………………………………………… 9 MINIMUM SPECIFICATIONS………………………………………………………………………… 22 PRICE SCHEDULE……………………………………………………………………………………… 23 BID ACKNOWLEDGEMENT FORM…………………………………………………………………. 32 REQUIRED DOCUMENTS CHECKLIST AND ATTACHMENTS………………………………… 33 INVITATION NO. 21-101466 Page 3 of 42 INVITATION TO BID OVERVIEW A. PURPOSE: DeKalb County Government (the County) is soliciting bids for ITB 21-101466 Rental of Various Heavy Equipment [Three (3) Year Multiyear Contract] from responsible bidders. B. GENERAL INFORMATION: 1. BID TIMETABLE: The anticipated schedule for the bid process is as follows: Date Issued: December 27, 2021 Deadline for Submission of Questions: 5:00 P.M. ET, January 5, 2022 Bid Opening: 3:00 P.M. ET, January 26, 2022 via Zoom Video Conference: https://dekalbcountyga.zoom.us/j/89807151182 Bids Valid Until: Bids shall be valid for 90 days from and including the bid opening date. Sealed bids are to be addressed and delivered to: DeKalb County Department of Purchasing and Contracting Maloof Administration Building 1300 Commerce Drive, 2nd Floor Decatur, Georgia 30030 Submit one original bid package (inclusive of the entire Invitation to Bid document and required documents) stamped “Original”, and two sealed identical copies stamped “Copy”, of the bid package to the address listed above. 2. CONTACT PERSON: The contact person for this bid is Michele L. Smith, Procurement Agent. General inquiries concerning the meaning or interpretation of this Invitation to Bid (ITB) may be requested from the contact person via email at mlsmith1@dekalbcountyga.gov. Questions and requests for information or clarification concerning the specifications in this ITB must be submitted to the above listed contact person via email no later than the date and time listed in the bid timetable. Questions and requests received after the above stated time or sent to anyone other than the listed contact person will not receive a response or be the subject of addenda. 3. QUESTIONS: All requests must be in writing. Any explanation desired by a bidder regarding the meaning or interpretation of the Invitation to Bid, drawings, specifications, requirements, etc., must be requested in writing and with sufficient time allowed for a reply to reach bidders before the submission of their bids. If any statement in the bidding documents, specifications, plans, etc., appear ambiguous to the Bidder, Bidder is specifically instructed to make a written request to the Department of Purchasing and Contracting as outlined in the preceding sentence. Any information given to a prospective bidder concerning an Invitation to Bid will be furnished to all prospective bidders, as an addenda to the Invitation, if such information is necessary to bidders in submitting bids on the Invitation or if the lack of such information would be prejudicial to uninformed bidders. Oral explanations or instructions given before the award of the contract will not be binding. Questions must be submitted no later than 5:00 pm EST on January 5, 2022. https://dekalbcountyga.zoom.us/j/89807151182 mailto:mlsmith1@dekalbcountyga.gov INVITATION NO. 21-101466 Page 4 of 42 4. ADDITIONAL INFORMATION/ADDENDA: The County will issue responses to inquiries and any other corrections or amendments it deems necessary in written addenda issued prior to the bid opening date. Bidders should not rely on any representations, statements or explanations other than those made in this ITB or in any addendum to this ITB. Where there appears to be a conflict between the ITB and any addenda issued, the last addendum issued will prevail. It is the responsibility of the Bidder to ensure awareness of all addenda issued for this solicitation. Please acknowledge the addenda and submit to the DeKalb County Department of Purchasing and Contracting as requested. Bidders may contact the above listed contact person to verify the number of addenda prior to submission. Addenda issued for this ITB will be posted on DeKalb County’s website, http://www.dekalbcountyga.gov/purchasing/pc_index_formal_solicitations.html. [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK] http://www.dekalbcountyga.gov/purchasing/pc_index_formal_solicitations.html INVITATION NO. 21-101466 Page 5 of 42 INVITATION TO BID PROCEDURES A. BIDDER INFORMATION: 1. FAILURE TO RETURN ALL PAGES OF THIS INVITATION TO BID MAY RESULT IN THE BID BEING DEEMED NON-RESPONSIVE. 2. The Minimum Specifications are intended to be fair and non-restrictive. Contractors are invited to inform the DeKalb County Department of Purchasing and Contracting whenever specifications or procedures appear not to be fair and open. Such information should be supplied as early in the procurement process as possible. Information received in less than five (5) days prior to the scheduled bid opening will not be acted upon unless the DeKalb County Department of Purchasing and Contracting rules that it is in the best interest of the County to consider. 3. Brand names and numbers when provided in solicitations are for reference and to establish a quality standard. Any reference to a brand name shall not be construed as restricting Bidders to that manufacturer (unless “no substitutes” is stated). Bids on equal items will be considered, provided the bid clearly describes the article offered and it is equal or better in quality and function and fully compatible with this requirement. 4. By submitting a bid, the Bidder warrants that any good or service supplied to DeKalb County Government meets or exceeds the specifications set forth in this solicitation. 5. If any supplies, materials, and equipment are provided to the County under this solicitation, then such items shall be new and in first-class condition unless the solicitation specifically allows offers of used, reconditioned, or remanufactured items. If newly manufactured products are specified, such products shall be of recent origin and not previously used. No equipment of any type is acceptable if serial numbers or any other manufacturer’s identification labels or marks have been removed, obliterated, or changed in any way. A Contractor delivering any such equipment to the County will be deemed to have breached the contract, and appropriate action will be taken by the DeKalb County Government Purchasing and Contracting Department. 6. Time of delivery is a part of the solicitation and an element of the contract that is to be awarded. If the Bidder cannot meet the required service delivery dates, a bid should not be submitted. Failure to deliver in accordance with the contract could result in the Contractor being declared in default. 7. Bid Withdrawal Bids may be withdrawn at any time prior to the bid opening. After bids have been publicly opened, withdrawal of bids shall be based upon Part 3, Section IV, F. within the DeKalb County Purchasing Policy. INVITATION NO. 21-101466 Page 6 of 42 8. Expenses of Preparing Responses to this ITB The County accepts no responsibility for any expenses incurred by the Bidders who submit bids in response to this ITB. Such expenses are to be borne exclusively by the Bidders. 9. It is the responsibility of each Bidder to ensure that its submission is received by 3:00 p.m. on the bid due date. Be aware that visitors to our offices will go through a security screening process upon entering the building. Bidders should plan enough time to ensure that they will be able to deliver their submission prior to our deadline. Late submissions, for whatever reason, will not be evaluated. Bidders should plan their deliveries accordingly. Telephone or fax bids will not be accepted. 10. Price Schedule openings shall be conducted in the Department of Purchasing and Contracting three (3) to five (5) days after the bid opening. Only the Price Schedules of responsive bidders shall be opened. The County reserves the right to decide which bid(s) will be deemed responsive and said determination shall be made in accordance with the requirements stated in this solicitation. 11. Federal Work Authorization Pursuant to O.C.G.A. §13-10-91, the County cannot enter into a contract for the physical performance of services unless the Contractor, its Subcontractor(s) and sub-subcontractor(s), as that term is defined by state law, register and participate in the Federal Work Authorization Program to verify specific information on all new employees. The Bidder certifies that he/she has complied and will continue to comply throughout the contract term with O.C.G.A. §13-10-91 and any related and applicable Georgia Department of Labor Rule. Contractor agrees that in the event it employs or contracts with any Subcontractor(s) in connection with this contract, Contractor will secure from each Subcontractor an affidavit that certifies the Subcontractor’s current and continuing compliance with O.C.G.A. §13-10-91 throughout the contract term. Each Subcontractor agrees that in the event it employs or contracts with any sub-subcontractor(s), each Subcontractor will secure from each sub-subcontractor an affidavit that certifies the sub- subcontractor’s current and continuing compliance with O.C.G.A. §13-10-91 throughout the contract term. 12. LSBE Information a. It is the objective of the Chief Executive Officer and Board of Commissioners of DeKalb County to provide maximum practicable opportunity for all businesses to participate in the performance of government contracts. The current DeKalb County List of Certified Vendors may be found on the County website at http://www.dekalbcountyga.gov/purchasing/ . b. The LSBE participation requirement has been waived for this project. c. For further details regarding the DeKalb First Local Small Business Enterprise Ordinance, contact the LSBE Program representative at DeKalbFirstLSBE@dekalbcountyga.gov . http://www.dekalbcountyga.gov/purchasing/ mailto:fbwilliams@dekalbcountyga.gov INVITATION NO. 21-101466 Page 7 of 42 13. First Source Jobs Information a. The DeKalb County First Source Jobs Ordinance requires contractors or beneficiaries entering into any type of agreement with the County, including purchase orders, regardless of what they may be called, for the procurement or disposal of supplies, services, construction projects, professional or consultant services, which is funded in whole or part with County funds or County administered funds in which the contractor is to receive $50,000 or more in County expenditures or committed expenditures and recipient of urban redevelopment action grants or community development block funds administered in the amount of $50,000 or more make a good faith effort to hire DeKalb County residents for at least 50% of jobs using the First Source Registry (candidate database). The work to be performed under this contract is subject to the provisions of the DeKalb County First Source Jobs Ordinance. b. First Source Jobs Information Exhibit 1-2 should be completed and submitted with Bidder’s response. c. For more information on the First Source Jobs Ordinance requirement, please contact WorkSource DeKalb at www.dekalbworkforce.org or 404-687-3400. 