Attention All Bidders s10

JEFFERSON COUNTY COMMISSION PURCHASING DIVISION ROOM 830 COURTHOUSE BIRMINGHAM, ALABAMA 35203-0009 OFFICE: (205)325-5381/FAX: (205)325-5221

BUYER: HELEN RUMLEY-CUNNINGHAM SEPTEMBER 7,2010 ITB # 215-10 TO: Prospective Bidders INVITATION FOR BID NUMBER: 215-10 (Full document can be viewed and downloaded at http://paca.jccal.org) SEPARATE SEALED BIDS FOR : COMMERCIAL KITCHEN APPLIANCES Helen Rumley-Cunningham INVITATION TO BID RESPONSES Room 830, 716 Richard Arrington Blvd North WILL BE RECEIVED BY: Birmingham, AL 35203 ***IMPORTANT SOLICITATION DATES*** ITB DUE DATE: ITB OPENING DATE: SEPTEMBER 17, 2010 by 5:00 PM SEPTEMBER 20, 2010 at 2:00 PM (Central Standard Time) (Central Standard Time) Return responses to this Invitation to Bid in a sealed envelope marked: ITB # 215-10 “COMMERCIAL KITCHEN APPLIANCES” BID OPENING WILL BE HELD AT: Jefferson County Courthouse Purchasing Department, Room 830 716 Richard Arrington Jr. Blvd North Birmingham, Alabama 35203-0009

NOTIFICATION OF INTENT: All recipients of this solicitation notice must indicate intent to submit a bid. Those vendors submitting a Notification of Intent will be sent a complete copy of the bid, any related addendum, answers to inquiries, etc. pertaining to this ITB. Notification of intent must be faxed to (205) 325-5221 or e-mailed to Helen Rumley Cunningham at [email protected] or Analory Holmes Chaney at [email protected]

TELEPHONE INQUIRIES – NOT ACCEPTED Telephone inquiries with questions regarding clarification of any and all specifications of the ITB will not be accepted. All questions must be written and faxed to (205)325-5221or e-mailed to Helen Rumley Cunningham at [email protected]

Submissions may be withdrawn, modified, and resubmitted prior to the formal bid opening due date. Any submission modification(s) submitted after the “Bid Opening Due Date” will not be considered.

The County reserves the right to accept or reject any or all ITB’s, or any part of any ITB, and to waive any informalities or irregularities in the ITB.

All costs incurred by the company to respond to this solicitation will be wholly the responsibility of the Bidder. All copies and contents of the bid, attachments, and explanations thereto submitted in response to this ITB, except copyrighted material, shall become the property of the Jefferson County Commission regardless of the Consultant selected. Response to this solicitation does not constitute an agreement between the Bidder and the County.

The County is not responsible for delays occasioned by the U.S. Postal Service, the internal mail delivery system of the County, or any other means of delivery employed by the bidder. Similarly, the County is not responsible for, and will not open, any bid responses which are received later than the date and time indicated above. Late bid responses will be retained in the bid file, unopened.

Released by:

______INVITATION TO BID # 215-10

“COMMERCIAL KITCHEN APPLIANCES”

Helen Rumley-Cunningham, Buyer Room 830*716 Richard Arrington Jr. Blvd North Birmingham, Alabama 35203 Phone: (205) 325-5381 Email: [email protected] JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

BUYER: HELEN RUMLEY-CUNNINGHAM SEPTEMBER 07, 2010 ITB #: 215-10

INVITATION TO BID Sealed Bid, one (1) original and three, marked “COMMERCIAL KITCHEN APPLIANCES” will be received by the Buyer, Room 830 * 716 Richard Arrington Jr. Blvd North, Birmingham, Alabama.

Bid will be accepted until 5:00 P.M. Central Time (standard or daylight savings time, as applicable) on SEPTEMBER 17, 2010. ITBs submitted after this date may not be considered.

