The Hickman County Finance Office is accepting bids for "Painting at
Schools" 2025-2026.
Bid prices must be good for July 1, 2026 - June 30, 20267.
Specifications can be found at
https://ww.hickmank12.org/requestforproposal. Or by calling 391-729-
3391 Ext 3.
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
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 "Painting at Schools."
Bids will be opened on May 12, 2026, at 10:30 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 bids and to waive any informalities that would prevent the acceptance of a
better bid.
Present Penny Rochille
3 buts rec'd
BJB Construction Company
Nicle Wright
Art's House Painting
offer Porch
see attached bids
BEYOND JUST BUILDERS
SECURITY
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
Specifications Part B
Painting at Schools
Scope:
Proper prep, sand, and glaze any peeling paint to avoid it being visible to the final
finish.
Ensure proper manufacturer-prepped surface for good adhesion.
Avoid peeling or chipping paint.
Application is to be brushed or rolled on for a smooth, clean finish.
All specs apply to interior and exterior projects.
Painting specs will be applied to latex, urethane, or epoxy finishes, where the
manufacturer requirement is to include primer and paint applications.
Metal doors and frames (both sides) 4x7
$ 288.00
Frames only (per opening) 4x7
$ 96.00
Dumpster doors (both sides with poles trim)
$ 1104.00
Miscellaneous Trim (priced per linear foot)
$ 2.5/If
CMU walls: Exterior scrape, scuff, prime, and paint
$4
SF
CMU walls: Interior scrape, scuff, prime, and paint
$ 3
SF
Handrails: To include top, mid, and bottom rails. Prep/paint
$ 28
linear ft
Single Rails: To include one railing continuous, and brackets, posts $ 21
linear ft
Picketed fencing or hand railing continuous, brackets, posts
$ 3.5
linear foot
EFIS/CORNICE: Both metal/Cladding Board Stucco (paint)
$ 3
square foot
Cost plus for materials
20%
markup %/equipment/lift rental and paint.
Minimum per job to mobilize $ 2000.00
ALTERNATE 2
Straight-out the pricing of painters by the hour to sand, prep, and paint anything requested
by the schools and furnish materials listed by the painters prior to the job start.
Painters by the hour $ 80
Materials plus markup %
20%
for any items limited to rollers, brushes, paint,
primer, etc.
NOTE: This bid does not allow add-on charges for standard "tools of trade" such as
trucks, drop cloths, and ladders, which are considered part of the standard tools of
the trade that most businesses already possess.
1 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: Nathaniel Benbow
Bidder Signature: Nathaniel Benbow
Date: 5/6/2026
2 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: 5/6/2026
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
3 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: Nathaniel Benbow
Print: Nathaniel Benbow
Date: 5/6/2026
Phone/Email: 615-394-1411
Nathan@bjbconstruction.com
4 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: Nathaniel Benbow
Print: Nathaniel Benbow
Title: Estimator/ Principal Officer
Date: 5/6/2026
5 I Page
W-9
Request for Taxpayer
Give form to the
Form
(Rev. March 2024)
Identification Number and Certification
requester. Do not
Department of the Treasury
send to the IRS.
Internal Revenue Service
Go to www.irs.gov/FormW9 for instructions and the latest information.
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 corporation
Trust/estate
See Specific Instructions on page 3.
Partnership
LLC. Enter the tax classification (C = C corporation, S = 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
entities, 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 II Certification
Under penalties of perjury, I 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. 1 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
Future developments. For the latest information about developments
change is intended to provide a flow-through entity with information
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
should check the "LLC" box and enter its appropriate tax classification.
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS is giving you this form because they
Cat. No. 10231X
Form W-9 (Rev. 3-2024)
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
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: lisa.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
