The Hickman County Finance Office is accepting sealed bids from licensed and qualified
contractors for the removal and installation of flooring at three schools.
The project will consist of two (2) bid items:
Bid Item 1: Luxury Vinyl Plank (LVP) Flooring
Bid Item 2: Carpet
Bidders may submit proposals for one or both bid items. Bid documents and specifications are
available online at: www.hickmank12.org/request-for-proposa
Sealed bids must be submitted by mail or hand delivered to the Hickman County Finance Office,
114 North Central Avenue, Suite 203, Centerville, TN 37033. All bids must be clearly marked on
the outside of the envelope "School Flooring" and received no later than 10:00 a.m. on May
13, 2026, at which time they will be publicly opened at the above address. There will be a pre-
bid meeting on May 5, 2026 at 9:00 A.M. for viewing spaces.
The Hickman County Board of Education reserves the right to accept or reject any and all bids,
in whole or in part, and to waive any informalities or technicalities deemed to be in the best
interest of the Board.
Present Penny Rochelle
Muty wearn
3 3 bids recd
Mallard Having
Offerparch
BJB Construction Company
au attached bids
School Flooring Bid Tabulation
Item 1 LVT
EHES
EHIS
EHMS
LVT
Furniture Removal
Total
LVT
Furniture Removal
Total
LVT
Furniture Removal
Total
Mallard Flooring
$15,930.22
$2,150.00
$18,080.22
$3,610.68
$900.00
$4,510.68
$5,259.32
$1,200.00
Offerporch
$6,459.32
$9,648.34
$1,324.99
$10,973.33
$2,076.70
$265.00
$2,341.70
$2,670.04
$265.00
BJB Construction
$2,935.04
$22,504.00
$2,450.00
$24,954.00
$5,016.00
$500.00
$5,516.00
$6,206.00
$675.00
$6,881.00
Item
2
EHES Carpet
Furniture Removal
Total
Mallard Flooring
$9,478.40
$2,150.00
$11,628.40
9800
Offerporch
$5,253.34
$706.66
$5,960.00
2100
BJB Construction
$11,948.00
$1,300.00
$13,248.00
2700
2925
Recommending Mallard Flooring at a total of $34,278.62 without furniture removal and $40,678.62 with furniture removal.
While Offerporch is the lowest bid, we have not worked with this company before.
Also we do not feel confident that all components were included in bid.
a. to any collusion among bidders in restraint of freedom of competition by agreement to bid at a fixed
price or to refrain from bidding,
b. to any collusion with any municipal official or employee as to quantity, quality or price in the
prospective contract, or as to any other terms of such prospective contract, nor
C. in any discussions between bidders and any municipal official concerning exchange of money or
other things of value for special consideration in the letting of a contract.
3. no officer or employee of HCS either directly or indirectly, owns any interest in the bidder's business.
NON-BOYCOTT OF ISRAEL
Concerning the Non-Boycott of Israel Act (TCA 12-4-1 et seq.), by submission of this bid/quote/proposal, each
supplier and each person signing on behalf of any supplier certifies, and in the case of a joint
bid/quote/proposal, each party thereto certifies as to its own organization, under penalty of perjury, that to the
best of its knowledge and belief that each supplier is not boycotting Israel pursuant to § 12-4-1 and will not
during the term of any award. Note: Applicable only to contracts of $250,000 or more and to suppliers with 10
or more employees.
BACKGROUND CHECKS
In accordance with TCA § 49-5-413, all contractor representatives must supply a fingerprint sample and submit
to a criminal history records check conducted by the Tennessee Bureau of Investigation (TBI) and the Federal
Bureau of Investigation (FBI) before entering school property when students are present.
The undersigned hereby acknowledges receipt of these affidavits and certifies that the submittal in response to
this solicitation is in full compliance with the listed requirements. Failure to properly acknowledge issues
concerning the above is grounds for bid rejection and may subject the signer to penalties as directed by the
appropriate laws.
SIGNATURE OF AUTHORIZED AGENT Cynchea Chick
Subscribed and sworn to before me this
7
of
2026
Signature of Notary Public
Cammy 06/29/2027 day May
My Commission Expires
COMMOR B. STATE OF NEWBERRY
TENNESSEE
NOTARY
DICK
PUBLIC
COUNTY
BID ITEM 1 SUMMARY (total price)
Totals should include all materials, components and labor needed to complete
EHES ~2,450 sq ft Wood Look $ 15,930.22 Furniture removal/replacement $ 2,150.00
total 18,080.22
Stone Look $
68
EHIS ~525 sq ft
Wood Look $3,610.xx
Furniture removal/replacement $ 900.00
total 4,510,68
Stone Look $
EHMS ~675 sq ft
Wood Look $
Furniture removal/replacement $ 1,200.00
Stone Look $5,259.72
total: 6,459.32
BID ITEM 2 SUMMARY (total price)
Totals should include all materials, components and labor needed to complete
EHES ~1,300 sq ft $ 9,478.40
Furniture removal/replacement
$2,150.00
11,628,40
Cynthia chick
STATE OF TENNESSEE
COUNTY OF Dickson
SUBSCRIBED AND SWORN TO BEFORE, ME
COMOR B DICKSON TENNESSEE NOTARY STATE PUBLIC OF COUNTY
THIS THE 7 DAY OF May 2026
NOTARY PUBLIC
MY COMMISSION EXPIRES: 06/29/2027
*Affidavit Acknowledgement and Conflict of Interest must be completed and returned in sealed bid*
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: 5-7-26
Name: Cynthra Chick
Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or
circumstances that you believe could contribute to a conflict of interest:
Y
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: 5-7-26
Signature: Cynthia Chick
MALLARD FLOORING
711 Highway 70 E
Dickson, TN 37055 US
service@mallardflooring.com
www.MallardFlooring.com
NOR are FLOORING
-
Estimate
ADDRESS
ESTIMATE
3079
DATE
03/24/2026
Bill Lynch
Hickman County School System
115 Murphree Avenue
Centerville, TN 37033
DATE
ACTIVITY
DESCRIPTION
QTY
RATE
AMOUNT
Sales
3 Offices 670 SqFt (not a plank wood
19
108.78
2,066.82
look Tuscan Sandstone $2.59)
Sales
Transitions
2
75.00
150.00
Sales
Install LVP
670
2.75
1,842.50
300.00
Sales
Carpet take up
75
4.00
Sales
Taylor Dynamics
2
160.00
320.00
East Middle
Sales
Cove Base
3
120.00
360.00
Sales
Furniture remove and relace
1,200.00
1,200.00
Labor
Dump fee
1
100.00
100.00
Freight Charge
1
120.00
120.00
SUBTOTAL
6,459.32
The signed estimate approval and 75% down confirms the above customer
selection. The remaining balance and any additional unforeseen customer
approved work is due upon completion.
TAX
0.00
TOTAL
$6,459.32
Accepted By
Accepted Date
Page 1 of 1
MALLARD FLOORING
711 Highway 70 E
Dickson, TN 37055 US
service@mallardflooring.com
www.MallardFlooring.com
FLOORING
Estimate
ADDRESS
ESTIMATE
3078
DATE
03/23/2026
Bill Lynch
Hickman County School System
115 Murphree Avenue
Centerville, TN 37033
DATE
ACTIVITY
DESCRIPTION
QTY
RATE
AMOUNT
Hickman Intermediate
Sales
LVP Mohawk Bentwood 522SqFt
522
2.19
1,143.18
Sales
Taylor Dynamics
1
160.00
160.00
Sales
Flexco Transitions
4
75.00
300.00
Labor
LVP Install
522
2.75
1,435.50
Labor
Dump Fee
1
150.00
150.00
Labor
Carpet removal
58
4.00
232.00
Freight Charge
freight
1
120.00
120.00
Labor
Furniture remove and replace
1
900.00
900.00
Sales
Case of cove base glue
1
70.00
70.00
SUBTOTAL
4,510.68
The signed estimate approval and 75% down confirms the above customer
selection. The remaining balance and any additional unforeseen customer
approved work is due upon completion.
TAX
0.00
$4,510.68
TOTAL
Accepted By
Accepted Date
Page 1 of 1
MALLARD FLOORING
711 Highway 70 E
Dickson, TN 37055 US
service@mallardflooring.com
www.MallardFlooring.com
FLOORING
Estimate
ADDRESS
ESTIMATE
3077
DATE
03/23/2026
Bill Lynch
Hickman County School System
115 Murphree Avenue
Centerville, TN 37033
DATE
CTIVITY
DESCRIPTION
QTY
RATE
AMOUNT
East Hickman Elementary
Office 1,2nd room,3rd room. Hallway,
Office ,Closet, Office 5 Assistant
Principal, Speech Room. Conference
Room and library
Sales
LVP 2438.1 Mohawk Bentwood 2.5
2,738
2.19
5,996.22
Glue Down
Sales
Carpet Removal SqYd (will lay over
271
4.50
1,219.50
VCT so we do not disturb it)
Sales
LVP Install
2,738
2.75
7,529.50
Sales
Library Carpet removal By SqYd
144
4.00
576.00
Sales
Library Carpet install By SqFt
1,296
2.75
3,564.00
Sales
Flexco transition
7
75.00
525.00
Sales
Library Carpet Tile Tectonic Nylon
22
187.20
4,118.40
Engineered Floors SQFt
Sales
Flexco 2000 Wall Base
4
120.00
480.00
Sales
Library Carpet Glue Taylor Dynamics
5
160.00
800.00
Sales
Dump Trailer will rent a 15ton
400.00
400.00
Labor
furniture removes and replaces
1
4,300.00
4,300.00
Freight Charge
1
200.00
200.00
The signed estimate approval and 75% down confirms the above customer
SUBTOTAL
29,708.62
selection. The remaining balance and any additional unforeseen customer
approved work is due upon completion.
TAX
0.00
TOTAL
$29,708.62
Page 1 of 2
MEMPHIS AND SHELBY COUNTY
0
Shelby County Clerk
BUSINESS TAX LICENSE
WANDA HALBERT
RECEIPT NUMBER
251010115
150 Washington Avenue
Memphis, Tennessee 38103-1800
LICENSE NUMBER
220002398
THIS LICENSE EXPIRES
05/15/2026
CLASSIFICATION
3
OWNER(S)
OFFERPORCH HOMES LLC
OFFERPORCH
BUSINESS LOCATION ADDRESS
