HART COUNTY SEAL COATING/STRIPING PROJECT
2024 BID
HART COUNTY BOARD OF COMMISSIONERS
800 Chandler Street
HARTWELL, GA 30643
DATE: May 28, 2024
BID NOTICE
Sealed bids for the Seal Coating/Striping Project for the Hart County Board of Commissioners
subject to the conditions and provisions set forth in the attached bid package will be received at the
Hart County Board of Commissioners office until Thursday, June 13, 2024, at 3:00 PM. The
commodities and/or services must be furnished as described and specified in this package.
Bids must be received either via mail or hand delivered in a sealed envelope. Faxed bids cannot be
accepted.
Please address mailed bids, Fed-Ex, UPS, or hand delivered bids to:
JEAN TEASLEY
HART COUNTY BOARD OF COMMISSIONERS
800 CHANDLER STREET
HARTWELL, GA 30643
Also, please show the following on the OUTSIDE of the envelope:
BID FOR SEAL COATING PROJECT
NOTE: Some “Next Day” deliveries may not get delivered to this office prior to the bid opening.
Please be aware of this and make arrangements to have your bid here on time, as late bids will be
rejected.
NOTICE: If you are downloading this information from a web page, you must register with Hart
County at the contact information listed in Section V, Interpretations or Addenda or via
email at jconwell@hartcountyga.gov This is the only way Hart County can be sure that
you receive all addendum and relevant information for this bid.
HART COUNTY BOARD OF COMMISSIONERS
BID FOR SEAL COATING/STRIPING PROJECT
DATE BIDS DUE: June 13, 2024 at 3:00 PM.
BID FORM
HART COUNTY BOARD OF COMMISSIONERS
800 CHANDLER ST., HARTWELL, GA 30643
The (Company)___________________________________________________________
submits herewith Bid in response to bid request in this package, and in compliance with the
description(s) and/or specification(s) attached hereto for Seal Coating/Striping Project.
NOTE: You must sign and complete the Bid Supplemental Form also.
PRICES
Seal Coating
Approximately 1,055 sq yards $_______________________ per square yard
Stripping Approximately 1913 linear sq ft $_______________________per linear sq foot
The following Addenda to the Bidding and Contract Documents are acknowledged:
Addendum No: ________________
Dated: ________________
Addendum No: ________________
Dated: ________________
OFFICIAL COMPANY ADDRESS___________________________________________________
Phone Number & Email address____________________________________________________
SIGNATURE_________________________________
PRINT NAME________________________________
TITLE__________________________________ PHONE_________________________________
DATE _________________________________ FAX____________________________________
Hart County Road Paving Bid Page 2 of 11
BID SUPPLEMENTAL FORM
HART COUNTY BOARD OF COMMISSIONERS
DATE: _____________________________
NOTICE: Hart County Purchasing Policy prohibits awards to a (1) county employee, (2) employee
of a constitutional officer, (3) a Board of Commissioner Member, (4) Constitutional Officer or to a
company/business where a county employee/Constitutional Officer holds any interest. These
prohibitions also apply to immediate family members of those listed above. By signing below you
are confirming that these prohibitions do not apply to your company/bid.
References: Name Title Organization Phone Number email address
1.
2.
3.
The _____________________________________________(Bidder) takes the following exceptions
to the specification and bid documents:
(Important: See section IIb)
SIGNATURE: ________________________________________________________
Hart County Road Paving Bid Page 3 of 11
CONTRACTOR AFFIDAVIT AND AGREMENT
By executing this affidavit, the undersigned contractor verified its compliance with
O.C.G.A. 13-10-91, stating affirmatively that the individual, firm or corporation which is
contracting with the Hart County Board of Commissioners 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 State 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.
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 Hart
County Board of Commissioners, contractor will secure from such subcontractor(s) similar
verification of compliance with O.C.G.A. 13-10-91 on the Subcontractor Affidavit provided in Rule
300-10-01-.08 or a substantially similar form. Contractor further agrees to maintain records of such
compliance and provide a copy of each such verification to the (name of the public employer) at the
time the subcontractor(s) is retained to perform such service.
________________________________
EEV/Basic Pilot Program* User Identification Number
________________________________
BY: Authorized Officer or Agent
__________________________
Date
________________________________
Title of Authorized Officer or Agent of Contractor
________________________________
Printed Name of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME ON
THIS THE _____ DAY OF_____________, 202_
_________________________________
Notary Public
My Commission Expires:
________________
* 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).
Hart County Road Paving Bid Page 4 of 11
Private Employer Exemption Affidavit Pursuant to O.C.G.A. § 36-60-6(d)
By executing this affidavit, the undersigned private employer verifies that it is exempt from compliance with
O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm, or corporation employs ten (10) or fewer employees
and is not required to register with and/or utilize the federal work authorization program commonly known as E-verify,
or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in
O.C.G.A. § 36-60-6.
I hereby declare under penalty of perjury that the foregoing is true and correct.
Executed on ____________, ____________, 202____in _______________(city), _____________________(state).
_________________________________________________
Printed Name of Exempt Private Employer
_________________________________________________
Signature of Exempt Private Employer or
Authorized Officer or Agent
_________________________________________________
Printed Name and Title of Person Executing Affidavit
SUBSCRIBED AND SWORN BEFORE ME
ON THIS _______________DAY OF ________________________, 202_____.
_________________________________________________
NOTARY PUBLIC
My Commission Expires: ______________________________
Hart County Road Paving Bid Page 5 of 11
This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.