ADDL
SUBR
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
OCCUR
AGGREGATE
$
5,000,000
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?
E.L. 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 per 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 proprietors, 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
State of Cennessee
14123171
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
BJB CONSTRUCTION COMPANY INC.
This is to certify that all requirements of the State of Tennessee have been met.
ID NUMBER: 61519
SEAL-OF THE XVI STATEOF STATE OF
LIC STATUS: ACTIVE
EXPIRATION DATE September 30, 2026
$473,240.00; BC
GREAT AGRICULTURE CHIMERC 7796 7
IN-1313
VIVIC
DEPARTMENT OF
COMMERCE AND INSURANCE
VOID
THE
Town of Centerville Business Tax
Minimal Activity Business License
ART'S HOUSE PAINTING
Date Issued: 05-05-2026
ART'S HOUSE PAINTING
Business Tax Classification: 3
2810 COUNTRY CLUB DR
Tax Period:
to
CENTERVILLE TN
Next Tax Due: 09-15-2027
37033-3916
Expiration: 10-15-2027
License Type: New/Renewal
License Number: 6685
Local Tax Account #: 1000110
Effective January 1, 2014, counties and cities will issue a minimal activity business license to any person with
annual sales of more than $3,000 but less than $100,000 per year within a jurisdiction.
The minimal activity license will be issued upon receipt of an application and payment of a $15 fee. The applicant
must attest that the applicant is engaged in business within the county or incorporated municipality and has sales of
less than $100,000 per year within the jurisdiction. No person with sales of more than $3,000 but less than
$100,000 per year can engage in business in the jurisdiction without first obtaining the minimal activity license.
If a person has more than one location in the jurisdiction, a separate minimal activity license and $15 fee is
required for each location. Any person obtaining a minimal activity license must display the license in the person's
place of business. Persons with $3,000 or less in annual sales in any incorporated municipality or county may, but
are not required to, have a minimal activity license.
Each minimal activity license will expire thirty days after the end of what would be the taxpayer's filing period if
the person were filing a business tax return. Each year, a new minimal activity license must be obtained for each
of the person's locations if the person will meet the qualifying gross receipts criteria; another $15 license fee must
be paid for each new minimal activity license.
In any year in which a person's gross receipts in the jurisdiction are $100,000 or more, the person will be required
to file a regular business tax return for the tax year.
DETACH LICENSE BELOW AND DISPLAY IN PUBLIC AREA
Town of Centerville Business Tax
Minimal Activity Business License
This certificate must be publicly displayed
ART'S HOUSE PAINTING
THE
Date Issued: 05-05-2026
STATE
Business Tax Classification: 3
2810 COUNTRY CLUB DR
Tax Period:
to
Next Tax Due: 09-15-2027
CENTERVILLE TN
Expiration: 10-15-2027
37033-3916
License Type: New/Renewal
7796
License Number: 6685
Local Tax Account #: 1000110
Docusign Envelope ID: D9D6CF21-AFB1-4BA0-94BE-5DA4CFC995BC
Memorandum of Commercial
FARMERS
Insurance
INSURANCE
Insured: TIDWELL, ARTHUR ARTS HOUSE PAINTING
Effective Date: 05-04-2026
Company: MID-CENTURY INSURANCE COMPANY
Policy Number: 607236057
Agent Number: 662739L
Rates quoted reflect the rates in effect as of the date of this application and are subject to revision. The company
reserves the right to accept, reject or modify this application after investigation, review of the application and review
of all other underwriting information. The undersigned represents and warrants that he/she has applied for the
insurance coverage(s) as set forth above, pursuant to an application entered into the insurer's computer records,
and hereby confirms that he/she supplied information so entered and warrants and represents that all such
information is true and correct.
We may use your credit history to run an "insurance score" for the purpose of underwriting or rating your policy. An
insurance score is a number or rating derived from an algorithm, computer application, model or other process that
is based wholly or in part on credit information. We use an insurance score to predict an individual applicant's or
customer's future insurance loss exposure.
