The Hickman County Finance Office will be accepting sealed bids for "Annual
Sealing and Striping".
Bid prices must be good for July 1, 2026 - June 30, 2027.
All bidders are required to submit a conflict-of-interest disclosure form that
can be obtained at https://www.hickmank12.org/requestforproposal.
Specifications may be found at
https/www.hickmank12.org/requestforproposal, or by contacting the
building maintenance office at 931-729-3391 ext 3.
Bidders must meet TCA 49-5-406 and all other state, federal and local
guidelines and laws regarding working on school properties.
Bidders are required to attach:
TN business license
1-million-dollar liability insurance
workers compensation insurance
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
Background Acknowledgement Form
Sealed bids must be mailed, or hand delivered to the Hickman County
Finance Office, 114 North Central Ave, Suite 203, Centerville, TN 37033 and
clearly marked "Annual Paving, Patching, and Striping Bid" on the outside of
the mailing envelope.
Bids will be opened on May 12, 2026, at 11:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept and
reject any and all bids or parts of bids, and to waive any informalities that may
prevent the acceptance of a better bid.
Present Penny Rochulle
3 bids rec'd
BJB Construction Company
Sessions Paving Company
American Stripes, LLC
see attached
Bid specifications: Bid form (use this form format to bid please).
Scope:
Seal coating, crack filling, and re-striping of parking lot.
This includes:
Preparation prior to sealcoating the entire area will be swept and
cleaned of all debris with commercial blowers.
Oil spots will be cleaned and primed as necessary.
Adjust any drainage basins/manhole covers prior to asphalt patch
installation
Striping - Re-stripe the parking lots to approved color and lay-out
including all lines, handicap stencils, hashes, crosswalks, curbing and
other noted
Contractor will dispose of all refuse and debris collected during
preparation operations.
ANNUAL PARKING LOT MAINTENANCE:
Crack sealing:
Cost to remove all vegetation from cracks, scrape, shovel, blow out, sweep,
clean pavement of all granular dirt build-up including drains. Add HOT
SLURRY filling of all cracks, level with a mopped finish.
$.85
per linear foot.
SEALING:
Cost to remove any vegetation, clean pavement and simply spray TWO
COATS of parking lot sealer.
$.23
per square foot.
STRIPING by SCHOOL:
*Note - HCBOE reserves the right to divide/award the striping portion of this
bid to bidders that only do striping, in the event we receive a better bid.
Striping bid requires that the parking lot is blown clean of all loose granular
debris and removed from the paved area, curbs, and drains prior to painting
stripes. All striping is to conform to meeting the most recent and latest ADA
accessibility laws and regulations. All paint to get double coated.
Locations for Striping Pricing:
Centerville Elementary School, 104 Mary Field Avenue, Centerville TN 37033
(includes street turn lane, front parking lot, side bus lane, and the rear back
parking area.)
$7,345.00
Double Paint
$19,631.00
Sealing Lot
Centerville Intermediate School, 110 Mary Field Avenue, Centerville TN 37033
(includes turn in from the city street, the front parking lot, main drive, and side
turn-around, exiting back to ending at the edge of the city street.)
$3,955.00
Double Paint
$ 12,123.00
Sealing Lot
Hickman County Middle School, 1639 Bulldog Blvd, Centerville TN 37033
(Vineyard Field Drive, and to include the main front of the building, the side
gym, and the donut parking lot at the rear to the school.)
$7,910.00
Double Paint
$20,954.00
Sealing Lot
Hickman County High School, 1645 Bulldog Blvd., Centerville TN 37033
(to include the 360 circle drive around the building, all parking areas front,
side and back, the upper soccer field spaces, and the all parking at the rear
administrative building. All markings, arrows and road highway center lanes