Bid will be opened at 2:00 P.M. on SEPTEMBER 20, 2010.

Bid may be withdrawn, modified, and resubmitted prior to the formal bid due date. Modifications submitted in any other manner will not be considered.

All costs incurred by the company in the preparation of this response, or costs incurred in any other manner in responding to this ITB may be wholly the responsibility of the company. All responses, materials, supporting materials, correspondence and documents submitted by the company in response to this Bid become the property of Jefferson County and will not be returned to the company.

The County is not responsible for delays occasioned by the U. S. Postal Service, the internal mail delivery system of the County, or any other means of delivery employed by the Bidder. Similarly, the County is not responsible for, and will not open, any ITB responses, which are received later than the date and time, indicated above. Late ITB’s will be retained in the ITB file, unopened.

TERM OF CONTRACT Any contract resulting from this ITB will become effective upon bid award or within 30 days of award notification, approval of the County Commission and purchase order is issued. Contract will expire on OCTOBER 1, 2011. However, the contract may be extended, at the County’s option, for a period of up to two (2) additional years, not to exceed a total of three (3) years.

INQUIRIES Questions about this ITB should be directed in writing, via e-mail to Helen Rumley-Cunningham at the address shown below, no later than the end of business SEPTEMBER 14, 2010. Correspondence with individuals other than those listed herein will not be allowed: Helen Rumley-Cunningham, Buyer E-Mail: [email protected]

INTERPRETATIONS AND ADDENDA No interpretation or modification made to any respondent as to the meaning of the ITB shall be binding on the Jefferson County Commission unless submitted in writing and distributed as an addendum by the Jefferson County Purchasing Department. Interpretations and/or clarifications shall be requested in writing and directed to Helen Rumley- Cunningham, Jefferson County Purchasing Division, 830 Courthouse, 716 Richard Arrington Jr. Blvd. North, Birmingham, AL 35203, (Fax 205 325-5221) or (e-mail: [email protected] ) Verbal information obtained otherwise will not be considered in awarding of contract. All addenda shall become part of the ITB.

3 JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

BUYER: HELEN RUMLEY-CUNNINGHAM SEPTEMBER 7, 2010 ITB NO: 215-10 INVITATION TO BID (CONTINUED)

NOTIFICATION OF INTENT All recipients of this solicitation notice must indicate intent to submit an ITB. Those vendors submitting a Notification of Intent will be sent a complete copy of any related addendum, answers to inquiries, etc. pertaining to this ITB. Notification of intent must be faxed to (205) 325-5221 or e-mailed to Helen Rumley-Cunningham at [email protected] no later than SEPTEMBER 14, 2010. Full document can be viewed and downloaded at http://paca.jccal.org

BID ACCEPTANCE/REJECTION The Jefferson County Commission expressively reserves the right to reject any and all ITBs, or parts of ITBs, and to make the award or awards as the best interest of the county appears. If, in the opinion of the County, multiple awards are warranted to ensure sufficient personnel is available when needed, there will be a primary and secondary award for this ITB.

AWARD OF SERVICES The award of services, will be made to the most qualified, responsive, and responsible Bidder as determined in accordance with the evaluation criteria, policies and procedures solely identified by Jefferson County. The determination of services to be provided by selected Bidder shall be at the sole discretion of Jefferson County.

BIDDER QUALIFICATIONS 1. Bidder must be financially stable (vendor may be requested to submit evidence of financial position). 2. Bidder must have all necessary business licenses as required by State and County.

INVOICING All invoices must agree with the purchase order in description and price and include the following information: 1) Purchase Order Number; 2) Ship-to Department name and address. Title Commitment updates will be invoiced with the same original number plus the addition of a letter for use by the Finance Department. “A” for first update, “B” for second update, etc.