Applicable only to states with the privacy act: I have received a copy of the investigation practices and protection of
your privacy form, which advises me of my rights concerning the investigative practices of the member companies
and exchanges of the Farmers Insurance Group of Companies.
The property limits are only estimated values based upon the information provided to us by you and third parties.
You are responsible for determining the appropriate Building and/or Business Personal Property coverage limits.
Please also note that this estimate does not replace or supersede any term or condition of your policy and does not
replace any required current professional appraisals or use of other estimating methods.
FRAUD WARNING STATEMENTS
All States (other than AL, AR, AZ, CO, DC, FL, LA, MD, ME, NJ, NM, OH, OR, PA, RI, TN, VA, WA and WV)- Any person
who knowingly and with intent to defraud any insurance company or other person files an application for insurance
containing any materially false information or conceals, for the purpose of misleading, information concerning any
fact material thereto commits a fraudulent insurance act, which is a crime and subjects that person to criminal and
civil penalties.
AL, AR, AZ, DC, LA, MD, NM, RI and WV- Any person who knowingly (or willfully in MD) presents a false or
fraudulent claim for payment of a loss or benefits or who knowingly (or willfully in MD) presents false information in
an application for insurance is guilty of a crime and may be subject to fines or confinement in prison.
California - For your protection, California law requires the following to appear on this form: Any person who
knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the
payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.
Colorado- It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance
company for the purpose of defrauding or attempting to defraud the company. Penalties may include
imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance
company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or
claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a
settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within
the department of regulatory agencies.
Florida and Oklahoma- WARNING: Any person who knowingly and with intent to injure, defraud, or deceive any
insurer files a statement of claim or an application containing any false, incomplete, or misleading information is
guilty of a felony (In FL, a person is guilty of a felony of the third degree).
ME, TN, VA, WA It is a crime to knowingly provide false, incomplete, or misleading information to an insurance
company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of
insurance benefits.
New Jersey - Any person who includes any false or misleading information on an application for an insurance policy
is subject to criminal and civil penalties.
Ohio - Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits
an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.
31-1275ED6 08-22
Page 1 of 3
Docusign Envelope ID: D2824F72-1FAF-8326-831C-5B3B55DA99FB
CNA
Coverage:
Workers' Compensation
Account Name:
Arts House Painting
Underwritten
TRANSPORTATION
by:
INSURANCE COMPANY (20494)
Policy Period:
05/01/2026 05/01/2027
WORKERS' COMPENSATION
FEIN
415156683
Employers' Liability Limits
Limit
Bodlly Injury by Accident (Per Accident)
$500,000
Bodily Injury by Disease (Policy Limit)
$500,000
Bodlly Injury by Disease (Each Employee)
$500,000
Rating Information
Rating Period 05/01/2026 05/01/2027
Location
State
Class
Class Description
Payroll
Rate
Est.Annual
Code
Premium
Premium
Basis
1
TN
5474
Camouflage Work-Palnting-& Drivers
$10,000
3.803
$380.00
Class Total for Location #1
$380.00
Class Total for TN
$380.00
9807
Employers Liability Increased Limits
.0110
$4.00
9848
Employers Liability Increased Limits -
#######
$96.00
Balance To Minimum Premium
0930
Waiver Of Subrogation
.0000
$0.00
Modified Premium
$480.00
9887
Schedule Modification Adjustment
.7500
($120.00)
Credit
Total Estimated Standard Premium
$360.00
0990
Required To Balance To Min Premium
.0000
$501.00
0900
Expense Constant
.0000
$160.00
9740
Terrorism Premium
0130
$1.00
9741
Catastrophe (O/T Cert Acts Of Terror)
0250
$3.00
Total Estimated Premium
$1,025.00
Total Estimated Cost
$1,025.00
Total Workers' Compensation Premium:
$1,025.00
Page:2
