Sanitation Collection and Disposal Services
Project: Sanitation Collection and Disposal Services
Roadside collection to include once per week for approximately 685 customers
Recycling to include but not limited to: plastics, paper, glass, tin, aluminum
Household garbage
Yard debris
Bidder to furnish garbage containers and recycling bins.
Company to furnish certified proof of $1,000,000.00 liability insurance.
Jekyll Island Authority will be responsible for billing, and collection. This service will be added to monthly fee.
PROPOSAL LETTER
We propose to furnish and deliver any and all of the deliverables and services named in the attached Request for Quote (RFQ).
We further agree to strictly abide by all the terms and conditions contained herein as modified by any attached special terms and conditions, all of which are made a part hereof. Any exceptions are noted in writing and included with this proposal.
It is understood and agreed that this proposal constitutes an offer, which when accepted in writing by the Jekyll Island-State Park Authority, and subject to the terms and conditions of such acceptance, will constitute a valid and binding contract between the undersigned and the Jekyll Island-State Park Authority.
It is understood and agreed that we have read the specifications shown or referenced in this RFQ and that this proposal is made in accordance with the provisions of such specifications. By our written signature on this proposal, we guarantee and certify that all items included in this proposal meet or exceed any and all such specifications. We further agree, if awarded a contract, to deliver goods and services which meet or exceed the specifications.
It is understood and agreed that this proposal shall be valid and held open for a period of ninety (90) days from proposal opening date.
PROPOSAL SIGNATURE AND CERTIFICATION
(Proposer must sign and return with proposal)
I certify that this proposal is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a proposal for the same materials, supplies, equipment, or services and is in all respects fair and without collusion or fraud. I understand collusive bidding is a violation of State and Federal Law and can result in fines, prison sentences, and civil damage awards. I agree to abide by all conditions of the proposal and certify that I am authorized to sign this proposal for the proposer. I further certify that provisions of the Official Code of Georgia Annotated, Sections 45-10-3 (6) have not been violated and will not be violated in any respect.
___________________________________________ ________________________
Authorized Signature Date
______________________________________________________________________
Printed Name, Title
______________________________________________________________________
Company
QUOTATION FORM
RFQ #269
Project: Sanitation Collection and Disposal Services
Having carefully examined the Request for Proposal, the undersigned proposes to furnish all service, labor, and materials as required.
SCOPE OF WORK
Roadside collection to include once per week for approximately 685 customers
Recycling - to include but not limited to: plastics, paper, glass, tin, aluminum
Household garbage
Yard debris
Bidder to furnish garbage containers and recycling bins.
Company to furnish certified proof of $1,000,000.00 liability insurance.
Jekyll Island Authority will be responsible for billing, collection, and back yard service as needed. This service will be added to monthly fee.
Cost of service shall be "per home" assuming one cart per home.
Total Cost:$______________________________
Signature:_______________________________________________________________
Printed Name:____________________________________________________________
Title:___________________________________________________________________
Company Name:__________________________________________________________
Address:________________________________________________________________
_______________________________________________________________________
Telephone Number:_______________________________________________________
NOTARY PUBLIC
Sworn to and subscribed before me this:
______day of___________________________, __________.
_________________________________________________
Notary Public Signature
_________________________________________________
Printed Name
My Commission Expires __________________Notary Stamp
STATEMENT OF PROPOSER'S QUALIFICATIONS
Legal Name
of Company: ___________________________________________________________
Business Address: ______________________________________________________
______________________________________________________
Telephone:_________________________ Fax:________________________________
Plan of organization: ____ Corporation ____Proprietorship ____Partnership
When organized_____________ When incorporated _____________
How many years have you been engaged in business under the present firm name?____
Financial Statement: Please attach your most current financial statement.
Credit available for this contract: $___________________________________________
Contracts now in hand, gross amount: $_______________________________________
Have you ever been declared in default on a contract?_________
If yes, please explain_______________________________________________________
________________________________________________________________________
Names and addresses of company officers:
President________________________________
Address________________________________________________________________
________________________________________________________________
Secretary________________________________
Address _______________________________________________________________
_______________________________________________________________
Treasurer________________________________
Address________________________________________________________________
________________________________________________________________
Signature:_______________________________________________________________
Printed Name:____________________________________________________________
Title:___________________________________________________________________
Company Name:__________________________________________________________
Address:________________________________________________________________
_______________________________________________________________________
Telephone Number:_______________________________________________________
NOTARY PUBLIC
Sworn to and subscribed before me this:
______day of___________________________, __________
_________________________________________________
Notary Public Signature
_________________________________________________
Printed Name
My Commission Expires __________________Notary Stamp
REFERENCES
FOR
PROJECTS COMPLETED
(Submit a minimum of three)
For Each Project Include:
Name and address for project
Date started, date completed
Description of project
List of subcontractors
Reference name for project
Reference address, telephone number, e-mail
INSURANCE CERTIFICATE
Insurance Certificate will indicate coverage for:
Professional Liability
*General Liability - $1,000,000.00
Excess/Umbrella Liability
Workers Compensation
Certificate should identify Jekyll Island-State Park Authority as the Certificate Holder.