14. Attention to General Terms and Conditions Bidders are cautioned to thoroughly understand and comply with all matters covered under the General Terms and Conditions section of this ITB. The successful Bidder(s) will enter into a contract approved by the County. The County’s ITB document and attachments, subsequent County addenda, and the Bidder’s response documents are intended to be incorporated into a contract. All Bidders should thoroughly review this document prior to submitting a bid. Any proposed revisions to the terms or language of this document must be submitted in writing with the bid. Since proposed revisions may result in a bid being rejected if the revisions are unacceptable to the County, bidders should review any proposed revisions with an officer of the firm having authority to execute the contract. No alterations can be made in the contract after award is made. 15. Required Signatures Bids must be signed by an officer or agent of the firm having the authority to execute contracts. 16. Ethics Rules a. Bidders are subject to the Ethics provision within the DeKalb County Purchasing Policy; the Organizational Act, Section 22A, the Code of DeKalb County; and the rules of Executive Order 2014-4. Any violations will be addressed, pursuant to these policies and rules. b. To the extent that the Organizational Act, Section 22A, the Code of DeKalb County, and the rules of Executive Order 2014-4 allow a gift, meal, travel expense, ticket, or anything else of value to be purchased for a CEO employee by a contractor doing business with the County, the contractor must provide written disclosure, quarterly, of the exact nature and value of the purchase to the Chief Integrity Officer, if created, or the Finance Director or his/her designee. Every contractor conducting business with the County will receive a copy of these ethical rules at the time of execution of the contract. http://www.dekalbworkforce.org/ INVITATION NO. 21-101466 Page 8 of 42 17. Business and Professional Licenses Please provide a copy a valid company business license with your bid or upon award. Georgia companies are to submit a valid county or city business license. Contractors that are not Georgia companies are to provide a certificate of authority to transact business in the State of Georgia and a copy of a valid business license issued by its home jurisdiction. If Bidder holds a professional certification which is licensed by the state of Georgia, then Bidder shall submit a copy of its valid professional license. Any license submitted in response to this ITB shall be maintained by the Contractor for the duration of the contract. B. BID SUBMITTAL: 1. All bids should be completed in ink or typewritten. Errors should be crossed out and corrections entered in ink or typewritten adjacent to the error. The person signing the bid should initial corrections in ink. 2. Bidders shall complete and submit Attachment A – Required Documents Checklist and all documents responsive to this requirement with the bid submittal. 3. If applicable, provide evidence that the Bidder is a DeKalb County Firm. 4. Bids must be submitted in a sealed envelope(s) or box(es) with the Bidder’s name and “ITB No. 21- 101466 for Rental of Various Heavy Equipment [Three (3) Year Multiyear Contract]” on the outside of each envelope or box. All Bidders delivering submittals via delivery services, please place the sealed bid envelope(s) or box(es) inside the delivery service envelope(s) or box(es). Bidders are responsible for informing any delivery service of all delivery requirements. No responsibility shall attach to the County for the premature opening of a submission not properly addressed and/or identified. The Decatur postmaster will not deliver certified or special delivery mail to specific addresses within DeKalb County Government. C. CONTRACT AWARD: 1. Bids submitted will be evaluated and recommended for award to the lowest, responsive, and responsible Bidder(s). 2. The County’s intention is to award to multiple bidders; however, the County reserves the right to award to one bidder. The County may accept any item or group of items on any bid, whichever is in the best interest of DeKalb County. 3. The County reserves the right to reject any and all bids, to waive informalities, and to re-advertise. 4. The judgment of DeKalb County Purchasing and Contracting on matters, as stated above, shall be final. INVITATION NO. 21-101466 Page 9 of 42 GENERAL TERMS AND CONDITIONS A. In the event of a conflict between any provisions contained in any of the documents governing this transaction, the following shall be the order of precedence: Change Orders or modifications; the Bidder’s accepted Response; and the County’s ITB. B. The Contractor’s services shall include all things, personnel, and materials necessary to provide the goods and/or services that are in compliance with the specifications as authorized by the County. C. DELIVERY: Delivery of services is required within three (3) hours upon request. Bidder state agreement: Yes_____________ No_______________ Contact Person: _________________________________________________________________ Telephone Number: _____________________________ Cellular Number: ________________ Address: Alternate delivery time may be considered provided it is so stated. Bidder state alternate terms for delivery or services below. All prices are to be firm, F.O.B. Destination, Freight Prepaid and Allowed. This shall include delivered, unloaded, and placed in designated place. Delivery must be made between 7:00 A.M. and 5:00 P.M. Monday through Friday, unless otherwise required. The successful bidder shall give a 24-hour prior notice of delivery to Department or Division calling in the order, and must ask for caller’s telephone number as well as Purchase Order form and address, since 24-hour Notice of Delivery is required. The County will unload after prior notice. Delivery shall be to [Point-of-Contact (POC)]: Public Works – Roads & Drainage Division Department of Watershed Management 729 Camp Road 1580 Roadhaven Drive Decatur, GA 30032 Stone Mountain, GA 30083 POC: Travis Cherry; Tel: (404) 297-3867 POC: John Mann; Tel: (770) 621-7240 Beautification Sanitation – Seminole Road Landfill 1755 Fairlake Drive 4203 Clevemont Road Decatur, GA 30034 Ellenwood, GA 30294 POC: Khaila Moss, Tel: (404) 294- 2257 POC: Chanile Hines; Tel: (404) 687-4016 INVITATION NO. 21-101466 Page 10 of 42 D. DELIVERIES BEYOND THE CONTRACTUAL PERIOD: This contract covers all requirements that may be ordered, as distinguished from delivered, during the contract term. This is for the purpose of providing continuity of supply by permitting the County to place orders as requirements arise in the normal course of supply operations. Accordingly, any order mailed (or received, if forwarded by other means than through the mail) to the Contractor on or before the expiration date of the contract, and providing for delivery within the number of days specified in the contract, shall constitute a valid order. E. FOREIGN PRODUCTS: DeKalb County prefers to buy items produced and/or manufactured in the United States of America; however, foreign products may be considered provided it is so stated. Bidder certifies that items offered on this bid is/are manufactured and produced in the United States. Yes_____ No If “No”, state the exact location of plant or facility where items will be produced: __________________________________________________________________________ __________________________________________________________________________ F. COUNTY REQUIREMENT: The contract will be an “Indefinite Quantity” type with County requirements to be satisfied on an “as ordered” basis. The County makes no promise, real or implied, to order any quantity whatsoever. This invitation and resulting contract will provide for the normal requirements of DeKalb County, and contracts will be used as primary sources for the articles or services listed herein. Articles or services will be ordered from time to time in such quantities as may be needed. As it was impossible to determine the precise quantities of items described in this invitation that will be needed during the contract term, each contractor is obligated to deliver all articles and services that may be ordered during the contract term. G. WARRANTY AND/OR GUARANTY: Contractor warrants that its services under this Agreement shall be free of defects in materials and workmanship for a period of ninety (90) days. The Contractor shall not be liable for indirect, special, or exemplary damages. The Contractor shall be liable for direct damages. H. SAMPLES & TESTING: Samples of items, when required, must be submitted within the time specified, and unless otherwise specified by the County, at no expense to the County. If not destroyed by testing, samples will be returned at bidder's request and expense, unless otherwise specified by the Invitation to Bid. Since tests may require several days for completion, the County reserves the right to use a portion of any supplies before the results of the tests are known, without prejudice to any final adjustments, rejecting the unused portion of the delivery and payment will be made on an adjusted basis for the used portion. The costs of inspections and tests of any item which fails to meet the advertised specifications shall be borne by the bidder. INVITATION NO. 21-101466 Page 11 of 42 I. LITERATURE: When the bidder proposes to furnish another product, he is required to furnish, with his bid, literature describing the item(s) being offered. Failure to furnish this literature may result in the bid being deemed non-responsive. J. SILENCE OF SPECIFICATIONS: The apparent silence of these specifications and any supplemental specifications as to any details, or the omission from it of a detailed description concerning any point, shall be regarded as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design are to be used. All workmanship is to be first quality. All interpretations of this specification shall be made upon the basis of this statement, with County interpretation to prevail. K. A Contract Purchase Agreement (CPA) is being issued in lieu of a formal contract. Any reference to a contract refers to the CPA. L. TERM (Bidder shall not fill in the blank in this section. This portion shall be completed by the Department of Purchasing and Contracting upon the acknowledgement of receipt of the Notice to Proceed): The Contractor shall commence the Work under this Contract within ten (10) days from the Notice to Proceed (“Commencement Date”). As required by O.C.G.A §36-60-13, this Contract shall (i) terminate without further obligation on the part of the County each and every December 31st, as required by O.C.G.A. § 36-60-13, as amended, unless terminated earlier in accordance with the termination provisions of this Contract; (ii) automatically renew on each January 1st, unless terminated in accordance with the termination provisions of this Contract; and (iii) terminate absolutely, with no further renewals, on December 31, 20____, unless extended by Change Order adopted and approved by the DeKalb County Governing Authority and the Contractor in accordance with the terms of this Contract. M. PRICING: 1. Alterations to the Price Schedule may result in the Bidder being deemed non-responsive and/or bid rejection. 