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: arthur didwell
Print: Arthur Tiowell
Date: 5/5/26
Phone/Email: adtidwelL54@GMAiL.Com
4 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: authur Ridwell
Print:
Arthur Towell
Title: Sole-proprietor - PAINTER
Date: 5/5/26
5 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
Date: compensation. 5/5/26 Name: althur Lidwed
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: 5/5/26 Signature: Vidwell
3 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/ibary/cpo
-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: ARthuR Tiowell
Bidder Signature: acttors
Date: 5/5/26
2 I Page
Arts
Specifications Part B
Painting at Schools
Scope:
Proper prep, sand, and glaze any peeling paint to avoid it being visible to the final finish.
Ensure proper manufacturer-prepped surface for good adhesion.
Avoid peeling or chipping paint.
Application is to be brushed or rolled on for a smooth, clean finish.
All specs apply to interior and exterior projects.
Painting specs will be applied to latex, urethane, or epoxy finishes, where the
manufacturer requirement is to include primer and paint applications.
Metal doors and frames (both sides) 4x7
$ 250
Frames only (per opening) 4x7
$ 75
Dumpster doors (both sides with poles trim)
$ 250
Miscellaneous Trim (priced per linear foot)
$ 2.50
CMU walls: Exterior scrape, scuff, prime, and paint
$ 2.75
SF
CMU walls: Interior scrape, scuff, prime, and paint
$ 1.75
SF
Handrails: To include top, mid, and bottom rails. Prep/paint
$ 6
linear ft
Single Rails: To include one railing continuous, and brackets, posts $ 4
linear ft
Picketed fencing or hand railing continuous, brackets, posts$ $ 8
linear foot
EFIS/CORNICE: Both metal/Cladding Board Stucco (paint) $ 2.50
square foot
Cost plus for materials
25
markup %/equipment/lift rental and paint.
Minimum per job to mobilize $ 200
ALTERNATE 2
Straight-out the pricing of painters by the hour to sand, prep, and paint anything requested by
the schools and furnish materials listed by the painters prior to the job start.
Painters by the hour $ 30 per PAINTERS
Materials plus markup % 25
for any items limited to rollers, brushes, paint, primer,
etc.
NOTE: This bid does not allow add-on charges for standard "tools of trade" such as trucks,
drop cloths, and ladders, which are considered part of the standard tools of the trade that
most businesses already possess.
1 I Page
CASEY DORTON, HICKMAN COUNTY CLERK
LICENSE
0414309
MINIMAL ACTIVITY BUSINESS TAX LICENSE
Total Due: 15.00
Cash: 20.00 Check: Check No.: Change: 5.00
KARLIE wk03 Drawer: 3 Site: 1
Work Date: 05/05/2026
DETACH THIS PORTION FOR CONFIDENTIAL FILE
CASEY DORTON
HICKMAN COUNTY CLERK
LICENSE
114 N. CENTRAL AVE, SUITE 202
CENTERVILLE, TN 37033
0414309
MINIMAL ACTIVITY BUSINESS TAX LICENSE
Mailing
Location
5331 ART'S HOUSE PAINTING
ART'S HOUSE PAINTING
2810
2810 COUNTRY CLUB DR
COUNTRY CLUB DR
CENTERVILLE, TN 37033
CENTERVILLE, TN 37033
TONYA TIDWELL
LOCAL ACCOUNT NUMBER
5331
ISSUE DATE
05/05/26
TAX PERIOD
STARTED - 05/05/2026
STATE ACCOUNT NUMBER
1001946589
TRANSACTION NUMBER
EXPIRATION DATE
5/15/2027
CLASS
03
SALES TAX NUMBER
Drawer:3 Site:1
-- POST AT LOCATION OF BUSINESS - --
IF BUSINESS CLOSES, MOVES, OR CHANGES OWNERS, NOTIFY THIS OFFICE
ACORD®
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
05/06/2026
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).
PRODUCER
CONTACT
NAME: Daryl Foster
Daryl Foster(662739L)
PHONE
FAX
1585 Mallory Ln Ste 207
(A/C, NO, EXT): 615-373-9919
(A/C, NO): 615-750-5076
E-MAIL
ADDRESS: ffoster@farmersagent.com
Brentwood
TN 37027-3035
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Truck Insurance Exchange
21709
INSURED
INSURER B: Farmers Insurance Exchange
21652
ARTHUR TIDWELL
INSURER C: Mid Century Insurance Company
21687
dba: ART'S HOUSE PAINTING
INSURER D: CNA/National Fire Insurance Company
20478
2810 COUNTRY CLUB DR
INSURER E:
CENTERVILLE
TN 37033
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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
ADDTL
SUBR
POLICY EFF
POLICY EXP
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
LTR
INSD
WVD
(MM/DD/YYYY)
(MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
$
PREMISES (Ea Occurrence)
100,000
MED EXP (Any one person)
$
5,000
C
607236057
05/04/2026
05/04/2027
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY
PROJECT
LOC
PRODUCTS- COMP/OP AGG
$ 2,000,000
OTHER:
$
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
$
(Ea accident)
ANY AUTO
BODILY INJURY (Per person)
$
OWNED AUTOS
SCHEDULED
BODILY INJURY (Per accident)
$
ONLY
AUTOS
HIRED AUTOS
NON-OWNED
PROPERTY DAMAGE
$
ONLY
AUTOS ONLY
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$
DED
RETENTION $
$
WORKERS COMPENSATION
PER
OTHER
$
AND EMPLOYERS' LIABILITY
STATUTE
ANY PROPRIETOR/PARTNER/
Y/N
E.L. EACH ACCIDENT
$ 500,000
EXECUTIVE OFFICER/MEMBER
N/A
8035891913
05/04/2026
05/04/2026
D
Y
E.L. DISEASE- EA EMPLOYEE
to
500,000
EXCLUDED? (Mandatory in NH)
If yes, describe under DESCRIPTION OF
E.L. DISEASE- POLICY LIMIT
$
500,000
OPERATIONS below
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
2810 COUNTRY CLUB DR, CENTERVILLE, TN 37033
CERTIFICATE HOLDER
CANCELLATION
Arthur Tidwell
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
dba: Art's House Painting
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
2810 Country Club Dr
AUTHORIZED REPRESENTATIVE
Centerville, TN 37033
7 Dayl Forter
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All Rights Reserved
31-1769 11-15
The ACORD name and logo are registered marks of ACORD
MEMPHIS AND SHELBY COUNTY
o
C
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:
Next First Insurance Agency, Inc.
PHONE
FAX
(A/C, No. Ext):
(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
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
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
STATEOF
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.
Memphis TN 38103
7/16/2025
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
SEAL
STATE OF TENNESSEE
GREAT
AGRICULTURE
F)
Claudia Byers
220 French Landing Drive Suite 1-B
*7796*
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/we-exemption-registry.html
Tennessee Bureau of Workers' Compensation * 220 French Landing Drive Suite 1-B Nashville, TN 37243
Tel: (615) 532-1319 * ttps://www.tn.gov/workforce/injuries-at-work/employers/employers/wo-exemption-registry.hml
OfferDorch
Specifications Part B
Painting at Schools
Scope:
Proper prep, sand, and glaze any peeling paint to avoid it being visible to the final
finish.
Ensure proper manufacturer-prepped surface for good adhesion.
Avoid peeling or chipping paint.
Application is to be brushed or rolled on for a smooth, clean finish.
All specs apply to interior and exterior projects.
Painting specs will be applied to latex, urethane, or epoxy finishes, where the
manufacturer requirement is to include primer and paint applications.
Metal doors and frames (both sides) 4x7
$ 96.37
Frames only (per opening) 4x7
$ 73,50
Dumpster doors (both sides with poles trim)
$ 289.11
Miscellaneous Trim (priced per linear foot)
$ 2.04
CMU walls: Exterior scrape, scuff, prime, and paint
$ .62
SF
CMU walls: Interior scrape, scuff, prime, and paint
$ .62
SF
Handrails: To include top, mid, and bottom rails. Prep/paint
$ 6.13
linear ft
Single Rails: To include one railing continuous, and brackets, posts $ 2.04
linear ft
Picketed fencing or hand railing continuous, brackets, posts
$ 4.08
linear foot
EFIS/CORNICE: Both metal/Cladding Board Stucco (paint)
$ .62
square foot
Cost plus for materials .25
markup %/equipment/lift rental and paint.
Minimum per job to mobilize $ 390.00
ALTERNATE 2
Straight-out the pricing of painters by the hour to sand, prep, and paint anything requested
by the schools and furnish materials listed by the painters prior to the job start.
Painters by the hour $ 61.25
Materials plus markup %
.25
for any items limited to rollers, brushes, paint,
primer, etc.
NOTE: This bid does not allow add-on charges for standard "tools of trade" such as
trucks, drop cloths, and ladders, which are considered part of the standard tools of
the trade that most businesses already possess.
1 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: 05/11/2026 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 best of my
knowledge.
Date: 05/11/2026 Signature:
3 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/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:
Curtdell Giles Jr.
Bidder Signature:
Date:
05/11/2026
2 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:
Curtdell Giles Jr.
Date:
05/11/2026
Phone/Email:
901-472-4006 / curtdellgiles@offerporch.com
4 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: Carldell A
Print:
Curtdell Giles Jr.
Title:
Owner
Date:
05/11/2026
5 I Page

