The Hickman County Finance Office will be accepting bids for a "Fire Alarm
Monitoring/Service Repair and Equipment Replacement."
This bid is for a multi-year contract covering fire alarm monitoring/service repair, and
equipment replacement for Hickman County Schools.
This bid will be system wide for all schools. The bid will be for a period of 3 years with a
mutual two-year extension option. This bid will be good for the period of July 1, 2026 - June
30, 2029.
All bidders must attach:
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
TN business license
A 1-million-dollar liability insurance certificate
Workers compensation insurance
Business license
Background Acknowledgement Form
Per TCA 49-5-406, all bidders' employees working on school properties must comply with
all local, state, and federal laws.
Sealed bids must be mailed or hand-delivered to the Hickman County Finance Office, 114
North Central Avenue, Suite 203, Centerville, TN 37033, and clearly marked on the outside
of the envelope "Fire Alarm Monitoring/Service Repair and Equipment Replacement".
Bids will be opened on May 26, 2026, at 10:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept or reject any and all
bids or parts of the bids and to waive any informalities that would prevent the acceptance
of a better bid.
Complete the bid on B (specs) and submit your bid on those forms.
Specifications can be found at https://ww.hickmank12.org/requestforproposal. Or by
calling 391-729-3391 Ext 3.
Present Penny Rochelle
3) bids rec'd
Minty cems
Dlease see attached
BA
APR 3 O 2026
The Hickman County Finance Office will be accepting bids for a "Fire Alarm
Monitoring/Service Repair and Equipment Replacement."
This bid is for a multi-year contract covering fire alarm monitoring/service repair, and
equipment replacement for Hickman County Schools.
This bid will be system wide for all schools. The bid will be for a period of 3 years with a
mutual two-year extension option. This bid will be good for the period of July 1, 2026 - June
30, 2029.
All bidders must attach:
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
TN business license
A 1-million-dollar liability insurance certificate
Workers compensation insurance
Business license
Background Acknowledgement Form
Per TCA 49-5-406, all bidders' employees working on school properties must comply with
all local, state, and federal laws.
Sealed bids must be mailed or hand-delivered to the Hickman County Finance Office, 114
North Central Avenue, Suite 203, Centerville, TN 37033, and clearly marked on the outside
of the envelope "Fire Alarm Monitoring/Service Repair and Equipment Replacement".
Bids will be opened on May 26, 2026, at 10:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept or reject any and all
bids or parts of the bids and to waive any informalities that would prevent the acceptance
of a better bid.
Complete the bid on B (specs) and submit your bid on those forms.
Specifications can be found at https://ww.hickmank12.org/requestforproposal. Or by
calling 391-729-3391 Ext 3.
NOTE: Please use this sheet to enter your bid figures and attach any necessary
documents to the back of the bid sheet.
SCOPE
This bid is for the 2026/2027, 2027/2028, 2028/2029 school years with a mutual two-year
extension option provided no increase in charges or costs during the 5 years bid period with
an annual renewal contract letter of intent.
SPECIFICATIONS
Multi-Year Contract Requirements
This bid is for a multi-year contract covering fire alarm monitoring, service repair, and
equipment replacement for Hickman County Schools.
All pricing submitted must remain firm for the entire five-year contract period. If, at any
point during the contract term, the awarded vendor increases pricing for any reason, the
contract shall be considered null and void, and the entire project will be rebid.
1 I Page
Annual Fire Alarm Monitoring by School
Fire Alarm Monitoring Services
This bid covers the annual cost of monthly fire alarm monitoring for all eight (8) Hickman
County School buildings. The facilities included in this service are:
EHES- East Hickman Elementary School
EHIS - East Hickman Intermediate School
EHMS- East Hickman Middle School
EHHS- East Hickman High School
CES- Centerville Elementary School
CIS - Centerville Intermediate School
HCMS - Hickman County Middle School
HCHS - Hickman County High School
The awarded vendor shall provide continuous fire alarm monitoring services for each
building and shall invoice the district annually for the full year of monthly monitoring
services. All monitoring must meet applicable Fire Marshal requirements and comply with
all state and local fire safety regulations.
Annual Cost of Monthly Fire Alarm Monitoring $ $ 4800
2 I Page
ANNUAL ALARM TESTING and CERTIFICATION SERVICING
of ALARM EQUIPMENT and COMPONENTS
At all eight schools, to be scheduled and finished by July 15th of each calendar year. This is
to include a written check-off report in accordance with NFPA, to be provided for each
school location's front office binder. A written hard copy of the report and service ticket
should be left with each school's front office and hard copies sent to the Maintenance
Director's office.
Annual Fire Alarm Testing and Certification Service of Alarm
Equipment and Components $ 10,000
3 I Page
Installation of Communication Converter System for Fire
Alarm Panel (One-time charge, applicable if upgrade is selected)
Installation
Furnish and install a UL-listed communicator and all required accessories, wiring,
power supplies, antennas, and mounting hardware.
All equipment shall be fully compatible with the existing fire alarm control panel
and associated system components.
Installation shall be performed in accordance with the manufacturer's instructions
and industry best practices.
Programming and Testing
Program the communicator and associated fire alarm monitoring equipment to
ensure proper operation and supervision.
Verify successful transmission of all required alarm, supervisory, and trouble
signals to the Monitoring Station.
Conduct complete functional testing and provide confirmation that the monitoring
system is operating correctly and reliably.
Compliance
All work shall comply with all applicable local, state, and national codes,
including but not limited to:
NFPA 72- National Fire Alarm and Signaling Code
UL 864- Standard for Control Units and Accessories for Fire Alarm
Systems
Equipment shall be listed and approved for fire alarm service and monitoring
applications.
Documentation
Provide test results, programming documentation, and verification of Monitoring
Station communication upon completion.
Coordinate all required inspections, testing, and acceptance documentation with
the Authority Having Jurisdiction (AHJ) as applicable.
4 I Page
Installation Labor Per Site
EHES
$ 100
EHIS
$ 100
EHMS
$ 100
EHHS
$ 100
CES
$ 100
CIS
$ 100
HCMS
$ 100
HCHS
$ 100
Total Installation Cost $ 800 800
Equipment Cost Per Site
EHES
$ $ 200
EHIS
$ 200
$
EHMS
$ 200
EHHS
$ 200
CES
$ 200
CIS
$ 200
HCMS
$ 200
$
HCHS
$ 200
$
Total Equipment Cost $ $ 1600
5 I Page
COST of SERVICING REPAIR and/or REPLACEMENT of
EQUIPMENT
Service call trip charge is limited to one trip charge per trip to the same zip code. Multi trip
charges will only be permitted if moving to a second zip code but not to a second location
in the same zip code.
Our zip codes for the 8 locations are Centerville Buildings 37033: CES, CIS, HCMS, HCHS
and Lyles Buildings 37098: EHES, EHIS, EHMS, EHHS.
Service Call Trip Charge $ 80
$ 100 extinguister or kitchen hard
Hourly rate per tech $ $ 1,200 fire Alarm
(normal rate)
150 Ex or hood
/
Hourly rate per tech $ $ - 300 fire Alarm
(over-time rate)
All parts exceeding $1,000.00 in cost must accompany the vendors' actual cost invoices
incurred and attached with to billing invoices to ensure mark-ups are accurate and correct.
Invoices without tickets will not be paid.
Parts plus percentage of mark-up
30
%
6 I Page
Annual Fire Extinguisher Inspections and Servicing
This contract will allow for the bidding of the fire extinguishers to be checked off by
location in each building and shall provide inspection, serviced by recharge, and/or
replaced if beyond container life cycle and shall be annually retagged as prescribed in the
Fire Marshals codes. Buildings are to be serviced 100% and accurately count all locations
not missing any extinguishers.
The service will be for all 11 locations in the school district to include all eight school
buildings, HCHS B Building, Central Office Building, and Bus Garage. A hard copy of the
checked-off inspections report by location shall be left with each location's front office
and a hard copy to be sent to the Maintenance Director's office upon completion. At the
bus garage there are spare extinguishers upstairs that are to be inspected, serviced,
tagged and recharged and/or replaced as needed. There are extinguishers downstairs in
the garage area for bus/vehicles that are annually serviced, tagged and recharged and/or
replaced as needed.
Location mapping and check-off sheets shall be the responsibility of the bidding vendor
and not charged to HCBOE.
NOTE: This agreement contract will require that the vendor return during the calendar year
at no charge and tag & service any extinguishers that are missed at no cost to the owner, in
the event they were not tagged during the inspections and found by the Maintenance
and/or the Fire Marshall.
Annual inspection fee per extinguisher one time re-tag by
location $ 6.00
New extinguisher replacement cost per size $
Fire extinguisher recharge cost per size $
5 lb -75 - 101b - k-class $ 210
- 70 - k class $ 180
7 I Page
Fire Suppression Hoods: Bi-Annual Fire Suppression
Hoods
Kitchen Hood Suppression System Service Requirements
The Hickman County Schools facilities are equipped with kitchen areas that include one or
more fire-suppression hoods. The awarded vendor shall provide comprehensive annual
servicing of all hood suppression systems in accordance with applicable codes and
manufacturer specifications.
As part of the annual service, the vendor is required to:
1. Inspect, test, and properly service all hood suppression systems located within
each school facility.
2. Install new fusible links on every suppression hood as required on an annual
basis.
3. Provide cleanup services in the event that a system discharges during inspection
or testing. This includes the full cleanup and removal of any dry chemical agent
discharged onto kitchen equipment or surrounding surfaces.
All work must be performed by certified technicians and documented through detailed
service reports provided to the district upon completion.
Inspection Tagging and Compliance Requirements
1. Inspection Tagging
Upon completion of each inspection, the awarded vendor shall affix the appropriate