2. Price Reductions: If at any time after the date of award, the Contractor makes a general price reduction in the comparable price of any article or service covered by the contract to customers generally, an equivalent price reduction based on similar quantities and/or considerations shall apply to the contract for the duration of the contract period (or until the price is further reduced). Such price reduction shall be effective at the same time and in the same manner as the reduction in the price to customers generally. An occasional sale at a lower price, or sale of distressed merchandise at a lower price, would not be considered a general price reduction under this paragraph. For purposes of this paragraph, a general price reduction shall mean any reduction in the price of an article or service offered: • To Contractor’s customers. • In the Contractor’s price schedule for the class of customers; i.e., wholesalers, jobbers, retailers, etc., which was used as the basis for bidding on this contract. INVITATION NO. 21-101466 Page 12 of 42 The Contractor shall invoice the County at such reduced price indicating on the invoice that the reduction is pursuant to General Terms and Conditions, paragraph M. Pricing as stated within the ITB. 3. Price Escalation Clause: During the life of the contract, the awarded bidder shall furnish price lists to the County for increases, and those of the bidder’s supplier (e.g. factory) increases, as prices change. The bidder must also provide a list of the supplier’s (e.g. factory’s) previous price(s) to the County for purposes of comparison. Price changes will be in effect only after receipt and approval by the Director of the Department of Purchasing and Contracting. Price lists and changes thereto are to be furnished under the contract and without charge to the County. Catalogue(s) or Price List(s) must be submitted to the Department of Purchasing and Contracting, Maloof Administration Building, 1300 Commerce Drive, 2nd Floor, Decatur, Georgia 30030. 4. By submission of this bid, the bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization that in connection with this procurement: a. The prices in this bid have been arrived at independently, without consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor; b. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly to any other bidder or to any competitor; and c. No attempt has been made or will be made by the bidder to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition. N. PAYMENT (Bidder shall not fill in the blanks in this section. This portion shall be completed by the Department of Purchasing and Contracting upon contract award): 1. The County shall pay the Contractor based upon the accepted bid prices submitted by Bidder. Invoices should be signed by the Contractor or authorized delegate and must contain the authorizing a unique invoice number specific to the project, the DeKalb County Purchase Order (PO), and the Contract Purchase Agreement (CPA) Number in order for payment to be processed. The PO Number must also be on the delivery ticket, if applicable. 2. As full payment for the faithful performance of this Contract, the County shall pay the Contractor, the Contract Price, which is an amount not to exceed ($__________________), unless changed by written Change Order in accordance with the terms of this Contract. The term “Change Order” includes the term “amendment” and shall mean a written order authorizing a change in the Work, and an adjustment in Contract Price to Contractor or the Contract Term, as adopted and approved by the Contractor and the DeKalb County Governing Authority, or the Chief Executive Officer, if exempted from Governing Authority adoption and approval in accordance with the express terms of this Contract. The Chief Executive Officer or his/her designee shall have the authority to approve and execute a Change Order lowering the Contract Price or increasing the Contract Price up to twenty percent (20%) of the original Contract Price, provided that the total amount of the increase authorized by such Change Order is less than $100,000.00. If the original Contract or Purchase Order Price does not exceed $100,000.00, but the Change Order will make the total Contract Price exceed $100,000.00, then the Change Order will require approval by official action of the Governing Authority. Any other increase of the Contract Price shall be by Change Order adopted and approved INVITATION NO. 21-101466 Page 13 of 42 by the DeKalb County Governing Authority and the Contractor in accordance with the terms of this Contract. Amounts paid to the Contractor shall comply with and not exceed the amounts listed below: a. County shall pay the Contractor an amount not to exceed ________________ for the initial year of the agreement. b. County shall pay the Contractor an amount not to exceed ________________ for the second year of the agreement. c. County shall pay the Contractor an amount not to exceed ________________ for the third year of the agreement. Payment is to be made no later than thirty (30) days after submittal of undisputed invoice. 3. Invoice(s) and notice(s) must be submitted as follows: a. Original invoice(s) must be submitted to: Accounts Payable DeKalb County Department of Finance 1300 Commerce Drive, 3rd Floor Decatur, GA 30030 With a copy to the County Representative(s) listed below or to any other authorized designee from the department requesting the work: Public Works – Roads & Drainage Division 729 Camp Road Decatur, GA 30032 Attn: Travis Cherry tccherry@dekalbcountyga.gov Department of Watershed Management 1580 Roadhaven Drive Stone Mountain, GA 30083 Attn: John Mann jamann@dekalbcountyga.gov Beautification 1755 Fairlake Drive, Bldg. B Decatur, GA 30034 Attn: Khaila Moss krmoss@dekalbcountyga.gov Sanitation – Seminole Road Landfill 4203 Clevemont Road Ellenwood, GA 30294 Attn: Chanile Hines chines1@dekalbcountyga.gov mailto:tccherry@dekalbcountyga.gov mailto:jamann@dekalbcountyga.gov mailto:krmoss@dekalbcountyga.gov mailto:chines1@dekalbcountyga.gov INVITATION NO. 21-101466 Page 14 of 42 b. Upon award, Prime Contractor(s) with Local Small Business Enterprise (LSBE) Subcontractor(s) shall enter utilization reports electronically at www.dekalblsbe.info. Proof of payment to the LSBE Subcontractor must be uploaded and submitted. LSBE Subcontractors shall confirm receipt of payment from the Prime, electronically also, at www.dekalblsbe.info. c. Notices must be submitted to: Chief Financial Officer DeKalb County Department of Finance 1300 Commerce Drive, 6th Floor Decatur, GA 30030 4. The County’s official payment terms are Net 30. Payment dates that fall on a weekend or on a holiday will be issued on the County’s next business day. N. ACCURACY OF WORK: The Contractor shall be responsible for the accuracy of the Work and any error and/or omission made by the Contractor in any phase of the Work under this Agreement. O. ADDITIONAL WORK: The County shall in no way be held liable for any work performed under this section which has not first been approved in writing by the County in the manner required by applicable law and/or the terms of this Contract. The County may at any time order changes within the scope of the Work without invalidating the Contract upon seven (7) days written notice to the Contractor. The Contractor shall proceed with the performance of any changes in the Work so ordered by the County unless such change entitles the Contractor to a change in Contract Price, and/or Contract Term, in which event the Contractor shall give the County written notice thereof within fifteen (15) days after the receipt of the ordered change, and the Contractor shall not execute such changes until it receives an executed Change Order from the County. No extra cost or extension of time shall be allowed unless approved by the County and authorized by execution of a Change Order. The parties’ execution of any Change Order constitutes a final settlement of all matters relating to the change in the Work which is the subject of the Change Order. The County shall not be liable for payment for any work performed under this section which has not first been approved in writing by the County in the manner required by applicable law and/or the terms of this Contract. P. OWNERSHIP OF DOCUMENTS: All documents, including drawings, estimates, specifications, and data are and remain the property of the County. The Contractor agrees that the County may reuse any and all plans, specifications, drawings, estimates, or any other data or documents described herein in its sole discretion without first obtaining permission of the Contractor and without any payment of any monies to the Contractor therefore. Any reuse of the documents by the County on a different site shall be at its risk and the Contractor shall have no liability where such documents are reused. http://www.dekalblsbe.info/ http://www.dekalblsbe.info/ INVITATION NO. 21-101466 Page 15 of 42 Q. RIGHT TO AUDIT: 1. The County shall have the right to audit all books and records, including electronic records, relating or pertaining to this contract or agreement, including but not limited to all financial and performance related records, property, and equipment purchased in whole or in part with County funds and any documents or materials which support whose records, kept under the control of the Contractor, including but not limited to those kept by the Contractor’s employees, agents, assigns, successors and subcontractors. The County also has the right to communicate with Contractor’s employees related to the audited records. 