West Orange Fourth Round HEFSP_adopted 111025_Appendices

TOWNSHIP OF WEST ORANGE TOWNSHIP HALL 66 MAIN STREET WEST ORANGE, NEW JERSEY 07052 VOUCHER MUST BE RETURNED FOR PAYMENT Vendor: CGP&H, LLC HOUSING LLC 1249 SOUTH RIVER RD SUITE 301 CRANBURY, NJ 08512 Account 14-6040-00-0000-010 Ship to: 66 MAIN PURCHASE ORDER Purchase Order Number NO: 187388 This number must appear on all packages, invoices,and correspondence. STREET WEST ORANGE NEW JERSEY 07052 FOB DESTINATION FREIGHT PREPAID & CHARGED BACK DEVELOPER'S FEE - COAH -- DEVELOPER'S FEE - COAH -- Vendor Code 1004437 Date of Order 03/12/2025 Requisition# Quantity Unit ion of Materials Price Extended 1.000 PROFESSIONAL SERVICES ADMIN AGENT 2025 NOT TO EXCEED 15,000.00 15,000.00 Purchase Order Total: 15,000.00 THIS ORDER IS TAX EXEMPT PER NJSA 54:32B-9(a)(1) TAX EXEMPT ID NO. 22-6002396 Manditory Prevailing Wage Policy P.L. 2007,c.68 for all Public Works Contractors and Sub-Contractors ( Proof of Business Registration Certificate is Mandatory. P.L. 2004 57.Pursuant to NJSA 2A:30A2 the TWO has an ADR policy. } CLAIMANT'S CERTIFICATION OFFICER'S OR EMPLOYEE'S CERTIFICATION VOUCHER MUST BE SUBMITTED TO THE IDO SOLEMNLY DECLARE AND CERTIFY UNDER THE PENALTIES OF THE LAW THAT THE WITHIN BILL IS CORRECT IN ALL ITS PARTICULARS; THAT THE ARTICLES HAVE BEEN FURNISHED OR SERVICES RENDERED ASSTATED THEREIN; THAT NO BONUS. HAS BEEN GIVEN OR RECEIVED BY ANY PERSON OR PERSONS WITH THE KNOWLEDGE OF THIS CLAIMANTIN CONNECTION, WITH THE ABOVE CLAIM; THAT THE AMOUNT THERINSTATED IS JUSTLY DUE AND OWING; AND THAT THE AMOUNT CHARGEDIS A REASONABLE ONE. (X) HAVING KNOWLEDGE OF THE FACTS IN THE COURSE OF REGULAR PROCEDURES, | CERTIFY THAT THE MATERIALS AND SUPPLIES HAVE BEEN RECIEVED OR. THE SERVICES RENDERED; SAID CERTIFICATION IS. BASED ON DELIVERY SLIPS ACKNOWLEDGED BY A MUNICIPAL OFFICIAL OR EMPLOYEE OR OTHER REASONABLE PROCEDURES. VENDOR SIGN HERE. DEPARTMENT HEAD TOWNSHIP TREASURER ON OR BEFORE THE 1ST DAY OF THE MONTH FOR PAYMENT. DEPARTMENT ORDERED BY CERTIFICATION OF FUNDS AVAILABLITY OFFICIAL POSITION DATE SIGN AND RETURN ONLY THIS ORIGINAL FOR PAYMENT CHIEF FINANCIAL OFFICER PURCHASE ORDER APPROVED - PURCHASING AGENT MQ GGA GG ‘VOUCHER COPY - SIGN AT X AND RETURN FOR PAYMENT QQ QQGGYA QV