In order to ensure prompt payment, ALL ORIGINAL INVOICES* MUST BE SENT TO:

Jefferson County Commission Finance Department Room 820, Courthouse 716 Richard Arrington Jr. Blvd, North Birmingham, AL 35203

*If invoice does not agree with purchase order, credits or a corrected invoice will be required in order for the County to process payment. Invoices that do not reference an authorized Purchase Order will be returned to the vendor.

THIRD-PARTY “REMIT-TO” If Bidder has a third-party “remit-to” company, that information must appear on the Bidder’s response. Jefferson County will send payment to the company designated by Bidder on its response, but will not be responsible for resolving payment issues, should the Bidder change payment processing companies after a payment has been mailed or without forty-five (45) days written notification to the Purchasing and Accounting division of Jefferson County.

CANCELLATION Failure to deliver as specified and in accordance with the ITB submitted, including promised delivery will constitute sufficient grounds for cancellation of the order at the option of the County Commission.

SOLE CONTRACTOR/IMPLEMENTER The Jefferson County Commission intends to award the contract to a sole contractor. The successful Bidder shall assume total responsibility for all Deliverables whether a sub-contractor or third-party produces them in whole or in part. Further, the County will consider the successful Bidder to be the sole point of contact with regard to contractual matters, including payment of all charges resulting from the Contract. The successful Bidder will be fully responsible for any default by a sub- contractor, just as if the successful Bidder will be solely responsible for the success of the entire Project.

GOVERNING LAW/DISPUTE RESOLUTION The parties agree that the contract is made and entered into in Jefferson County, Alabama, and that all services, materials and equipment to be rendered pursuant to said contract agreement are to be delivered in Jefferson County, Alabama. The interpretation and enforcement of this Agreement will be governed by laws of the State of Alabama. The parties agree that jurisdiction and venue over all disputes arising under this Agreement shall be the circuit Court of Jefferson County Alabama, Birmingham Division.

TERMINATION OF CONTRACT This contract may be terminated by the County with a thirty (30) day written notice to the other party regardless of reason. Any violation of this agreement shall constitute a breach and default of this agreement. Upon such breach, the County shall have the right to immediately terminate the contract and withhold further payments. Such termination shall not relieve the contractor of any liability to the County for damages sustained by virtue of a breach by the contractor.

GUARANTEE Bidder certifies by bidding, that he is fully aware of the conditions of service and purpose for which item(s) included in this bid are to be purchased, and that his offering will meet these requirements of service and purpose to the satisfaction of the Jefferson County Commission and its agent.

DEMONSTRATIONS: The County reserves the option to request, and the bidder shall agree to provide, a demonstration and evaluation for the County's personnel before acceptance of contract in the event performance of trailer proposed is not familiar to the County. If requested by the County, a demonstrator unit shall be made available prior to award and provided at no additional cost to the County. The number of hours required for such evaluation shall be as determined by the County.

If requested by the County, bidder will arrange to demonstrate the bid units at no cost to the County. The time and place of demonstration will be determined by Jefferson County. Said demonstration will be subject to guidelines established by the Purchasing Manager.

MANUFACTURING, MATERIAL AND DESIGN PRACTICES: It is intended that the manufacturer, in the selection of components will use material and design practices that are the best available in the industry for the type of operating conditions to which the unit will be subjected. Suspension, wheels, tires and other component parts shall be selected to address the performance requirements of this specification. All parts, equipment and accessories shall conform in strength, quality of material and workmanship to recognized industry standards.

HEAVY DUTY TERMINOLOGY DEFINED: The term "heavy duty" as used in these specifications shall mean that the item to which the term is applied shall exceed the usual quantity, quality or capacity supplied with standard production unit(s) and it shall be able to withstand unusual strain, exposure, temperature, wear and use. 5 JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

BUYER: HELEN RUMLEY-CUNNINGHAM SEPTEMBER 7, 2010 ITB NO: 215-10

INVITATION TO BID (CONTINUED)

EQUIVALENT FEATURES Bidders may propose equivalent features or manufacturer's updated part or part number for any specific manufacturer's brand and model numbers listed throughout these specifications, unless other wise stated within these specifications on a per item basis.