2. The Contractor shall maintain such books and records, together with such supporting or underlying documents and materials, for the duration of this contract and for seven (7) years after termination or expiration, including any and all renewals thereof. The books and records, together with supporting documents and materials shall be made available, upon request to the County or its designee, during normal business hours at the Contractor’s office or place of business. In the event that no such locations is available, then the books, records and supporting documents shall be made available for audit at a time and location which is convenient for the County. R. SUCCESSORS AND ASSIGNS: The Contractor agrees it shall not sublet, assign, transfer, pledge, convey, sell, or otherwise dispose of the whole or any part of this Contract or his right, title, or interest therein to any person, firm, or corporation without the previous written consent of the County. If the County consents to any such assignment or transfer, then the Contractor binds itself, its partners, successors and assigns to all covenants of this Contract. Nothing contained in this Contract shall create, nor be interpreted to create privity, or any other relationship whatsoever, between the County and any person, or entity or than Contractor. S. REVIEWS AND ACCEPTANCE: Work performed by the Contractor shall be subject to review and acceptance in stages as required by the County. Acceptance shall not relieve the Contractor of its professional obligation to correct, at his own expense, any errors in the Work. T. TERMINATION OF AGREEMENT: The Contractor understands and agrees that the date of the beginning of Work, rate of progress, and time for completion of the Work are essential conditions of this Contract. Both parties may, for its own convenience and at its sole option, without cause and without prejudice to any other right or remedy of the party, elect to terminate the Contract by delivering to the other party, at the address listed in the Notices article of this Contract, a written notice of termination specifying the effective date of termination. Such notice shall be delivered to the other party at least thirty (30) days prior to the effective date of termination. If Contractor’s services are terminated by the County, the termination will not affect any rights or remedies of the County then existing or which may thereafter accrue against Contractor or its surety. In case of termination of this Contract before completion of the Work, Contractor will be paid only for the portion of the Work satisfactorily performed through the effective date of termination as determined by the County. Neither party shall be entitled to recover lost profits, special, consequential or punitive damages, attorney’s fees or costs from the other party to this Contract for any reason whatsoever. This Contract shall not be deemed to provide any third-party with any INVITATION NO. 21-101466 Page 16 of 42 remedy, claim, right of action, or other right. The parties’ obligations pursuant to this Section shall survive any acceptance of Work, or termination or expiration of this Contract. U. INDEMNIFICATION AGREEMENT: The Contractor shall be responsible from the execution date or from the time of the beginning of the Work, whichever shall be the earlier, for all injury or damage of any kind resulting from the Work, to persons or property, including employees and property of the County. The Contractor shall exonerate, indemnify, and save harmless the County, its elected officials, officers, employees, agents and servants, hereinafter collectively referred to in this Section as “the County Indemnitees,” from and against all claims or actions based upon or arising out of any damage or injury (including without limitation any injury or death to persons and any damage to property) caused by or sustained in connection with the performance of this Contract or by conditions created thereby or arising out of or any way connected with Work performed under this Contract, as well as all expenses incidental to the defense of any such claims, litigation, and actions. Furthermore, Contractor shall assume and pay for, without cost to the County Indemnitees, the defense of any and all claims, litigation, and actions suffered through any act or omission of the Contractor, or any Subcontractor, or anyone directly or indirectly employed by or under the supervision of any of them. Notwithstanding any language or provision in this Contract, Contractor shall not be required to indemnify any County Indemnitee against claims, actions, or expenses based upon or arising out of the County Indemnitee’s sole negligence. As between the County Indemnitees and the Contractor as the other party, the Contractor shall assume responsibility and liability for any damage, loss, or injury, including death, of any kind or nature whatever to person or property, resulting from any kind of claim made by Contractor’s employees, agents, vendors, Suppliers or Subcontractors caused by or resulting from the performance of Work under this Contract, or caused by or resulting from any error, omission, or the negligent or intentional act of the Contractor, vendors, Suppliers, or Subcontractors, or any of their officers, agents, servants, or employees. The Contractor shall defend, indemnify, and hold harmless the County Indemnitees from and against any and all claims, loss, damage, charge, or expense to which they or any of them may be put or subjected by reason of any such damage, loss, or injury. The Contractor expressly agrees to provide a full and complete defense against any claims brought or actions filed against the County Indemnitees, where such claim or action involves, in whole or in part, the subject of the indemnity contained in this Contract, whether such claims or actions are rightfully or wrongfully brought or filed. The County has the sole discretion to choose the counsel who will provide the defense. No provision of this Contract and nothing herein shall be construed as creating any individual or personal liability on the part of any elected official, officer, employee, agent or servant of the County, nor shall the Contract be construed as giving any rights or benefits hereunder to anyone other than the parties to this Contract. The parties’ obligations pursuant to this Section shall survive any acceptance of Work, or termination or expiration of this Contract. V. INSURANCE: Insurance must meet the County’s requirements and will be furnished by the successful Bidder(s) upon award. 1. Successful Bidder(s) will advise their insurance agent of the County’s requirements as listed below and that they may not proceed with any work until insurance is provided that is in compliance with these requirements. 2. Contractor’s insurance company or agent must mail, email, or bring an original certificate of INVITATION NO. 21-101466 Page 17 of 42 insurance and applicable declarations or endorsements to the DeKalb County address listed within this Insurance provision. Insurance must be from companies able to do business in Georgia and acceptable to the County as follows: a. Certificates must cover: i. Statutory Workers Compensation (1) Employer’s liability insurance by accident, each accident $1,000,000 (2) Employer’s liability insurance by disease, policy limit $1,000,000 (3) Employer’s liability insurance by disease, each employee $1,000,000 ii. Business Auto Liability Insurance with a minimum $500,000 Combined Single Limit/Each Occurrence (Including operation of non-owned, owned, and hired automobiles). iii. Commercial General Liability Insurance (1) Bodily Injury and Property Damage Liability (each occurrence) - $1,000,000 (2) Fire Damage - $250,000 (3) Medical Expense (any one person) - $10,000 (4) Personal & Advertising Injury - $1,000,000 (5) General Aggregate - $5,000,000 (6) Products & Completed Operations - $2,000,000 (7) Damage to Rented Premises (each occurrence) - $100,000 (8) Contractual Liability where applicable b. DeKalb County, GA shall be named as Additional Insured under any General Liability, Business Auto and Umbrella Policies. Coverage shall apply as Primary and non- contributory with Waiver of Subrogation in favor of DeKalb County, Georgia. Such additional insured coverage shall be endorsed to Contractor’s policy by attachment of ISO Additional Insured Endorsement forms CG 20 10 10 01 (ongoing operations) and CG 20 37 10 01 (products- completed operations), or form(s) providing equivalent coverage. c. This insurance for the County as the additional insured shall be as broad as the coverage provided for the named-insured Contractor. It shall apply as primary insurance before any other insurance or self-insurance, including any deductible, non-contributory, and waiver of subrogation provided to the County as the additional insured. d. Contractor agrees to waive all rights of subrogation and other rights of recovery against the County and its elected officials, officers, employees or agents, and shall cause each Subcontractor to waive all rights of subrogation for all coverages. e. Certificates shall state that the policy or policies shall not expire, be cancelled or altered INVITATION NO. 21-101466 Page 18 of 42 without at least sixty (60) days prior written notice to the County. f. Contractor understands and agrees that the purchase of insurance in no way limits the liability of the Contractor. g. The insurance carrier must have a minimum A.M. Best rating of not less than “A” (Excellent) with a Financial Size Category of VII or better. h. Certificates to contain policy number, policy limits and policy expiration date of all policies issued in accordance with this contract. i. Certificates to contain the location and operations to which the insurance applies. j. Certificates to contain successful contractor’s protective coverage for any subcontractor’s operations. If this coverage is included in General Liability, please indicate on the Certificate of Insurance. k. Certificates to contain successful contractor’s contractual insurance coverage. If this coverage is included in the General Liability, please indicate this on the Certificate of Insurance. l. Certificates shall be issued and delivered to the County and must identify the “Certificate Holder” as follows: DeKalb County, Georgia Director of Purchasing and Contracting Maloof Administration Building 1300 Commerce Drive, 2nd Floor Decatur, Georgia 30030 3. Contractor shall be wholly responsible for securing certificates of insurance coverage as set forth above from all subcontractors who are engaged in this work. 4. Contractor understands and agrees that the purchase of insurance in no way limits the liability of the Contractor. 