676 CLINTON PL
676 CLINTON PL
MEMPHIS, TN 38126
MEMPHIS, TN 38126
MUST DISPLAY IN A CONSPICUOUS
PLACE
ACORD®
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
01/29/2026
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:
PHONE
FAX
Next First Insurance Agency, Inc.
(A/C, No. ExI):
(855) 222-5919
(A/C, No):
PO Box 60787
E-MAIL
Palo Alto, CA 94306
ADDRESS:
support@nextinsurance.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : Next Insurance US Company
16285
INSURED
INSURER B :
OfferPorch Homes LLC
INSURER C :
254 Court Ave Ste 310
Memphis, TN 38103
INSURER D :
INSURER E:
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 942197985
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
INSD
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000.00
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
PREMISES (Ea occurrence)
$100,000.00
MED EXP (Any one person)
$10,000.00
A
NXTWH9LFKH-02-GL
01/29/2026
01/29/2027
PERSONAL & ADV INJURY
$1,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$1,000,000.00
PRO-
POLICY
LOC
PRODUCTS- COMP/OP AGG
$1,000,000.00
JECT
$
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
$
(Ea accident)
ANY AUTO
BODILY INJURY (Per person)
$
OWNED
SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$
$
DED
RETENTION $
PER
OTH-
WORKERS COMPENSATION
STATUTE
ER
AND EMPLOYERS' LIABILITY
Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBEREXCLUDED?
N/A
(Mandatory in NH)
E.L. DISEASE- EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Proof of Insurance.
CERTIFICATE HOLDER
CANCELLATION
OfferPorch Homes LLC
LIVE CERTIFICATE
254 Court Ave Ste 310
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Memphis, TN 38103
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ann Ryan
Click or scan to view
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
OF
THE
SEAL
STATE
Bureau of Workers' Compensation
OF
Exemption Registry
GREAT THE AGRICULTURE COMMERCE )
State of Tennessee
220 French Landing Drive Suite 1-B
1796
Nashville TN, 37243-1002
CURTDELL GILES Jr.
254 Court Ave., Suite 310, Curtdell Giles Jr.
7/16/2025
Memphis TN 38103
Initial Workers' Compensation Exemption Registration Acknowledgment
Please review the filing information below and notify our office immediately of any discrepancies.
Reg. Control #:
2025000014351
Date Filed: 7/16/2025
Effective Date: 7/16/2025
Application Name:
CURTDELL GILES Jr.
Expiration Date: 7/16/2027
Filing Type:
Initial Workers' Compensation Exemption
Status:
Active
Physical Addr:
254 Court Ave., Suite 310, Curtdell Giles Jr., Memphis TN 38103
Business Name:
OfferPorch Homes LLC
Business Control #:
001133856
Existing State License: Yes
77366
Business County:
Not Required
County License #:
220002398
Expiration Date:
5/15/2025
Business City:
Not Required
City License #:
220002398
Expiration Date:
5/15/2025
Document Receipt
FIS - Online Payment Portal -
$50.00
FIS - Online Payment Portal - 08144C
$50.00
Congratulations on your filing. To maintain your exemption, the business entity associated with this registration must remain active
and in good standing, which includes timely filing of annual reports. In addition, you must file a renewal application within 60 days
of the expiration date noted above to maintain the exemption.
THE
STATE OF TENNESSEE
AGRICULTURE
GREAT
F)
Claudia Byers
220 French Landing Drive Suite 1-B
Nashville TN, 37243-1002
Workers' Compensation Exemption Registration
CURTDELL GILES Jr.
Effective: 7/16/2025
Expires: 7/16/2027
Claudia Byers
Registration Control #
2025000014351
Bureau of Workers' Compensation
Validate at https://www.tn.gov/workforce/injuries-at-
Exemption Registry
work/employers/employers/wc-exemption-registry.litml
Tennessee Bureau of Workers' Compensation * 220 French Landing Drive Suite 1-B Nashville, TN 37243
Tel: (615) 532-1319 * ttps:/www.ta.gov/workforce/injuries-at-work/employers/employers/wc-exemption-regisiry.him
INVITATION TO BID
School Flooring Project
The Hickman County Finance Office is accepting sealed bids from licensed and qualified contractors for the
removal and installation of flooring at three schools.
The project will consist of two (2) bid items:
Bid Item 1: Luxury Vinyl Plank (LVP) Flooring
Bid Item 2: Carpet
Bidders may submit proposals for one or both bid items. Bid documents and specifications are available online
at: www.hickmank12.org/request-for-proposal
Sealed bids must be submitted by mail or hand delivered to the Hickman County Finance Office, 114 North
Central Avenue, Suite 203, Centerville, TN 37033. All bids must be clearly marked on the outside of the
envelope "School Flooring" and received no later than 10:00 a.m. on May 13, 2026, at which time they will
be publicly opened at the above address. There will be a pre-bid meeting on May 5, 2026 at 9:00 A.M. starting
at East Hickman Elementary School for viewing spaces.
The Hickman County Board of Education reserves the right to accept or reject any and all bids, in whole or in
part, and to waive any informalities or technicalities deemed to be in the best interest of the Board.
Flooring Removal and Replacement Specifications
Include product detail sheet with bid documents (Manufacturer, product name, item #, etc)
Bid Item 1 - Remove carpet and install LVP flooring
LVP
Glue down
Minimum thickness: 2.5mm
Minimum wear layer: 20 mil or 0.5 mm
Style: Would like pricing for wood look and stone look
Color: To be determined by school principal based on available options
*There will be a line for furniture removal and replacement pricing if your company provides this service
East Hickman Elementary School - Front office area, speech, conference room, ~2,450 sq ft
East Hickman Intermediate School - Front office area, ~525 sq ft
East Hickman Middle School - Front office area, ~675 sq ft
Bid Item 2 - Remove carpet and install carpet tiles
Carpet Tiles
Glue down
Commercial grade
24" X 24" tile
Color: To be determined by school principal based on available options
*There will be a line for furniture removal and replacement pricing if your company provides this service
East Hickman Elementary School - Library -1,300 sq ft
BID ITEM 1 SUMMARY (total price)
Totals should include all materials, components and labor needed to complete
EHES ~2,450 sq ft Wood Look $ 9,648.34
Furniture removal/replacement $ 1,324.99
Stone Look $ 9,648.34
EHIS ~525 sq ft
Wood Look $ 2,076.70
Furniture removal/replacement $ 265.00
Stone Look $ 2,076.70
EHMS ~675 sq ft Wood Look $ 2,670.04
Furniture removal/replacement $ 265.00
Stone Look $ 2,670.04
BID ITEM 2 SUMMARY (total price)
Totals should include all materials, components and labor needed to complete
EHES ~1,300 sq ft $ 5,253.34
Furniture removal/replacement
$ 706.66
*Affidavit Acknowledgement and Conflict of Interest must be completed and returned in sealed bid*
AFFIDAVIT ACKNOWLEDGEMENT
AMERICANS WITH DISABILITIES ACT
Bidder shall take the necessary actions to ensure its facilities and employment practices are in compliance with
the applicable requirements of the Americans with Disabilities Act. Any costs of such compliance will be the
sole responsibility of the bidder.
TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 BACKGROUND CHECKS
Bidder shall comply with Public Chapter 587 of 2007, as codified in Tennessee Code Annotated Section 49-5-
413, which requires any person, corporation or entity who enters into or renews a contract with a local board of
education, to provide a criminal history records check conducted by the Tennessee Bureau of Investigation
and the Federal Bureau of Investigation for each employee prior to permitting the employee to have contact
with students or enter school grounds when students are present.
DRUG FREE WORKPLACE REQUIREMENTS
Private employers with five or more employees desiring to contract for construction services attest that they
have a drug free workplace program in effect in accordance with Tennessee Code Annotated Section 50-9-
112.
COMPLIANCE AGREEMENT WITH PUBLIC CHAPTER 587 of 2007
Contractor shall comply with Public Chapter 587 of 2007, as codified in Tennessee Code Annotated Section
49- 5-413, which requires all contractors to facilitate a criminal history records check conducted by the
Tennessee Bureau of Investigation and the Federal Bureau of Investigation for each employee prior to
permitting the employee to have contact with students or enter school grounds..
IRAN DIVESTMENT ACT
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 is required under T.C.A. § 12-12-106 to
create 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 this state, and any such contract is declared void ab initio under $ 12-
12-110.
On or after July 1, 2016, every bid or proposal submitted to a political subdivision where competitive bidding is
required must contain the following statement, submitted by the bidder under penalties of perjury:
"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 $ 12-
12-106."
COLLUSION AMONG BIDDERS