inspection tag or sticker to every hood suppression system. The tag must clearly
display the date of inspection and any other information required by applicable fire
codes.
2. Inspection Scheduling and Compliance
All inspections must be performed within the timeframes prescribed by the Fire
Marshal and all relevant fire safety codes. Inspections shall be completed on or up
to two (2) days prior to the required due date.
Under no circumstances may any inspection occur after the required due
date.
The awarded vendor is fully responsible for tracking and managing all
required inspection intervals across all school kitchens.
3. Documentation and Reporting Requirements
On the same day each inspection is completed, the vendor shall:
8 I Page
Provide a copy of the inspection report directly to the kitchen manager
before leaving the site, and
Deliver a hard copy of the full inspection report to the Maintenance
Director's office.
All documentation must be complete, accurate, and compliant with all reporting
standards established by the district and governing authorities.
BiAnnual Manual Pull Station Tagging
In addition to the annual hood suppression inspections and tagging requirements
described above, the awarded vendor shall install a new biannual inspection tag on the
manual suppression pull device located at each hood system. This tag must clearly
indicate the inspection date and comply with all applicable fire safety and Fire Marshal
code requirements. The vendor is responsible for ensuring all biannual tags remain
current and are replaced on schedule.
Suppression inspections are to be at the following kitchen locations:
CES $
220
CIS $
220
HCMS $ 220 $
HCHS $ $ 220
EHES $ 220
EHIS $ 220 220
EHMS $ 220
EHHS $
440
2 systems
EHHS/VOCATIONAL CULINARY ARTS KITCHEN $
220
Total amount for two (2) Bi-Annual Suppression Hood Inspections per year:
$ 2,800
10 I Page
Background Check Acknowledgement Form
Contractor is required to meet al TCA 49-5-406, local, state, and federal
laws regarding "workers on school properties." The Hickman County Board
of Education further requires that no prior felons, drug offenders, or sexual
registered offenders work on any school properties.
Contractors will be required to wear contractor provided identification when
on school premises. The contractor may be asked to provide proof of
background check.
Signature:
7 Mal
Print:
Tony MAllini
-
Title:
Senior Account MANAger
-
Date:
5/20/26
-
11 I Page
State of Tennessee
Non-Boycott of Israel Certification
The Bidder certifies that it is not currently engaged in and will not for the duration of the
contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This
provision shall not apply to contracts with a total value of less than two hundred fifty
thousand dollars ($250,000) or to contractors with less than ten (10) employees.
According to the law, a boycott of Israel means engaging in refusals to deal, terminating
business activities, or other commercial actions that are intended to limit commercial
relations with Israel, or companies doing business in or with Israel or authorized by,
licensed by, or organized under the laws of the State of Israel to do business, or
persons or entities doing business in Israel, when such actions are taken:
1. In compliance with, or adherence to, calls for a boycott of Israel, or
2. In a manner that discriminates on the basis of nationality, national origin, religion,
or other unreasonable basis, and is not based on a valid business reason. Tenn.
Code § 12-4-119
Signature:
7 Mal
Print:
Tony Mallini
-
Date:
5-20-26
12 I Page
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113,
political subdivisions in Tennessee are prohibited from entering into any
procurement or contract over $1,000 with a person who engages in
investment activities in Iran. The state's chief procurement officer, as required
by T.C.A. 12-12-106, has created a list of persons who engage in investment
activities in Iran. Any person who is on the list is ineligible to contract with any
political subdivision of the State of Tennessee, and any such contract will be
considered void under T.C.A. 12-12-110. The list is published on the
Tennessee Department of General Services' website at:
https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/c
po-library/public-information-
library/List of persons pursuant to Tenn. Code Ann. 12-12-
106 Iran Divestment Act updated with NY06-07-23.pdf
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of
any bidder certifies, and in the case of a joint bid each party thereto certifies
as to its own organization, under penalty of perjury, that to the best of its
knowledge and belief that each bidder is not on the list created pursuant to
T.C.A 12-12-106.
Bidder Name:
State Systems, INC Tony Mallin,
Bidder Signature:
7 Mul
5/20/26
Date:
12 I Page
Hickman County Government
Conflict of Interest Disclosure Form
The County Financial Management System of 1981 contains the most stringent conflict of
interest provisions. TCA $5-21-121 provides:
(a) The director, purchasing agent, members of the committee, members of the county
legislative body or other officials, employees, or members of the board of education
or highway commission shall not be financially interested or have any personal
beneficial interest, either directly or indirectly, in the purchase of any supplies,
materials, equipment or contractual services for the county.
(b) No firm, corporation, partnership, association or individual furnishing any such
supplies, materials, equipment or contractual services, shall give or offer, nor shall
the director or purchasing agent or any assistant or employee accept or receive
directly or indirectly from any person, firm, corporation, partnership or association
to whom any contract may be awarded, by rebate, gift or other otherwise, any
money or other things of value whatsoever, or any promise, obligation or contract for
future reward or compensation.
Date: 5/20/26
Name: TONY MAlliN.
Please describe below any relationships, transactions, positions you hold (volunteer or
otherwise), or circumstances that you believe could contribute to a conflict of interest:
I have no conflict of interest to report.
I have the following conflict of interest to report (please specify any boards or
committees you (and/or your spouse) sit on, the name of your employer and any
businesses you or your spouse may own.
I hereby certify that the information set forth above is true and complete to the best of my
knowledge.
Date: 5/20/26
7Ml
Signature:
13 I Page
ACORD®
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
8/1/2026
3/20/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER Lockton Companies, LLC
NAME:
DBA Lockton Insurance Brokers, LLC in CA
PHONE
FAX
(A/C. No. Ext):
(A/C, No):
CA license #0F15767
E-MAIL
ADDRESS:
3280 Peachtree Rd. NE, Ste. 1000
INSURER(S) AFFORDING COVERAGE
NAIC #
Atlanta GA 30305
INSURER A: Hudson Excess Insurance Company
14484
(404) 460-3600
INSURED
INSURER B : The Travelers Indemnity Company
25658
State Systems LLC
1551530
1861 Vanderhorn Dr
INSURER C : The Charter Oak Fire Insurance Company
25615
Memphis TN 38134
INSURER D : Travelers Property Casualty Company of America
25674
INSURER E : Westchester Surplus Lines Insurance Co
10172
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 23179830
REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL
SUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
A
N
N
ALM10130-00
2/7/2026
8/1/2026
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
PREMISES (Ea occurrence)
$ 500,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
POLICY
PRO-
LOC
PRODUCTS-COMP/OP AGG
$ 2,000,000
JECT
$
OTHER:
COMBINED SINGLE LIMIT
B
AUTOMOBILE LIABILITY
N
N
DT-810-A8126919-IND-26
2/7/2026
2/7/2027
(Ea accident)
$ 1,000,000
ANY AUTO
BODILY INJURY (Per person)
$ XXXXXXX
OWNED
SCHEDULED
BODILY INJURY (Per accident)
$ XXXXXXX
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$ XXXXXXX
AUTOS ONLY
AUTOS ONLY
(Per accident)
$ XXXXXXX
A
UMBRELLA LIAB
OCCUR
N
N
ALMU10056-00
2/7/2026
8/1/2026
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$ 5,000,000
DED
RETENTION $ 10,000
$ XXXXXXX
PER
OTH-
WORKERS COMPENSATION
N
C
2/7/2026
2/7/2027
AND EMPLOYERS' LIABILITY
UB-A8090273-26-26-G
STATUTE
ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER-EXCLUDED?
N
N/A
(Mandatory In NH)
E.L. DISEASE- EA EMPLOYEE
$ 1,000,000
If yes, describe under
E.L. DISEASE- POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS below
A
Prof/Poll
N
N
ALM10130-00
2/7/2026
8/1/2026
Limits: Included/$1M
D
Leased/Rented Equip
QT-630-A8150089-TIL-26
2/7/2026
2/7/2027
Limits: $250K
E
Fress
G4878947A 001
2/7/2026
8/1/2026
Fac Occ $5M ! A.gg $5M
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
23179830
ACCORDANCE WITH THE POLICY PROVISIONS.
State Systems Inc.
1861 Vanderhorn Drive
AUTHORIZED REPRESENTATIVE
Memphis TN 38134
Khigler
© 1988-2013 ACORD CORPORATION. All rights reserve
STATE OF TENNESSEE
DEPARTMENT OF
COMMERCE AND INSURANCE
STATE SYSTEMS, LLC
ID NUMBER: 2508
LIC STATUS ACTIVE
EXPIRATION DATE: July 31, 2026
ALARM SYSTEMS CONTRACTORS BOARD
ALARM CONTRACTING COMPANY
THIS is TO CERTIFY THAT ALL REQUIREMENTS
OF THE STATE OF TENNESSEE HAVE BEEN MET
11398
ATTN:ROBERT MCBRIDE
STATE SYSTEMS, LLC
1861 VANDERHORN DR
MEMPHIS, TN 38134
14012338
State of Cennessee
ALARM SYSTEMS CONTRACTORS BOARD
ALARM CONTRACTING COMPANY
STATE SYSTEMS, LLC
ROBERT GRAHAM MCBRIDE
This is to certify that all requirements of the State of Tennessee have been met.
OF THE STATEOF OF
ID NUMBER: 2508
LIC STATUS: ACTIVE
EXPIRATION DATE: July 31, 2026
FLORIDA AGRICULTURE 7796 J
FIRE
CCTV
BURGL IR
VOID
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
VOID
VOID
MA
STATE OF TENNESSEE
DEPARTMENT OF
COMMERCE AND INSURANCE
STATE SYSTEMS, INC.
434137
ID NUMBER: 40841
LIC STATUS: ACTIVE
EXPIRATION DATE: November 30, 2027
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
THIS IS TO CERTIFY THAT ALL REQUIREMENTS
OF THE STATE OF TENNESSEE HAVE BEEN MET
STATE SYSTEMS, INC.
1861 VANDERHORN DRIVE
MEMPHIS, TN 38134
434137
State of Tennessee
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
STATE SYSTEMS, INC.
This is to certify that all requirements of the State of Tennessee have been met.
ID NUMBER: 40841
EXPIRATION DATE: November 30, 2027
STATE GREAT THE AGRICULTURE OMMERC XVI F
THE STATES
LIC STATUS: ACTIVE
UNLIMITED; CE-D; CE-F; CE-G; CMC; MU-A
7796
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
AMERICAN
FIRE PROTECTION
®
GROUP, INC.
Attn: Hickman Co. Finance
RFP Response For:
"Fire Alarm Monitoring/Service
Repairs and Equipment
Replacement"
114 N Central Ave, Ste 203
Centerville, TN 37033
May 22, 2026
American Fire Protection Group, Inc. Strong Values, Exceptional Results
The Hickman County Finance Office will be accepting bids for a "Fire Alarm
Monitoring/Service Repair and Equipment Replacement."