to be properly yellow laned marked, all spaces to be white striped.)
$ 31,428.00
Double Paint
$ 67,578.00
Sealing Lot
East Hickman Elementary School, 5191 Hwy 100, Lyles TN 37098
(to include the road markings around all three main driveways entering all
three schools, road letters identifying the four-letter school names, i.e., EHES,
EHIS, EHMS, then the front of the EHES parking lot lanes, all arrows, yellow
dividing traffic lanes markings, road letters, and stop bars per the principal
preference, as well as the fire lanes.)
$ 10,170.00
Double Paint
$ 17,661.00
Sealing Lot
East Hickman Intermediate School, 5198 East Eagle Drive. Lyles TN 37098
(to include front and rear donut lot area of the school building and roads,
enter and exit arrows, crosswalks, parking spaces, and fire lane.)
$ 3,051.00
Double Paint
$ 18,657.00
Sealing Lot
East Hickman Middle School, 9414 East Eagle Drive, Lyles Tn 37098
(to include all road front, entire gym side, and rear lot parking areas, arrows
and markings to enter and exit.)
$ 9,040.00
Double Paint
$ 21,812.00
Sealing Lot
East Hickman High School, 7700 Hwy 7, Lyles TN 37098
(to include all markings surrounding the entire campus, which includes road
traffic markings, front, rear and side parking lots as well as outlying athletic
parking lots, tennis softball and baseball fields, two divided lanes adding 15
mph every 300ft starting at the entrance and down the road circling around
the school. All stop bars painted, arrows and directional markings ending at
the gates. Main Hwy 7 entrance to refresh the stop bars and divider lanes.)
$36,160.00
Double Paint
$ 102,348.00
Sealing Lot
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
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
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/o
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
BJB Construction Company Inc.
Bidder Signature: Nathaniel Benbow
Date: 5/6/2026
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
I
BEYOND JUST BUILDERS
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
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. 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
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)
1944
State of Connessee
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
OF THE XVI STATEO
LIC STATUS: ACTIVE
EXPIRATION DATE: September 30, 2026
GREAT SEAL THE AGRICULTURE 125 CHIME 7
$473,240.00; BC
7796
IN-1313
VC
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
ADDLSUBR
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
AGGREGATE
$
5,000,000
UMBRELLA
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?
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
The Hickman County Finance Office will be accepting sealed bids for "Annual
Sealing and Striping".
Bid prices must be good for July 1, 2026 - June 30, 2027.
All bidders are required to submit a conflict-of-interest disclosure form that
can be obtained at https://www.hickmank12.org/requestforproposal
Specifications may be found at
https://www.hickmank12.org/requestforproposal, or by contacting the
building maintenance office at 931-729-3391 ext 3.
Bidders must meet TCA 49-5-406 and all other state, federal and local
guidelines and laws regarding working on school properties.
Bidders are required to attach:
TN business license
1-million-dollar liability insurance
workers compensation insurance
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
Background Acknowledgement Form
Sealed bids must be mailed, or hand delivered to the Hickman County
Finance Office, 114 North Central Ave, Suite 203, Centerville, TN 37033 and
clearly marked "Annual Paving, Patching, and Striping Bid" on the outside of
the mailing envelope.
Bids will be opened on May 12, 2026, at 11:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept and
reject any and all bids or parts of bids, and to waive any informalities that may
prevent the acceptance of a better bid.
