206-18 Exhibit to Resolution Authorizing Temporary Extension of Contract with Reliable Wood for Operation of Recycling Center.pdf

ssion seal or using a mechanical stamp. NOTE: The person who signed the proposal form from the respondent should sign this form also. WARNING: IF YOU FAIL TO FULLY, ACCURATELY, AND COMPLETELY FILL OUT THIS AFFIDAVIT OF NON-COLLUSION, YOUR PROPOSAL WILL BE REJECTED.

Article 3.05 State of New Jersey Township of New Jersey Sub-Contractor Use Form Furnish below the company name, address, telephone number, and name of contact person for each sub-subcontractor, if any, to be used in the performance of the Work for the Contract. Experience statements shall be attached hereto for each sub-contractor. NOTE: If no work will be sub-contracted, indicate NONE. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The contractor is advised that any change of sub-contractor(s) from the ones listed herein is subjected to the Township of West Orange’s approval. Change of sub-contractor(s) will be approved only if made for good cause and not as a result of an arbitrary purpose. Witness: ________________________________ (Name of Company) ________________________________ (Address) ___________________________ BY: ________________________________ (Date) (Sign Name (Original Signature Only) ________________________________ (Print Name & Title)

Article 3.06 Experience Statement Township of West Orange, West Orange, New Jersey Gentlemen: I hereby certify that my company has performed the following private or public work which is relevant to this proposal. I further certify that my company has never defaulted under any contract. (Give name of project, owner’s name and address, contact person, and phone number, type of work, when started and completed, and dollar amount of work.) ___________________________________ ________________________________ (Witness) (Name of Company) ________________________________ (Address) ___________________________________ BY:_____________________________ (Date) Sign Name (Original Signature Only) ________________________________ (Print Name and Title) (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet)

Article 3.07 Qualifications of Personnel Below provide the names of the personnel – both management, supervisory and non supervisory who will be assigned to the West Orange Recycling Center. In addition to their names please provide their experience in operating a facility for Class B, Vegetative Waste Processing, Class C, Leaf Composting and Recycling Convenience Center. Experience shall include the amount of time served in the various positions held. I hereby certify that these employees will be assigned to the West Orange Recycling Center and that their individual experience is as described. ___________________________________ ________________________________ (Witness) (Name of Company) ________________________________ (Address) ___________________________________ BY:_____________________________ (Date) Sign Name (Original Signature Only) ________________________________ (Print Name and Title) (You may attach your own forms to this sheet if you prefer, but sign and witness this sheet)

Article 3.08 Equipment List Type/Purpose Description Age Owned Lease or Term, if Leased applicable

Article 3.09 Consent of Surety To Accompany Proposal _____________________ (hereinafter called Surety), organized and existing under the laws of The State of _____________ and duly authorized and qualified to transact business in the State of New Jersey, in consideration of the sum of One Dollar ($1.00), lawful money of the United States of America, to it in hand paid, receipt whereof is hereby acknowledged, and in consideration, hereby certified and agrees that if the contract for which that attached bid is made be awarded to ____________________ (hereafter called Contractor) for the performance of certain work or supplying of certain materials, or both, as more particularly set forth in said bid and described for purposes of this instrument as a bid for ________________________________ to the TOWNSHIP OF WEST ORANGE and if Contractor shall enter into the contract with a bond in the full amount of the contract price. __________________________________________________________ (Name of Insurance Company) ___________________________________________________________ (Address) ______________________________________________ ______________________________________________ (Signature Attorney-In-Fact for Insurance Company) Note: Proof of authority of officers of Surety Company to execute this document must be submitted.

Article 3.10 Affirmative Action Requirement Required Affirmative Action Evidence General Requirements of P.L. 1975, c. 127: You are hereby put on notice that: Goods, Professional Service and General Service Contracts Upon Award of a Goods and Service or Professional Services contract, it is the responsibility of the Public Agency to provide the vendor with the Initial Employee Information Report, Form AA-302, if the vender doesn’t have a Certificate or Letter of Federal Approval. The Division does not supply this form to the Vendor. If the Public Agency requires a supply of forms, the Public Agency may call (609) 292-5475 and leave a detailed message on the voice mail system or submit a request to the Division of Affirmative Action forms. Forms will be mailed out to the Public Agency upon receipt of the message. If the vendor has an expired certificate, the vendor must apply directly to the Division for a Renewal Form AA-302, Employee Information Report. As early as 90 days prior to the expiration of a certificate, a vendor may submit an application for renewal of the Certificate. _____________________________________________ (Print or type Firm Name) _____________________________________________ (Sign Name & Title- Stamped Signature Not Accepted) _____________________________________________ (Print or Type Name & Title) _____________________________________________ (Print or Type Date)

Article 3.11 Affirmative Action Affidavit State of_____________________ Operation of the Township of West Orange SS. Recycling Center County of___________________ I, __________________ of the Township of ________________________, in the County of __________________ and the State of __________________________, of full age being duly sworn according to law, on my oath depose and say that: I am (President, Partner, Owner) of the firm of a bidder making a Proposal to provide Operation of the Township of West Orange Recycling Center and in that capacity I have executed the Bid Proposal with full authority to do so. Further, as the bidder I will comply with and certify that he/she is aware of the commitment to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27 and agrees to furnish the required forms of evidence. I further understands that my bid shall be rejected as non-responsive if fail to comply with the requirements of N.J.S.A. 10:5-31 and N.J.A.C. 17:27. If the undersigned is an individual bidder, I sign in such capacity. If I sign in a representative capacity, this Affidavit binds my principal and I certify that I have the authority to bind my principal. _________________________________________________________ Signature of Company Officer Subscribed and sworn to before me this day of 201 ____________________________ Notary Public of My Commission expires , 20

Article 3.12 OPERATIONS OF THE TOWNSHIP OF WEST ORANGE, RECYCLING CENTER 590 MT. PLEASANT AVENUE PROPOSAL FORM The undersigned agrees to pay the Township of West Orange the following payments, to be made monthly, for the use of the property in accordance with these specifications and bid documents: 1. Base Bid – Operations of the Recycling Center for Class B, Exempt Woods, Class C, Exempt Compost Operations, and the Recycling Convenience Center. This bid shall include all site improvements necessary for all three operations including site vegetative screening and landscaping A. ANNUAL PAYMENT TO THE TOWNSHIP OF WEST ORANGE FOR THREE YEAR PERIOD COMMENCING OCTOBER 1, 2013 (PERIOD OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2016) $______________________________________________________ In Numerals _______________________________________________________ In Words MONTHLY PAYMENT TO THE TOWNSHIP OF WEST ORANGE FOR THE 36 MONTH PERIOD COMMENCING OCTOBER 1, 2013 (MONTHS 1 THROUGH 36) $______________________________________________________ In Numerals _______________________________________________________ In Words

B. OPTION FOR ADDITIONAL ONE YEAR PERIOD COMMENCING OCTOBER 1, 2016 (PERIOD OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017) $______________________________________________________ In Numerals _______________________________________________________ In Words C. OPTION FOR ADDITIONAL ONCE YEAR PERIOD COMMENCING OCTOBER 1, 2017 (PERIOD OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018) $______________________________________________________ In Numerals _______________________________________________________ In Words