Insurance Certificate must be included with bid.
GEORGIA SECURITY AND IMMIGRATION COMPLIANCE ACT OF 2006
Effective July 1, 2007, the following language is required to be included in all contracts, and hereby is attached to and included in this Contract, entered into by the Jekyll Island-State Park Authority for the physical performance of services within this State:
A. Pursuant to the Georgia Security and Immigration Compliance Act of 2006, the Contractor understands and agrees that compliance with the requirements of O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02 are conditions of this Agreement. The Contractor further agrees that such compliance shall be attested by the Contractor through execution of the Contractor Affidavit required by Georgia Department of Labor Rule 300-10-1-.07, attached hereto. The Contractor's fully executed Affidavit is incorporated into this Agreement by reference.
B. By initialing in the appropriate line below, the Contractor certifies that the following employee-number category as identified in O.C.G.A. 13-10-91 is applicable to the Contractor:
1.___________ 500 or more employees
2.___________ 100 or more employees
3.___________ Fewer than 100 employees
The Contractor understands and agrees that, in the event the Contractor employs or contracts with any subcontractor or subcontractors in connection with this Agreement, the Contractor shall:
1.Secure from each such subcontractor an indication of the employee-number category as identified in O.C.G.A. 13-10-91 that is applicable to the subcontractor;
2.Secure from each such subcontractor an attestation of the subcontractor's compliance with O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02 by causing each such subcontractor to execute a Subcontractor Affidavit required by Georgia Department of Labor Rule 300-10-1-.08, form attached hereto. The Contractor further understands and agrees that the Contractor shall require the executed Subcontractor Affidavit to become a part of the agreement between the Contractor and each such subcontractor. The Contractor agrees to maintain records of each Subcontractor Affidavit required hereunder for inspection by the Department at any time."
Contractor Compliance with the above:
1.500 or more employees, must comply July 1, 2007
2.100 or more employees, must comply July 1, 2008
3.Fewer than 100 employees, must comply July 1, 2009
COUNTY OF_________________
STATE OF___________________
CONTRACTOR AFFIDAVIT AND AGREEMENT
COMES NOW before me, the undersigned officer duly authorized to administer oaths, the undersigned contractor, who, after being duly sworn, states as follows:
By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02, stating affirmatively that the individual, firm, or corporation which is contracting with Jekyll Island-State Park Authority has registered with and is participating in a federal work authorization program* in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02.
The undersigned contractor further agrees that, should it employ or contract with any subcontractor(s) in connection with the physical performance of services pursuant to the contract with the Jekyll Island-State Park Authority of which this affidavit is a part, the undersigned contractor will secure from such subcontractor(s) similar verification of compliance with O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02 through the subcontractor's execution of the Subcontractor Affidavit required by Georgia Department of Labor Rule 300-10-1-.08 and attached hereto. The undersigned contractor further agrees to maintain records of subcontractor's compliance and provide a copy of each such verification to Jekyll Island-State Park Authority at the time a subcontractor(s) is retained to perform such service.
______________________________________________________
Print Name of Contractor
______________________________________________________
EEV / Basic Pilot Program User Identification Number
______________________________________________________
Signature of Authorized Officer of Contractor
______________________________________________________
Print Name, Title of Authorized Officer
Sworn to and subscribed before me
This ____ day of _____________________, ___________
Notary Public Signature ___________________________________________
Printed Name_____________________________________________
My commission expires: ___________________
Notary Stamp
* 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. As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the "EEV / Basic Pilot Program" operated by the U.S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA).
COUNTY OF_________________
STATE OF___________________
SUBCONTRACTOR AFFIDAVIT
COMES NOW before me, the undersigned officer duly authorized to administer oaths, the undersigned subcontractor, who, after being duly sworn, states as follows:
By executing this affidavit, the undersigned subcontractor verifies its compliance with O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02, 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 the Jekyll Island-State Park Authority has registered with and is participating in a federal work authorization program* in accordance with the applicability provisions and deadlines established in O.C.G.A. 13-10-91 and Georgia Department of Labor Rule 300-10-1-.02.
______________________________________________________
Print Name of Subcontractor
______________________________________________________
EEV / Basic Pilot Program User Identification Number
______________________________________________________
Signature of Authorized Officer of Subcontractor
______________________________________________________
Print Name, Title of Authorized Officer
Sworn to and subscribed before me
This ____ day of _____________________, ___________
Notary Public Signature ___________________________________________
Printed Name_____________________________________________
My commission expires: ___________________
Notary Stamp
* 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. As of the effective date of O.C.G.A. 13-10-91, the applicable federal work authorization program is the "EEV / Basic Pilot Program" operated by the U.S. Citizenship and Immigration Services Bureau of the U.S. Department of Homeland Security, in conjunction with the Social Security Administration (SSA).