## Table 1

| 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 2

| Metal doors and frames (both sides) 4x7 | $ 288.00 |  |
| --- | --- | --- |
| Frames only (per opening) 4x7 | $ 96.00 |  |
| Dumpster doors (both sides with poles trim) | $ 1104.00 |  |
| Miscellaneous Trim (priced per linear foot) | $ 2.5/If |  |
| CMU walls: Exterior scrape, scuff, prime, and paint | $4 | SF |
| CMU walls: Interior scrape, scuff, prime, and paint | $ 3 | SF |
| Handrails: To include top, mid, and bottom rails. Prep/paint | $ 28 | linear ft |
| Single Rails: To include one railing continuous, and brackets, posts | $ 21 | linear ft |
| Picketed fencing or hand railing continuous, brackets, posts | $ 3.5 | linear foot |
| EFIS/CORNICE: Both metal/Cladding Board Stucco (paint) | $ 3 | square foot |

## Table 3

| Bidder Name: | Nathaniel Benbow |
| --- | --- |
| Bidder Signature: | Nathaniel Benbow |
| Date: 5/6/2026 |  |

## Table 4

| Print: | Nathaniel Benbow |
| --- | --- |
| Title: | Estimator/ Principal Officer |
| Date: | 5/6/2026 |

## Table 5

|  |  |  |
| --- | --- | --- |
|  | [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 corporation 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 = 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 6

|  | 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 7

| 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 entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. | Social security number - - or 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 8

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

## Table 9

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

## Table 10

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

## Table 11

| 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 |
| E.L. DISEASE- EA EMPLOYEE | $ | 1,000,000 |
| E.L. DISEASE- POLICY LIMIT | $ | 1,000,000 |
|  |  |  |

## Table 12

| INSR LTR | TYPE OF INSURANCE | ADDL INSR | SUBR 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 13

| FEIN | 415156683 |
| --- | --- |
| Employers' Liability Limits | Limit |
| Bodlly Injury by Accident (Per Accident) | $500,000 |
| Bodily Injury by Disease (Policy Limit) | $500,000 |
| Bodlly Injury by Disease (Each Employee) | $500,000 |

## Table 14

| Location | State | Class Code | Class Description | Payroll Premium Basis | Rate | Est.Annual Premium |
| --- | --- | --- | --- | --- | --- | --- |
| 1 | TN | 5474 | Camouflage Work-Palnting-& Drivers | $10,000 | 3.803 | $380.00 |
| Class Total | for Location | #1 |  |  |  | $380.00 |
| Class Total | for TN |  |  |  |  | $380.00 |
|  |  | 9807 | Employers Liability Increased Limits |  | .0110 | $4.00 |
|  |  | 9848 | Employers Liability Increased Limits - Balance To Minimum Premium |  | ####### | $96.00 |
|  |  | 0930 | Waiver Of Subrogation |  | .0000 | $0.00 |
| Modified | Premium |  |  |  |  | $480.00 |
|  |  | 9887 | Schedule Modification Adjustment Credit |  | .7500 | ($120.00) |
| Total | Estimated | Standard | Premium |  |  | $360.00 |
|  |  | 0990 | Required To Balance To Min Premium |  | .0000 | $501.00 |
|  |  | 0900 | Expense Constant |  | .0000 | $160.00 |
|  |  | 9740 | Terrorism Premium |  | 0130 | $1.00 |
|  |  | 9741 | Catastrophe (O/T Cert Acts Of Terror) |  | 0250 | $3.00 |
| Total | Estimated | Premium |  |  |  | $1,025.00 |
| Total | Estimated Cost |  |  |  |  | $1,025.00 |
| Total Workers' |  | Compensation | Premium: |  |  | $1,025.00 |

## Table 15

| Signature: |  | arthur didwell |
| --- | --- | --- |
| Print: |  | Arthur Tiowell |
| Date: |  | 5/5/26 |
|  | Phone/Email: | adtidwelL54@GMAiL.Com |

## Table 16

| Print: | Arthur Towell |
| --- | --- |
| Title: | Sole-proprietor - PAINTER |
| Date: | 5/5/26 |

## Table 17

| Bidder Name: | ARthuR Tiowell |
| --- | --- |
| Bidder Signature: | acttors |

## Table 18

| Metal doors and frames (both sides) 4x7 | $ 250 |
| --- | --- |
| Frames only (per opening) 4x7 | $ 75 |
| Dumpster doors (both sides with poles trim) | $ 250 |
| Miscellaneous Trim (priced per linear foot) | $ 2.50 |
| CMU walls: Exterior scrape, scuff, prime, and paint | $ 2.75 SF |
| CMU walls: Interior scrape, scuff, prime, and paint | $ 1.75 SF |

