Countertops for Health Department

Bedford County Department of Finance . 200 Dover Street, Suite 102 Shelbyville, TN 37160 (931) 685-2024 FAX (931) 680-1029 Request for Proposal Countertops Bedford County Health Department Bid No. 24-38 The Bedford County Department of Finance is requesting proposals for Countertops for the Bedford County Health Department. Sealed bids will be received until 2:00 p.m., Friday, April 5, 2024, in the office of the Bedford County Department of Finance and will be opened publicly at that time. The Department of Finance reserves the right to reject any and all bids and waive any irregularities for the purpose of ensuring that the award given is in the best interest of Bedford County. Any bids received after the scheduled closing time for receipt of bids will be returned to the bidder unopened. GENERAL BID TERMS AND CONDITIONS Proposals from all responsible bidders will be considered. To qualify as a responsible bidder, the proposal submitted must 1 Meet or exceed the minimum requirements

specified 2 Furnish all documents requested by the representative of the Bedford County Department of Finance prior to and following the bid opening, Submit their completed bid prior to the bid opening date and time. Have bid name and bid number placed on the outside lower left corner of the sealed envelope containing the bid form. (Facsimile bids will not be considered.) Award A purchase order from the Bedford County Department of Finance will be issued to the successful bidder acknowledging the award. A copy of these terms and conditions, specifications and the vendors proposal form will become a part of the purchase order. Prospective bidders may contact Jeff Sweeney, Bedford County Owners Representative, iefthsweeney@gmail.com, or 615-892-0599, for any questions as to the specifications of the bid. Lowest and/or best bid will be awarded. Other Considerations Bedford County Department of Finance reserves the right to purchase only those bid items.and quantities that conform to overall budgetary, functional, and performance constraints. The terms of this bid will be extended to other local government agencies, other municipalities, and Boards of Education. Bedford County is responsible only for purchases made and received by Bedford County. INSTRUCTIONS TO BIDDERS All Proposals are to be made be on the Proposal Form provided. Bids must be delivered in hand or by a mail service in a sealed envelope marked on the outside lower left corner, Bid No. 24-38 Countertops (Health Dept). Bids will be received and opened on Friday, April 5, 2024, at 2:00 p.m. Any bids received after the scheduled closing time for receipt of bids will be returned to the bidder unopened. Proposals are to be made complete in every detail as required and called for by said Proposal Form. Proposals that are incomplete, conditional, contain irregularities of any kind, or which are not in accord with the Instructions to Bidders and Proposal Form furnished by the Department of Finance may be rejected as informal. The submission of a proposal will signify that the Bidder has thoroughly familiarized himself with all conditions and that he fully understands what will be expected of the successful bidder. The Department of Finance reserves the right to reject, without liability whatsoever, any or all bids submitted, and waive informalities therein, if deemed by the Department of Finance for their best interest to do so. Please complete enclosed W-9 and return with bid. SPECIFICATIONS Bedford County Health Department 140 Dover Street Shelbyville, Tenn. 37160 Completion of Project: May 15, 2024 Description: The following project is to supply all labor and material to meet the specs and guidelines for the following project. The project has a completion date of 6/1/24 due to grant requirements. Extensions of time will not be allowed. Price must include delivery, installation and disposal of any debris into the supplieddumpster on site. Ail residual matter must be vacuumed and removed. Countertop Spec: 1) Progressive sheet metal 2) 4 inch backsplash 16/300 stainless steel construction 3) PL-ST Plywood Substrate, 1-1/2 H See attached dimensions for all countertops and backsplashes: Immunization Room: 1 1) 188 Wx 27 D - #1, 2 ES Endsplash 2) 16 ft Inverted V-Edge 3) C-1818 sink bowl, fabricated front to back 12 deep New Storage Room: 1 1) L Shaped Countertop, 4 inch backsplash 66x44Wx28"D ADA Wall Desk: 2 1) 4 backsplash, 45W x 27 D Exam Room:6 1) 36W x27 D 2) (12) ES Endsplash Exam Room #2: 6 1) 4 backsplash 85W x 27D 2) (12) ES Endsplash 3) C-1818 Sink Bowl 12 Deep, 16/201 stainless steel Exam Room #3: 2 1) 4 Backsplash, 36W x 27 D 2) (4) ES Endsplash 3) 4 Backsplash, 85 W x 27 D 4) 32 Inverted V-Edge 5) (4) ES Endsplash 6) (2) C-1818 Sink Bowl Stainless Steel 12 Deep 7) (1) 4 backsplash, 85W x 27D 8) (2) ES Endspalsh 9) 16 IVE Inverted V-Edge (10) C-1818 Sink Bowl 12 Deep PROPOSAL FORM TO Bedford County Department of Finance 200 Dover Street, Suite 102 Shelbyville, Tennessee 37160 Re Bid No. 24-38 Gentlemen: Having examined the specifications for a Countertops for the Bedford County Health Department, we (1) submit the following proposal: Total Bid Price Company Name: Mailing Address: Signature and title of bidder: Date: Telephone Number: Email: rom WI-Q Request for Taxpayer Give Form to the (Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service & Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax retum). Name is required on this line; do not leave this fine blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1, Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see instructions on page 3}: Oc Corporation S Corporation Partnership C1 trustestate C] Individual/sole proprietor or single-member LLC Exempt payee code (if any} Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check | Exemption fram FATCA reporting LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code {if any) Print or type. another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that| is disregarded from the owner should check the appropriate box for the tax classification of its owner. @pplies to accounts maintained outside the U.S.) [] Other (see instructions) > 5 Address (number, street, and apt. or suite no.} See instructions. Requesters name and address (optional) See Specific Instructions on page 3. 6 City, state, and ZIP code 7 List account number(s) here (optional) Tg Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a - resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a [| TT TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. - | Eq Certification Under penalties of perjury, | certify that: 1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be issued to me); and 2. 1am not subject to backup withholding because: (a} 1 am exempt from backup withholding, ar (b) | have not been notified by the Internat Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that lam no longer subject to backup withholding; and 3.1 ama U.S. citizen or other U.S. person (defined below); and 4, The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part Il, later. Sign Signature of Here U.S. person > Date > General Instructions Form 1099-DIV (dividends, including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise noted. * Form 1088-MiISC (various types of income, prizes, awards, or gross proceeds) Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) after they were published, go to www.irs.gov/FormW9, * Form 1099-S (proceeds from real estate transactions) Purpose of Form Form 1099-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester} who is required to file an * Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the {RS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number * Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number * Form 1099-A (acquisition or abandonment of secured property) (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. amount reportable on an information return. Examples of information returns include, but are not limited to, the following. if you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, Form 1099-INT (interest earned or paid) later. Cat. No, 10237X Form W-@ (Rev. 10-2018)