Bid specifications: Bid form (use this form format to bid please).
Scope:
Seal coating, crack filling, and re-striping of parking lot.
This includes:
Preparation prior to sealcoating the entire area will be swept and
cleaned of all debris with commercial blowers.
Oil spots will be cleaned and primed as necessary.
Adjust any drainage basins/manhole covers prior to asphalt patch
installation
Striping - Re-stripe the parking lots to approved color and lay-out
including all lines, handicap stencils, hashes, crosswalks, curbing and
other noted
Contractor will dispose of all refuse and debris collected during
preparation operations.
ANNUAL PARKING LOT MAINTENANCE:
Crack sealing:
Cost to remove all vegetation from cracks, scrape, shovel, blow out, sweep,
clean pavement of all granular dirt build-up including drains. Add HOT
SLURRY filling of all cracks, level with a mopped finish.
$ 1.50
per linear foot.
SEALING:
Cost to remove any vegetation, clean pavement and simply spray TWO
COATS of parking lot sealer.
$ 0.24
per square foot.
Sessions Paving Company
leg Robert A Hutchern
President
STRIPING by SCHOOL:
*Note - - HCBOE reserves the right to divide/award the striping portion of this
bid to bidders that only do striping, in the event we receive a better bid.
Striping bid requires that the parking lot is blown clean of all loose granular
debris and removed from the paved area, curbs, and drains prior to painting
stripes. All striping is to conform to meeting the most recent and latest ADA
accessibility laws and regulations. All paint to get double coated.
Locations for Striping Pricing:
Centerville Elementary School, 104 Mary Field Avenue, Centerville TN 37033
(includes street turn lane, front parking lot, side bus lane, and the rear back
parking area.)
$ 6,000.00
Double Paint
$ 18,000.00
Sealing Lot
Centerville Intermediate School, 110 Mary Field Avenue, Centerville TN 37033
(includes turn in from the city street, the front parking lot, main drive, and side
turn-around, exiting back to ending at the edge of the city street.)
$ 4,000.00
Double Paint
$ 12,000.00
Sealing Lot
Hickman County Middle School, 1639 Bulldog Blvd, Centerville TN 37033
(Vineyard Field Drive, and to include the main front of the building, the side
gym, and the donut parking lot at the rear to the school.)
$ 6,750.00
Double Paint
$ 20,950.00
Sealing Lot
Sessions Paving Company
ley Robert A. Antiteson
President
Hickman County High School, 1645 Bulldog Blvd., Centerville TN 37033
(to include the 360 circle drive around the building, all parking areas front,
side and back, the upper soccer field spaces, and the all parking at the rear
administrative building. All markings, arrows and road highway center lanes
to be properly yellow laned marked, all spaces to be white striped.)
$ 18,000.00
Double Paint
$ 54,000.00
Sealing Lot
East Hickman Elementary School, 5191 Hwy 100, Lyles TN 37098
(to include the road markings around all three main driveways entering all
three schools, road letters identifying the four-letter school names, i.e., EHES,
EHIS, EHMS, then the front of the EHES parking lot lanes, all arrows, yellow
dividing traffic lanes markings, road letters, and stop bars per the principal
preference, as well as the fire lanes.)
$ 15,000.00
Double Paint
$ 42,000.00
Sealing Lot
East Hickman Intermediate School, 5198 East Eagle Drive. Lyles TN 37098
(to include front and rear donut lot area of the school building and roads,
enter and exit arrows, crosswalks, parking spaces, and fire lane.)
$ 3,250.00
Double Paint
$ 9,250.00
Sealing Lot
East Hickman Middle School, 9414 East Eagle Drive, Lyles Tn 37098
(to include all road front, entire gym side, and rear lot parking areas, arrows
and markings to enter and exit.)
$ 12,000.00
Double Paint
$ 32,500.00
Sealing Lot
Sessions Paving Company
leg Robert n. Hutcheson
President
East Hickman High School, 7700 Hwy 7, Lyles TN 37098
(to include all markings surrounding the entire campus, which includes road