The bidder submitting the competitive bid which is attached to this statement, for the purpose of certifying the
facts pertaining to the existence of collusion among bidders and between bidders and municipal officials or
employees, as well as facts pertaining to the giving or offering of things of value to government personnel in
return for special consideration in the letting of any contract pursuant to the bid to which this statement is
attached.
1. Bidder is fully aware of the facts and circumstances surrounding the making of the bid to which this
statement is attached and has been personally and directly involved in the proceedings leading to the
submission of such bid; and
2. neither the bidder nor anyone subject to the bidder's direction or control has been a party;
a. to any collusion among bidders in restraint of freedom of competition by agreement to bid at a fixed
price or to refrain from bidding,
b. to any collusion with any municipal official or employee as to quantity, quality or price in the
prospective contract, or as to any other terms of such prospective contract, nor
C. in any discussions between bidders and any municipal official concerning exchange of money or
other things of value for special consideration in the letting of a contract.
3. no officer or employee of HCS either directly or indirectly, owns any interest in the bidder's business.
NON-BOYCOTT OF ISRAEL
Concerning the Non-Boycott of Israel Act (TCA 12-4-1 et seq.), by submission of this bid/quote/proposal, each
supplier and each person signing on behalf of any supplier certifies, and in the case of a joint
bid/quote/proposal, each party thereto certifies as to its own organization, under penalty of perjury, that to the
best of its knowledge and belief that each supplier is not boycotting Israel pursuant to § 12-4-1 and will not
during the term of any award. Note: Applicable only to contracts of $250,000 or more and to suppliers with 10
or more employees.
BACKGROUND CHECKS
In accordance with TCA § 49-5-413, all contractor representatives must supply a fingerprint sample and submit
to a criminal history records check conducted by the Tennessee Bureau of Investigation (TBI) and the Federal
Bureau of Investigation (FBI) before entering school property when students are present.
The undersigned hereby acknowledges receipt of these affidavits and certifies that the submittal in response to
this solicitation is in full compliance with the listed requirements. Failure to properly acknowledge issues
concerning the above is grounds for bid rejection and may subject the signer to penalties as directed by the
SIGNATURE appropriate laws. OF AUTHORIZED AGENT
Subscribed and sworn to before me this
11th
day of
May
, 2026
.
Signature of Notary Public But and
My Commission Expires
BRUCE
JOHNSON
7/27/2017
STATE
OF
TENNESSEE
NOTARY
PUBLIC
SHELBY
COUNTY
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:
5/11/2026
Name:
Curtdell Giles Jr.
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 bést of my knowledge.
Date:
5/11/2026
Signature:
5/11/26, 2:13 PM
Pro Solutions IV, Grey Mist, Resilient / Vinyl I Mohawk Flooring
NN
MOHAWK
Home / Shop / Undefined
Find a Local Retailer Enter Zip Code
X
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
https://wwmohawkfloring.com/shop/Resientdetai/PRS04/Pro_Solutions_IV/16/Grey_Mist?productLine=limetElex LooseLay&mohaionin
1/14
5/11/26, 2:13 PM
Pro Solutions IV, Grey Mist, Resilient / Vinyl I Mohawk Flooring
VIEW ALL
MEDIA
SEE IN ROOM
UltimateFlex Loose Lay
I
Pro Solutions IV
***** 4.7 (70) Write a review
100% waterproof floors perfect for any room in the home.
EasyClean® technology helps repel dirt and grime, while the enhanced wear layer adds extra protection
against everyday scuffs, scratches, and wear.
Designed with added thickness for extra comfort underfoot and allows for easy plank replacement to
extend the life of your floor.
Learn More View Specs & Resources
Color: Grey Mist
WHERE TO BUY
ADD SAMPLE TO CART
SEE THIS IN MY ROOM
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
2/14
5/11/26, 2:13 PM
Pro Solutions IV, Grey Mist, Resilient / Vinyl | Mohawk Flooring
ABOUT THIS PRODUCT
DESCRIPTION
Flexible vinyl plank flooring that's 100% waterproof, easy to clean, simple to repair, and built with
added thickness for enhanced comfort and a premium wear layer for top-tier protection.
FEATURES
FASHT
to
CLEAN
EasyClean® technology helps repel dirt and grime, while the enhanced wear
layer adds extra protection against everyday scuffs, scratches, and wear.
PHANEED
COMFORT
Designed with added thickness for extra comfort underfoot and allows for easy
plank replacement to extend the life of your floor.
FET
FRIENDLY
Warranty protection against pet stains for added peace of mind.
WEAR
SECURITY
Premium Wear Resistance: Up to a 20 mil wear layer for upgraded protection
against everyday wear and tear.
WATERPRODE
PROOF
100% waterproof floors perfect for any room in the home.
TECHNOLOGIES
EASYCLEAN+
X
Repels dirt and grime for simple cleanup
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
Learn More
https://wwwmohawkfloring.com/shop/Resien/ealPRS04/Pro_Solutions_V/Ib/Grey_Mst7productineaultinaeFlexLosetayamohawidioins
3/14
5/11/26, 2:13 PM
Pro Solutions IV, Grey Mist, Resilient / Vinyl I Mohawk Flooring
PRODUCT SPECS & RESOURCES
PRODUCT SPECS
COLLECTION
Style Name
Pro Solutions IV
Product Line
UltimateFlex Loose Lay
Product Type
Resilient Vinyl
Color Name
Grey Mist
PRODUCT DETAILS
Look
Wood
Construction
Flex Vinyl
Edge Treatment
Micro Bevel
Floorscore Certified
TRUE
INSTALLATION
Grade
On, Above or Below Grade
Sub-Floor
Wood/Concrete
Underlayment
Not attached
X
Installation Method
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
MEASUREMENT
Plank Thickness
5 mm
https://www.mohawkdfloring.com/shop/Resient/detail/PRS04/Pro_Sotutions_IV/16/Grey_Mist7productineUlinateFlexLocsetlay&mohawikfoning
4/14
5/11/26, 2:13 PM
Pro Solutions IV, Grey Mist, Resilient / Vinyl I Mohawk Flooring
Wear Layer
20 mil
Width In Inches
7.25"
Length
48"
Sq. Ft. Per Carton
24.2
Veneer Thickness
N/A
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
https://wwwmohawkforig.com/shop/Resint/detail/PRS04/Pro_Soutons_iV/16/Grey_Vist7produclinelUlinateElexLosetay&mohawidioning
5/14
5/11/26, 3:23 PM
Whitmore Terrace LL, Percy, Resilient / Vinyl | Mohawk Flooring
IN
MOHAWK
Home / Shop / UltimateFlex Loose Lay
Find a Local Retailer Enter Zip Code
X
VIEWALL
à
Hi! I'm Aiden, your A.I. flooring expert. How can ) help?
MEDIA
https://www.mohawkforing.cor/shop/Resien/detei/SR01/Mhitmore_Terace_L./906/Percy7prdduciLinesUlinateElexLocsetay&sfsfalset-
1/9
5/11/26, 3:23 PM
Whitmore Terrace LL, Percy, Resilient / Vinyl I Mohawk Flooring
UltimateFlex Loose Lay
Whitmore Terrace LL
4.9 (15) Write a review
100% waterproof floors perfect for any room in the home.
EasyClean® technology repeis dirt and grime, while a premium wear layer delivers top-tier protection against everyday wear and tear.
Designed with added thickness for extra comfort underfoot and allows for easy plank replacement to extend the life of your floor.
Learn More View Specs & Resources
Color: Percy
WHERE TO BUY
ADD SAMPLE TO CART
SEE THIS IN MY ROOM
ABOUT THIS PRODUCT
DESCRIPTION
Create a beautifully cohesive look with coordinating wood and tile designs from the Whitmore Terrace collection. The carefully selected colors in a trending
palette allow you to mix or match for easy styling, and a variety of flooring constructions provide options for any performance need.
FEATURES
EasyClean® technology helps repel dirt and grime, while the enhanced wear layer adds extra protection against everyday scuffs,
scratches, and wear.
Designed with added thickness for extra comfort underfoot and allows for easy plank replacement to extend the life of your floor.
Warranty protection against pet stains for added peace of mind.
THAN
Premium Wear Resistance: Up to a 20 mil wear layer for upgraded protection against everyday wear and tear.
x
100% waterproof floors perfect for any room in the home.
Hi! I'm Aiden, your A.I. flooring expert. How can I help?
TECHNOLOGIES
htts://ww.mhawkfloring.com/shop/Resient/detalSR01/Whitmore_Terae_L/906/Rercy7productlinesilineFietobse-Lay&sfsfalse&s=tun
2/9
5/11/26, 3:23 PM
Whitmore Terrace LL, Percy, Resilient / Vinyl I Mohawk Flooring
EASYCLEAN
Repels dirt and grime for simple cleanup and stain protection.
Learn More
PRODUCT SPECS & RESOURCES
PRODUCT SPECS
COLLECTION
Style Name
Whitmore Terrace LL
Product Line
UltimateFlex Loose Lay
Product Type
Resilient Vinyl
Color Name
Percy
PRODUCT DETAILS
Look
Stone
Construction
Loose Lay
Species
Marble
Texture
All Over
Floorscore Certified
TRUE
INSTALLATION
Grade
On, Above or Below Grade
Sub-Floor
Wood/Concrete
Underlayment
Not Attached
Installation Method
Glue Down
MEASUREMENT
Plank Thickness
5.0 mm
Wear Layer
20 mil
Width In Inches
12'
X
Length
24"
Hi! I'm Alden, your A.I. flooring expert. How can I help?
Sq. Ft. Per Carton
24