MANUFACTURER'S SPECIFICATION Complete manufacturer's specification, published literature and photos or illustrations of unit proposed, should be furnished with bid if available. An MSDS (Material Safety Data Sheet) shall be supplied for all fluids used.

OTHER BENEFITS AND COMPENSATION There are no other benefits or compensation except as listed in Method of Payment below.

PRICES Shall include all billable charges related to the successful performance of this contract.

METHOD OF PAYMENT Bidder will be paid monthly after submission and approval of an itemized invoice showing date of service, name of resident, staff member, etc. and legal or consultation service provided.

TAX Jefferson County is exempt from all tax. Successful Bidder is responsible for all Federal, State, and Local taxes that are due as a result of this transaction. These taxes are not deducted from monthly payment.

NON-DISCRIMINATION POLICY The Jefferson County Commission is strongly committed to equal opportunity in solicitation of ITB’s. The County encourages Bidders and proposers to share this commitment. Each Bidder submitting a ITB agrees not to refuse to hire, discharge, promote, demote, or to otherwise discriminate against any person otherwise qualified solely because of race, creed, sex, national origin or disability.

NEGOTIATIONS Jefferson County reserves the right to enter into contract negotiations with the selected Bidder. If the County and the selected Bidder cannot negotiate a successful contract, the County may terminate negotiations and begin negotiation with the next selected Bidder. This process will continue until a contract has been executed or all ITBs have been rejected. No Bidder shall have any rights against the county arising from such negotiations.

REQUEST FOR ADDITIONAL PRODUCTS If mutually agreed upon, by user departments, vendor and purchasing department, additional items may be added during the contract period, based upon this bid for the same item(s) or related types and/or sizes.

Governing Law/Dispute Resolution The parties agree that this contract is made and entered into in Jefferson County, Alabama and that all services, materials and equipment to be rendered pursuant to said Agreement are to be delivered in Jefferson County, Alabama. The interpretation and enforcement of this Agreement will be governed by the laws of the State of Alabama, without giving effect to the conflict of laws rules thereof. The parties agree that jurisdiction and venue over all disputes arising under this Agreement shall be in the Circuit Court of Jefferson County Alabama, Birmingham Division.

BREACH AND DEFAULT Any violation of this Agreement shall constitute a breach and default of this agreement shall be cause for termination. Upon such termination Bidder shall immediately refund to the County all amounts paid by the County pursuant to this Agreement.

INSURANCE The successful Bidder will maintain such insurance as will protect him and the County from claim under Workmen's Compensation Acts, and from claims for damage and/or personal injury, including death, which may arise from operations under this contract. Insurance will be written by companies authorized to do business in Jefferson County, Alabama and shall include Jefferson County, Alabama as Added Additional Insured By Endorsement including a thirty (30) day(s) written cancellation notice. Evidence of insurance will be furnished to the Purchasing agent not later than seven (7) day(s) after Purchase Order/contract date. Successful Bidder is also required to include the ITB number on the evidence of insurance. Comprehensive Form including Premises/Operation, Products/Completed Operations, Contractual, Independent contractors, Broad Form property damage and personal injury. Automobile Liability: $1,000,000 - Bodily injury and property damage combined coverage Any automobile including hired and non-owned vehicles Workers Compensation and Employers Liability: $100,000 - Limit each occurrence Umbrella Coverage: $1,000,000 - Each occurrence $1,000,000 - Aggregate Added Additional Insured By Endorsement: Jefferson County, Alabama 30 day(s) written cancellation notice Under Description of Operations/Locations/Vehicles/Exclusions Added by Endorsement/Special Provisions enter the BID/ITB Number, Project Number or Purchase Order Number Covered by The Certificate of Insurance