traffic markings, front, rear and side parking lots as well as outlying athletic
parking lots, tennis softball and baseball fields, two divided lanes adding 15
mph every 300ft starting at the entrance and down the road circling around
the school. All stop bars painted, arrows and directional markings ending at
the gates. Main Hwy 7 entrance to refresh the stop bars and divider lanes.)
$ 30,000.00
Double Paint
$ 90,000.00
Sealing Lot
Sessions Paving company
leg Robert 1. Hattheson
President
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.
Sessions Paving Company
Signature: Robert 1. Hutcheson
Print:
Robert N. Hutcheson
Title:
President
Date:
5/12/2026
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: 5/12/2026
Name: Sessions Paving Company
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: 5/12/2026 Signature: Robert 1. Hutcheson
President
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:
Sessions Paving Company
Bidder Signature:
Robert 1. Hutcheson President
Date:
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 Israet 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
Sessions Paving Company
Signature:
Robert 1. Hntcheson
Print:
Robert N. Hutcheson President
Date:
5/12/2026
Phone/Email: (615)356-0600 rnhntcheson@sessionspaving.com
CONTRACTOR DRUG-FREE WORKPLACE AFFIDAVIT
STATE OF TENNESSEE
COUNTY OF DAVIDSON
1. Now comes the Affiant, who being duly sworn, deposes and says:
2: He/she is the principal officer for
SESSIONS PAVING COMPANY
(Name and Address of Bidding Entity
P.O. Box 90266 (6535 Robertson Avenue)
Nashville, TN 37209
3. That the bidding entity has submitted a bid to Hickman (Owner) County, TN
for the construction of
Annual Sealing and 5 triping
(Name of Project)
4.
That the bidding entity employs no less than five (5) employees.
5.
That the Affiant certifies that the bidding entity has in effect, at the time of submission of its bid to
perform the construction referred to above, a drug-free workplace program that complies with
§ 50-9-113, Tennessee Code Annotated.
6.
That this affidavit is made on personal knowledge.
Further Affiant saith not.
Robert A. Antcheson
AFFIANT
President
STATE OF TENNESSEE
COUNTY OF DAVIDSON
Before me personally appeared
Robert N. Hutcheson
, with whom I am personally
acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledges that such
person executed the foregoing affidavit for the purposes therein contained.
Witness my hand and seal at office this
, 2026
JEAN
M.
12th day of May
Jean M. Starkey
STATE STARKEY
Notary(Public
My commission expires January 22, 2029
COUNTY
OF
STATE OF TENNESSEE
DEPARTMENT OF
COMMERCE AND INSURANCE
SESSIONS PA VING COMPANY
435324
ID NUMBER: 6962
LIC STATUS: ACTIVE
EXPIRATION DATE: January 31. 2028
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
THIS IS TO CERTIFY THAT ALL REQUIREMENTS
OF THE STATE OF TENNESSEE HAVE BEEN MET
SESSIONS PAVING COMPANY
P.O. BOX 90266
NASHVILLE, TN 37209-0266
State of Tennessee
15065470
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
SESSIONS PAVING COMPANY
This is 10 certify that all requirements of the State of Tennessee have been met.
THE
ID NUMBER: 6962
LIC STATUS: ACTIVE
STATE AGRICULTURE
EXPIRATION DATE: January 31. 2028
UNLIMITED; BC; CE-A; CE-B; HC-D; HRA; MU
7786
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
Client#: 614030
22SESSIPAV
DATE (MM/DD/YYYY)
ACORD™
CERTIFICATE OF LIABILITY INSURANCE
03/24/2026
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME:
Wendy Nowlin
McGriff, a MMA LLC Company
PHONE
FAX
(A/C, No, Ext):
615 346-0323
(A/C, No):
8777677417
3322 West End Ave., Suite 300
E-MAIL
ADDRESS:
wmnowlin@mcgriff.com
Nashville, TN 37203
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Charter Oak Fire Insurance Company
25615
INSURED
INSURER B: Travelers Property Casualty Co of Amer
25674
Sessions Paving Company
INSURER C: MidSouth Insurance Company
12839
6535 Robertson Avenue
INSURER D: Travelers Indemnity Co of America
25666
P. O. Box 90266