htps://wwwmohawdloring.com/shop/Resilent/detal/SR01/hitmore_Terace_L/906/Perc/productinesliltinateierlosetLaysfals-
3/9
Aladdin
MEDIA SPIN COLLECTION
COMMERCIAL
DAILY WIRE 949
STREAMING ONLINE 978
With news ranging from politics to natural disasters, the Media Spin Collection reflects our media-centered culture.
The Daily Wire pattern favors a circuit board that would be found in an electronic device - without the circuit board, there
is no digital output. Streaming Online embraces imperfect textures found in nature. Both patterns feature hints of energetic
accent colors that bring sophistication with a modern edge.
Trending Now
Viral Reality
Get Wired
559
828
888
Insider Feed
Instant Impact
Breaking Update
949
978
989
AladdinCommercial.com 1 800.233.4490
Aladdin
COMMERCIAL
DAILY WIRE
STREAMING ONLINE
Style Number
QA194
QA195
Construction
Tufted
Tufted
Surface Appearance
Textured Patterned Loop
Textured Patterned Loop
Gauge
1/12" (47.00 rows per 10cm)
1/12" (47.00 rows per 10cm)
Tufted Weight
16
16
Density
6,063
6,697
Dye Method
100% Solution Dyed
100% Solution Dyed
Fiber Type
Envirostrand™ SD PET
Envirostrand™ SD PET
Soil Release Technology
Mohawk Protection Plus Soil
Mohawk Protection Plus Soil
Primary Backing
Non Woven Synthetic
Non Woven Synthetic
Secondary Backing
UltraSet Matrix
UltraSet® Matrix
Indoor Air Quality
Green Label Plus Certified # 100055
Green Label Plus Certified # 100055
Size
24" X 24" (.6096 m X .6096 m)
24" X 24" (.6096 m X .6096 m)
Sqyd per Carton
10.66 sqyd/ctn
10.66 sqyd/ctn
Installation Method
Brick Ashlar / Quarter Turn
Brick Ashlar / Quarter Turn
Flammability
ASTM E 648 Class 1 (Glue Down)
ASTM E 648 Class 1 (Glue Down)
Smoke Density
ASTM E 662 Less than 450
ASTM E 662 Less than 450
Static Propensity
AATCC-134 Under 3.5 KV
AATCC-134 Under 3.5 KV
Country of Origin
USA
USA
Warranties
10-Year Limited Wear Warranty
10-Year Limited Wear Warranty
10-Year Limited Static Protection
10-Year Limited Static Protection
10-Year Limited Edge Ravel, Zippering, Delamination,
10-Year Limited Edge Ravel, Zippering, Delamination,
and Dimensional Stability Warranty
and Dimensional Stability Warranty
10-Year Limited Stain Resistance Warranty
10-Year Limited Stain Resistance Warranty
10-Year Limited Colorfastness to Light Warranty
10-Year Limited Colorfastness to Light Warranty
10-Year Limited Colorfastness to Atmospheric Contaminants
10-Year Limited Colorfastness to Atmospheric Contaminants
Up to 2,000 sq. yd. available within 10 business days or less
EnviroStrandSD
QUICK SHIP
AladdinCommercial.com
I
800.233.4490
Aladdin
COMMERCIAL
Rev 0658_Aug/2019
W-9
Request for Taxpayer
Give form to the
Form
Identification Number and Certification
requester. Do not
(Rev. March 2024)
send to the IRS.
Department of the Treasury
Go to www.irs.gov/FormW9 for Instructions and the latest information.
Internal Revenue Service
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded
entity's name on line 2)
BJB Construction Company Inc
2 Business name/disregarded entity name, if different from above.
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check
4 Exemptions (codes apply only to
only one of the following seven boxes.
certain entities, not individuals;
see instructions on page 3):
Individual/sole proprietor
C corporation
S
Trust/estate
See Specific Instructions on page 3.
Partnership
LLC. Enter the tax classification (C = C corporation, = S corporation, P = Partnership)
Exempt payee code (if any)
Print or type.
Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax
classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate
Exemption from Foreign Account Tax
box for the tax classification of its owner.
Compliance Act (FATCA) reporting
code (if any)
Other (see instructions)
3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,
(Applies to accounts maintained
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
outside the United States.)
this box if you have any foreign partners, owners, or beneficiaries. See instructions
5 Address (number, street, and apt. or suite no.). See instructions.
Requester's name and address (optional)
1373 Holly Tree Gap Rd
6 City, state, and ZIP code
Brentwood, TN. 37027
7 List account number(s) here (optional)
Part I Taxpayer Identification Number (TIN)
Social security number
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For Individuals, this is generally your social security number (SSN). However, for a
-
-
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a
or
TIN, later.
Employer Identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
Number To Give the Requester for guidelines on whose number to enter.
04 - 3777109
Part Il Certification
Under penalties of perjury, 1 certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign
Signature of
Here
U.S. person
Debbie Benbow
Date 3/13/2026
General Instructions
New line 3b has been added to this form. A flow-through entity is
required to complete this line to indicate that it has direct or indirect
Section references are to the Internal Revenue Code unless otherwise
foreign partners, owners, or beneficiaries when it provides the Form W-9
noted.
to another flow-through entity in which it has an ownership interest. This
change is intended to provide a flow-through entity with information
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
regarding the status of its indirect foreign partners, owners, or
beneficiaries, so that it can satisfy any applicable reporting
after they were published, go to www.irs.gov/FormW9.
requirements. For example, a partnership that has any indirect foreign
What's New
partners may be required to complete Schedules K-2 and K-3. See the
Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Line 3a has been modified to clarify how a disregarded entity completes
this line. An LLC that is a disregarded entity should check the
Purpose of Form
appropriate box for the tax classification of its owner. Otherwise, it
An individual or entity (Form W-9 requester) who is required to file an
should check the "LLC" box and enter its appropriate tax classification.
information return with the IRS is giving you this form because they
Cat. No. 10231X
Form W-9 (Rev. 3-2024)
State DL Connessee
14123171
BOARD FOR LICENSI NG CONTRACTORS
CONTRACTOR
BJB CONSTRUCTION COMPANY INC
This is to certify that all requirements of the State of Tennessee have been met.
ID NUMBER: 61519
SEALTH THE STATE
LIC STATUS: ACTIVE
EXPIRATION DATE: September 30, 2026
$473,240.00; BC
AGRICULTURE 7796* 7
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
02/12/2026
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 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).
PRODUCER
CONTACT NAME: LISA WILSON
INSURANCE GROUP OF AMERICA LLC
PHONE:
FAX: (615)905-1698
SMALL BUSINESS
6640 CAROTHERS PKWY STE 160
E-MAIL ADDRESS: llsa.wilson@iga.biz
FRANKLIN, TN 37067
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A
Central Mutual
20230
INSURED
INSURER B
All America
20222
BJB CONSTRUCTION COMPANY INC
INSURER C
1373 HOLLY TREE GAP RD
BRENTWOOD, TN 37027
INSURER D
INSURER E
INSURER F
CERTIFICATE NUMBER
7018655
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
ADDLISUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
A
GENERAL LIABILITY
Y
Y
9606838
8/8/2025
8/8/2026
EACH OCCURRENCE
$
1,000,000
DAMAGE TO RENTED PREMISES
$
300,000
COMMERCIAL GENERAL LIABILITY
(Ea occurrence)
CLAIMS-MADE
OCCUR
MED EXP (Any one person)
$
5,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PERSONAL & ADV INJURY
$
1,000,000
POLICY
PRO-
LOC
GENERAL AGGREGATE
$
2,000,000
JECT
PRODUCTS- COMP/OP AGG
$
2,000,000
B
AUTOMOBILE LIABILITY
Y
Y
9606837
8/8/2025
8/8/2026
COMBINED SINGLE LIMIT (Ea
$
1,000,000
accident)
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED
SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS
AUTOS
PROPERTY DAMAGE (Per
$
HIRED AUTOS
NON-OWNED
accident)
AUTOS
A
UMBRELLA LIABILITY
Y
Y
9606839
8/8/2025
8/8/2026
EACH OCCURRENCE
$
5,000,000
UMBRELLA
AGGREGATE
$
5,000,000
OCCUR
LIAB
EXCESS LIAB
CLAIMS-MADE
DED
RETENTION $
A
WORKERS COMPENSATION AND
9606841
8/8/2025
8/8/2026
WC STATUTORY LIMITS
OTHER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
1,000,000
ANY PROPRIETOR/PARTNERS/EXEC
Y
UTIVE OFFICE/MEMBER EXCLUDED?
EL DISEASE - EA EMPLOYEE
$
1,000,000
(Mandatory in NH)
E.L DISEASE- POLICY LIMIT
$
1,000,000
if yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES
Certificate Holders are additional insured por the attached endorsements.
Subject to all of the terms, conditions, exclusions and definitions of the above referenced policies as issued by the carrier(s).
Excluded proprielors, partners, executive officers, and members:
DEBBIE BENBOW
BRUCE BENBOW
CERTIFICATE HOLDER
CANCELLATION
BJB CONSTRUCTION COMPANY INC.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
1373 HOLLY TREE GAP RD
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
BRENTWOOD, TN 37027
THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
LISA WILSON
BEYOND JUST BUILDERS
NUMBERS
BJB