PROTECTION DAMAGE Bidder will be responsible for any damage to property of the County or others caused by him/her, any employee or sub- contractor, and will replace and make good such damage. The Bidder will maintain adequate protection to prevent damage to his/her property and the property of others, and will take all necessary precautions for his/her safety and the safety of others. The Bidder will comply with all safety laws and regulations in effect in the locality. 7 JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

HOLD HARMLESS AND INDEMNIFICATION Contracting party agrees to indemnify, hold harmless and defend Jefferson County, Alabama, its elected officers and employees (hereinafter referred to in this paragraph collectively as “County”), from and against any and all loss expense or damage, including court cost and attorney’s fees, for liability claimed against or imposed upon County because of bodily injury, death or property damage, real or personal, including loss of use thereof arising out of or as a consequence of the breach of any duty or obligations of the contracting party included in this agreement, negligent acts, errors or omissions, including engineering and/or professional error, fault, mistake or negligence of Contractor, its employees, agents, representatives, or subcontractors, their employees, agents or representatives in connections with or incident to the performance of this agreement, or arising out of Worker’s Compensation claims, Unemployment Compensation claims, or Unemployment Disability compensation claims of employees of company and/or its subcontractors or claims under similar such laws or obligations. Company obligation under this Section shall not extend to any liability caused by the sole negligence of the County, or its employees. Before beginning work, contract party shall file with the County a certificate from his insurer showing the amounts of insurance carried and the risk covered thereby. Liability insurance coverage must be no less than $1,000,000. During performance the company must effect and maintain insurance from a company licensed to do business in the State of Alabama. Coverage required includes 1) Comprehensive General Liability; 2) Comprehensive Automobile Liability; 3) Worker’s Compensation and Employer’s Liability.

GENERAL The Jefferson County Commission expressively reserves the right to reject any and all ITB’s, or parts of ITB’s, and to make the award or awards as the best interest of the county appears.

______Helen Rumley-Cunningham Buyer 8

JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

BID (Bidder must use this form. Fill in all spaces.)

A BID BOND OR CASHIER'S CHECK IN THE AMOUNT OF 5% OF BID MUST ACCOMPANY ANY BID $25,000 OR MORE. BIDS SUBMITTED WITHOUT THE BID BOND WILL NOT BE CONSIDERED.

ITEM 1: Delfield 6076XL-G| Glass Door Reach-In Refrigerator| 66-1/2CuFt

Product Details  Three section reach-in refrigerator  66.5cu ft  Reach in  Top mounted self contained refrigeration  Stainless steel front with glass hinged full height doors  Three epoxy coated shelves  6in legs  Dimensions: 76.5in W x 33.13in L x 81in H Product Description The Delfield 6076XL-G three section reach in refrigerator is specially designed for the Product Specifications food service industry. It has a storage capacity of 66.5 cubic feet. Doors should be 115 - Standard provided with locks, magnetic gaskets, spring loaded, self-closing, concealed hinges; and Voltage Household Current quick grip recessed door handle(s). Dimensions 33.13 x 76.5 x 81 (LxWxH)

1 Reach-in Refrigerator - Delfield 6076XL-G| Glass Door Reach-In Refrigerator| 66-1/2CuFt …………$______

Name of Your Mfg. & Product Number______(If different from specifications, you must submit with bid signed letter approving said substitution)

COMPANY NAME: ______DATE: ______9

JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

BID (CONTINUED) (Bidder must use this form. Fill in all spaces.)

