293-22 Exhibit A.pdf

Article 3. l 7 List All Ce1tified Compost Facility Operators and Include Copies ofCe1tificates, Including Compost Facility Operator Certificate (to be supplied by responding party) • M 1IL& 11'\. lT.::..h.e u:.. • Yo-?e.r<- :::fc>-f'Pr lE!Z-1i t 1cA-te-> A-111-K-t+&'D 5 G C-ft """"' 3 53

Article 3.18 EQUIPMENT DEDICATION AFFIDAVIT ST ATE OF NEW JERSEY COUNTY OF ESSEX } SS: To\vnship of\Vest Orange Recycling 1, f CA~ e ne. CP..tfiW /Lo<Y.> k.. i , am the Vtt.S f're-510-e.r\T (Name of Affiant) (Identify Relationship to Bidder) of the _ _,_L/?,~i::=L~i'l-~b-~1.-_G_ _,,_!fl._cP'---()_ _fl~mJ/"'·"""'u"'c_.~;\$~,""L"'L"'-L~_and being duly (Name ofBidder) sworn, J depose and say: All statements contained in this affidavit are true and correct and made with full knowledge that the State of Nev.• Jersey and the \Vest Orange To\vnship Council rely upon the truth of the statements contained in this affidavit and in said Bid Proposal in signing the contract for the said project. At all times during the perfoimance of this contract, I agree to commit, for use as required in the To\vnship of\Vest Orange, the equipment reasonably calculated to ensure that the Class A, Class B, and Class C recycling operations are in full con1pliance with all site operating conditions as provided herein and under all applicable New Jersey Department of Environmental Protection regulations, and that such equipment is in compliance with this Request for Proposals and \vith New Jersey Law. I further warrant that should additional or replacement equipment be required during the terms of this agreement, the Township of West Orange will not be responsible for any costs incurred by the operator. I also understand and agree that during the terms of this agreement, the Township of\Vest Orange has the right to inspect all equipment at any time and for any reason. I also understand and agree that failure to comply with the representations contained herein shall be cause for breach of contract and will entitle the Township of West Orange to damages arising therefro1n. Title Date Subscribed and sworn to before me this /6 dayof ~L( 20.!.J? 7~J'<-r5·<;t My Commission expires

Date Subscribed and sworn to before me this /6 dayof ~L( 20.!.J? 7~J'<-r5·<;t My Commission expires /'1 "-7 '/ 2o}j_ 54 AIDAN. VEGA NOTARY PUBLIC OF NEW JERSEY M'; C-0n1mlssloo Expires 51412019

Article 3.19 Bid Bond Form BS)

Article 3.19 TOWNSHIP OF WEST ORANGE DfSCLOSURE OF INVESTMENT ACTIVITIES IN IRAN Proposer: 11..ibL.tJ.\-l'.>L..t v>voD f RD!ML-15;. LLC... 1 Pursuant to Public La\v 2012, c. 25, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renev·i a contract must complete the certification below to attest, under penalty of perjury, that the person or entity, or one of the person or entity's parents, subsidiaries, or affiliates, is not identified on a list created and maintained by the Ne\.v Jersey Department of the Treasury as a person or entity engaging in investment activities in Iran. If the Director finds a person or entity to be in violation of the principles ..vhich are the subject of this law, s/he shall take action as may be appropriate and provided by law, rule or contract, including but not lirn ited to, imposing sanctions, seeking compliance, recovering damages, declaring, declaring the party in default and seeking debarment or suspension of the person or entity. I certify, pursuant to Public Lan• 2012, c. 25, that the person or entity listed above fo1· n'hich l am authorized to submit a proposal: l\1ust check appropriate boxes ~ ls not providing goods or services of S20,000,000 or more in the energy sector of lran, including a person or entity that provides oil or liquefied natural gas tankers, or products used to construct or maintain pipelines used to transpo1t oi I or liquefied natural gas, for the energy sector of Iran, and 0 Is not a financial institution that extends $20,000,000 or more in credit to another person or entity, for 45 days, or more, if that person or entity \viii use the credit to provide goods or services in the energy sector in Iran. Jn the event that a person or entity is unable to make the above certification because it or one of its parents, subsidiaries, or affiliates has engaged in the above referenced activities, a detailed, accurate and precise description of the activities must be provided in part 2 belov.• to the Ne\v Jersey Turnpike Authority under penalty of perjury. Failure to provide such \Viii result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by