CONSTRUCTION COMPANY INC
BJB
1373 Holly Tree Gap Rd, Brentwood, TN. 37027
CONSTRUCTION
CONSTRUCTION
COMPANY
COMPANY
References:
1) Brent Stidham
Senior Maintenance Engineer
(Managing govt buildings in Brentwood TN)
City Of Brentwood
brent.stidham@brentwoodtn.gov
(615)533-5032
15+ Years as a customer
2) Ryan Edwards
Continuous Improvement Coordinator
Advanced Composites
Ryan.edwards@advcmp.com
(615)630-1843
15+ Years as a customer
3) Yvonne Parker
Sr. Specialist, Consumer Care National Facilities
T-Mobile
Yvonne.parker@t-mobile.com
(931)980-8867
8 Years as a customer
4) Wesley King
Service Manager
The Mathews Company
wking@themathewscompany.com
(615)394-8451
15+ Years as a customer
Office 615-457-3304
www.BJBConstruction.com
INVITATION TO BID
School Flooring Project
The Hickman County Finance Office is accepting sealed bids from licensed and qualified contractors for the
removal and installation of flooring at three schools.
The project will consist of two (2) bid items:
Bid Item 1: Luxury Vinyl Plank (LVP) Flooring
Bid Item 2: Carpet
Bidders may submit proposals for one or both bid items. Bid documents and specifications are available online
at: www.hickmank12.org/request-for-proposal
Sealed bids must be submitted by mail or hand delivered to the Hickman County Finance Office, 114 North
Central Avenue, Suite 203, Centerville, TN 37033. All bids must be clearly marked on the outside of the
envelope "School Flooring" and received no later than 10:00 a.m. on May 13, 2026, at which time they will
be publicly opened at the above address. There will be a pre-bid meeting on May 5, 2026 at 9:00 A.M. starting
at East Hickman Elementary School for viewing spaces.
The Hickman County Board of Education reserves the right to accept or reject any and all bids, in whole or in
part, and to waive any informalities or technicalities deemed to be in the best interest of the Board.
Flooring Removal and Replacement Specifications
Include product detail sheet with bid documents (Manufacturer, product name, item #, etc)
Bid Item 1 - Remove carpet and install LVP flooring
LVP
Glue down
Minimum thickness: 2.5mm
Minimum wear layer: 20 mil or 0.5 mm
Style: Would like pricing for wood look and stone look
Color: To be determined by school principal based on available options
*There will be a line for furniture removal and replacement pricing if your company provides this service
East Hickman Elementary School - Front office area, speech, conference room, ~2,450 sq ft
East Hickman Intermediate School - Front office area, ~525 sq ft
East Hickman Middle School - Front office area, ~675 sq ft
Bid Item 2 - Remove carpet and install carpet tiles
Carpet Tiles
Glue down
Commercial grade
24" X 24" tile
Color: To be determined by school principal based on available options
*There will be a line for furniture removal and replacement pricing if your company provides this service
East Hickman Elementary School - Library ~1,300 sq ft
BID ITEM 1 SUMMARY (total price)
Totals should include all materials, components and labor needed to complete
EHES ~2,450 sq ft Wood Look $ 22,504.00
Furniture removal/replacement $2450.00
Stone Look $ 22,504.00
EHIS ~525 sq ft
Wood Look $5,016.00
Furniture removal/replacement $500.00
Stone Look $5,016.00
EHMS ~675 sq ft
Wood Look $ 6,206.00
Furniture removal/replacement $675.00
Stone Look $6,206.00
*Note: LVP material allowance of $3.00/sf for both options.
BID ITEM 2 SUMMARY (total price)
Totals should include all materials, - components and labor needed to complete
EHES -1,300 sq ft $11,948.00
Furniture removal/replacement
$ 1,300.00
*Notes:
- Minor Prep included
- Demo can be added for additional cost
- Work to be done durring normal hours
*Affidavit Acknowledgement and Conflict of Interest must be completed and returned in sealed bid*
AFFIDAVIT ACKNOWLEDGEMENT
AMERICANS WITH DISABILITIES ACT
Bidder shall take the necessary actions to ensure its facilities and employment practices are in compliance with
the applicable requirements of the Americans with Disabilities Act. Any costs of such compliance will be the
sole responsibility of the bidder.
TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 BACKGROUND CHECKS
Bidder shall comply with Public Chapter 587 of 2007, as codified in Tennessee Code Annotated Section 49-5-
413, which requires any person, corporation or entity who enters into or renews a contract with a local board of
education, to provide a criminal history records check conducted by the Tennessee Bureau of Investigation
and the Federal Bureau of Investigation for each employee prior to permitting the employee to have contact
with students or enter school grounds when students are present.
DRUG FREE WORKPLACE REQUIREMENTS
Private employers with five or more employees desiring to contract for construction services attest that they
have a drug free workplace program in effect in accordance with Tennessee Code Annotated Section 50-9-
112.
COMPLIANCE AGREEMENT WITH PUBLIC CHAPTER 587 of 2007
Contractor shall comply with Public Chapter 587 of 2007, as codified in Tennessee Code Annotated Section
49- 5-413, which requires all contractors to facilitate a criminal history records check conducted by the
Tennessee Bureau of Investigation and the Federal Bureau of Investigation for each employee prior to
permitting the employee to have contact with students or enter school grounds..
IRAN DIVESTMENT ACT
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 is required under T.C.A. § 12-12-106 to
create 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 this state, and any such contract is declared void ab initio under $ 12-
12-110.
On or after July 1, 2016, every bid or proposal submitted to a political subdivision where competitive bidding is
required must contain the following statement, submitted by the bidder under penalties of perjury:
"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 $ 12-
12-106."
COLLUSION AMONG BIDDERS
The bidder submitting the competitive bid which is attached to this statement, for the purpose of certifying the
facts pertaining to the existence of collusion among bidders and between bidders and municipal officials or
employees, as well as facts pertaining to the giving or offering of things of value to government personnel in
return for special consideration in the letting of any contract pursuant to the bid to which this statement is
attached.
1. Bidder is fully aware of the facts and circumstances surrounding the making of the bid to which this
statement is attached and has been personally and directly involved in the proceedings leading to the
submission of such bid; and
2. neither the bidder nor anyone subject to the bidder's direction or control has been a party;
a. to any collusion among bidders in restraint of freedom of competition by agreement to bid at a fixed
price or to refrain from bidding,
b. to any collusion with any municipal official or employee as to quantity, quality or price in the
prospective contract, or as to any other terms of such prospective contract, nor
C. in any discussions between bidders and any municipal official concerning exchange of money or
other things of value for special consideration in the letting of a contract.
3. no officer or employee of HCS either directly or indirectly, owns any interest in the bidder's business.
NON-BOYCOTT OF ISRAEL
Concerning the Non-Boycott of Israel Act (TCA 12-4-1 et seq.), by submission of this bid/quote/proposal, each
supplier and each person signing on behalf of any supplier certifies, and in the case of a joint
bid/quote/proposal, each party thereto certifies as to its own organization, under penalty of perjury, that to the
best of its knowledge and belief that each supplier is not boycotting Israel pursuant to § 12-4-1 and will not
during the term of any award. Note: Applicable only to contracts of $250,000 or more and to suppliers with 10
or more employees.
BACKGROUND CHECKS
In accordance with TCA § 49-5-413, all contractor representatives must supply a fingerprint sample and submit
to a criminal history records check conducted by the Tennessee Bureau of Investigation (TBI) and the Federal
Bureau of Investigation (FBI) before entering school property when students are present.
The undersigned hereby acknowledges receipt of these affidavits and certifies that the submittal in response to
this solicitation is in full compliance with the listed requirements. Failure to properly acknowledge issues
concerning the above is grounds for bid rejection and may subject the signer to penalties as directed by the
appropriate laws.
SIGNATURE OF AUTHORIZED AGENT Nathaniel Benbow
Subscribed and sworn to before me this
day of May
, 2026
-
Signature of Notary Public Notary to be submitted after notice of award if neeeded.
My Commission Expires
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: 5/6/2026
Name: Nathaniel Benbow
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: 5/6/2026
Signature: Nathaniel Benbow