This bid is for a multi-year contract covering fire alarm monitoring/service repair, and
equipment replacement for Hickman County Schools.
This bid will be system wide for all schools. The bid will be for a period of 3 years with a
mutual two-year extension option. This bid will be good for the period of July 1, 2026 - June
30, 2029.
All bidders must attach:
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
TN business license
A 1-million-dollar liability insurance certificate
Workers compensation insurance
Business license
Background Acknowledgement Form
Per TCA 49-5-406, all bidders' employees working on school properties must comply with
all local, state, and federal laws.
Sealed bids must be mailed or hand-delivered to the Hickman County Finance Office, 114
North Central Avenue, Suite 203, Centerville, TN 37033, and clearly marked on the outside
of the envelope "Fire Alarm Monitoring/Service Repair and Equipment Replacement".
Bids will be opened on May 26, 2026, at 10:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept or reject any and all
bids or parts of the bids and to waive any informalities that would prevent the acceptance
of a better bid.
Complete the bid on B (specs) and submit your bid on those forms.
Specifications can be found at https://ww.hickmank12.org/requestforproposal. Or by
calling 391-729-3391 Ext 3.
Annual Fire Alarm Monitoring by School
Fire Alarm Monitoring Services
This bid covers the annual cost of monthly fire alarm monitoring for all eight (8) Hickman
County School buildings. The facilities included in this service are:
EHES- East Hickman Elementary School
EHIS - East Hickman Intermediate School
EHMS - East Hickman Middle School
EHHS- East Hickman High School
CES- Centerville Elementary School
CIS - Centerville Intermediate School
HCMS - Hickman County Middle School
HCHS - Hickman County High School
The awarded vendor shall provide continuous fire alarm monitoring services for each
building and shall invoice the district annually for the full year of monthly monitoring
services. All monitoring must meet applicable Fire Marshal requirements and comply with
all state and local fire safety regulations.
Annual Cost of Monthly Fire Alarm Monitoring $
4,320.00
(all 8 sites combined, per year)
21
Installation of Communication Converter System for Fire
Alarm Panel (One-time charge, applicable if upgrade is selected)
Installation
Furnish and install a UL-listed communicator and all required accessories, wiring,
power supplies, antennas, and mounting hardware.
All equipment shall be fully compatible with the existing fire alarm control panel
and associated system components.
Installation shall be performed in accordance with the manufacturer's instructions
and industry best practices.
Programming and Testing
Program the communicator and associated fire alarm monitoring equipment to
ensure proper operation and supervision.
Verify successful transmission of all required alarm, supervisory, and trouble
signals to the Monitoring Station.
Conduct complete functional testing and provide confirmation that the monitoring
system is operating correctly and reliably.
Compliance
All work shall comply with all applicable local, state, and national codes,
including but not limited to:
NFPA 72 - National Fire Alarm and Signaling Code
UL 864 - Standard for Control Units and Accessories for Fire Alarm
Systems
Equipment shall be listed and approved for fire alarm service and monitoring
applications.
Documentation
Provide test results, programming documentation, and verification of Monitoring
Station communication upon completion.
Coordinate all required inspections, testing, and acceptance documentation with
the Authority Having Jurisdiction (AHJ) as applicable.
4 I Page
COST of SERVICING REPAIR and/or REPLACEMENT of
EQUIPMENT
Service call trip charge is limited to one trip charge per trip to the same zip code. Multi trip
charges will only be permitted if moving to a second zip code but not to a second location
in the same zip code.
Our zip codes for the 8 locations are Centerville Buildings 37033: CES, CIS, HCMS, HCHS
and Lyles Buildings 37098: EHES, EHIS, EHMS, EHHS.
Service Call Trip Charge $
100.00
Hourly rate per tech $
140.00
(normal rate)
Hourly rate per tech $
210.00
(over-time rate)
All parts exceeding $1,000.00 in cost must accompany the vendors' actual cost invoices
incurred and attached with to billing invoices to ensure mark-ups are accurate and correct.
Invoices without tickets will not be paid.
Parts plus percentage of mark-up
50
%
6|Page
Fire Suppression Hoods: Bi-Annual Fire Suppression
Hoods
Kitchen Hood Suppression System Service Requirements
The Hickman County Schools facilities are equipped with kitchen areas that include one or
more fire-suppression hoods. The awarded vendor shall provide comprehensive annual
servicing of all hood suppression systems in accordance with applicable codes and
manufacturer specifications.
As part of the annual service, the vendor is required to:
1. Inspect, test, and properly service all hood suppression systems located within
each school facility.
2. Install new fusible links on every suppression hood as required on an annual
basis.
3. Provide cleanup services in the event that a system discharges during inspection
or testing. This includes the full cleanup and removal of any dry chemical agent
discharged onto kitchen equipment or surrounding surfaces.
All work must be performed by certified technicians and documented through detailed
service reports provided to the district upon completion.
Inspection Tagging and Compliance Requirements
1. Inspection Tagging
Upon completion of each inspection, the awarded vendor shall affix the appropriate
inspection tag or sticker to every hood suppression system. The tag must clearly
display the date of inspection and any other information required by applicable fire
codes.
2. Inspection Scheduling and Compliance
All inspections must be performed within the timeframes prescribed by the Fire
Marshal and all relevant fire safety codes. Inspections shall be completed on or up
to two (2) days prior to the required due date.
Under no circumstances may any inspection occur after the required due
date.
The awarded vendor is fully responsible for tracking and managing all
required inspection intervals across all school kitchens.
3. Documentation and Reporting Requirements
On the same day each inspection is completed, the vendor shall:
8 Page
Background Check Acknowledgement Form
Contractor is required to meet al TCA 49-5-406, local, state, and federal laws
regarding "workers on school properties." The Hickman County Board of
Education further requires that no prior felons, drug offenders, or sexual
registered offenders work on any school properties.
Contractors will be required to wear contractor provided identification when
on school premises. The contractor may be asked to provide proof of
background check.
Signature: Junifer mcmula
Print: Jennifer McMullin
Title: Special Hazards, Alarm & Detection Sales
Date: 5/22/2026
10 I Page
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113,
political subdivisions in Tennessee are prohibited from entering into any
procurement or contract over $1,000 with a person who engages in
investment activities in Iran. The state's chief procurement officer, as required
by T.C.A. 12-12-106, has created a list of persons who engage in investment
activities in Iran. Any person who is on the list is ineligible to contract with any
political subdivision of the State of Tennessee, and any such contract will be
considered void under T.C.A. 12-12-110. The list is published on the
Tennessee Department of General Services' website at:
https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/librar/0
po-library/public-information-
library/List of persons pursuant to Tenn. Code Ann. 12-12-
106 Iran Divestment Act updated with NY06-07-23. pdf
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of
any bidder certifies, and in the case of a joint bid each party thereto certifies
as to its own organization, under penalty of perjury, that to the best of its
knowledge and belief that each bidder is not on the list created pursuant to
T.C.A 12-12-106.
Bidder Name: Jennifer McMullin, American Fire Protection Group
Bidder Signature:
Jennifer mcmall
Date:
5/22/2026
12
AMERICAN
Fire Extinguisher Inspection List
FIRE PROTECTION
GROUP, INC.
Location Code:
Contact:
Company: American Fire Protection Group
Contact Address:
Address: 155 North Conalco Drive
Jackson, TN 38301
Phone:
Company Phone: 731-424-0310
Email:
Inspector: Cody Holland
2055 TN Portable Fire Ext
Property Evaluated:
Date of Work:
Frequency: Annual
Description: Fire Extinguishers
Work Order:
Deficio cy Sundary
Status: Open
Fire extinguisher deficiency for Tag # 8, Serial Number: K-88321
Model: Ansu
AA
Size: 10#, Type: ABC.
6yr due
Status: Open
Fire extinguisher deficiency for Tag # 14, Serial Number: E-83203600, Model: Sentry AA10S, Size: 10#, Type: ABC.
6yr due
Status: Open
Fire extinguisher deficiency for Tag # 16, Serial Number: E-72508148, Model: Sentry AA10S, Size: 10#, Type: ABC.
6yr due
Service Summary
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 1 of 4
AMERICAN
American Fire Protection Group
155 North Conalco Drive
FIRE PROTECTION
Jackson, TN 38301
GROUP, INC.
Phone: 731-424-0310
Fire Extinguisher Inspection List
Account Information
Facility Name:
Property Type:
Location Code:
Service Address:
Owner:
Owner's Phone:
Owner's Address:
Zone: 1
Zone: 1
Tag
Serial Number
Model
Size
Type
Location
La
Servi
ext Service
Frequency
Inspection
Comments
1
C-99119847
SimplexGrinnell
10#
ABC
Right dock entrance,
yı 024
Hydro 2030
Annual
Pass
(2017) AA10s
breakroom
2
C9911988
SimplexGrinnell
10#
ABC
Pole #1 in from
f
6)20.
Hydro 2030
Annual
Pass
(2017) AA10s
breaknom
3
I51719087
Badger (2025)
10#
ABC
2nd pole
throms
New 2025
6 yr 2031
Annual
Pass
ADV-10MP-1
4
C-99119899
SimplexGrinnell
10#
ABC
Bac wan behind
6 yr 2024
Hydro 2030
Annual
Pass
(2017) AA10s
poy dercoat.
5
H22617059
Badger (2023)
10#
ABC
3rd pole down in front of
New 2023
6 yr 2029
Annual
Pass
ADV-10
office
6
C-99119836
SimplexGrinnell
10#
ABC
2nd door by loading
6 yr 2024
Hydro 2030
Annual
Pass
(2017) AA10S
dock
7
H22617054
Badger (2023)
10#
ABC
Inside office
New 2023
6 yr 2029
Annual
Pass
ADV-10
8
K-883213
Ansul (2011)
10#
ABC
Loading area
New 2018
6 yr 2024
Annual
Fail
6yr due
AA105
9
C-99119841
SimplexGrinnell
10#
ABC
Middle pole in loading
6 yr 2024
Hydro 2030
Annual
Pass
(2017) AA10S
area
10
C-99119853
SimplexGrinnell
10#
ABC
Exit door by dock
6 yr 2024
Hydro 2030
Annual
Pass
(2017) AA10S
11
E-83203601
Sentry (2018)
10#
ABC
Pole 7 in front of dock
6 yr 2024
Hydro 2030
Annual
Pass
AA10S
12
H-09109074
Sentry (2022)
10#
ABC
Pole by welding area,
6 yr 2024
Hydro 2030
Annual
Pass
AA10S