ITEM 2: Cleveland SEL40TR Electric Braising Pan - 40 Gallon - w/ Electric Tilt

Product Details  Leg or modular base  Full 30/40 gallon capacity rating to bottom of pouring lip  Power tilt  Stainless steel clad 5/8" cooking surface guaranteed against warping  Stainless steel coved cornered pans with both gallon and liter markings  Space-saving design - no clearance required at rear or sides  All stainless steel construction for durability and easy cleaning  Adjustable, electronic thermostat controls temperature from 100 - 425 degrees  High efficiency heating system with even heat distribution - 14 kW for 30 gallon and 18 kW for 40 Product Specifications gallon models Fast heat up and recovery time - preheats in 15 minutes, full capacity from cold to boiling in 60 minutes Weight 430 lbs.  Spring assist cover with adjustable vent and full width handle Volts 208   On/Off switch, thermostat knob and pilots, recessed to avoid breakage  Four stainless steel, level adjustable feet, rear flanged for bolting  Serviceable from the front of the unit  Two Pilot Lights  Splash proof controls and water tight electrical connections  High limit safety device set at 450 degrees  Anti-splash pouring lip Product Description Cleveland SEL40TR Braising Tilting Skillet - electric. The tilting skillet has a 40-gallon capacity, should come standard with an electric tilt mechanism, spring-assisted cover with gallon markings and stainless steel level adjustable feet.

Name of Your Mfg. & Product Number______(If different from specifications, you must submit with bid signed letter approving said substitution) 1Cleveland SEL40TR Electric Braising Pan ……………… $ ______

COMPANY NAME: ______DATE: ______

ITEM 3: Frymaster Specialty High Production Electric Fryer Model EH1721

Product Details  Open, easy to clean frypot  Stainless steel front, door,sides and frypot  Digital solid-state controller  6" adjustable steel legs  17 kW power input  1-1/2" full port drain valve Product Specifications  Over the flue basket hanger Volts 208/60/3  Patented, self standing, swing-up ribbon type, low watt density element  Dimensions - 20"W x 34-7/8"D x 45"H

Product Description High performance EH1721 has an 80-lb. oil capacity, and a variable cooking depth of 5 to 6-1/2 inches. The spacious 18" x 18" frying area makes this unit suitable for frying unique menu items such as bone-in chicken, and other wet-breaded products.

1 Frymaster Specialty High Production Electric Fryer Model EH1721 ……………… $ ______COMPANY NAME: ______DATE: ______

ITEM 4: Direct Steam Kettle on SD1800 Stand - (2) 20 Gallon, model # SD1800K2020

Product Details  Open, easy to clean frypot  Type 304 Stainless Steel construction, with #4 finish on Kettle  Factory Assembled Kettle/Stand combinations with available kettle capacities to suit most needs  Steam Control Kit: includes: Needle Type Steam Control Valve, Steam Trap, Condensate Strainer, Check Valve, Nipples and Fittings, factory assembled and mounted on kettle  Kettles are Mounted on Stainless Steel Stand of Modular Cabinet zed Design  Hot and Cold Water Faucet with Swing Spout  Table Top has Full Width Drain Trough equipped with standing 1.50" diameter male Drain Connection  Sliding drain Catch Pan with Splash Shield, easy to position for use  Kettles are 2/3 Steam Jacketed and include Lift-Off Covers  50 psi Steam Jacket Rating  50 psi Chrome Plated Safety Valve  Manual Tilting, Balanced Design

1 Direct Steam Kettle on SD1800 Stand - (2) 20 Gallon, model # SD1800K2020……………… $ ______

MAXIMUM DISCOUNT: Guaranteed maximum discount available if contract is renewed for 2nd year ______% Guaranteed maximum discount available if contract is renewed for 3rd year ______%

Discount for additional products, not listed in original Bid, that your company carries ______%

Delivery is guaranteed not later than ______days after order date.