## Table 1

|  |  | EHES |  |  | EHIS |  |  | EHMS |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  | LVT | Furniture Removal | Total | LVT | Furniture Removal | Total | LVT | Furniture Removal | Total |
| Mallard Flooring | $15,930.22 | $2,150.00 | $18,080.22 | $3,610.68 | $900.00 | $4,510.68 | $5,259.32 | $1,200.00 | $6,459.32 |
| Offerporch | $9,648.34 | $1,324.99 | $10,973.33 | $2,076.70 | $265.00 | $2,341.70 | $2,670.04 | $265.00 | $2,935.04 |
| BJB Construction | $22,504.00 | $2,450.00 | $24,954.00 | $5,016.00 | $500.00 | $5,516.00 | $6,206.00 | $675.00 | $6,881.00 |

## Table 2

|  |  | Furniture Removal | Total |
| --- | --- | --- | --- |
| Mallard Flooring | $9,478.40 | $2,150.00 | $11,628.40 |
| Offerporch | $5,253.34 | $706.66 | $5,960.00 |
| BJB Construction | $11,948.00 | $1,300.00 | $13,248.00 |

## Table 3

| SIGNATURE OF AUTHORIZED AGENT | Cynchea Chick |
| --- | --- |
| Subscribed and sworn to before me this | 7 of 2026 day May |
| Signature of Notary Public | Cammy |
| My Commission Expires | 06/29/2027 |
| COMMOR B. STATE OF NEWBERRY TENNESSEE NOTARY DICK PUBLIC COUNTY |  |

## Table 4

| Furniture removal/replacement | $ 2,150.00 |
| --- | --- |
| Furniture removal/replacement | $ 900.00 |
| Furniture removal/replacement | $ 1,200.00 |

## Table 5

| EHES ~2,450 sq ft | Wood Look | $ 15,930.22 |
| --- | --- | --- |
|  | total | 18,080.22 |
|  | Stone Look | $ |
| EHIS ~525 sq ft | Wood Look total Stone Look | 68 $3,610.xx 4,510,68 $ |
| EHMS ~675 sq ft | Wood Look | $ |
|  | Stone Look total: | $5,259.72 6,459.32 |

## Table 6

| DATE ACTIVITY | DESCRIPTION | QTY | RATE | AMOUNT |
| --- | --- | --- | --- | --- |
| Sales | 3 Offices 670 SqFt (not a plank wood look Tuscan Sandstone $2.59) | 19 | 108.78 | 2,066.82 |
| Sales | Transitions | 2 | 75.00 | 150.00 |
| Sales | Install LVP | 670 | 2.75 | 1,842.50 |
| Sales | Carpet take up | 75 | 4.00 | 300.00 |
| Sales | Taylor Dynamics | 2 | 160.00 | 320.00 |
|  | East Middle |  |  |  |
| Sales | Cove Base | 3 | 120.00 | 360.00 |
| Sales | Furniture remove and relace |  | 1,200.00 | 1,200.00 |
| Labor | Dump fee | 1 | 100.00 | 100.00 |
| Freight Charge |  | 1 | 120.00 | 120.00 |
| The signed estimate approval and 75% down confirms the | above customer SUBTOTAL |  |  | 6,459.32 |
| selection. The remaining balance and any additional approved work is due upon completion. | unforeseen customer TAX |  |  | 0.00 |
|  | TOTAL |  |  | $6,459.32 |

## Table 7

| DATE | ACTIVITY | DESCRIPTION | QTY | RATE | AMOUNT |
| --- | --- | --- | --- | --- | --- |
|  |  | Hickman Intermediate |  |  |  |
|  | Sales | LVP Mohawk Bentwood 522SqFt | 522 | 2.19 | 1,143.18 |
|  | Sales | Taylor Dynamics | 1 | 160.00 | 160.00 |
|  | Sales | Flexco Transitions | 4 | 75.00 | 300.00 |
|  | Labor | LVP Install | 522 | 2.75 | 1,435.50 |
|  | Labor | Dump Fee | 1 | 150.00 | 150.00 |
|  | Labor | Carpet removal | 58 | 4.00 | 232.00 |
|  | Freight Charge | freight | 1 | 120.00 | 120.00 |
|  | Labor | Furniture remove and replace | 1 | 900.00 | 900.00 |
|  | Sales | Case of cove base glue | 1 | 70.00 | 70.00 |
| The signed estimate | approval and 75% down confirms the | above customer SUBTOTAL |  |  | 4,510.68 |
| selection. The approved work is | remaining balance and any additional due upon completion. | unforeseen customer TAX |  |  | 0.00 |
|  |  | TOTAL |  |  | $4,510.68 |