beside rack
13
C-99119898
SimplexGrinnell
10#
ABC
Back wall welding area
6 yr 2024
Hydro 2030
Annual
Pass
(2017) AA10S
#1
© FormLink Systems, Inc., Fire Extinguisher 2.1
Page 3 of 4
AMERICAN
Fire Alarm Inspection and Testing Report
FIRE PROTECTION
GROUP, INC.
Location Code:
Contact:
Company: American Fire Protection Group
Address: 155 North Conalco Drive
Contact Address:
Jackson, TN 38301
Company Phone: 731-424-0310
Phone:
Inspector: Cody Holland
Email:
50454 TN Fire Alarm
Date of Work: 12/4/2025
Frequency: Annual
Tag: Green
Property Evaluated:
Description: Fire Alarm and Devices (Fire Alarm
Inspection)
Work Order:
mple ficiency Summary
There are ne rep tted deficiencies for this submission
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-
inclusive but rather a list of items discovered as a by-product of the required inspection.
There are no general comments for this submission
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 1 of 7
American Fire Protection Group
AMERICAN
155 North Conalco Drive
FIRE PROTECTION
Jackson, TN 38301
GROUP. INC.
Phone: 731-424-0310
Power Supplies
Control Unit
Manufacturer:
Model Number:
Location:
Disconnecting Location:
Notifier
Fcps-24s8
Nurse station 2
Mech room
Battery 1
Load Test
Voltage:
Amps:
Mfr Year:
VDC:
Ah:
Charger
Result of Battery 1 & 2
12
7
2023
Battery 1
13.54
5.39
Voltage:
14.74
Battery 2
Load Test
Voltage:
Amps:
Mfr Year:
VDC:
Ah:
Charger
Battery 2
Voltage:
Pass
Fail
Replaced
12
7
2023
13.92
4.60
13.74
5. Testing Results
5.1 Control Unit and Related Equipment
Description
Visual Inspection
Functional Test
Results
Control unit
Yes
No
Yes
No
Pass
Fail
N/A
Lamps / LEDs / LCDs
Yes
No
Yes
No
Pass
Fail
N/A
Fuses
Yes
No
Yes
No
Pass
Fail
N/A
Trouble signals
Yes
No
Yes
No
Pass
Fail
N/A
Disconnect switches
Yes
No
Yes
No
Pass
Fail
N/A
Ground-fault monitoring
Yes
No
Yes
No
Pass
Fail
N/A
Supervision
Yes
No
Y
Pass
Fail
N/A
Annunciators
Yes
No
Ye.
No
Pass
Fail
N/A
Remote power panels
Yes
No
No
Pass
Fail
N/A
Other
Yes
No
Y
No
Pass
Fail
N/A
5.2 Secondary Power
Description
Visual Inspection
Functional Test
Results
Battery condition
Yes
No
Yes
No
Pass
Fail
N/A
Load voltage
Yes
No
Yes
No
Pass
Fail
N/A
Discharge test
Yes
No
Yes
No
Pass
Fail
N/A
Charger test
Yes
No
Yes
No
Pass
Fail
N/A
Remote panel batteries
Yes
No
Yes
No
Pass
Fail
N/A
5.3 Notification Appliances
Include Notification Appliances Table on this Report?
Yes
No
Notification Appliances
Appliance Type
# Installed
# Tested
Test Results
Bell(s)
0
0
Pass
Fail
N/A
Horn(s)
0
0
Pass
Fail
N/A
Horn/Strobe(s)
17
17
Pass
Fail
N/A
Mini Horn(s)
0
0
Pass
Fail
N/A
Speaker(s)
0
0
Pass
Fail
N/A
Speaker/Strobe(s)
0
0
Pass
Fail
N/A
Strobe(s)
0
0
Pass
Fail
N/A
5.4 Interface Equipment
Complete supplementary interface component test form for all interface components.
Circuit Interface / Signaling Line Circuit Interface / Fire Alarm Control Interface
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 3 of 7
American Fire Protection Group
AMERICAN
155 North Conalco Drive
FIRE PROTECTION
Jackson, TN 38301
GROUP, INC.
Phone: 731-424-0310
Zone: 1
Asset
Address
Location
Notes
Frequenc
Last
Test
Comments
Type
y
Tested
Results
TS
Backflow bottom
Annual
12/4/2025
Pass
TS
Backflow top
Annual
12/4/2025
Pass
TS
Riser room
Annual
12/4/2025
Pass
WF
Riser room
Annual
12/4/2025
Pass
WF
Wet riser
Annual
12/4/2025
Pass
Zone: Main
Zone: Main
Asset
Address
Location
Notes
Frequenc
Last
Test
Comments
Type
y
Tested
Results
DH
00269159
At rm 108
Annual
12/4/2025
Pass
DH
00269148
At rm 118
Annual
12/4/2025
Pass
DH
00269149
At rm 118
Annual
12/4/2025
Pass
DH
00269168
At mm 203
Annual
12/4/2025
Pass
DH
00269169
At rm 203
Annual
12/4/2025
Pass
SD
00269175
At rm 207
Annu
12/4/2025
Pass
DH
00269085
At rm 309
Ann al
/4/2025
Pass
DH
00269086
At rm 309
nu
/4/2025
Pass
SD
00269096
At m 326
12/4/2025
Pass
DH
00269097
At mm 401
nual
12/4/2025
Pass
DH
00269099
At rm 401
nual
12/4/2025
Pass
SD
00269101
At rm 409
Annual
12/4/2025
Pass
DH
00269107
At rm 410
Annual
12/4/2025
Pass
DH
00269108
At rm 410
Annual
12/4/2025
Pass
PS
00269105
At mm 410
Annual
12/4/2025
Pass
DH
00269178
At room 209
Annual
12/4/2025
Pass
DH
00269179
At room 209
Annual
12/4/2025
Pass
DH
00269087
At room 309
Annual
12/4/2025
Pass
DH
00269088
At room 309
Annual
12/4/2025
Pass
SD
00269076
By room 219
Annual
12/4/2025
Pass
SD
00269077
By room 223
Annual
12/4/2025
Pass
DD
00269121
Dining area ceiling
Annual
12/4/2025
Pass
DD
00269122
Dining area ceiling
Annual
12/4/2025
Pass
SD
00269186
Dining rm
Annual
12/4/2025
Pass
SD
00269188
Dining rm
Annual
12/4/2025
Pass
DD
00269126
Dining room
Annual
12/4/2025
Pass
DD
00269127
Dining room
Annual
12/4/2025
Pass
PS
00269189
Dining room exit
Annual
12/4/2025
Pass
HD
00269190
Dining room storage
Annual
12/4/2025
Pass
PS
00269161
Front door
Annual
12/4/2025
Pass
HD
00269187
In dining room
Annual
12/4/2025
Pass
SD
00269136
In laundry
Annual
12/4/2025
Pass
HD
00269135
In laundry room
Annual
12/4/2025
Pass
DD
In the hall outside of
00269144
activities, supply
Annual
12/4/2025
Pass
room
HD
00269131
In the kitchen
Annual
12/4/2025
Pass
HD
00269132
In the kitchen
Annual
12/4/2025
Pass
HD
00269134
In the kitchen
Annual
12/4/2025
Pass
SD
00269075
Nurses station 2
Annual
12/4/2025
Pass
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 5 of 7
American Fire Protection Group
AMERICAN
155 North Conalco Drive
FIRE PROTECTION
Jackson, TN 38301
GROUP, INC.
Phone: 731-424-0310
Zone: Main
Asset
Address
Location
Notes
Frequenc
Last
Test
Comments
Type
y
Tested
Results
SD
00269146
SD 35
Annual
12/4/2025
Pass
SD
00269142
SD 37
Annual
12/4/2025
Pass
SD
00269139
SD 39
Annual
12/4/2025
Pass
SD
00269119
SD 41
Annual
12/4/2025
Pass
SD
00269130
SD 43
Annual
12/4/2025
Pass
SD
00269125
SD 44
Annual
12/4/2025
Pass
SD
00269129
SD 46
Annual
12/4/2025
Pass
PS
00269112
Serinity rm
Annual
12/4/2025
Pass
SD
00269120
Vending machine
Annual
12/4/2025
Pass
6. Notifications That Testing Is Complete
Contact
Time
Monitoring organization:
AFPG
10:00
Building management:
Maintenance
10:00
7. System Restored To Normal Operation
Date:
12/4/2025
Time:
10:00
8. Observations
These items are outside the regular scope of the required inspection nd an not result of an engineering review. This information is not intended
to be all-inclusive but rather a list of items discovered as a by-prom of the quir inspection.
Please see the summary section at the top of the form for the co ments.
9. Inspector Information:
Test Verification:
Inspected By
Cody Holland
Inspector Signature
C'Jall
Inspector License:
50454 TN Fire Alarm
Date of Work
12/4/2025
Inspection Notes
Owner's Section
Is the Owner or a representative available?
Yes
No owner available onsite
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 7 of 7
AMERICAN
Suppression Hood Inspection and Testing Report
FIRE PROTECTION
®
GROUP, INC.
Location Code:
Contact:
Company: American Fire Protection Group
Contact Address:
Address: 155 North Conalco Drive
Jackson, TN 38301
Phone:
Company Phone: 731-424-0310
Email:
Inspector: Brian Johnson
1960 Port/Fixed Ext.
Date of Work: 9/16/2025
Frequency: Annual
Property Evaluated:
Tag: Green
Description: Hood (Hood Inspection)
Work Order:
Deficie cy m nary
There are no repo ed den encies for this submission
Ge
al Comments
These items are outside the regular scope of the spec in and are not the result of an engineering review. This information is not intended to be all-
inclusive but rather a list of items discovered as a by-product of he required inspection.
There are no general comments for this submission
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 1 of 3
American Fire Protection Group
AMERICAN
155 North Conalco Drive
FIRE PROTECTION
Jackson, TN 38301
GROUP, INC.
Phone: 731-424-0310
Title
Maintenance
Date
9/16/2025
Inspected By
Brian Johnson
Inspector Signature
L4/
Inspector License:
1960 Port/Fixed Ext.
Date of Work
9/16/2025
Observations
These items are outside the regular scope of the required inspection
and are not the result of an engineering review. This information is not
intended to be all-inclusive but rather a list of items discovered as a
by-product of the required inspection.
Sample
American Fire Protection Group, 155 North Conalco Drive, Jackson, TN, 38301 Phone: 731-424-0310
Page 3 of 3
Hickman County Government
Conflict of Interest Disclosure Form
The County Financial Management System of 1981 contains the most stringent conflict of
interest provisions. TCA $5-21-121 provides:
(a) The director, purchasing agent, members of the committee, members of the county
legislative body or other officials, employees, or members of the board of education
or highway commission shall not be financially interested or have any personal
beneficial interest, either directly or indirectly, in the purchase of any supplies,
materials, equipment or contractual services for the county.
(b) No firm, corporation, partnership, association or individual furnishing any such
supplies, materials, equipment or contractual services, shall give or offer, nor shall
the director or purchasing agent or any assistant or employee accept or receive
directly or indirectly from any person, firm, corporation, partnership or association to
whom any contract may be awarded, by rebate, gift or other otherwise, any money
or other things of value whatsoever, or any promise, obligation or contract for future
reward or compensation.
Date: 5/26/26
Name: RICHARD EVERETT MANAGER, ACTIVE ENERGY SERVICESCE
Please describe below any relationships, transactions, positions you hold (volunteer or
otherwise), or circumstances that you believe could contribute to a conflict of interest:
I have no conflict of interest to report.
I have the following conflict of interest to report (please specify any boards or
committees you (and/or your spouse) sit on, the name of your employer and any businesses
you or your spouse may own.
I hereby certify that the information set forth above is true and complete to the best of my
knowledge.
Date: 5/26/26
Signature: Rhnu
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T.C.A. 12-12-101- 12-12-113,
political subdivisions in Tennessee are prohibited from entering into any
procurement or contract over $1,000 with a person who engages in
investment activities in Iran. The state's chief procurement officer, as required
by T.C.A. 12-12-106, has created a list of persons who engage in investment
activities in Iran. Any person who is on the list is ineligible to contract with any
political subdivision of the State of Tennessee, and any such contract will be
considered void under T.C.A. 12-12-110. The list is published on the
Tennessee Department of General Services' website at:
https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/0
po-library/public-information-
library/List of persons pursuant to Tenn. Code Ann. 12-12-
106 Iran Divestment Act updated with NY06-07-23.pdf