## Table 19

| ISSUE DATE | 05/05/26 |
| --- | --- |
| TAX PERIOD | STARTED - 05/05/2026 |
| EXPIRATION DATE | 5/15/2027 |

## Table 20

| LOCAL ACCOUNT NUMBER | 5331 |
| --- | --- |
| STATE ACCOUNT NUMBER | 1001946589 |
| TRANSACTION NUMBER |  |
| CLASS | 03 |
| SALES TAX NUMBER |  |

## Table 21

| CONTACT NAME: | Daryl Foster |  |  |
| --- | --- | --- | --- |
| PHONE (A/C, NO, | EXT): 615-373-9919 | FAX (A/C, NO): | 615-750-5076 |
| E-MAIL ADDRESS: | ffoster@farmersagent.com |  |  |

## Table 22

| INSURER(S) AFFORDING COVERAGE | NAIC # |
| --- | --- |
| INSURER A: Truck Insurance Exchange | 21709 |
| INSURER B: Farmers Insurance Exchange | 21652 |
| INSURER C: Mid Century Insurance Company | 21687 |
| INSURER D: CNA/National Fire Insurance Company | 20478 |
| INSURER E: |  |
| INSURER F: |  |

## Table 23

| LIMITS |  |
| --- | --- |
| EACH OCCURRENCE | $ 1,000,000 |
| DAMAGE TO RENTED PREMISES (Ea Occurrence) | $ 100,000 |
| 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) | $ |
| BODILY INJURY (Per person) | $ |
| BODILY INJURY (Per accident) | $ |
| PROPERTY DAMAGE (Per accident) | $ |
|  | $ |
| EACH OCCURRENCE | $ |
| AGGREGATE | $ |
|  | $ |
| PER OTHER STATUTE | $ |
| E.L. EACH ACCIDENT | $ 500,000 |
| E.L. DISEASE- EA EMPLOYEE | to 500,000 |
| E.L. DISEASE- POLICY LIMIT | $ 500,000 |
|  |  |

## Table 24

| INSR LTR | TYPE OF INSURANCE | ADDTL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) |
| --- | --- | --- | --- | --- | --- | --- |
| C | [X] [X] [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER: |  |  | 607236057 | 05/04/2026 | 05/04/2027 |
|  | AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS HIRED AUTOS NON-OWNED ONLY AUTOS ONLY |  |  |  |  |  |
|  | UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ |  |  |  |  |  |
| D | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER Y EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A |  | 8035891913 | 05/04/2026 | 05/04/2026 |
|  |  |  |  |  |  |  |

## Table 25

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

## Table 26

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

## Table 27

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

## Table 28

| 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 29

| 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 30

| 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 31

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

## Table 32

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

## Table 33

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

## Table 34

| Metal doors and frames (both sides) 4x7 | $ 96.37 |  |
| --- | --- | --- |
| Frames only (per opening) 4x7 | $ 73,50 |  |
| Dumpster doors (both sides with poles trim) | $ 289.11 |  |
| Miscellaneous Trim (priced per linear foot) | $ 2.04 |  |
| CMU walls: Exterior scrape, scuff, prime, and paint | $ .62 | SF |
| CMU walls: Interior scrape, scuff, prime, and paint | $ .62 | SF |
| Handrails: To include top, mid, and bottom rails. Prep/paint | $ 6.13 | linear ft |
| Single Rails: To include one railing continuous, and brackets, posts | $ 2.04 | linear ft |
| Picketed fencing or hand railing continuous, brackets, posts | $ 4.08 | linear foot |
| EFIS/CORNICE: Both metal/Cladding Board Stucco (paint) | $ .62 | square foot |

## Table 35

| (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. |

## Table 36

| Bidder Name: | Curtdell Giles Jr. |
| --- | --- |
| Bidder Signature: |  |
| Date: | 05/11/2026 |

## Table 37

| Print: | Curtdell Giles Jr. |
| --- | --- |
| Date: | 05/11/2026 |
| Phone/Email: | 901-472-4006 / curtdellgiles@offerporch.com |

## Table 38

| Print: | Curtdell Giles Jr. |
| --- | --- |
| Title: | Owner |
| Date: | 05/11/2026 |