INSURER E:
Nashville, TN 37209
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL SUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MM/DD/YYYY)
(MM/DD/YYYY)
LIMITS
A
COMMERCIAL GENERAL LIABILITY
DTCO7890P35ACOF
04/01/2026
04/01/2027
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
CLAIMS-MADE
OCCUR
PREMISES (Ea occurrence)
$300,000
PD Ded:500
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRO-
POLICY
JECT
LOC
PRODUCTS- COMP/OP AGG
$2,000,000
OTHER:
$
COMBINED SINGLE LIMIT
D
AUTOMOBILE LIABILITY
8108M9623792626G
04/01/2026
04/01/2027
(Ee accident)
$1,000,000
ANY AUTO
BODILY INJURY (Per person)
$
OWNED
SCHEDULED
AUTOS ONLY
BODILY INJURY (Per accident)
$
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$
AUTOS ONLY
AUTOS ONLY
(Per accident)
$
B
UMBRELLA LIAB
OCCUR
CUP2J5568542626
04/01/2026
04/01/2027
EACH OCCURRENCE
$5,000,000
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$5,000,000
DED
RETENTION $10000
$
WORKERS COMPENSATION
PER
OTH-
C
WC052562026
01/01/2026
01/01/2027
STATUTE
ER
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
EL EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
N
N/A
(Mandatory in NH)
E.L. DISEASE- EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: Proof of Coverage
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Sessions Paving Company
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
6535 Robertson Avenue
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 90266
Nashville, TN 37209-0000
AUTHORIZED REPRESENTATIVE
Mason H Pope
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
1 of 1 The ACORD name and logo are registered marks of ACORD
#S39421219/M39421081
WMN
The Hickman County Finance Office will be accepting sealed bids for "Annual
Sealing and Striping".
Bid prices must be good for July 1, 2026 - June 30, 2027.
All bidders are required to submit a conflict-of-interest disclosure form that
can be obtained at https://www.hickmank12.org/requestforproposal.
Specifications may be found at
https://www.hickmank12.org/requestforproposal, or by contacting the
building maintenance office at 931-729-3391 ext 3.
Bidders must meet TCA 49-5-406 and all other state, federal and local
guidelines and laws regarding working on school properties.
Bidders are required to attach:
TN business license
1-million-dollar liability insurance
workers compensation insurance
A conflict-of-interest disclosure form can be obtained at
https://ww.hickmank12.org/requestforproposal.
Iran Divestment Act Certification
Non-Boycott of Israel Certification
Background Acknowledgement Form
Sealed bids must be mailed, or hand delivered to the Hickman County
Finance Office, 114 North Central Ave, Suite 203, Centerville, TN 37033 and
clearly marked "Annual Paving, Patching, and Striping Bid" on the outside of
the mailing envelope.
Bids will be opened on May 12, 2026, at 11:00 a.m. in the Finance Office.
The Hickman County Board of Education reserves the right to accept and
reject any and all bids or parts of bids, and to waive any informalities that may
prevent the acceptance of a better bid.
Bid specifications: Bid form (use this form format to bid please).
Scope:
Seal coating, crack filling, and re-striping of parking lot.
This includes:
Preparation prior to sealcoating the entire area will be swept and
cleaned of all debris with commercial blowers.
Oil spots will be cleaned and primed as necessary.
Adjust any drainage basins/manhole covers prior to asphalt patch
installation
Striping - Re-stripe the parking lots to approved color and lay-out
including all lines, handicap stencils, hashes, crosswalks, curbing and
other noted
Contractor will dispose of all refuse and debris collected during
preparation operations.
ANNUAL PARKING LOT MAINTENANCE:
Crack sealing:
Cost to remove all vegetation from cracks, scrape, shovel, blow out, sweep,
clean pavement of all granular dirt build-up including drains. Add HOT
SLURRY filling of all cracks, level with a mopped finish.