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of
any bidder certifies, and in the case of a joint bid each party thereto certifies
as to its own organization, under penalty of perjury, that to the best of its
knowledge and belief that each bidder is not on the list created pursuant to
T.C.A 12-12-106.
Bidder Name: ACTIVE ENERGY SERVICES, LLC
Bidder Signature: Rhurd
Date:
5/26/26
12 I Page
State of Tennessee
Non-Boycott of Israel Certification
The Bidder certifies that it is not currently engaged in and will not for the duration of the
contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This provision
shall not apply to contracts with a total value of less than two hundred fifty thousand
dollars ($250,000) or to contractors with less than ten (10) employees.
According to the law, a boycott of Israel means engaging in refusals to deal, terminating
business activities, or other commercial actions that are intended to limit commercial
relations with Israel, or companies doing business in or with Israel or authorized by,
licensed by, or organized under the laws of the State of Israel to do business, or persons or
entities doing business in Israel, when such actions are taken:
1. In compliance with, or adherence to, calls for a boycott of Israel, or
2. In a manner that discriminates on the basis of nationality, national origin, religion, or
other unreasonable basis, and is not based on a valid business reason. Tenn. Code
§ 12-4-119
Signature:
Print:
RICHARD EVERETT
Date:
5/26/26
Phone/Email:
11 I Page
POST IN A
City of Clarksville
License Number
CONSPICUOUS
Business License and Gross Receipt Tax
106334
PLACE
THIS LICENSE EXPIRES ON 05/15/2027
Business Name: ACTIVE ENERGY SERVICES LLC
Business ID:
0510329
Location:
RICHARD EVERETT
State ID:
0104267492
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
BUSINESS TAX
SEAL OF TENNESSSE THE THE CITY OF DEPARTMENT
RICHARD EVERETT
4705 CHAPEL HILL RD
DEC.1785
SOUTHSIDE, TN 37171
THE LICENSE PERIOD IS JANUARY 1ST TO
DECEMBER 31ST (CALENDAR YEAR). YOUR RENEWAL
IS DUE BY APRIL 15TH AND MUST BE SUBMITTED NO
LATER THAN APRIL 15TH TO AVOID PENALTY AND
INTEREST. ALL RETURNS MUST BE FILED
ELECTRONICALLY WITH THE STATE OF TENNESSEE
Classification: CLASS 4
DEPARTMENT OF REVENUE
Date Issued: 04/15/2026
THIS LICENSE DOES NOT PERMIT OPERATION UNLESS
PROPERLY ZONED, AND/OR IN COMPLIANCE WITH ALL
OTHER APPLICABLE LAWS/RULES. ALSO, AS REQUIRED
BY TENN. CODE ANN. § 39-17-1801 ET SEQ, BUSINESSES
MUST COMPLY WITH ALL PROVISIONS OF THE
Christen Wilcox
TENNESSEE NON-SMOKERS PROTECTION ACT.
By
Chief Financial Officer
This License is NOT Transferable
License Copy
POST IN A
City of Clarksville
License Number
CONSPICUOUS
Business License and Gross Receipt Tax
106334
PLACE
THIS LICENSE EXPIRES ON 05/15/2027
Business Name: ACTIVE ENERGY SERVICES LLC
Business ID:
0510329
Location:
RICHARD EVERETT
State ID:
0104267492
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
BUSINESS TAX
RICHARD EVERETT
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
CITY OF CLARKSVILLE
THE
OF
AGRICULTURE
COMMERCE
Classification: CLASS 4
SEAL
TENNESSEE
Date Issued: 04/15/2026
DEC.1785
By
Christen Wilcox
Chief Financial Officer
7796'
STATE OF TENNESSEE
DEPARTMENT OF REVENUE
Resale Authorization
January 14, 2026
Letter ID:
L1963260352
ACTIVE ENERGY SERVICES, LLC
Account ID:
1000032556-SLC
4705 CHAPEL HILL RD
Account Type:
Sales and Use Tax
SOUTHSIDE TN 37171-9104
The above named taxpayer has been granted authority in accordance with Tenn. Code Ann. §
67-6-102 and Tenn. Comp. R. & Regs. 1320-05-01-62 and 1320-05-01-68 to make purchases
intended for subsequent resale without payment of sales or use tax. Any merchandise or other
taxable item purchased without the payment of tax upon this resale certificate that is used or
consumed in any manner by the taxpayer, or is given away, must be reported and the tax paid
directly to the Tennessee Department of Revenue.
It is a misdemeanor to misuse the certificate of resale for the purpose of obtaining taxable property
or services without the payment of the sales or use tax when it is due and such wrongful use is
grounds for the Commissioner to revoke the taxpayer's Certificate of Registration.
The taxpayer must furnish its supplier(s) at the time of purchase with a copy of the enclosed
certificate with the lower portion properly completed. The original certificate should be retained for
copy purposes. The supplier must maintain a file copy as evidence of the sales tax exemption.
Later purchases do not require the submission of additional copies. The taxpayer must notify the
seller in writing if the certificate is no longer valid.
David Senegano
David Gerregano
Commissioner of Revenue
Taxpayer Services Division
500 Deaderick Street
Nashville, TN 37242
Tel 615-253-0600
www.tn.gov/revenue
aL0025
THE
STATE
STATE OF TENNESSEE
AGRICULTURE
DEPARTMENT OF REVENUE
1796
Letter ID:
L1963260352
ACTIVE ENERGY SERVICES, LLC
Effective Date:
January 14, 2026
4705 CHAPEL HILL RD
Account ID:
1000032556-SLC
SOUTHSIDE TN 37171-9104
Account Type:
Sales and Use Tax
Location ID:
0104267492
Location Address:
ACTIVE ENERGY SERVICES, LLC
1300 COLLEGE ST
CLARKSVILLE TN 37040-3326
Sales and Use Tax Certificate of Resale
The above named taxpayer has been granted authority in accordance with Tenn. Code Arin. §
67-6-102 and Tenn. Comp. R. & Regs. 1320-05-01-62 and 1320-05-01-68 to make purchases
intended for subsequent resale without payment of sales or use tax. Any merchandise or other
taxable item purchased without the payment of tax upon this resale certificate that is used or
consumed in any manner by the taxpayer, or is given away, must be reported and the tax paid
directly to the Tennessee Department of Revenue.
The supplier must maintain a file copy as evidence of the sales tax exemption. Later purchases do
not require the submission of additional copies.
Seller's Name
Seller's Address (City & State)
I, RICHARD EVERETT
, as an authorized representative of the
taxpayer, certify that the products or services purchased are intended for subsequent resale by the
purchaser for the following reason.
(X) resale of the tangible personal property, taxable service, taxable amusement, or taxable digital
product
( ) rental or leasing of the tangible personal property
( ) a component part of a manufactured, assembled, processed or refined finished product that is
for resale
Under penalty of perjury, I affirm this to be a true and correct statement.
RICHARD EVERETT
Alum
1/14/26
Print Name of Authorized Representative
Signature of Authorized Representative
Date
ACORD®
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
03/23/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER
NAME:
Commercial Service
PHONE
Carlson Insurance Group
(A/C. No. Ext):
(615) 200-7464
(A/C, FAX No): (888) 667-1469
E-MAIL
166 Belinda Pkwy Suite 100
ADDRESS:
service@carlsoninsgrp.com
INSURER(S) AFFORDING COVERAGE
NAIC #
Mount Juliet
TN 37122
INSURER A: ERIE INSURANCE EXCHANGE
26271
INSURED
INSURER B : ERIE INSURANCE P&C COMPANY
26830
Active Energy Services LLC
INSURER C:
4705 Chapel Hill Road
INSURER D :
INSURER E:
Southside
TN 37171
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL
SUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
PREMISES (Ea occurrence)
$ 2,000,000
MED EXP (Any one person)
$ 5,000
A
Q61-0223467
09/10/2025
09/10/2026
PERSONAL & ADV INJURY
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
4,000,000
POLICY
PRO-
JECT
LOC
PRODUCTS- COMP/OP AGG
$ 4,000,000
$
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
(Ea accident)
$ 1,000,000
ANY AUTO
BODILY INJURY (Per person)
$
A
OWNED
SCHEDULED
Q09-1040070
09/10/2025
09/10/2026
BODILY INJURY (Per accident)
$
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 5,000,000
A
EXCESS LIAB
CLAIMS-MADE
Q33-1070407
09/10/2025
09/10/2026
AGGREGATE
$
DED
RETENTION $
$
WORKERS COMPENSATION
PER
OTH-
STATUTE
ER
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
B
OFFICER/MEMBER EXCLUDED?
N
N/A
Q93-1000935
09/10/2025
09/10/2026
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
$300,000
RENTED/LEASED EQUIPMENT
A
Q61-0223467
09/10/2025
09/10/2026
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
State of Tennessee - CPO Risk Manager
312 Rosa L Parks Ave
AUTHORIZED REPRESENTATIVE
3rd Floor Central Procurement Office
Nashville
TN 37243
cari crawford
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
POST IN A
City of Clarksville
License Number
CONSPICUOUS
Business License and Gross Receipt Tax
106334
PLACE
THIS LICENSE EXPIRES ON 05/15/2027
Business Name: ACTIVE ENERGY SERVICES LLC
Business ID:
0510329
Location:
RICHARD EVERETT
State ID:
0104267492
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
THEY OF CLARKSVILLE
THE
BUSINESS TAX
OF
RICHARD EVERETT
SEAL
TENNESSEE
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
DEC.1785
THE LICENSE PERIOD IS JANUARY 1ST TO
DECEMBER 31ST (CALENDAR YEAR). YOUR RENEWAL
IS DUE BY APRIL 15TH AND MUST BE SUBMITTED NO
LATER THAN APRIL 15TH TO AVOID PENALTY AND
INTEREST. ALL RETURNS MUST BE FILED
Classification: CLASS 4
ELECTRONICALLY WITH THE STATE OF TENNESSEE
DEPARTMENT OF REVENUE
Date Issued: 04/15/2026
THIS LICENSE DOES NOT PERMIT OPERATION UNLESS
PROPERLY ZONED, AND/OR IN COMPLIANCE WITH ALL
OTHER APPLICABLE LAWS/RULES. ALSO, AS REQUIRED
BY TENN. CODE ANN. § 39-17-1801 ET SEQ, BUSINESSES
MUST COMPLY WITH ALL PROVISIONS OF THE
By
Christen Wilcox
TENNESSEE NON-SMOKERS PROTECTION ACT.
Chief Financial Officer
This License is NOT Transferable
License Copy
POST IN A
City of Clarksville
License Number
CONSPICUOUS
Business License and Gross Receipt Tax
106334
PLACE
THIS LICENSE EXPIRES ON 05/15/2027
Business Name: ACTIVE ENERGY SERVICES LLC
Business ID:
0510329
Location:
RICHARD EVERETT
State ID:
0104267492
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
BUSINESS TAX
RICHARD EVERETT
4705 CHAPEL HILL RD
SOUTHSIDE, TN 37171
CITY OF CLARKSVILLE
THE
OF
AGRICULTURE
COMMERCE
Classification: CLASS 4
SEAL
TENNESSEE
Date Issued: 04/15/2026
DEC.1785
By
Christen Wilcox
Chief Financial Officer
Background Check Acknowledgement Form
Contractor is required to meet al TCA 49-5-406, local, state, and federal laws
regarding "workers on school properties." The Hickman County Board of
Education further requires that no prior felons, drug offenders, or sexual
registered offenders work on any school properties.
Contractors will be required to wear contractor provided identification when
on school premises. The contractor may be asked to provide proof of
background check.
Signature:
Print: RICHARD EVERETT
Title: MANAGER
Date: 5/26/26
10 I Page
The Hickman County Finance Office will be accepting bids for a "Fire Alarm
Monitoring/Service Repair and Equipment Replacement."
This bid is for a multi-year contract covering fire alarm monitoring/service repair, and