hority under penalty of perjury. Failure to provide such \Viii result in the proposal being rendered as non-responsive and appropriate penalties, fines and/or sanctions will be assessed as provided by law. Part 2: PLEASE PROVIDE FURTHER JN FORMATION RELATED TO INVESTMENT ACTlVITlES IN !RAN You must pro\•ide a detailed, accurate and precise description of the activities of the proposer, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the boxes below. Name:~-~~-,.,---------- Relationship to P r o p o s e r : - - - - - - - - - - Description of A c t i v i t i e s : - - - - - - - - - - - - - - - - - - - - - - - - - - - Duration of Engagement·. _ _ _ _ _ _ _ _ _ Anticipated Cessation Date: _ _ _ _ _ _ _ __ Proposer Contact Name: Contact Phone N u m b e r : - - - - - - - - - - CertiFication: I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any auachments thereto to the best of my knowledge ;:ire true and complete. I attest that I am authorized to execute this certification on beha!fofthe above referenced person or entity. ! acknowledge that the Township of West Orange, Stntc of New Jersey is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any conmlcts with the Township to notify the To\vnship in writing of any changes to the answers of information contained herein. I acknowledge that I am aware that it is n criminiil ofTense to make a false statement or misrepresentation in this certification, and if! do so, I recognize that ! am subject to criminal -.· prosecution under the law and that it will also constitute a material bre;ich of my agreement(s) with the Township of\Ves! Orange, State of New Jersey and that the Township at its option may declare any contract(s) resulting from this certification void and unenforceable. _;;,,->~ //~ Ful!Name(Print): /;~e.ne. <!'..11>-r)Lcw.sl.q. Signature:::\.~4~~ -- //- Title: 1,h e rs- iV-es 1p-enI

>~ //~ Ful!Name(Print): /;~e.ne. <!'..11>-r)Lcw.sl.q. Signature:::\.~4~~ -- //- Title: 1,h e rs- iV-es 1p-enI Date: '?'/t.7-f 8 ' I 56

Article 3 .21 TOWNSHIP OF WEST ORANGE ACKNOWLEDGMENT OF RECEIPT OF ADDENDA The undersigned Bidder hereby acknowledges i·eceipt of the following addenda: Please assign the number, date and initial. Addendum Number Dated Acknowledge Receipt (Initial) ~ No addenda was received. Acknowledged for: ReLlA-f:>Lt- 1Jool) ?r,xQuc+~' L.LC. (Company Name) By: ~~ ~ (Sig ure of,ALithorized Representative) Name: C u3 e.vte.. l!...\A-r(4>v>.>\<-l V (Print) Title: \he& ?re.s1De"'T Date: rj-U.. !. \( ~~~~~~,~~~~,f--~~~~~~ 1t:. . :Zo I 8 57

Article 3.22 Business Registration Certification and Public Works Contractor Registration Certification Effective September 1, 2004, the State has expanded its Contractor Registration Program to local Government contracts, P.L. 2004, c57. All business organizations that do business with a local government agency are required to be registered with the State. The business must provide proof of that registration to the local government agency before that local government agency can enter into a contract with the business. A copy of the Business Registration Certificate must also be on file before any purchase order/voucher or other contracting document can be issued. Contractors are responsible for notifying subcontractors. Further information and registration can be obtained online from the NJ Treasury, Division of Revenue or by calling (609) 292-1730. ************************ P.L. I 999 Chapter 238. The Public Works Contractor Registration Act specifies that no contractor or subcontractor shall bid on or engage in any contract (or part thereof) for public work which is subject to the provisions of the "New Jersey Prevailing Wage Act", P.L. I 963 C. 150 ( c. 34: 11-56 .25 et seq.) for the construction, reconstruction, demolition, alteration, repair, or maintenance of a public building regularly open to and used by the general public or public institution, and includes any subcontractor or lower tier subcontractor of a contractor unless they are registered with the Commissioner of Labor. 58

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