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PURCHASING DEPARTMENT TWELVE EAST 4 TH AVENUE, SUITE 106 ROME, GEORGIA 30161 PHONE: 706.291.5118 FAX: 706.290.6099 www.romefloyd.com Date: 7/26/2016 To: To Whom It May Concern Request for Quote: 16-0808 Walk In Cooler Floyd County is requesting quotes for the purchase and installation of a walk in cooler. Location, Scope of Work and minimum specifications are provided. A mandatory site visit is scheduled for 10am 2 August 2016. Only those contactors who attend the site visit will be allowed to quote. All quotes will be submitted on the attached quote sheet. Additional information may be submitted with the quote. Submissions must include a completed E-Verify Form (Contract Affidavit and Agreement).This form is provided in this RFQ. Companies that do not provide this will not be considered. Quotes are due no later than 2pm 8 August 2016. Quotes may be submitted by Email, Fax, US Mail or hand delivered to this office. Fax 706 290-6099 Email: Graye@floydcountyga.org Quotes are to remain valid for a period of 30 days from the date of quote. Awards may be for all or part of what is submitted. Questions regarding this RFQ will be faxed 706 290-6099 or Email: Graye@floydcountyga.org All questions are due no later than 5pm 3 Aug 2016. Typically award notification will be by email. Tabulations will be posted to the Floyd County Website and the Georgia Procurement Registry in approximately 24hrs after the due date/time. Payment Options, Invoicing, and Terms and Conditions Payment will be made by check, Floyd County will pay invoice(s) within 30 days of receipt of a valid invoice. Supplier will be required to send a current W-9 prior to have a Purchase Order issued. The Issued Purchase Order will serve to initiate the order. Floyd County is Tax Exempt. A Tax Exemption can be provided upon request. BOARD OF COMMISSIONERS LARRY MAXEY, CHAIRMAN RHONDA S. WALLACE, VICE-CHAIRMAN IRWIN BAGWELL GARRY FRICKS SCOTTY HANCOCK ADMINISTRATION NANCY LAM, CPPB, CPPO, PURCHASING DIRECTOR EVERETT GRAY, CPPB, PURCHASING AGENT

Floyd County Georgia Walk In Cooler Scope of Work General: Floyd County is requesting a 10 x16 x8 walk in cooler be installed at the Forum Civic Center located at 2 Government Plaza Georgia 30161.. Contractors will quote a new or refurbished cooler. The box can be new or refurbished however refrigeration equipment must be new. All questions regarding this bid must be sent to Everett Gray, Floyd County Purchasing agent in writing at Graye@floydcountyga.org. Questions will be taken until 5 pm 3 Aug 2016 Any change to the Scope of Work or Specifications will be addressed in writing in the form of an addendum. Mandatory Site Visit: A site visit has been scheduled for 10AM on 2 Aug at the Forum Civic Center located at 2 Government Plaza Georgia 30161. Meet at the front entrance. Within this RFQ there are 3 pictures of the Bay and inner Ceiling where the Cooler will be located. The Equipment within this bay will be moved prior to installation Floyd County will: - Provide access to electric panel/outlets on the inside of the building near the proposed cooler location Contractor will: - Provide all labor, equipment, material and supplies - Cooler box will be installed inside a maintenance area. - Perform roof penetration for evaporation unit line and electrical. Contract will ensure the penetration is sealed from leakage when complete. Ceiling height inside maintenance area is approximately 11 feet. Roof is EPDM material. Roof has a very slight pitch - almost level - Refrigeration unit will be installed on the roof directly above the cooler box. A roof curb or appropriate pad will be used if necessary - Complete installation must be completed no later than 8 September 2016 - Perform an operational inspection to ensure unit is running properly per the manufacturers guidelines once installed. Ensure the cooler temperature maintains 35 degrees - Perform an acceptance inspection with Floyd County prior to invoicing the county for payment

WALK IN COOLER Minimum Specification The Walk in Cooler must be a new cooler box with new equipment or a refurbished cooler box with new equipment and must be of similar in design, capacity and quality of the model specification below. The bidder will complete every space of the Column labeled Specification of Quoted Unit denoting the details of quoted model being bid. Please write in the exact information requested / do not put in as specified or other generic terms. It will not be accepted. Minimum Specification New or Refurbished Cooler Box with New Equipment Year Made Make/Model: Southeast (SECOOLER) Dimensions 10 L x 16 W x 8 H Metal Galvanized 26 Gauge interior Metal Galvanized 26 Gauge exterior Exterior Color if paint or coated Insulation 4 extruded polystyrene Without (INSULATED) Floor Condenser: Heatcraft LHT015X6BFM MT Voltage 208-230/1 Heatcraft 1-1/2 HP/MT (motor) Refrigerant: R404A Evaporator: Heatcraft LCA6160 R404AMT 115-1 TEVLLSVTSAT BTU Rating: 16000 Door - Right Hinge, 42 wide x 78 tall Manufactures Warranty Labor Guarantee Specification of Quoted Unit

FLOYD COUNTY WALK IN COOLER QUOTE PAGE We the undersigned, having been given the opportunity to visit the work location agree to furnish and install the walk in cooler in accordance with the specifications provided, scope of work, terms and conditions issued for the same for a price of; You may quote both new and refurbished New Cooler Box with New equipment - US Dollars $ Refurbished Cooler Box with New equipment - US Dollars $ Date you can start installation Date expected to complete installation (Not Later than 8 Sept 2016) Business Contact Information Contact Person: (Print or Type Name) Telephone Number(s): P F C Email Address Company Name Billing Address Signature Date Contractor is to provide a completed W-9 A blank w-9 is provide at the end of this RFQ

FLOYD COUNTY WALK IN COOLER Forum Storage Bay Ceiling

FLOYD COUNTY WALK IN COOLER Forum Storage Bay (2 Angles)

Contractor Affidavit under O.C.G.A. 13-10-91(b)(1) By executing this affidavit, the undersigned contractor verifies its compliance with O.C.G.A. 13-10- 91, stating affirmatively that the individual, firm or corporation which is engaged in the physical performance of services on behalf of Floyd County Georgia has registered with, is authorized to use and uses 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. 13-10-91. Furthermore, the undersigned contractor will continue to use the federal work authorization program throughout the contract period and the undersigned contractor will contract for the physical performance of services in satisfaction of such contract only with subcontractors who present an affidavit to the contractor with the information required by O.C.G.A. 13-10-91(b). Contractor hereby attests that its federal work authorization user identification number and date of authorization are as follows: Federal Work Authorization User Identification Number Date of Authorization Name of Contractor Walk In Cooler (FORUM) Name of Project Address of Contractor FLOYD COUNTY GEORGIA Name of Public Employer I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on, in 201 in (city), (state). Signature of Authorized Officer or Agent Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF, 201. NOTARY PUBLIC My Commission Expires: (Notary Seal or Stamp Required)