equipment replacement for Hickman County Schools.
This bid will be system wide for all schools. The bid will be for a period of 3 years with a
mutual two-year extension option. This bid will be good for the period of July 1, 2026 - June
30, 2029.
All bidders must attach:
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
TN business license
A 1-million-dollar liability insurance certificate
Workers compensation insurance
Business license
Background Acknowledgement Form
Per TCA 49-5-406, all bidders' employees working on school properties must comply with
all local, state, and federal laws.
Sealed bids must be mailed or hand-delivered to the Hickman County Finance Office, 114
North Central Avenue, Suite 203, Centerville, TN 37033, and clearly marked on the outside
of the envelope "Fire Alarm Monitoring/Service Repair and Equipment Replacement".
Bids will be opened on May 26, 2026, at 10:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept or reject any and all
bids or parts of the bids and to waive any informalities that would prevent the acceptance
of a better bid.
Complete the bid on B (specs) and submit your bid on those forms.
Specifications can be found at https://ww.hickmank12.org/requestforproposal. Or by
calling 391-729-3391 Ext 3.
NOTE:
Please use this sheet to enter your bid figures and attach any necessary
documents to the back of the bid sheet.
SCOPE
This bid is for the 2026/2027, 2027/2028, 2028/2029 school years with a mutual two-year
extension option provided no increase in charges or costs during the 5 years bid period with
an annual renewal contract letter of intent.
SPECIFICATIONS
Multi-Year Contract Requirements
This bid is for a multi-year contract covering fire alarm monitoring, service repair, and
equipment replacement for Hickman County Schools.
All pricing submitted must remain firm for the entire five-year contract period. If, at any
point during the contract term, the awarded vendor increases pricing for any reason, the
contract shall be considered null and void, and the entire project will be rebid.
1| Page
Annual Fire Alarm Monitoring by School
Fire Alarm Monitoring Services
This bid covers the annual cost of monthly fire alarm monitoring for all eight (8) Hickman
County School buildings. The facilities included in this service are:
EHES- East Hickman Elementary School
EHIS - East Hickman Intermediate School
EHMS - East Hickman Middle School
EHHS- East Hickman High School
CES- Centerville Elementary School
CIS - Centerville Intermediate School
HCMS- Hickman County Middle School
HCHS- Hickman County High School
The awarded vendor shall provide continuous fire alarm monitoring services for each
building and shall invoice the district annually for the full year of monthly monitoring
services. All monitoring must meet applicable Fire Marshal requirements and comply with
all state and local fire safety regulations.
Annual Cost of Monthly Fire Alarm Monitoring $ 4,320 00
2 I Page
ANNUAL ALARM TESTING and CERTIFICATION SERVICING
of ALARM EQUIPMENT and COMPONENTS
At all eight schools, to be scheduled and finished by July 15th of each calendar year. This is
to include a written check-off report in accordance with NFPA, to be provided for each
school location's front office binder. A written hard copy of the report and service ticket
should be left with each school's front office and hard copies sent to the Maintenance
Director's office.
Annual Fire Alarm Testing and Certification Service of Alarm
Equipment and Components $ 16,000.00
3 I Page
Installation of Communication Converter System for Fire
Alarm Panel (One-time charge, applicable if upgrade is selected)
Installation
Furnish and install a UL-listed communicator and all required accessories, wiring,
power supplies, antennas, and mounting hardware.
All equipment shall be fully compatible with the existing fire alarm control panel
and associated system components.
Installation shall be performed in accordance with the manufacturer's instructions
and industry best practices.
Programming and Testing
Program the communicator and associated fire alarm monitoring equipment to
ensure proper operation and supervision.
Verify successful transmission of all required alarm, supervisory, and trouble
signals to the Monitoring Station.
Conduct complete functional testing and provide confirmation that the monitoring
system is operating correctly and reliably.
Compliance
All work shall comply with all applicable local, state, and national codes,
including but not limited to:
NFPA 72 - National Fire Alarm and Signaling Code
UL 864- Standard for Control Units and Accessories for Fire Alarm
Systems
Equipment shall be listed and approved for fire alarm service and monitoring
applications.
Documentation
Provide test results, programming documentation, and verification of Monitoring
Station communication upon completion.
Coordinate all required inspections, testing, and acceptance documentation with
the Authority Having Jurisdiction (AHJ) as applicable.
4 I Page
Installation Labor Per Site
EHES
$ 1,000.00
EHIS
$ 1,000
EHMS
$ 1,000
EHHS
$ 1,000
CES
$ 1,000
CIS
$ 1,000
HCMS
$ 1,000
HCHS
$ 1,000
Total Installation Cost $ 8,000
Equipment Cost Per Site
EHES
$ 450
EHIS
$ 45000
EHMS
$ 45000
EHHS
$ 45000
CES
$ 45000
CIS
$ 450000
HCMS
$ 45000
HCHS
$ 450
Total Equipment Cost $ 3,600
51 Page
COST of SERVICING REPAIR and/or REPLACEMENT of
EQUIPMENT
Service call trip charge is limited to one trip charge per trip to the same zip code. Multi trip
charges will only be permitted if moving to a second zip code but not to a second location
in the same zip code.
Our zip codes for the 8 locations are Centerville Buildings 37033: CES, CIS, HCMS, HCHS
and Lyles Buildings 37098: EHES, EHIS, EHMS, EHHS.
Service Call Trip Charge $ 12500
Hourly rate per tech $ 100
(normal rate)
Hourly rate per tech $ 14000
(over-time rate)
All parts exceeding $1,000.00 in cost must accompany the vendors' actual cost invoices
incurred and attached with to billing invoices to ensure mark-ups are accurate and correct.
Invoices without tickets will not be paid.
Parts plus percentage of mark-up 15%
%
6 I Page
Annual Fire Extinguisher Inspections and Servicing
This contract will allow for the bidding of the fire extinguishers to be checked off by
location in each building and shall provide inspection, serviced by recharge, and/or
replaced if beyond container life cycle and shall be annually retagged as prescribed in the
Fire Marshals codes. Buildings are to be serviced 100% and accurately count all locations
not missing any extinguishers.
The service will be for all 11 locations in the school district to include all eight school
buildings, HCHS B Building, Central Office Building, and Bus Garage. A hard copy of the
checked-off inspections report by location shall be left with each location's front office
and a hard copy to be sent to the Maintenance Director's office upon completion. At the
bus garage there are spare extinguishers upstairs that are to be inspected, serviced,
tagged and recharged and/or replaced as needed. There are extinguishers downstairs in
the garage area for bus/vehicles that are annually serviced, tagged and recharged and/or
replaced as needed.
Location mapping and check-off sheets shall be the responsibility of the bidding vendor
and not charged to HCBOE.
NOTE: This agreement contract will require that the vendor return during the calendar year
at no charge and tag & service any extinguishers that are missed at no cost to the owner, in
the event they were not tagged during the inspections and found by the Maintenance
and/or the Fire Marshall.
Annual inspection fee per extinguisher one time re-tag by
location $ 16 00
New extinguisher replacement cost per size $ 15500
Fire extinguisher recharge cost per size $ 60 00
7 I Page
Fire Suppression Hoods: Bi-Annual Fire Suppression
Hoods
Kitchen Hood Suppression System Service Requirements
The Hickman County Schools facilities are equipped with kitchen areas that include one or
more fire-suppression hoods. The awarded vendor shall provide comprehensive annual
servicing of all hood suppression systems in accordance with applicable codes and
manufacturer specifications.
As part of the annual service, the vendor is required to:
1. Inspect, test, and properly service all hood suppression systems located within
each school facility.
2. Install new fusible links on every suppression hood as required on an annual
basis.
3. Provide cleanup services in the event that a system discharges during inspection
or testing. This includes the full cleanup and removal of any dry chemical agent
discharged onto kitchen equipment or surrounding surfaces.
All work must be performed by certified technicians and documented through detailed
service reports provided to the district upon completion.
Inspection Tagging and Compliance Requirements
1. Inspection Tagging
Upon completion of each inspection, the awarded vendor shall affix the appropriate
inspection tag or sticker to every hood suppression system. The tag must clearly
display the date of inspection and any other information required by applicable fire
codes.
2. Inspection Scheduling and Compliance
All inspections must be performed within the timeframes prescribed by the Fire
Marshal and all relevant fire safety codes. Inspections shall be completed on or up
to two (2) days prior to the required due date.
Under no circumstances may any inspection occur after the required due
date.
The awarded vendor is fully responsible for tracking and managing all
required inspection intervals across all school kitchens.
3. Documentation and Reporting Requirements
On the same day each inspection is completed, the vendor shall:
8 I Page
Provide a copy of the inspection report directly to the kitchen manager
before leaving the site, and
Deliver a hard copy of the full inspection report to the Maintenance
Director's office.
All documentation must be complete, accurate, and compliant with all reporting
standards established by the district and governing authorities.
Bi-Annual Manual Pull Station Tagging
In addition to the annual hood suppression inspections and tagging requirements
described above, the awarded vendor shall install a new bi-annual inspection tag on the
manual suppression pull device located at each hood system. This tag must clearly
indicate the inspection date and comply with all applicable fire safety and Fire Marshal
code requirements. The vendor is responsible for ensuring all bi-annual tags remain
current and are replaced on schedule.
Suppression inspections are to be at the following kitchen locations:
CES 240°/UISIT 480
CIS 480°C
HCMS 48000
HCHS $ 240 ²/UISIT 480
EHES 480°C
EHIS $ 240 48000
EHMS 480
EHHS 480°C
EHHS/VOCATIONAL CULINARY ARTS KITCHEN 600°/NIST 1200
Total amount for two (2) Bi-Annual Suppression Hood Inspections per year:
$ 5,04000
91 Page

