318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf

TOWNSHIP OF WEST ORANGE BIDDER’S CHECK LIST Mandatory Items ct e¢ Completed Bid Proposal Form L. Business Registration Certification Public Works’ Contractors Certification (if applicable) 20 SL sey Stockholders Disclosure Statement S Cc Affirmative Action Compliance Notice S CC Co 76 SC/ if SE Bid Deposit Surety for Performance Bond (If applicable) Iranian Disclosure Form Acknowledgement of Addenda SL a Township Political Contribution Statement S ¢ Please provide two (2) additional copies of entire bid package, one of which can be on a flash drive. Please review your proposal carefully before submitting. 19