DATE : JULY
Act No. 217,
FIRM FROM OCTOBER
at bid opening
Fl. s., Mobile,
(5%) bid bond on any contract
Q15, 000 : provided
Bid bond will
in the form
of a certified
Out of State
in the State
Out of State
if it has employees
in the State
to the award
of a contract.
must be completed,
to a contract
DOES NOT DISCRIMINATE
ON THE BASIS OF RACE, AGE, SEX, NATIONAL
DATE OF DELIVERY
M[7ST EE SEAI.,ED,
THE BID HUMBER
AND THE NAME OF THE ITEM MARKED
OF THE ENVELOPE.
BY THE RECEPTTONP3T
IH THE: OFFTCE
STREW,T ON THE mGHTH
FLOOR OF THE MOmLE
OF YOUR BTD.
ANY OR Ar.,I., BlDj.
can be made
MONTHLY COST .
C'ompany 10 Number: 4?778'3i
Tob acceptedasa (iartiaipanint E-Verifyy,ot;shcutdanly sign tha Empioyer's Ss,-tion
oTthe signature page. lf yoa havo any questions,contact E-\i/erify at 888-464-42al8.
Employer !'yi(il)il'(- 6.(urnty Crimmissirin
Name (r--teas= T" pe Or Pnn:l
fl 2/2'1/20ai I
iD-partment of Homeiarid Security - Vsrificatiori Division
j'i2i'2 '1/2Cn a'l
Irlfcrmai!on Reqbiiredfor f)1e E-'i/er!f'j Prcgram
Coraoany Faaiiiti; Addrass:?05 Gcverrivant Stragt
8th Floor South Toa:;er
. Count:)':9r P@r!S"ii.'
(:, , , 12 0 t ; a; =. ys n;,. .47iLl :l r ' =.:ilial:i'e( i ;, G,1;3517r, B,, CIC:C,II 7,'1,,,
THIS DOCUMENT MUST BE COMPLErED, SIGNED AND RETURNED
WITH YOUR BID
As a condition for the abiard of a competitively bid contract to
a companyhaving one or more employeesin the State of Alabamar
the Beason-HamrnonAlabama Taxpayer Citizenship and Protection
Act, codified at Section 31-13-1, et seq., Code of Al abamg
(1975), as amended, requires that the company. p:eovide, in
advance, proof of enrollment in E-Verify. E-Verify
internet based -sys'tem- -operated-fiy the U.S. Department 0-H
Homeland Security, which may be used to determine
of new h4res to work in the United States.
information about eruollment in E-Verify may be found at
As proof of enrollment in E-Verify, Mobile County requires
copy or the electronically
signed signature page 0H the
contractor' s Memorandum of Understanding with the U, S,
Department of Homeland Secuhity or Alabama D'qpartment (i[
Homeland Security (contractors having fewer than 25 eI'aployees
may enroll in E-Verify through the state Department of Homeland
Please complete the fol1owing
and return w;th yourbid:
(company name) is enrolled
Ver'i fy and a copy of the electron; ca11y signed signature page 0-B
tpe company's IV]emorandum of Understariding
'[' r iz l (
MOBILE COUNTY COMMISSION
ANNUAL JANITORIAL SERVICESFOR LICENSE/ REVENUE COMMISSIONS CITRONELLE OFFICE:
Name of Company:
Phone Number ( )
Federal ID Number
Company Web Address
Please attach a current W-9.
Mobile County License Commission -Mobile County Revenue Commission - Citronelle Office
1. Building maintenance services are to be performed Tuesday and Thursday except on County holidays.
2. Square Footage of Building:
2,747 square feet - License Commission
2126 square feet --- Revenue Coinmission
3. Contractor will provide all cleaning equipment, cleaning supplies, labor and supervision necessary to perform services.
4. All expendable items, i.e., hand soap, toilet tissue, paper towels, etc., will be furnished by Mobile County.
5. Contractor shall provide insurance coverage as set forth below, and deliver to Mobile County certificates of insurance
A. Statutory Workmen's Compensation
B. Comprehensive Liability
1. Bodily injury-limits
of $200,000 per person and $500,000 per occurrence
2. Property damage-limits of $100,000
C. Fidelity Bond of $10,000
D. Automobile liability for each owned, non-owned and hired vehicle - limits of $250,000/$500,000 bodily injury
and !5100,000 property damage or $300,000 single limit aggregate.
6. Contractor will bill monthly for services rendered the preceding month.
Mobile County Commission
P. 0. Box 1443
Mobile, AL 36633
ATTN: Accounts Payable
7. No change omers will be authorized once the Contract has been awarded.
8. The term of this contract is two years.
9, Cancellation Procedure: The Contractor will be notified in writing of any problems pertaining to the performance of
the janitorial specifications. This notification will be written by the person in charge of the location specified in the
Contract. If no satisfactory corrections are made by the Contractor within two (2) weeks, the County of Mobile may,
upon notification by the Department specified in the Contract, cancel the Contract immediately. If terminated, the
Contractor will be removed from the bid list the following year.