## Table 1

| EHES | $ 100 |
| --- | --- |
| EHIS | $ 100 |
| EHMS | $ 100 |
| EHHS | $ 100 |
| CES | $ 100 |
| CIS | $ 100 |
| HCMS | $ 100 |
| HCHS | $ 100 |

## Table 2

| EHES | $ $ 200 |
| --- | --- |
| EHIS | $ 200 $ |
| EHMS | $ 200 |
| EHHS | $ 200 |
| CES | $ 200 |
| CIS | $ 200 |
| HCMS | $ 200 $ |
| HCHS | $ 200 $ |

## Table 3

| CES $ | 220 |
| --- | --- |
| CIS $ | 220 |
| HCMS | $ 220 $ |
| HCHS | $ $ 220 |
| EHES | $ 220 |
| EHIS | $ 220 220 |
| EHMS | $ 220 |
| EHHS | $ 440 2 systems |

## Table 4

| Print: | Tony Mallini |
| --- | --- |
| - Date: | 5-20-26 |

## Table 5

| Bidder Name: | State Systems, INC Tony Mallin, |
| --- | --- |
| Bidder Signature: | 7 Mul |
| Date: | 5/20/26 |

## Table 6

| CONTACT NAME: |  |  |
| --- | --- | --- |
| PHONE (A/C. No. Ext): |  | FAX (A/C, No): |
| E-MAIL ADDRESS: |  |  |

## Table 7

|  |  |  |
| --- | --- | --- |
|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| INSURER A: | Hudson Excess Insurance Company | 14484 |
| INSURER B : | The Travelers Indemnity Company | 25658 |
| INSURER C : | The Charter Oak Fire Insurance Company | 25615 |
| INSURER D : | Travelers Property Casualty Company of America | 25674 |
| INSURER E : | Westchester Surplus Lines Insurance Co | 10172 |
| INSURER F : |  |  |

## Table 8

| LIMITS |  |
| --- | --- |
| EACH OCCURRENCE | $ 1,000,000 |
| DAMAGE TO RENTED PREMISES (Ea occurrence) | $ 500,000 |
| MED EXP (Any one person) | $ 10,000 |
| PERSONAL & ADV INJURY | $ 1,000,000 |
| GENERAL AGGREGATE | $ 5,000,000 |
| PRODUCTS-COMP/OP AGG | $ 2,000,000 |
|  | $ |
| COMBINED SINGLE LIMIT (Ea accident) | $ 1,000,000 |
| BODILY INJURY (Per person) | $ XXXXXXX |
| BODILY INJURY (Per accident) | $ XXXXXXX |
| PROPERTY DAMAGE (Per accident) | $ XXXXXXX |
|  | $ XXXXXXX |
| EACH OCCURRENCE | $ 5,000,000 |
| AGGREGATE | $ 5,000,000 |
|  | $ XXXXXXX |
| [X] PER OTH- STATUTE ER |  |
| E.L. EACH ACCIDENT | $ 1,000,000 |
| E.L. DISEASE- EA EMPLOYEE | $ 1,000,000 |
| E.L. DISEASE- POLICY LIMIT | $ 1,000,000 |
| Limits: Included/$1M Limits: $250K Fac Occ $5M ! A.gg $5M |  |

## Table 9

| INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) |
| --- | --- | --- | --- | --- | --- | --- |
| A | [X] [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: | N | N | ALM10130-00 | 2/7/2026 | 8/1/2026 |
| B | [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY | N | N | DT-810-A8126919-IND-26 | 2/7/2026 | 2/7/2027 |
| A | [X] [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ 10,000 | N | N | ALMU10056-00 | 2/7/2026 | 8/1/2026 |
| C | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER-EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A | N | UB-A8090273-26-26-G | 2/7/2026 | 2/7/2027 |
| A D E | Prof/Poll Leased/Rented Equip Fress | N | N | ALM10130-00 QT-630-A8150089-TIL-26 G4878947A 001 | 2/7/2026 2/7/2026 2/7/2026 | 8/1/2026 2/7/2027 8/1/2026 |

## Table 10

| Service Call Trip Charge | $ 100.00 |  |
| --- | --- | --- |
| Hourly rate per tech $ | 140.00 | (normal rate) |
| Hourly rate per tech $ | 210.00 | (over-time rate) |

## Table 11

| Print: | Jennifer McMullin |
| --- | --- |
| Title: | Special Hazards, Alarm & Detection Sales |
| Date: | 5/22/2026 |

## Table 12

| Company: | American Fire Protection Group |
| --- | --- |
| Address: | 155 North Conalco Drive Jackson, TN 38301 |
| Company Phone: | 731-424-0310 |
| Inspector: | Cody Holland 2055 TN Portable Fire Ext |
| Date of Work: |  |
| Frequency: | Annual |

## Table 13

| Description: | Fire Extinguishers |
| --- | --- |
| Work Order: |  |

## Table 14

| Zone: 1 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Tag | Serial Number | Model | Size | Type | Location | La Servi | ext Service | Frequency | Inspection | Comments |
| 1 | C-99119847 | SimplexGrinnell (2017) AA10s | 10# | ABC | Right dock entrance, breakroom | yı 024 | Hydro 2030 | Annual | Pass |  |
| 2 | C9911988 | SimplexGrinnell (2017) AA10s | 10# | ABC | Pole #1 in from f breaknom | 6)20. | Hydro 2030 | Annual | Pass |  |
| 3 | I51719087 | Badger (2025) ADV-10MP-1 | 10# | ABC | 2nd pole throms | New 2025 | 6 yr 2031 | Annual | Pass |  |
| 4 | C-99119899 | SimplexGrinnell (2017) AA10s | 10# | ABC | Bac wan behind poy dercoat. | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 5 | H22617059 | Badger (2023) ADV-10 | 10# | ABC | 3rd pole down in front of office | New 2023 | 6 yr 2029 | Annual | Pass |  |
| 6 | C-99119836 | SimplexGrinnell (2017) AA10S | 10# | ABC | 2nd door by loading dock | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 7 | H22617054 | Badger (2023) ADV-10 | 10# | ABC | Inside office | New 2023 | 6 yr 2029 | Annual | Pass |  |
| 8 | K-883213 | Ansul (2011) AA105 | 10# | ABC | Loading area | New 2018 | 6 yr 2024 | Annual | Fail | 6yr due |
| 9 | C-99119841 | SimplexGrinnell (2017) AA10S | 10# | ABC | Middle pole in loading area | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 10 | C-99119853 | SimplexGrinnell (2017) AA10S | 10# | ABC | Exit door by dock | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 11 | E-83203601 | Sentry (2018) AA10S | 10# | ABC | Pole 7 in front of dock | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 12 | H-09109074 | Sentry (2022) AA10S | 10# | ABC | Pole by welding area, beside rack | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |
| 13 | C-99119898 | SimplexGrinnell (2017) AA10S | 10# | ABC | Back wall welding area #1 | 6 yr 2024 | Hydro 2030 | Annual | Pass |  |

## Table 15

| Company: | American Fire Protection Group |
| --- | --- |
| Address: | 155 North Conalco Drive Jackson, TN 38301 |
| Company Phone: | 731-424-0310 |
| Inspector: | Cody Holland 50454 TN Fire Alarm |
| Date of Work: | 12/4/2025 |
| Frequency: | Annual |
| Tag: | Green |

## Table 16

|  |  |  |  | Power | Supplies |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Control Unit | Manufacturer: Notifier |  | Model Number: Fcps-24s8 |  | Location: Nurse station | 2 |  | Disconnecting Location: Mech room |
| Battery 1 | Voltage: 12 | Amps: 7 | Mfr Year: 2023 | Load Test Battery 1 | VDC: 13.54 | Ah: 5.39 | Charger Voltage: 14.74 | Result of Battery 1 & 2 |
| Battery 2 | Voltage: 12 | Amps: 7 | Mfr Year: 2023 | Load Test Battery 2 | VDC: 13.92 | Ah: 4.60 | Charger Voltage: 13.74 | [X] Pass Fail Replaced |

## Table 17

| Description | Visual Inspection | Functional Test | Results |
| --- | --- | --- | --- |
| Control unit | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Lamps / LEDs / LCDs | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Fuses | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Trouble signals | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Disconnect switches | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Ground-fault monitoring | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Supervision | [X] Yes No | [X] Y | [X] Pass Fail N/A |
| Annunciators | [X] Yes No | [X] Ye. No | [X] Pass Fail N/A |
| Remote power panels | [X] Yes No | No | [X] Pass Fail N/A |
| Other | Yes No | Y No | Pass Fail N/A |

## Table 18

| Description | Visual Inspection | Functional Test | Results |
| --- | --- | --- | --- |
| Battery condition | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Load voltage | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Discharge test | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Charger test | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |
| Remote panel batteries | [X] Yes No | [X] Yes No | [X] Pass Fail N/A |