$
1.00
per linear foot.
SEALING:
Cost to remove any vegetation, clean pavement and simply spray TWO
COATS of parking lot sealer.
$
.18
per square foot.
1 I Page
STRIPING by SCHOOL:
*Note - HCBOE reserves the right to divide/award the striping portion of this
bid to bidders that only do striping, in the event we receive a better bid.
Striping bid requires that the parking lot is blown clean of all loose granular
debris and removed from the paved area, curbs, and drains prior to painting
stripes. All striping is to conform to meeting the most recent and latest ADA
accessibility laws and regulations. All paint to get double coated.
Locations for Striping Pricing:
Centerville Elementary School, 104 Mary Field Avenue, Centerville TN 37033
(includes street turn lane, front parking lot, side bus lane, and the rear back
parking area.)
$ 2,916.00 Double Paint
$ $ 16,830.00 Sealing Lot
Centerville Intermediate School, 110 Mary Field Avenue, Centerville TN 37033
(includes turn in from the city street, the front parking lot, main drive, and side
turn-around, exiting back to ending at the edge of the city street.)
$ 1,626.00
Double Paint
$ 11,842.00
Sealing
Lot
Hickman County Middle School, 1639 Bulldog Blvd, Centerville TN 37033
(Vineyard Field Drive, and to include the main front of the building, the side
gym, and the donut parking lot at the rear to the school.)
$ 2,806.00 Double Paint
$ 18,017.00 Sealing Lot
Hickman County High School, 1645 Bulldog Blvd., Centerville TN 37033
(to include the 360 circle drive around the building, all parking areas front,
side and back, the upper soccer field spaces, and the all parking at the rear
2 I Page
administrative building. All markings, arrows and road highway center lanes
to be properly yellow laned marked, all spaces to be white striped.)
$ 15,067.00 Double Paint
$ 61,242.00 Sealing Lot
East Hickman Elementary School, 5191 Hwy 100, Lyles TN 37098
(to include the road markings around all three main driveways entering all
three schools, road letters identifying the four-letter school names, i.e., EHES,
EHIS, EHMS, then the front of the EHES parking lot lanes, all arrows, yellow
dividing traffic lanes markings, road letters, and stop bars per the principal
preference, as well as the fire lanes.)
$ 4,848.00
Double Paint
$ 13,362.00 Sealing Lot
East Hickman Intermediate School, 5198 East Eagle Drive. Lyles TN 37098
(to include front and rear donut lot area of the school building and roads,
enter and exit arrows, crosswalks, parking spaces, and fire lane.)
$ 2,016.00 Double Paint
$ 8,656.00 Sealing Lot
East Hickman Middle School, 9414 East Eagle Drive, Lyles Tn 37098
(to include all road front, entire gym side, and rear lot parking areas, arrows
and markings to enter and exit.)
$ 3,145.00 Double Paint
$ 21, 597.00 Sealing Lot
East Hickman High School, 7700 Hwy 7, Lyles TN 37098
(to include all markings surrounding the entire campus, which includes road
traffic markings, front, rear and side parking lots as well as outlying athletic
parking lots, tennis softball and baseball fields, two divided lanes adding 15
3 I Page
mph every 300ft starting at the entrance and down the road circling around
the school. All stop bars painted, arrows and directional markings ending at
the gates. Main Hwy 7 entrance to refresh the stop bars and divider lanes.)
$ 20,750.00 Double Paint
$ 81,810.00 Sealing Lot
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: allen Herringt
Print: Allan Herrington
Title: Projet Manager
Date: 5-11-26
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 compensation.
Date: 5-11-26 Name: Allan Herrington
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.
1 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: 5-11-26 Signature: allen Heringt
6 I Page
IRAN DIVESTMENT ACT CERTIFICATION
I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113,
political subdivisions in Tennessee are prohibited from entering into any