5. Contractor is obligated to comply with any revisions to the County’s insurance requirements. 6. Failure of the County to demand such certificate or other evidence of full compliance with these insurance requirements or failure of the County to identify a deficiency from evidence provided will not be construed as a waiver of the Contractor’s obligation to maintain such coverage. W. GEORGIA LAWS GOVERN: The laws of the State of Georgia shall govern the construction of this Contract without regard for conflicts of laws. Should any provision of this Contract require judicial interpretation, it is agreed that the court interpreting or construing the same shall not apply a presumption that the terms hereof shall be more strictly construed against one party, by reason of the rule of construction, that a document is to be construed more strictly against the party who itself or through its agent prepared same; it being agreed INVITATION NO. 21-101466 Page 19 of 42 that the agents of all parties have participated in the preparation hereof, and all parties have had an adequate opportunity to consult with legal counsel. In interpreting this Contract in its entirety, the printed provisions of this Contract, and any additions written or typed hereon, shall be given equal weight, and there shall be no inference by operation of law or otherwise; that any provision of this Contract shall be construed against either party hereto. X. VENUE: This Agreement shall be deemed to have been made and performed in DeKalb County, Georgia. For the purposes of venue, all suits or causes of action arising out of this Agreement shall be brought in the courts of DeKalb County, Georgia. Y. COUNTY REPRESENTATIVE: The County may designate a representative through whom the Contractor will contact the County. In the event of such designation, said representative shall be consulted and his written recommendation obtained before any request for extra work is presented to the County. Payments to the Contractor shall be made only upon itemized bill submitted to and approved by said representative. Z. CONTRACTOR’S STATUS: The Contractor will supervise and direct the Work, including the Work of all Subcontractors. Only persons skilled in the type of work which they are to perform shall be employed. The Contractor shall, at all times, maintain discipline and good order among his employees, and shall not employ any unfit person or persons or anyone unskilled in the work assigned him. The relationship between the County and the Contractor shall be that of owner and independent contractor. Other than the consideration set forth herein, the Contractor, its officers, agents, servants, employees, and any Subcontractors shall not be entitled to any County employee benefits including, but not limited to social security, insurance, paid annual leave, sick leave, worker’s compensation, free parking or retirement benefits. All services provided by Contractor shall be by employees of Contractor or its Subcontractors and subject to supervision by Contractor. No officer or employee of Contractor or any Subcontractor shall be deemed an officer or employee of the County. Personnel policies, tax responsibilities, social security payments, health insurance, employee benefits and other administrative policies, procedures or requirements applicable to the Work or services rendered under this Contract shall be those of the Contractor, not the County. AA. SOLE AGREEMENT: This Contract constitutes the sole contract between the County and the Contractor. The terms, conditions, and requirements of this Contract may not be modified. No verbal agreement or conversation with any officer, agent, or employee of the County, either before or after the award of the Contract, shall affect or modify any of the terms or obligations herein contained. No representations, oral or written, shall be binding on the parties unless expressly incorporated herein. INVITATION NO. 21-101466 Page 20 of 42 BB. SEVERABILITY: If any provision of this Contract or the application thereof to any person or circumstance shall to any extent be held invalid, then the remainder of this Contract or the application of such provision to persons or circumstances, other than those as to which it is held invalid, shall not be affected thereby, and each provision of this Contract shall be valid and enforced to the fullest extent permitted by law. CC. NOTICES: Any notice or consent required to be given by or on behalf of any party hereto to any other party hereto shall be in writing and shall be sent to the Director of the Department of Purchasing and Contracting or to the Contractor or his authorized representative on the work site by (a) registered or certified United States mail, return receipt requested, postage prepaid, (b) personal delivery, or (c) overnight courier service. All notices sent to the addresses listed below shall be binding unless said address is changed in writing no less than fourteen days before such notice is sent. Future changes in address shall be effective upon written notice being given by the Contractor to the Director of the Department of Purchasing and Contracting or by the County to the Contractor’s authorized representative via certified first-class U.S. mail, return receipt requested. Such notices will be addressed as follows: If to the County: Chief Procurement Officer Department of Purchasing and Contracting Maloof Administration Building 1300 Commerce Drive, 2 nd Floor Decatur, Georgia 30030 If to the Contractor: Notices shall be sent to the contact information that is listed in the Bidder’s Response to the ITB. DD. GEORGIA OPEN RECORDS ACT: Without regard to any designation made by the person or entity making a submission, DeKalb County considers all information submitted in response to this invitation or request to be a public record that will be disclosed upon request pursuant to the Georgia Open Records Act, O.C.G.A. §50-18-70 et seq., without consulting or contacting the Responder person or entity making the submission, unless a court order is presented with the submission. Bidders or Responders may wish to consult an attorney or obtain legal advice prior to making a submission. EE. DEKALB COUNTY, GEORGIA’S TITLE VI POLICY STATEMENT DeKalb County, Georgia is committed to compliance with Title VI of the Civil Rights Act of 1964 and all related regulations and directives. DeKalb County assures that no person shall on the grounds of race, color, sex, or national origin, as provided by Title VI of the Civil Rights Act of 1964, the Federal-Aid Highway Transportation Act of 1973, and the Civil Rights Restoration Act of 1987 be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity. DeKalb County further assures that no person shall on the grounds of age, low income, disability, sexual orientation or gender identity be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity. INVITATION NO. 21-101466 Page 21 of 42 DeKalb County assures every effort will be made to ensure nondiscrimination in all of its programs and activities, whether those programs and activities are federally funded or not. In addition, DeKalb County will take reasonable steps to provide meaningful access to services for persons with Limited English Proficiency (LEP). FF. COOPERATIVE AGREEMENT DeKalb County supports cooperative procurement allowing public procurement entities to leverage the benefits of volume purchases, delivery and supply chain advantages, best practices, and the reduction of administrative time and expenses. In certain, limited circumstances, the County may choose to make the same pricing structures, terms and conditions agreed to under this solicitation available to other public procurement entities. Bidders shall indicate below whether they shall agree to allow other entities to piggy- back off the agreement resulting from this solicitation. Inclusion as a piggy-back contract is not mandatory, may be based on specific contract terms, and will have no bearing on the contract award. Agree to extend to other public procurement entities: Yes ___ No ___ [END OF GENERAL TERMS AND CONDITIONS] INVITATION NO. 21-101466 Page 22 of 42 MINIMUM SPECIFICATIONS I. GENERAL REQUIREMENTS: DeKalb County is seeking qualified Contractor(s) to provide services for Rental of Various Heavy Equipment. II. SERVICES: Contractor shall provide services for rental of various heavy equipment, on an as-needed basis, as listed on the Price Schedule (Pages 23 – 31) for Item Numbers 1 – 153 and in accordance with the attached requirements. INVITATION NO. 21-101466 Page 23 of 42 PRICE SCHEDULE ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 1. Rental EXCAVATOR, 24, 000 LB – 26,000 LB Daily $ ______________________ 2. Rental EXCAVATOR, 24, 000 LB – 26,000 LB Weekly $ ______________________ 3. Rental EXCAVATOR, 24, 000 LB – 26,000 LB Monthly $ ______________________ 4. Rental EXCAVATOR, 42, 000 LB – 47,000 LB Daily $ ______________________ 5. Rental EXCAVATOR, 42, 000 LB – 47,000 LB Weekly $ ______________________ 6. Rental EXCAVATOR, 42, 000 LB – 47,000 LB Monthly $ ______________________ 7. Rental EXCAVATOR, 53, 000 LB – 60,000 LB Daily $ ______________________ 8. Rental EXCAVATOR, 53, 000 LB – 60,000 LB Weekly $ ______________________ 9. Rental EXCAVATOR, 53, 000 LB – 60,000 LB Monthly $ ______________________ 10. Rental EXCAVATOR, 75, 000 LB – 85,000 LB Daily $ ______________________ 11. Rental EXCAVATOR, 75, 000 LB – 85,000 LB Weekly $ ______________________ 12. Rental EXCAVATOR, 75, 000 LB – 85,000 LB Monthly $ ______________________ 13. Rental EXCAVATOR, 95, 000 LB – 115,000 LB Daily $ ______________________ 14. Rental EXCAVATOR, 95, 000 LB – 115,000 LB Weekly $ ______________________ 15. Rental EXCAVATOR, 95, 000 LB – 115,000 LB Monthly $ ______________________ 16. Rental DOZER; Caterpillar DG Weekly $ ______________________ 17. Rental DOZER; Caterpillar DG Monthly $ ______________________ INVITATION NO. 21-101466 Page 24 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 18. Rental ROLLER, Walk-Behind, Pad Foot w/Remote 33” Weekly $ ______________________ 19. Rental ROLLER, Walk-Behind, Pad Foot w/Remote 33” Monthly $ ______________________ 20. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 5 Ton, 54” Weekly $ ______________________ 21. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 5 Ton, 54” Monthly $ ______________________ 22. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 8 Ton, 66” Weekly $ ______________________ 23. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 8 Ton, 66” Monthly $ ______________________ 24. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 12 Ton, 84” Weekly $ ______________________ 25. Rental ROLLER, Ride-on, Single Drum, Pad Foot, 12 Ton, 84” Monthly $ ______________________ 26. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 5 Ton, 54” Weekly $ ______________________ 27. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 5 Ton, 54” Monthly $ ______________________ 28. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 8 Ton, 66” Weekly $ ______________________ 29. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 8 Ton, 66” Monthly $ ______________________ 30. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 12 Ton, 84” Weekly $ ______________________ 31. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 12 Ton, 84” Monthly $ ______________________ 32. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 1.5 Ton, 36” Weekly $ ______________________ 33. Rental ROLLER, Ride-on, Single Drum, Smooth Drum, 1.5 Ton, 36” Monthly $ ______________________ 34. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 2.5 Ton, 43” Weekly $ ______________________ 35. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 2.5 Ton, 43” Monthly $ ______________________ 36. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 3.5 Ton, 48” Weekly $ ______________________ 37. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 3.5 Ton, 48” Monthly $ ______________________ INVITATION NO. 21-101466 Page 25 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 38. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 12 Ton, 80” Weekly $ ______________________ 39. Rental ROLLER, Ride-on, Double Drum, Smooth Drum, 12 Ton, 80” Monthly $_______________________ 40. Rental, TRACTOR, (Track Type) Caterpillar Model 963C or acceptable equal: Weekly $ ______________________ 41. Rental ROLLER, CW16 Pneumatic, 9-Wheel, Compaction Width 68’ Weekly $ ______________________ 42. Rental ROLLER, CW16 Pneumatic, 9-Wheel, Compaction Width 68’ Monthly $ ______________________ 43. Rental, TRACTOR, (Track Type) Caterpillar Model 963C or acceptable equal: (Bidder state the Manufacturer and Model of Equipment) Monthly $ ______________________ 44. Rental, WHEEL LOADER, Caterpillar Model 953G or acceptable equal: (Bidder state the Manufacturer and Model of Equipment) Weekly $ ______________________ 45. Rental, WHEEL LOADER, Caterpillar Model 953G or acceptable equal: (Bidder state the Manufacturer and Model of Equipment) Monthly $ ______________________ 46. Rental, TRUCK, Off Road, Dump, Articulating 26 Ton Daily $ ______________________ 47. Rental, TRUCK, Off Road, Dump, Articulating 26 Ton Weekly $ ______________________ 48. Rental, TRUCK, Off Road, Dump, Articulating 26 Ton Monthly $ ______________________ 49. Rental, WHEEL LOADER; Komatsu WA200-7 Wheel Loader Daily $_______________________ 50. Rental, WHEEL LOADER; Komatsu WA200-7 Wheel Loader Weekly $ ______________________ 51. Rental, WHEEL LOADER; Komatsu WA200-7 Wheel Loader Monthly $ ______________________ 52. Rental, WHEEL LOADER, 40,000 LB Daily $_______________________ INVITATION NO. 21-101466 Page 26 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 53. Rental, WHEEL LOADER, 40,000 LB Weekly $_______________________ 54. Rental, WHEEL LOADER, 40,000 LB Monthly $_______________________ 55. Rental, COMPACT EXCAVATOR, 10’ Dig Depth Weekly $ ______________________ 56. Rental, COMPACT EXCAVATOR, 10’ Dig Depth Monthly $ ______________________ 57. Rental, COMPACT EXCAVATOR, 11’ Dig Depth Weekly $ ______________________ 58. Rental, COMPACT EXCAVATOR, 11’ Dig Depth Monthly $ ______________________ 59. Rental, COMPACT EXCAVATOR, 12’ Dig Depth Weekly $ ______________________ 60. Rental, COMPACT EXCAVATOR, 12’ Dig Depth Monthly $ ______________________ 61. Rental, COMPACT EXCAVATOR, 14’ Dig Depth Weekly $ ______________________ 62. Rental, COMPACT EXCAVATOR, 14’ Dig Depth Monthly $ ______________________ 63. Rental, SKID LOADER, Rubber Tire, 1,600 LB Monthly $ ______________________ 64. Rental, SKID LOADER, Rubber Track 1,900 LB Monthly $ ______________________ 65. Rental, SKID LOADER, Rubber Track 2,500 LB Daily $ ______________________ 66. Rental, SKID LOADER, Rubber Track 2,500 LB Weekly $ ______________________ 67. Rental, SKID LOADER, Rubber Track 2,500 LB Monthly $ ______________________ 68. Rental CUTT OFF SAW, 14” with blade Weekly $ ______________________ 69. Rental CUTT OFF SAW, 14” with blade Monthly $ ______________________ 70. Rental CONCRETE SAW, Walk Behind, 57-60 HP with blade Weekly $ ______________________ 71. Rental CONCRETE SAW, Walk Behind, 57-60 HP with blade Monthly $ ______________________ 72. Rental BREAKER, Hydraulic, 2,100 LB Weekly $ ______________________ 73. Rental BREAKER, Hydraulic, 2,100 LB Monthly $ ______________________ 74. Rental BREAKER, Hydraulic, 3,500 LB Weekly $ ______________________ INVITATION NO. 21-101466 Page 27 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 75. Rental BREAKER, Hydraulic, 3,500 LB Monthly $ ______________________ 76. Rental, BREAKER, Hydraulic, 5,000 LB Weekly $ ______________________ 77. Rental, BREAKER, Hydraulic, 5,000 LB Monthly $ ______________________ 78. Rental SOD Cutter, 18” Weekly $ ______________________ 79. Rental SOD Cutter, 18” Monthly $ ______________________ 80. Rental, SOD Roller, Pull Behind Weekly $ ______________________ 81. Rental, SOD Roller, Pull Behind Monthly $ ______________________ 82. Rental, 6” Pump, Trash with 20’ Suction and 50’ Discharge Weekly $ ______________________ 83. Rental, 6” Pump, Trash with 20’ Suction and 50’ Discharge Monthly $ ______________________ 84. Rental, 8” Pump, Trash, with 20’ Suction and 50’ Discharge Weekly $ ______________________ 85. Rental, 8” Pump, Trash, with 20’ Suction and 50’ Discharge Monthly $ ______________________ 86. Rental, 10” Pump, Trash, with 20’ Suction and 50’ Discharge Weekly $ ______________________ 87. Rental, 10” Pump, Trash, with 20’ Suction and 50’ Discharge Monthly $ ______________________ 88. Rental 12” Pump Trash, with 20’ Suction and 50’ Discharge Weekly $ ______________________ 89. Rental 12” Pump Trash, with 20’ Suction and 50’ Discharge Monthly $ ______________________ 90. Rental, TRENCH BOX, 8’ x 10’ Weekly $ ______________________ 91. Rental, TRENCH BOX, 8’ x 10’ Monthly $ ______________________ 92. Rental, TRENCH BOX, 4’ x 10’ Weekly $ ______________________ 93. Rental, TRENCH BOX, 4’ x 10’ Monthly $ ______________________ INVITATION NO. 21-101466 Page 28 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 94. Rental, Walk-Behind Vibratory Trench Roller with Remote Drum width 22” Weekly $ ______________________ 95. Rental, Walk-Behind Vibratory Trench Roller with Remote Drum width 22” Monthly $ ______________________ 96. Rental Walk-Behind Vibratory Trench Roller with Remote Drum width 24” Weekly $ ______________________ 97. Rental Walk-Behind Vibratory Trench Roller with Remote Drum width 24” Monthly $ ______________________ 98. Rental Walk Behind Vibratory Trench Roller with Remote Drum width 32” Weekly $ ______________________ 99. Rental Walk Behind Vibratory Trench Roller with Remote Drum width 32” Monthly $ ______________________ 100. Rental Walk-Behind Vibratory Trench Roller with Remote Drum width 33” Weekly $ ______________________ 101. Rental Walk-Behind Vibratory Trench Roller with Remote Drum width 33” Monthly $ ______________________ 102. Rental, Single-Drum Ride-on vibratory Compactor Drum width 54” Smooth Weekly $ ______________________ 103. Rental, Single-Drum Ride-on vibratory Compactor Drum width 54” Smooth Monthly $ ______________________ 104. Rental, Single-Drum Ride-on vibratory Compactor Drum width 54” Pad-foot Weekly $ ______________________ 105. Rental, Single-Drum Ride-on vibratory Compactor Drum width 54’’ Pad-foot Monthly $______________________ 106. Drum width 54” Pad-foot Weekly $ ______________________ 107. Drum width 54” Pad-foot Monthly $ ______________________ 108. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 66’’ Smooth Weekly $ _____________________ 109. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 66” Smooth Monthly $ ______________________ 110. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 66” Pad-foot Weekly $ ______________________ INVITATION NO. 21-101466 Page 29 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 111. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 66” Pad-foot Monthly $ ______________________ 112. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 84” Smooth Weekly $ ______________________ 113. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 84” Smooth Monthly $ ______________________ 114. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 84” Pad-foot Weekly $ ______________________ 115. Rental, Single-Drum Ride-on Vibratory Compactor Drum width 84” Pad-foot Monthly $ ______________________ 116. Rental, Concrete Bucket; One (1) Cubic Yard Weekly $ ______________________ 117. Rental, Concrete Bucket; One (1) Cubic Yard Monthly $ ______________________ 118. Rental, Concrete Bucket; Two (2) Cubic Yard Weekly $ ______________________ 119. Rental, Concrete Bucket; Two (2) Cubic Yard Monthly $ ______________________ 120. Rental, Slow Speed Shredder, Minimum 22 tons unit – On tracks Weekly $ ______________________ 121. Rental, Slow Speed Shredder, Minimum 22 tons unit – On tracks Monthly $ ______________________ 122. Rental, Direct Feed Scalper (Dirt Screen) – Minimum 16’x5’ screening box – On tracks Weekly $ ______________________ 123. Rental, Direct Feed Scalper (Dirt Screen) – Minimum 16’x5’ screening box – On tracks Monthly $ ______________________ 124. Rental, Jaw Crusher (Concrete Crusher) – Minimum 46” Jaw – On tracks Weekly $ ______________________ 125. Rental, Jaw Crusher (Concrete Crusher) – Minimum 46” Jaw – On tracks Monthly $ ______________________ 126. Rental, Skid Steer, Rubber Tire S630, Operating Capacity 7160 lbs. – Preferred Bobcat 10229145 or Compatible brand. Weekly $ ______________________ 127. Rental, Skid Steer, Rubber Tire S630, Operating Capacity 7160 lbs. – Preferred Bobcat 10229145 or Compatible brand. Monthly $ _____________________ INVITATION NO. 21-101466 Page 30 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 128. High Lift Rubber Tire Loader 644 John Deere or Equivalent Weekly $ ______________________ 129. High Lift Rubber Tire Loader 644 John Deere or Equivalent Monthly $ ______________________ 130. Skid Steer 325G John Deere or Equivalent Weekly $ ______________________ 131. Skid Steer 325G John Deere or Equivalent Monthly $ ______________________ 132. Airsweeper Vacuum/Sweeper Tymco 435 or Equivalent Weekly $ ______________________ 133. Airsweeper Vacuum/Sweeper Tymco 435 or Equivalent Monthly $ ______________________ 134. Rubber Tire Loader 644 High Reach or Equivalent Weekly $ ______________________ 135. Rubber Tire Loader 644 High Reach or Equivalent Monthly $ ______________________ 136. Track Loader 963 Caterpillar or Equivalent Weekly $ ______________________ 137. Track Loader 963 Caterpillar or Equivalent Monthly $ ______________________ 138. Dozier D-6 Caterpillar or Equivalent Weekly $ ______________________ 139. Dozier D-6 Caterpillar or Equivalent Monthly $ ______________________ 140. Dozier D-8T Caterpillar or Equivalent Weekly $ ______________________ 141. Dozier D-8T Caterpillar or Equivalent Monthly $ ______________________ 142. Excavator 490 Caterpillar or Equivalent Weekly $ ______________________ 143. Excavator 490 Caterpillar or Equivalent Monthly $ ______________________ 144. Off-Road Truck – 40 tons Caterpillar or Equivalent Weekly $ ______________________ 145. Off-Road Truck – 40 tons Caterpillar or Equivalent Monthly $ ______________________ 146. John Deere 644 High Lift rubber tire loader or equivalent. Weekly $ ______________________ INVITATION NO. 21-101466 Page 31 of 42 ITEM NO. ITEM DESCRIPTION UNIT TOTAL AMOUNT 147. John Deere 644 High Lift rubber tire loader or equivalent. Monthly $ ______________________ 148. John Deere 325G skid steer or equivalent. Weekly $ ______________________ 149. John Deere 325G skid steer or equivalent. Monthly $ ______________________ 150. Tymco 435 Airsweeper vacuum/sweeper or equivalent. Weekly $ ______________________ 151. Tymco 435 Airsweeper vacuum/sweeper or equivalent. Monthly $ ______________________ 152. DELIVERY Charge LOT $ ______________________ 153. PICK- UP Charge LOT $ ______________________ TOTAL AMOUNT $ ______________________ (END OF PRICE SCHEDULE) INVITATION NO. 21-101466 Page 32 of 42 BID ACKNOWLEDGEMENT FORM I, the undersigned, acknowledge that I have read the Bid Document in its entirety and agree to conform to its every requirement. I further acknowledge that failure to prepare, submit, or execute this bid in the exact manner requested will be just cause to reject my entire bid. • Bidder acknowledges addendum(s): No. 1____, No. 2____, No. 3____ (If Applicable) • Bidder acknowledges that this bid is valid for ninety (90) days from __________(Initial) and including the actual bid opening date. • Bidder acknowledges that bid meets or exceeds minimum specifications. __________(Initial) Any deviation from minimum specifications must be explained, in detail, by bidder as to how the bid does not meet the exact specifications. • Bidder acknowledgement of Revisions to the above Terms and Conditions: • No revisions __________(Initial) OR • There are revisions and they are included with the bid submittal __________(Initial) The above acknowledgment must be properly signed and firmly attached to your bid. The acknowledgment becomes a part of your bid and without it your bid is not complete and will be subject to rejection. THIS PAGE MUST BE RETURNED WITH YOUR BID. FAILURE TO SUBMIT THIS COMPLETED FORM WILL RESULT IN YOUR BID BEING DEEMED NON-RESPONSIVE. Name of Business Entity Submitting Bid Print Name and Title of Authorized Signer Business Entity Street Address Authorized Signature Business Entity City, State and Zip Code Contact Person’s Phone Number Business Entity County Contact Person’s E-mail Address INVITATION NO. 21-101466 Page 33 of 42 ATTACHMENT A REQUIRED DOCUMENTS CHECKLIST Bidder complete and submit the following documents with your bid: Bid Page No. Title Check This Box If Included With Bid 1-31 ITB Document, including completion of the following: General Terms and Conditions, Sections: C. Delivery (pg. 9); E. Foreign Products (pg. 10); G. Warranty and/or Guaranty (pg. 10); FF. Cooperative Procurement (pg. 21) and Price Schedule (pp. 23 -31). 32 Bid Acknowledgement Form* 33 Required Documents Checklist 34 Contractor Reference and Release Form 35 Subcontractor Reference and Release Form, if applicable** 37 Contractor Affidavit* 38 Subcontractor Affidavit, if applicable** 39 First Source Jobs Acknowledgement Form 40 New Employee Tracking Form - A copy of current, valid Business License *If these mandatory forms are not completed and submitted with the bid, the bidder will be deemed non-responsive. **These forms are applicable if a subcontractor will be utilized to fulfill the requirements of this contract. If these forms are applicable, they must be completed and submitted along with the bid. Failure to submit these forms, if applicable, will result in the bidder being deemed non-responsive. I, the undersigned, acknowledge that I have included the requested documents as listed above. Printed Name Signature INVITATION NO. 21-101466 Page 34 of 42 ATTACHMENT B CONTRACTOR REFERENCE AND RELEASE FORM List below at least three (3) references, including company name, contact name, address, email address, telephone numbers and contract period who can verify your experience and ability to perform the type(s) of product(s)/ service(s) listed in the solicitation. Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description REFERENCE CHECK RELEASE STATEMENT You are authorized to contact the references provided above for purposes of this ITB. Signed_______________________________________ Title___________________________ (Authorized Signature of Bidder) Company Name _____________________________________ Date ____________________ INVITATION NO. 21-101466 Page 35 of 42 ATTACHMENT C SUBCONTRACTOR REFERENCE AND RELEASE FORM List below at least three (3) references, including company name, contact name, address, email address, telephone numbers and contract period who can verify your experience and ability to perform the type(s) of product(s)/ service(s) listed in the solicitation. Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description Company Name Contract Period Contact Person Name and Title Telephone Number (include area code) Complete Primary Address City State Zip Code Email Address Fax Number (include area code) Project Name and Description REFERENCE CHECK RELEASE STATEMENT You are authorized to contact the references provided above for purposes of this ITB. Signed____________________________________________ Title___________________________ (Authorized Signature of Bidder) Company Name _____________________________________ Date ___________________________ INVITATION NO. 21-101466 Page 36 of 42 ATTACHMENT D CONTRACTOR & SUBCONTRACTOR EVIDENCE OF COMPLIANCE: (1) County contracts for the physical performance of services within the state of Georgia shall include the following provisions: 1 a. the contractor has registered with and is authorized to use the federal work authorization program to verify information on all newly hired employees or subcontractors; b. by affidavit, the contractor must attest to the contractor’s name, address, user identification number, date of authorization, and verification of the continual participation throughout the contract period, and c. the affidavit shall become a part of the covered contract and must be attached. (2) No contractor or subcontractor who enters into a contract with the County shall enter into such a contract or subcontract in connection with the physical performance of services within Georgia unless the contractor or subcontractor registers and participates in the federal work authorization program to verify information of all newly hired employees. Any employee, contractor, or subcontractor of such contactor or subcontractor shall also be required to satisfy the requirements of O.C.G.A. § 13-10-91, as amended. (3) Upon contracting with a new subcontractor, a contractor or subcontractor shall, as a condition of any contract or subcontract entered into pursuant to O.C.G.A. § 13-10-91, as amended, agree to provide the County with notice of the identity of any and all subsequent subcontractors hired or contracted by the contractor or subcontractor. Such notice shall be provided within five (5) business days of entering into a contract or agreement for hire with any subcontractor. Such notice shall include an affidavit from each subsequent contractor attesting to the subcontractor’s name, address, user identification number, and date of authorization to use the federal work authorization program. (4) An affidavit shall be considered an open public record; provided, however, that any information protected from public disclosure by federal law or by Article 4 of Chapter 28 of Title 50 shall be redacted. Affidavits shall be maintained by the County for five years from the date of receipt. (5) To verify compliance, the contractor agrees to participate in random audits conducted by the Commissioner of the Georgia Department of Labor. The results of the audits shall be published on the www.open.georgia.gov website, and on the Department of Labor’s website no later than December 31 of each year. (6) Any person who knowingly and willfully makes a false, fictitious, or fraudulent statement in an affidavit submitted pursuant to O.C.G.A. § 13-10-91 shall be guilty of a violation of Code § 16-10-20 and, upon conviction, shall be punished as provided in such