## Table 8

| DATE | CTIVITY | DESCRIPTION | QTY | RATE | AMOUNT |
| --- | --- | --- | --- | --- | --- |
|  |  | East Hickman Elementary |  |  |  |
|  |  | Office 1,2nd room,3rd room. Hallway, Office ,Closet, Office 5 Assistant Principal, Speech Room. Conference Room and library |  |  |  |
|  | Sales | LVP 2438.1 Mohawk Bentwood 2.5 Glue Down | 2,738 | 2.19 | 5,996.22 |
|  | Sales | Carpet Removal SqYd (will lay over VCT so we do not disturb it) | 271 | 4.50 | 1,219.50 |
|  | Sales | LVP Install | 2,738 | 2.75 | 7,529.50 |
|  | Sales | Library Carpet removal By SqYd | 144 | 4.00 | 576.00 |
|  | Sales | Library Carpet install By SqFt | 1,296 | 2.75 | 3,564.00 |
|  | Sales | Flexco transition | 7 | 75.00 | 525.00 |
|  | Sales | Library Carpet Tile Tectonic Nylon Engineered Floors SQFt | 22 | 187.20 | 4,118.40 |
|  | Sales | Flexco 2000 Wall Base | 4 | 120.00 | 480.00 |
|  | Sales | Library Carpet Glue Taylor Dynamics | 5 | 160.00 | 800.00 |
|  | Sales | Dump Trailer will rent a 15ton |  | 400.00 | 400.00 |
|  | Labor | furniture removes and replaces | 1 | 4,300.00 | 4,300.00 |
|  | Freight Charge |  | 1 | 200.00 | 200.00 |

## Table 9

| SUBTOTAL | 29,708.62 |
| --- | --- |
| TAX | 0.00 |
| TOTAL | $29,708.62 |

## Table 10

| RECEIPT NUMBER | 251010115 |
| --- | --- |
| LICENSE NUMBER | 220002398 |
| THIS LICENSE EXPIRES | 05/15/2026 |
| CLASSIFICATION | 3 |

## Table 11

| CONTACT NAME: |  |
| --- | --- |
| PHONE (A/C, No. ExI): (855) 222-5919 | FAX (A/C, No): |
| E-MAIL ADDRESS: support@nextinsurance.com |  |

## Table 12

|  |  |  |
| --- | --- | --- |
|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| INSURER A : | Next Insurance US Company | 16285 |
| INSURER B : |  |  |
| INSURER C : |  |  |
| INSURER D : |  |  |
| INSURER E: |  |  |
| INSURER F : |  |  |

## Table 13

| LIMITS |  |
| --- | --- |
| EACH OCCURRENCE | $1,000,000.00 |
| DAMAGE TO RENTED PREMISES (Ea occurrence) | $100,000.00 |
| MED EXP (Any one person) | $10,000.00 |
| PERSONAL & ADV INJURY | $1,000,000.00 |
| GENERAL AGGREGATE | $1,000,000.00 |
| PRODUCTS- COMP/OP AGG | $1,000,000.00 |
|  | $ |
| COMBINED SINGLE LIMIT (Ea accident) | $ |
| BODILY INJURY (Per person) | $ |
| BODILY INJURY (Per accident) | $ |
| PROPERTY DAMAGE (Per accident) | $ |
|  | $ |
| EACH OCCURRENCE | $ |
| AGGREGATE | $ |
|  | $ |
| PER OTH- STATUTE ER |  |
| E.L. EACH ACCIDENT | $ |
| E.L. DISEASE- EA EMPLOYEE | $ |
| E.L. DISEASE - POLICY LIMIT | $ |
|  |  |

## Table 14

| 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: |  |  | NXTWH9LFKH-02-GL | 01/29/2026 | 01/29/2027 |
|  | AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY |  |  |  |  |  |
|  | UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ |  |  |  |  |  |
|  | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A |  |  |  |  |
|  |  |  |  |  |  |  |

## Table 15

| Reg. Control #: | 2025000014351 Date Filed: 7/16/2025 |
| --- | --- |
| Application Name: | CURTDELL GILES Jr. |
| Filing Type: | Initial Workers' Compensation Exemption |
| Status: | Active |
| Physical Addr: | 254 Court Ave., Suite 310, Curtdell Giles Jr., |
| Business Name: | OfferPorch Homes LLC |
| Business Control #: | 001133856 |
| Existing State License: | Yes 77366 |
| Business County: | Not Required |
| County License #: | 220002398 |
| Business City: | Not Required |
| City License #: | 220002398 |

## Table 16

| Effective Date: | 7/16/2025 |
| --- | --- |
| Expiration Date: | 7/16/2027 |

## Table 17

| Expiration Date: | 5/15/2025 |
| --- | --- |
| Expiration Date: | 5/15/2025 |

## Table 18

| FIS - Online Payment Portal - | $50.00 |
| --- | --- |
| FIS - Online Payment Portal - 08144C | $50.00 |

## Table 19

| Effective: | 7/16/2025 | Expires: 7/16/2027 |
| --- | --- | --- |
| Registration | Control # | 2025000014351 |

## Table 20

| Bid Item 1: | Luxury Vinyl Plank (LVP) Flooring |
| --- | --- |
| Bid Item 2: | Carpet |

## Table 21

| EHES ~2,450 sq ft | Wood Look | $ 9,648.34 | Furniture removal/replacement | $ 1,324.99 |
| --- | --- | --- | --- | --- |
|  | Stone Look | $ 9,648.34 |  |  |
| EHIS ~525 sq ft | Wood Look | $ 2,076.70 | Furniture removal/replacement | $ 265.00 |
|  | Stone Look | $ 2,076.70 |  |  |
| EHMS ~675 sq ft | Wood Look | $ 2,670.04 | Furniture removal/replacement | $ 265.00 |
|  | Stone Look | $ 2,670.04 |  |  |

## Table 22

| SIGNATURE OF AUTHORIZED | AGENT |  |  |  |
| --- | --- | --- | --- | --- |
| Subscribed and sworn to | before me this | 11th day of | May | , 2026 . |
| Signature of Notary Public My Commission Expires | But | 7/27/2017 | and |  |
| BRUCE STATE OF TENNESSEE NOTARY PUBLIC SHELBY | JOHNSON COUNTY |  |  |  |

## Table 23

|  |  |
| --- | --- |
|  | Hi! I'm Aiden, your A.I. flooring expert. How can I help? |
|  |  |

## Table 24

| COLLECTION |  |
| --- | --- |
| Style Name | Pro Solutions IV |
| Product Line | UltimateFlex Loose Lay |
| Product Type | Resilient Vinyl |
| Color Name PRODUCT DETAILS | Grey Mist |
| Look | Wood |
| Construction | Flex Vinyl |
| Edge Treatment | Micro Bevel |
| Floorscore Certified INSTALLATION | TRUE |
| Grade | On, Above or Below Grade |
| Sub-Floor | Wood/Concrete |
| Underlayment | Not attached |
| Installation Method MEASUREMENT | Hi! I'm Aiden, your A.I. flooring expert. How can I help? |
| Plank Thickness | 5 mm |

## Table 25

| Wear Layer | 20 mil |
| --- | --- |
| Width In Inches | 7.25" |
| Length | 48" |
| Sq. Ft. Per Carton | 24.2 |
| Veneer Thickness | N/A |

## Table 26

| FEATURES |  |
| --- | --- |
|  | EasyClean® technology helps repel dirt and grime, while the enhanced wear layer adds extra protection against everyday scuffs, scratches, and wear. |
|  | Designed with added thickness for extra comfort underfoot and allows for easy plank replacement to extend the life of your floor. |
|  | Warranty protection against pet stains for added peace of mind. |
| THAN | Premium Wear Resistance: Up to a 20 mil wear layer for upgraded protection against everyday wear and tear. |
|  | 100% waterproof floors perfect for any room in the home. Hi! I'm Aiden, your A.I. flooring expert. How can I help? |
| TECHNOLOGIES |  |