procurement or contract over $1,000 with a person who engages in
investment activities in Iran. The state's chief procurement officer, as required
by T.C.A. 12-12-106, has created a list of persons who engage in investment
activities in Iran. Any person who is on the list is ineligible to contract with any
political subdivision of the State of Tennessee, and any such contract will be
considered void under T.C.A. 12-12-110. The list is published on the
Tennessee Department of General Services' website at:
https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/librar/0
po-library/public-information-
library/List of persons pursuant to Tenn. Code Ann. 12-12-
106 Iran Divestment Act updated with NY06-07-23.pdf
CERTIFICATION
By submission of this bid, each bidder and each person signing on behalf of
any bidder certifies, and in the case of a joint bid each party thereto certifies
as to its own organization, under penalty of perjury, that to the best of its
knowledge and belief that each bidder is not on the list created pursuant to
T.C.A 12-12-106.
Bidder Name: American Stripers, LLC
Bidder Signature: allen Humingt
Date: 5-11-26
71 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: allm Humptr
Print: Allan Herrington
Date: 5-11-26
Phone/Email: (931) 381-6292 Americanstripers@yahoo.co
8 I Page
State of Tennessee
429408
14875265
BOARD FOR LICENSING CONTRACTORS
CONTRACTOR
AMERICAN STRIPERS, LLC
This is le certify that all requirements of the State of Tennessee have been met.
ID NUMBER: 59722
LICSTATUS: ACTIVE
CANADA THE REVIEW
EXPIRATION DATE: July 31. 2027
$1,962,980.00; HRA-B.2
THE AGRICULTURE V
1796
IN-1313
DEPARTMENT OF
COMMERCE AND INSURANCE
Client#: 2337473
22AMERISTR
DATE (MM/DD/YYYY)
ACORD™
CERTIFICATE OF LIABILITY INSURANCE
09/08/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
ELOW. 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 any rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER
NAME:
April Garrett
FAX
PHONE
McGriff, a MMA LLC Company
(A/C, No, Ext):
615 279-8477
(A/C, No):
8777677417
3322 West End Ave., Suite 300
E-MAIL
ADDRESS:
April.Garrett@mcgriff.com
INSURER(S) AFFORDING COVERAGE
NAIC #
Nashville, TN 37203
615 292-9000
INSURER A: Monroe Guaranty Insurance Company
32506
INSURED
INSURER B: FCCI Insurance Company
10178
American Stripers, LLC
INSURER C:
2407 Park Plus Drive
INSURER D:
Columbia, TN 38401-4510
INSURER E :
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL SUBR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MM/DD/YYYY)
LIMITS
(MM/DD/YYYY)
A
COMMERCIAL GENERAL LIABILITY
CPP10009518701
09/09/2025
09/09/2026
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
CLAIMS-MADE
PREMISES (Ea occurrence)
$100,000
OCCUR
PD Ded:1,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRO-
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY
JECT
LOC
$
OTHER:
A
AUTOMOBILE LIABILITY
CA10009518801
09/09/2026
COMBINED SINGLE LIMIT
09/09/2025
(Ea accident)
$1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED
SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY
AUTOS
HIRED
NON-OWNED
PROPERTY DAMAGE
$
AUTOS ONLY
(Per accident)
AUTOS ONLY
$
B
UMBRELLA LIAB
OCCUR
UMB10009519001
09/09/2025
09/09/2026
EACH OCCURRENCE
$5,000,000
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
$5,000,000
$
DED
RETENTION $10000
PER
OTH-
B
WORKERS COMPENSATION
WC010009518901
09/09/2025
09/09/2026
STATUTE
ER
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
N
N/A
E.L. DISEASE- EA EMPLOYEE
$1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE- POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space la required)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
American Stripers, LLC
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2407 Park Plus Dr.
ACCORDANCE WITH THE POLICY PROVISIONS.
Columbia, TN 38401
AUTHORIZED REPRESENTATIVE
Reynond M. Dum
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
1 of 1 The ACORD name and logo are registered marks of ACORD
JLCH
#S38214758/M38214746