COMPANY NAME: ______DATE: ______

JEFFERSON COUNTY, ALABAMA EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION FORM

Contractor/Vendor Name: ______

Address: ______

______

The Contractor acknowledges receipt of Jefferson County’s Equal Employment Opportunity Contractor Compliance Administrative Order and certifies that it is an equal opportunity employer and agrees to the requirements of the Policy and the Equal Employment Opportunity Clause therein. It further certifies that it will require all subcontractors to execute an Equal Employment Opportunity statement and certification of compliance in accordance with Jefferson County Administrative Order 08-4 as follows: 1. The Contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, disability or veteran status pursuant to the provisions of Title VII of the Civil Rights Act of 1964, 42 U.S.C. §§ 1981, 1983, 1986 and all amendments thereto relative to discriminatory employment practices. The Contractor will ensure that qualified applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, national origin, age, disability or veteran status. Such action shall include, but not be limited to the following: employment, promotion, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. 2. In the event of the Contractor’s non-compliance with the equal employment opportunity clause of this contract, this contract may not be awarded or may be cancelled, terminated or suspended in whole or in part and the Contractor may be declared ineligible for further County contracts. 3. The Contractor will include the provisions of paragraph (1) in every subcontract or purchase order. 4. The Contractor shall certify to the County its compliance with this policy prior to receipt of any contract or business with the County. The Contractor will furnish to the County, upon request, reports, notices, policies and/or information certifying compliance with this policy. In the event of the Contractor’s non-compliance with the equal employment opportunity clause of this contract, this contract may not be awarded or may be cancelled, terminated or suspended in whole or in part and the Contractor may be declared ineligible for further County contracts. ______Date Signature ______Title 13 JEFFERSON COUNTY COMMISSION PURCHASING DEPARTMENT ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N BIRMINGHAM, AL 35203 (205) 325-5381

Non-Collusion Affidavit

I, ______, an authorized agent/representative of

______attest that the ITB is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the ITB is genuine and not collusive or sham; that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a false or sham ITB, and has not directly or indirectly colluded, conspired, connived or agreed with any Bidder or anyone else to put in a sham ITB, or than anyone shall refrain from proposing; that the Bidder has not in any manner, directly or indirectly sought by agreement, communication or conference with anyone to fix the ITB of the Bidder or any other Bidder, to fix any overhead profit, or cost element of the ITB price or of that of any Bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the ITB are true; and further, that the Bidder has not, directly or indirectly submitted his/her

ITB price or any breakdown thereof or the contents thereof, of divulged information or data relative thereto, or paid, and will not pay any fee to any corporation, partnership, company, association, organization, ITB depository, or to any member or agent thereof, to effectuate a collusive or sham ITB.

I, the undersigned, hereby certify that I have read and understand this Non- Collusion Affidavit and guarantee complete compliance with all the terms, conditions and stipulations.

Subscribed and Sworn to BY: ______Before me this ______day Authorized Signature of Bidder Date of ______20____. ______Print or Type Name of Bidder ______

Notary Public of My Commission expires

SIGNATURE PAGE The Jefferson County Commission, or its Agent, shall have the right to waive any informality or irregularity. Under certain limited conditions, the Purchasing Department may apply a local preference option in determining the low ITB for purchases of personal property.

All provisions of this ITB are accepted by Bidder as part of any contract or purchase resulting there from.

Please specify terms of payment below; otherwise, the terms will be Net 30.

Date: ______Company Name: ______Web Address:______

Terms: ______Address:______City:______

County: ______State: _____ Zip: ______Phone: (_____)______If Jefferson County Business Licenses were issued to your company for the past twelve (12) months, please list numbers: ______.

Vendor's Federal I.D. Number: ______

I certify that ______has ___ has not ___ been in operation for one (Company Name) (Check one) year at location(s) zoned for the type of business conducted by my company at the address stated above.

______(Authorized Signature)

______(Print Name)

______(E-Mail Address)

Toll Free Phone: ______Fax Number:______

Return original ITB in sealed envelope. Authorized signature of Bidder must be in ink.

ITBs received in our office after the specified date and hour will not be considered. INDICATE THE FOLLOWING ADDRESSES IF DIFFERENT FROM ABOVE: 1. BID AWARD NOTICE ADDRESS 2. PURCHASE ORDER ADDRESS 3. REMITTANCE ADDRESS (AND NAME IF DIFFERENT THAN ABOVE)