## Table 27

|  | PRODUCT SPECS |
| --- | --- |
| COLLECTION |  |
| Style Name | Whitmore Terrace LL |
| Product Line | UltimateFlex Loose Lay |
| Product Type | Resilient Vinyl |
| Color Name | Percy |
| PRODUCT DETAILS |  |
| Look | Stone |
| Construction | Loose Lay |
| Species | Marble |
| Texture | All Over |
| Floorscore Certified | TRUE |
| INSTALLATION |  |
| Grade | On, Above or Below Grade |
| Sub-Floor | Wood/Concrete |
| Underlayment | Not Attached |
| Installation Method | Glue Down |
| MEASUREMENT |  |
| Plank Thickness | 5.0 mm |
| Wear Layer | 20 mil |
| Width In Inches | 12' |
| Length | 24" Hi! I'm Alden, your A.I. flooring expert. How can I help? |
| Sq. Ft. Per Carton | 24 |

## Table 28

|  | DAILY WIRE | STREAMING ONLINE |
| --- | --- | --- |
| Style Number | QA194 | QA195 |
| Construction | Tufted | Tufted |
| Surface Appearance | Textured Patterned Loop | Textured Patterned Loop |
| Gauge | 1/12" (47.00 rows per 10cm) | 1/12" (47.00 rows per 10cm) |
| Tufted Weight | 16 | 16 |
| Density | 6,063 | 6,697 |
| Dye Method | 100% Solution Dyed | 100% Solution Dyed |
| Fiber Type | Envirostrand™ SD PET | Envirostrand™ SD PET |
| Soil Release Technology | Mohawk Protection Plus Soil | Mohawk Protection Plus Soil |
| Primary Backing | Non Woven Synthetic | Non Woven Synthetic |
| Secondary Backing | UltraSet Matrix | UltraSet® Matrix |
| Indoor Air Quality | Green Label Plus Certified # 100055 | Green Label Plus Certified # 100055 |
| Size | 24" X 24" (.6096 m X .6096 m) | 24" X 24" (.6096 m X .6096 m) |
| Sqyd per Carton | 10.66 sqyd/ctn | 10.66 sqyd/ctn |
| Installation Method | Brick Ashlar / Quarter Turn | Brick Ashlar / Quarter Turn |
| Flammability | ASTM E 648 Class 1 (Glue Down) | ASTM E 648 Class 1 (Glue Down) |
| Smoke Density | ASTM E 662 Less than 450 | ASTM E 662 Less than 450 |
| Static Propensity | AATCC-134 Under 3.5 KV | AATCC-134 Under 3.5 KV |
| Country of Origin | USA | USA |
| Warranties | 10-Year Limited Wear Warranty | 10-Year Limited Wear Warranty |
|  | 10-Year Limited Static Protection | 10-Year Limited Static Protection |
|  | 10-Year Limited Edge Ravel, Zippering, Delamination, and Dimensional Stability Warranty | 10-Year Limited Edge Ravel, Zippering, Delamination, and Dimensional Stability Warranty |
|  | 10-Year Limited Stain Resistance Warranty | 10-Year Limited Stain Resistance Warranty |
|  | 10-Year Limited Colorfastness to Light Warranty | 10-Year Limited Colorfastness to Light Warranty |
|  | 10-Year Limited Colorfastness to Atmospheric Contaminants | 10-Year Limited Colorfastness to Atmospheric Contaminants |

## Table 29

| page | [X] 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor C corporation S Partnership Trust/estate | 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): |
| --- | --- | --- |
|  | LLC. Enter the tax classification (C = C corporation, = S corporation, P = Partnership) | Exempt payee code (if any) |
|  | Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions) | Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) |
|  | 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions | (Applies to accounts maintained outside the United States.) |

## Table 30

|  | 5 Address (number, street, and apt. or suite no.). See instructions. | Requester's name and address (optional) |
| --- | --- | --- |
|  | 1373 Holly Tree Gap Rd |  |
|  | 6 City, state, and ZIP code Brentwood, TN. 37027 |  |
|  | 7 List account number(s) here (optional) |  |

## Table 31

|  | Social security number |
| --- | --- |
| Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For Individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a | - - or |
| TIN, later. | Employer Identification number |
| Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. | 04 - 3777109 |

## Table 32

| Sign Here | Signature of U.S. person Debbie Benbow |  | Date | 3/13/2026 |
| --- | --- | --- | --- | --- |

## Table 33

| CONTACT NAME: | LISA WILSON |
| --- | --- |
| PHONE: | FAX: (615)905-1698 |
| E-MAIL ADDRESS: | llsa.wilson@iga.biz |

## Table 34

| INSURER(S) AFFORDING | COVERAGE | NAIC # |
| --- | --- | --- |
| INSURER A | Central Mutual | 20230 |
| INSURER B | All America | 20222 |
| INSURER C |  |  |
| INSURER D |  |  |
| INSURER E |  |  |
| INSURER F |  |  |

## Table 35

| LIMITS |  |
| --- | --- |
| EACH OCCURRENCE | $ 1,000,000 |
| DAMAGE TO RENTED PREMISES (Ea occurrence) | $ 300,000 |
| MED EXP (Any one person) | $ 5,000 |
| PERSONAL & ADV INJURY | $ 1,000,000 |
| GENERAL AGGREGATE | $ 2,000,000 |
| PRODUCTS- COMP/OP AGG | $ 2,000,000 |
| 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 | $ 5,000,000 |
|  |  |
| [X] WC STATUTORY LIMITS | OTHER |
| E.L. EACH ACCIDENT | $ 1,000,000 |
| EL DISEASE - EA EMPLOYEE | $ 1,000,000 |
| E.L DISEASE- POLICY LIMIT | $ 1,000,000 |
|  |  |

## Table 36

| INSR LTR | TYPE OF INSURANCE | INSR | ADDLISUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) |
| --- | --- | --- | --- | --- | --- | --- |
| A | [X] [X] [X] [X] GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT | Y | Y | 9606838 | 8/8/2025 | 8/8/2026 |
| B | [X] AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OWNED AUTOS | Y | Y | 9606837 | 8/8/2025 | 8/8/2026 |
| A | [X] [X] UMBRELLA LIABILITY UMBRELLA OCCUR LIAB EXCESS LIAB CLAIMS-MADE DED RETENTION $ | Y | Y | 9606839 | 8/8/2025 | 8/8/2026 |
| A | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERS/EXEC Y UTIVE OFFICE/MEMBER EXCLUDED? (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below |  |  | 9606841 | 8/8/2025 | 8/8/2026 |

## Table 37

| 1) | Brent Stidham Senior Maintenance Engineer (Managing govt buildings in Brentwood TN) City Of Brentwood brent.stidham@brentwoodtn.gov (615)533-5032 15+ Years as a customer |
| --- | --- |
| 2) | Ryan Edwards Continuous Improvement Coordinator Advanced Composites Ryan.edwards@advcmp.com (615)630-1843 15+ Years as a customer |
| 3) | Yvonne Parker Sr. Specialist, Consumer Care National Facilities T-Mobile Yvonne.parker@t-mobile.com (931)980-8867 8 Years as a customer |
| 4) | Wesley King Service Manager The Mathews Company wking@themathewscompany.com |
|  | (615)394-8451 15+ Years as a customer |

## Table 38

| EHES ~2,450 sq ft | Wood Look | $ 22,504.00 | Furniture removal/replacement | $2450.00 |
| --- | --- | --- | --- | --- |
|  | Stone Look | $ 22,504.00 |  |  |
| EHIS ~525 sq ft | Wood Look | $5,016.00 | Furniture removal/replacement | $500.00 |
|  | Stone Look | $5,016.00 |  |  |
| EHMS ~675 sq ft | Wood Look Stone Look | $ 6,206.00 $6,206.00 | Furniture removal/replacement | $675.00 |

## Table 39

| SIGNATURE OF AUTHORIZED | AGENT | Nathaniel Benbow |
| --- | --- | --- |
| Subscribed and sworn to | before me this | day of May , 2026 - |
| Signature of Notary Public | Notary to be | submitted after notice of award if neeeded. |
| My Commission Expires |  |  |