## Table 1

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

## Table 2

| Bidder Name: | Nathaniel Benbow | BJB Construction Company Inc. |
| --- | --- | --- |
| Bidder Signature: | Nathaniel | Benbow |

## Table 3

| Print: | Nathaniel Benbow |
| --- | --- |
| Date: | 5/6/2026 |

## Table 4

| 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 5

|  |  |  |
| --- | --- | --- |
|  | 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 6

|  | 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 TIN, later. | - - 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 7

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

## Table 8

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

## Table 9

| 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 10

| INSR LTR | TYPE OF INSURANCE | INSR | ADDLSUBR 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 11

| Signature: | Sessions Paving Company Robert 1. Hutcheson |
| --- | --- |
| Print: | Robert N. Hutcheson |
| Title: | President |
| Date: | 5/12/2026 |

## Table 12

| Bidder Name: | Sessions Paving Company |
| --- | --- |
| Bidder Signature: | Robert 1. Hutcheson President |

## Table 13

| Signature: | Robert 1. Hntcheson |
| --- | --- |
| Print: | Robert N. Hutcheson President |
| Date: | 5/12/2026 |
| Phone/Email: | (615)356-0600 rnhntcheson@sessionspaving.com |

## Table 14

| 1. | Now comes the Affiant, who being duly sworn, deposes and says: |
| --- | --- |
| 2: | He/she is the principal officer for SESSIONS PAVING COMPANY |
|  | (Name and Address of Bidding Entity |
|  | P.O. Box 90266 (6535 Robertson Avenue) Nashville, TN 37209 |
| 3. | That the bidding entity has submitted a bid to Hickman (Owner) County, TN |
|  | for the construction of Annual Sealing and 5 triping |
|  | (Name of Project) |
| 4. | That the bidding entity employs no less than five (5) employees. |
| 5. | That the Affiant certifies that the bidding entity has in effect, at the time of submission of its bid to perform the construction referred to above, a drug-free workplace program that complies with § 50-9-113, Tennessee Code Annotated. |
| 6. | That this affidavit is made on personal knowledge. |

## Table 15

|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| --- | --- | --- |
| INSURER A: | Charter Oak Fire Insurance Company | 25615 |
| INSURER B: | Travelers Property Casualty Co of Amer | 25674 |
| INSURER C: | MidSouth Insurance Company | 12839 |
| INSURER D: | Travelers Indemnity Co of America | 25666 |
| INSURER E: |  |  |
| INSURER F: |  |  |

## Table 16

| 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 (Ee 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] PER OTH- STATUTE ER |  |
| EL EACH ACCIDENT | $1,000,000 |
| E.L. DISEASE- EA EMPLOYEE | $1,000,000 |
| E.L. DISEASE- POLICY LIMIT | $1,000,000 |
|  |  |

## Table 17

| 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] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR PD Ded:500 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: |  |  | DTCO7890P35ACOF | 04/01/2026 | 04/01/2027 |
| D | [X] [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY |  |  | 8108M9623792626G | 04/01/2026 | 04/01/2027 |
| B | [X] [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $10000 |  |  | CUP2J5568542626 | 04/01/2026 | 04/01/2027 |
| C | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A |  | WC052562026 | 01/01/2026 | 01/01/2027 |
|  |  |  |  |  |  |  |

## Table 18

| preference, as well as | the fire lanes.) |
| --- | --- |
| $ 4,848.00 | Double Paint |
| $ 13,362.00 | Sealing Lot |

## Table 19

| Print: | Allan Herrington |
| --- | --- |
| Title: | Projet Manager |
| Date: | 5-11-26 |

## Table 20

| ADDRESS: |  |  |
| --- | --- | --- |
|  | INSURER(S) AFFORDING COVERAGE | NAIC # |
| INSURER A: | Monroe Guaranty Insurance Company | 32506 |
| INSURER B: | FCCI Insurance Company | 10178 |
| INSURER C: |  |  |
| INSURER D: |  |  |
| INSURER E : |  |  |
| INSURER F: |  |  |

## Table 21

| 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) | $1,000,000 |
| BODILY INJURY (Per person) | $ |
| BODILY INJURY (Per accident) | $ |
| PROPERTY DAMAGE (Per accident) | $ |
|  | $ |
| EACH OCCURRENCE | $5,000,000 |
| AGGREGATE | $5,000,000 |
|  | $ |
| PER OTH- STATUTE ER |  |
| E.L. EACH ACCIDENT | $1,000,000 |
| E.L. DISEASE- EA EMPLOYEE | $1,000,000 |
| E.L. DISEASE- POLICY LIMIT | $1,000,000 |
|  |  |

## Table 22

| 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] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR PD Ded:1,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: |  |  | CPP10009518701 | 09/09/2025 | 09/09/2026 |
| A | [X] [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY |  |  | CA10009518801 | 09/09/2025 | 09/09/2026 |
| B | [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $10000 |  |  | UMB10009519001 | 09/09/2025 | 09/09/2026 |
| B | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A |  | WC010009518901 | 09/09/2025 | 09/09/2026 |
|  |  |  |  |  |  |  |