section. Contractors and subcontractors convicted for false statements based on a violation of such section shall be prohibited from bidding on or entering into any public contract for twelve (12) months following such conviction. _______________________ 1 O.C.G.A. § 13-10-91, as amended http://www.open.georgia.gov/ INVITATION NO. 21-101466 Page 37 of 42 ATTACHMENT E CONTRACTOR AFFIDAVIT By executing this affidavit, the undersigned verifies its compliance with O.C.G.A. § 13-10-91, as amended, stating affirmatively that the individual, firm or corporation which is contracting with DEKALB COUNTY, GA, a political subdivision of the State of Georgia, has registered with and is participating in a federal work authorization program* [any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603, in accordance with the applicability provisions and deadlines established in O.C.G.A. § 13-10-91, as amended]. The affiant agrees to continue to use the federal work authorization program throughout the contract period. The undersigned further agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services pursuant to this contract with the COUNTY, contractor will secure from such subcontractor(s) similar verification of compliance with O.C.G.A. § 13-10-91, as amended, on the Subcontractor Affidavit form. Contractor further agrees to maintain records of such compliance and provide a copy of each such verification to the COUNTY, within five (5) days from when the subcontractor(s) is retained to perform such service. ______________________________________________ ____________________________________ BY: Authorized Officer or Agent Federal Work Authorization (Bidder’s Name) Enrollment Date ______________________________________________ ____________________________________ Title of Authorized Officer or Agent of Bidder Identification Number ______________________________________________ Printed Name of Authorized Officer or Agent ______________________________________________ Address (* do not include a post office box) SUBSCRIBED AND SWORN BEFORE ME ON THIS THE _______________ DAY OF _______________________, 20__ ____________________________________________________ Notary Public My Commission Expires: _______________________________ INVITATION NO. 21-101466 Page 38 of 42 ATTACHMENT F SUBCONTRACTOR AFFIDAVIT By executing this affidavit, the undersigned verifies its compliance with O.C.G.A. § 13-10-91, as amended, stating affirmatively that the individual, firm, or corporation which is engaged in the physical performance of services under a contract with _________________________________name of contractor) on behalf of DEKALB COUNTY, GA, a political subdivision of the State of Georgia, has registered with and is participating in a federal work authorization program* [any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603, in accordance with the applicability provisions and deadlines established in O.C.G.A. § 13-10-91, as amended]. The affiant agrees to continue to use the federal work authorization program throughout the contract period.] ______________________________________________ ____________________________________ BY: Authorized Officer or Agent Federal Work Authorization (Bidder’s Name) Enrollment Date ______________________________________________ ____________________________________ Title of Authorized Officer or Agent of Bidder Identification Number ______________________________________________ Printed Name of Authorized Officer or Agent ______________________________________________ Address (* do not include a post office box) SUBSCRIBED AND SWORN BEFORE ME ON THIS THE __________ DAY OF _______________________ , 20 ____________________________________________________ Notary Public My Commission Expires: _______________________________ INVITATION NO. 21-101466 Page 39 of 42 ATTACHMENT G FIRST SOURCE JOBS ORDINANCE INFORMATION (WITH EXHIBITS 1 – 4) EXHIBIT 1 FIRST SOURCE JOBS ORDINANCE ACKNOWLEDGEMENT Contract No.________________________ The DeKalb County First Source Ordinance requires contractors or beneficiaries of eligible projects entering into any type of agreement with the County, including purchase orders, regardless of what they may be called, for the procurement or disposal of supplies, services, construction projects, professional or consultant services, which is funded in whole or part with County funds or County administered funds in which the contractor is to receive $50,000 or more in County expenditures or committed expenditures and recipient of urban redevelopment action grants or community development block funds administered in the amount of $50,000 or more to make a good faith effort to hire DeKalb County residents for at least 50% of jobs created using the First Source Registry (candidate database) within one hundred twenty (120) days of contract execution. The work to be performed under this contract is subject to the provisions of the DeKalb County First Source Jobs Ordinance. All contractors will be asked to submit an Employment Roster and/or copies of active payroll registers on a monthly basis to verify compliance. The undersigned acknowledges and agrees to comply with the provisions of the DeKalb County First Source Jobs Ordinance. CONTRACTOR OR BENEFICIARY INFORMATION: Contractor or Beneficiary Name (Signature) Contractor or Beneficiary Name (Printed) Title Telephone Email _______________________________________ Name of Business Please answer the following questions: 1. How many job openings do you anticipate filling related to this contract? _____ 2. How many incumbents/existing employees will retain jobs due to this contract? DeKalb Residents: _____ Non-DeKalb Residents: _____ Please return this form to WorkSource DeKalb, fax (404) 687-3900 or email to fkadkins@dekalbcountyga.gov. WorkSource DeKalb (WSD) is an EEO/M/F/D/V employer/program. Auxiliary aids/services are available upon request to individuals with disabilities. Persons with hearing impairments may call 1-800-255-0135 or 711 TTY for assistance. WSD is 100% funded by the U. S. Department of Labor and is a proud partner of the American Job Center Network. mailto:fkadkins@dekalbcountyga.gov INVITATION NO. 21-101466 Page 40 of 42 FIRST SOURCE JOBS ORDINANCE INFORMATION EXHIBIT 2 NEW EMPLOYEE TRACKING FORM Name of Bidder______________________________________________________________________ Address_____________________________________________________________________________ Email______________________________________________________________________________ Phone Number _______________________________ Fax Number_____________________________________ Do you anticipate hiring from the First Source Candidate Registry? Y or N (Circle one) If so, the approximate number of employees you anticipate hiring: _____________________________ Type of Position (s) you anticipate hiring: (List position title, one position per line) Attach job description per job title: The number you anticipate hiring: Timeline Please return this form to DeKalb Workforce Development, fax (404) 687-4099 or email to FirstSourceJobs@dekalbcountyga.gov. WorkSource DeKalb (WSD) is an EEO/M/F/D/V employer/program. Auxiliary aids/services are available upon request to individuals with disabilities. Persons with hearing impairments may call 1-800-255-0135 or 711 TTY for assistance. WSD is 100% funded by the U. S. Department of Labor and is a proud partner of the American Job Center Network. mailto:FirstSourceJobs@dekalbcountyga.gov INVITATION NO. 21-101466 Page 41 of 42 FIRST SOURCE JOBS ORDINANCE INFORMATION EXHIBIT 3 BUSINESS SERVICE REQUEST FORM Please complete this form for each position that you have available. DATE: ___________________________ FEDERAL TAX ID:_________________________ COMPANY NAME:_______________________________________ WEBSITE:_________________________________ ADDRESS: __________________________________________________________________________________________ (WORKSITE ADDRESS IF DIFFERENT):_______________________________________________________________ CONTACT NAME:______________________________________ TITLE:____________________________________ CONTACT E-MAIL ADDRESS:___________________________ CONTACT PHONE: ________________________ Are you a private employment agency or staffing agency? YES NO JOB DESCRIPTION: (Please include a copy of the Job Description) POSITION TITLE: ____________________________________________________________ NUMBER OF POSITIONS AVAILABLE: _________ TARGET START DATE: _________________ WEEKLY WORK HOURS: 20-30 hours 30-40 hours Other ________________ SALARY RATE (OR RANGE): ________________ SPECIFIC WORK SCHEDULE: ___________ PERM TEMP TEMP-TO-PERM SEASONAL PUBLIC TRANSPORTATION ACCESSIBILITY: YES NO SCREENINGS ARE REQUIRED: YES NO SELECT ALL THAT APPLY: CREDIT CHECK DRUG MVR BACKGROUND OTHER __________________ HOW TO APPLY: __________________________________________________________________________ __________________________________________________________________________ Please return form to: jbblack@dekalbcountyga.gov DO NOT WRITE BELOW THIS LINE - TO BE COMPLETED BY WORKSOURCE DEKALB ONLY SYSTEM TYPE: First Source Direct Hire Work Experience (WEX) ENTRY DATE: _________ ASSIGNED TO: _______________________________________ DATE: _____________ WorkSource DeKalb (WSD) is an EEO/M/F/D/V employer/program. Auxiliary aids/services are available upon request to individuals with disabilities. Persons with hearing impairments may call 1-800-255-0135 or 711 TTY for assistance. WSD is 100% funded by the U. S. Department of Labor and is a proud partner of the American Job Center Network. mailto:jbblack@dekalbcountyga.gov INVITATION NO. 21-101466 Page 42 of 42 FIRST SOURCE JOBS ORDINANCE INFORMATION EXHIBIT 4 EMPLOYMENT ROSTER DeKalb County Contract Number: _________________________ Project Name: ____________________________ Contractor: ______________________________ Date: ___________ Name Position: Start Date Hourly Rate of Pay Hired for this Project? (yes/no) Anticipated Length of Employment (Months) % of Time Dedicated to the Project Full or Part Time? (No. of Hours) Georgia County of Residency WorkSource DeKalb (WSD) is an EEO/M/F/D/V employer/program. Auxiliary aids/services are available upon request to individuals with disabilities. Persons with hearing impairments may call 1-800-255-0135 or 711 TTY for assistance. WSD is 100% funded by the U. S. Department of Labor and is a proud partner of the American Job Center Network.