## Table 19

| Appliance Type | # Installed | # Tested | Test Results |
| --- | --- | --- | --- |
| Bell(s) | 0 | 0 | [X] Pass Fail N/A |
| Horn(s) | 0 | 0 | [X] Pass Fail N/A |
| Horn/Strobe(s) | 17 | 17 | [X] Pass Fail N/A |
| Mini Horn(s) | 0 | 0 | [X] Pass Fail N/A |
| Speaker(s) | 0 | 0 | [X] Pass Fail N/A |
| Speaker/Strobe(s) | 0 | 0 | [X] Pass Fail N/A |
| Strobe(s) | 0 | 0 | [X] Pass Fail N/A |

## Table 20

| Zone: 1 |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Asset Type | Address | Location | Notes | Frequenc y | Last Tested | Test Results | Comments |
| TS |  | Backflow bottom |  | Annual | 12/4/2025 | Pass |  |
| TS |  | Backflow top |  | Annual | 12/4/2025 | Pass |  |
| TS |  | Riser room |  | Annual | 12/4/2025 | Pass |  |
| WF |  | Riser room |  | Annual | 12/4/2025 | Pass |  |
| WF |  | Wet riser |  | Annual | 12/4/2025 | Pass |  |

## Table 21

| Zone: Main |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Asset Type | Address | Location | Notes | Frequenc y | Last Tested | Test Results | Comments |
| DH | 00269159 | At rm 108 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269148 | At rm 118 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269149 | At rm 118 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269168 | At mm 203 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269169 | At rm 203 |  | Annual | 12/4/2025 | Pass |  |
| SD | 00269175 | At rm 207 |  | Annu | 12/4/2025 | Pass |  |
| DH | 00269085 | At rm 309 |  | Ann al | /4/2025 | Pass |  |
| DH | 00269086 | At rm 309 |  | nu | /4/2025 | Pass |  |
| SD | 00269096 | At m 326 |  |  | 12/4/2025 | Pass |  |
| DH | 00269097 | At mm 401 |  | nual | 12/4/2025 | Pass |  |
| DH | 00269099 | At rm 401 |  | nual | 12/4/2025 | Pass |  |
| SD | 00269101 | At rm 409 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269107 | At rm 410 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269108 | At rm 410 |  | Annual | 12/4/2025 | Pass |  |
| PS | 00269105 | At mm 410 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269178 | At room 209 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269179 | At room 209 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269087 | At room 309 |  | Annual | 12/4/2025 | Pass |  |
| DH | 00269088 | At room 309 |  | Annual | 12/4/2025 | Pass |  |
| SD | 00269076 | By room 219 |  | Annual | 12/4/2025 | Pass |  |
| SD | 00269077 | By room 223 |  | Annual | 12/4/2025 | Pass |  |
| DD | 00269121 | Dining area ceiling |  | Annual | 12/4/2025 | Pass |  |
| DD | 00269122 | Dining area ceiling |  | Annual | 12/4/2025 | Pass |  |
| SD | 00269186 | Dining rm |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269188 | Dining rm |  | Annual | 12/4/2025 | Pass |  |
| DD | 00269126 | Dining room |  | Annual | 12/4/2025 | Pass |  |
| DD | 00269127 | Dining room |  | Annual | 12/4/2025 | Pass |  |
| PS | 00269189 | Dining room exit |  | Annual | 12/4/2025 | Pass |  |
| [X] HD | 00269190 | Dining room storage |  | Annual | 12/4/2025 | Pass |  |
| PS | 00269161 | Front door |  | Annual | 12/4/2025 | Pass |  |
| HD | 00269187 | In dining room |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269136 | In laundry |  | Annual | 12/4/2025 | Pass |  |
| [X] HD | 00269135 | In laundry room |  | Annual | 12/4/2025 | Pass |  |
| DD | 00269144 | In the hall outside of activities, supply room |  | Annual | 12/4/2025 | Pass |  |
| [X] HD | 00269131 | In the kitchen |  | Annual | 12/4/2025 | Pass |  |
| [X] HD | 00269132 | In the kitchen |  | Annual | 12/4/2025 | Pass |  |
| [X] HD | 00269134 | In the kitchen |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269075 | Nurses station 2 |  | Annual | 12/4/2025 | Pass |  |

## Table 22

| Zone: Main |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Asset Type | Address | Location | Notes | Frequenc y | Last Tested | Test Results | Comments |
| [X] SD | 00269146 | SD 35 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269142 | SD 37 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269139 | SD 39 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269119 | SD 41 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269130 | SD 43 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269125 | SD 44 |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269129 | SD 46 |  | Annual | 12/4/2025 | Pass |  |
| [X] PS | 00269112 | Serinity rm |  | Annual | 12/4/2025 | Pass |  |
| [X] SD | 00269120 | Vending machine |  | Annual | 12/4/2025 | Pass |  |

## Table 23

|  | Contact | Time |
| --- | --- | --- |
| Monitoring organization: | AFPG | 10:00 |
| Building management: | Maintenance | 10:00 |

## Table 24

| Date: | 12/4/2025 |
| --- | --- |
| Time: | 10:00 |

## Table 25

| Company: | American Fire Protection Group |
| --- | --- |
| Address: | 155 North Conalco Drive Jackson, TN 38301 |
| Company Phone: | 731-424-0310 |
| Inspector: | Brian Johnson 1960 Port/Fixed Ext. |
| Date of Work: | 9/16/2025 |
| Frequency: | Annual |
| Tag: | Green |

## Table 26

| Title | Maintenance |
| --- | --- |
| Date | 9/16/2025 |
| Inspected By | Brian Johnson |

## Table 27

| Inspector License: | 1960 Port/Fixed Ext. |
| --- | --- |
| Date of Work | 9/16/2025 |
| Observations |  |

## Table 28

| Signature: |  |
| --- | --- |
| Print: | RICHARD EVERETT |
| Date: | 5/26/26 |
| Phone/Email: |  |

## Table 29

| Business ID: | 0510329 |
| --- | --- |
| State ID: | 0104267492 |

## Table 30

| Business Name: | ACTIVE ENERGY SERVICES LLC |
| --- | --- |
| Location: | RICHARD EVERETT 4705 CHAPEL HILL RD SOUTHSIDE, TN 37171 |

## Table 31

| Classification: | CLASS 4 |
| --- | --- |
| Date Issued: | 04/15/2026 |

## Table 32

| Classification: | CLASS 4 |
| --- | --- |
| Date Issued: | 04/15/2026 |

## Table 33

| Letter ID: | L1963260352 |
| --- | --- |
| Account ID: | 1000032556-SLC |
| Account Type: | Sales and Use Tax |

## Table 34

| Letter ID: | L1963260352 |
| --- | --- |
| Effective Date: | January 14, 2026 |
| Account ID: | 1000032556-SLC |
| Account Type: | Sales and Use Tax |
| Location ID: | 0104267492 |
| Location Address: |  |

## Table 35

| CONTACT NAME: Commercial Service |  |
| --- | --- |
| PHONE (A/C. No. Ext): (615) 200-7464 | (A/C, FAX No): (888) 667-1469 |
| E-MAIL ADDRESS: service@carlsoninsgrp.com |  |

## Table 36

|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| --- | --- | --- |
| INSURER A: | ERIE INSURANCE EXCHANGE | 26271 |
| INSURER B : | ERIE INSURANCE P&C COMPANY | 26830 |
| INSURER C: |  |  |
| INSURER D : |  |  |
| INSURER E: |  |  |
| INSURER F : |  |  |

## Table 37

| LIMITS |  |
| --- | --- |
| EACH OCCURRENCE | $ 2,000,000 |
| DAMAGE TO RENTED PREMISES (Ea occurrence) | $ 2,000,000 |
| MED EXP (Any one person) | $ 5,000 |
| PERSONAL & ADV INJURY | 2,000,000 |
| GENERAL AGGREGATE | 4,000,000 |
| PRODUCTS- COMP/OP AGG | $ 4,000,000 |
|  | $ |
| COMBINED SINGLE LIMIT (Ea accident) | $ 1,000,000 |
| BODILY INJURY (Per person) | $ |
| BODILY INJURY (Per accident) | $ |
| PROPERTY DAMAGE (Per accident) | $ |
|  | $ |
| EACH OCCURRENCE | $ 5,000,000 |
| AGGREGATE | $ |
|  | $ |
| [X] PER OTH- STATUTE ER |  |
| E.L. EACH ACCIDENT | $ 1,000,000 |
| E.L. DISEASE - EA EMPLOYEE | $ 1,000,000 |
| E.L. DISEASE - POLICY LIMIT | $ 1,000,000 |
|  | $300,000 |

## Table 38

| INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) |
| --- | --- | --- | --- | --- | --- | --- |
| A | [X] [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: |  |  | Q61-0223467 | 09/10/2025 | 09/10/2026 |
| A | [X] [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY |  |  | Q09-1040070 | 09/10/2025 | 09/10/2026 |
| A | [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ |  |  | Q33-1070407 | 09/10/2025 | 09/10/2026 |
| B | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A |  | Q93-1000935 | 09/10/2025 | 09/10/2026 |
| A | RENTED/LEASED EQUIPMENT |  |  | Q61-0223467 | 09/10/2025 | 09/10/2026 |

## Table 39

| Business ID: | 0510329 |
| --- | --- |
| State ID: | 0104267492 |

## Table 40

| Classification: | CLASS 4 |
| --- | --- |
| Date Issued: | 04/15/2026 |

## Table 41

| Classification: | CLASS 4 |
| --- | --- |
| Date Issued: | 04/15/2026 |

## Table 42

| Print: | RICHARD EVERETT |
| --- | --- |
| Title: | MANAGER |
| Date: | 5/26/26 |

## Table 43

| EHES | $ 1,000.00 |
| --- | --- |
| EHIS | $ 1,000 |
| EHMS | $ 1,000 |
| EHHS | $ 1,000 |
| CES | $ 1,000 |
| CIS | $ 1,000 |
| HCMS | $ 1,000 |
| HCHS | $ 1,000 |

## Table 44

| EHES | $ 450 |
| --- | --- |
| EHIS | $ 45000 |
| EHMS | $ 45000 |
| EHHS | $ 45000 |
| CES | $ 45000 |
| CIS | $ 450000 |
| HCMS | $ 45000 |
| HCHS | $ 450 |

## Table 45

| Service Call Trip Charge | $ 12500 |  |
| --- | --- | --- |
| Hourly rate per tech $ | 100 | (normal rate) |
| Hourly rate per tech $ | 14000 | (over-time rate) |

## Table 46

| CES | 240°/UISIT 480 |
| --- | --- |
| CIS | 480°C |
| HCMS | 48000 |
| HCHS | $ 240 ²/UISIT 480 |
| EHES | 480°C |
| EHIS | $ 240 48000 |
| EHMS | 480 |
| EHHS | 480°C |