67-24 NEGLIA West Orange Walker Road Final 2024.pdf

Section 5 Appendices Required Documents Business Registration Certificate/Certificate of Employee Report Certifications/Professional Licenses/Project Summaries RFP- WALKER ROAD, S VALLEY ROAD AND ROONEY CIRCLE WEST ORANGE Page | 43

New Jersey Business Registration Certificate & Certificate of Employee Information Report

Form (Rev. October 2018) W-9 Request for Taxpayer Identification Number and Certification Give Form to the 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. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Neglia Engineering Associates 2 Business name/disregarded entity name, if different from above Neglia Group See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see instructions on page 3): C Corporation ✔ S Corporation Partnership Trust/estate Individual/sole proprietor or single-member LLC

Individual/sole proprietor or single-member LLC Exempt payee code (if any) Print or type. Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶ Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code (if any) another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) ▶ (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. Requester’s name and address (optional) 34 Park Avenue, PO Box 426 6 City, state, and ZIP code Lyndhurst, New Jersey 07071 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the

Social security number 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 Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. 2 2 – 1 9 0 0 0 8 1 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

on 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 ▶ Date ▶ January 22, 2024 General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds) Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9. • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1099-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number

identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption • Form 1099-A (acquisition or abandonment of secured property) taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident amount reportable on an information return. Examples of information alien), to provide your correct TIN. returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might • Form 1099-INT (interest earned or paid) be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018)

FORM 48 AN (REVISED 1/09) STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PROPERTY MANAGEMENT AND CONSTRUCTION NOTICE OF CONSULTANT PREQUALIFICATION FIRM: NEGLIA ENGINEERING ASSOCIATES  INITIAL  REVISED  RENEWAL ADDRESS: 34 PARK AVENUE LYNDHURST, NJ 07071 DATE OF ISSUE: MARCH 2, 2023 EXPIRATION DATE: MARCH 15, 2025  MBE  WBE  SBE  VOB FEDERAL ID NUMBER: 221 900 081 The Experience Questionnaire (FORM 48A), submitted by your firm, has been reviewed. As a result of this review, your firm may be invited to submit proposals for projects involving the checked discipline(s) having a not to exceed Construction Cost Estimate (CCE) as noted. For the purposes of this form, NA = no fixed amount.  ARCHITECTURE ________________  ROOFING CONSULTANT ________________  ELECTRICAL ENGINEERING ________________  ACOUSTICS ________________  HVAC ENGINEERING ________________  ASBESTOS DESIGN ________________  PLUMBING ENGINEERING ________________  ASBESTOS SAFETY MONITORING ________________  CIVIL ENGINEERING 25 MILLION  CLAIMS ANALYSIS ________________  SANITARY ENGINEERING 25 MILLION  TELECOMMUNICATIONS ________________  STRUCTURAL ENGINEERING ________________  FEASIBILITY PLANNING 1 MILLION  ELEVATOR/CONVEYOR ENGINEERING ________________  FIRE DETECTION SYSTEMS

__  FEASIBILITY PLANNING 1 MILLION  ELEVATOR/CONVEYOR ENGINEERING ________________  FIRE DETECTION SYSTEMS ________________  SOILS ENGINEERING ________________  FIRE PROTECTION SYSTEMS ________________  FIRE PROTECTION ENGINEERING ________________  FOOD SERVICE ________________  ENVIRONMENTAL ENGINEERING ________________  HYDRAULICS/PNEUMATICS ________________  MARINE ENGINEERING ________________  HYDROLOGY ________________  LANDSCAPE DESIGN ________________  SECURITY SYSTEMS ________________  PLANNING 1 MILLION  SITE PLANNING 25 MILLION  LAND SURVEYING NA  HISTORIC PRESERVATION CONSULTANT ________________  AERIAL SURVEYING ________________  ENERGY AUDITING ________________  HYDROGRAPHIC SURVEYING ________________  TRAFFIC NA  FIRE & LIFE SAFETY RENOVATIONS ________________  TRANSPORTATION 1 MILLION  BUILDING COMMISSIONING ________________  WASTE/WATER TREATMENT ________________  BOILER/STEAM LINES/HIGH PRESSURE SYS. ________________  ENERGY MANAGEMENT CONTROL SYSTEM ________________  DAM/LEVEE DESIGN ________________  RENEWABLE ENERGY CONSULTANT ________________  BARRIER FREE/ADA DESIGN 1 MILLION  CONSTRUCTION FIELD INSPECTION 1 MILLION  ESTIMATING/COST ANALYSIS ________________  PROJECT MANAGEMENT 25 MILLION  INTERIOR DESIGN/SPACE PLANNING ________________  ENVIRONMENTAL CONSULTANT

_  PROJECT MANAGEMENT 25 MILLION  INTERIOR DESIGN/SPACE PLANNING ________________  ENVIRONMENTAL CONSULTANT ________________  ROOFING INSPECTION ________________  STORAGE TANK REMOVAL ________________  CONSTRUCTION MANAGEMENT ________________  STORAGE TANK INSTALLATION ________________  CPM ________________  PERIMETER SECURITY FENCING ________________  ARCHAEOLOGY ________________  INDOOR AIR QUALITY TESTING ________________  GEOLOGY ________________  LANDFILL CLOSURE ________________  VALUE ENGINEERING ________________  LEAD PAINT EVALUATION ________________  HISTORIC PRESERVATION/RESTORATION ________________ PREPARED BY: APPROVED BY: _______________________________________ _________________________________________ PAMELA SULLIVAN RICHARD S. FLODMAND MANAGER, PREQUALIFICATION UNIT DEPUTY DIRECTOR By Christopher Geary, Assistant Deputy Director NOTE: THIS IS AN ORIGINAL DOCUMENT. IT MAY BE REQUIRED AS PROOF OF YOUR PREQUALIFICATION STATUS. PLEASE RETAIN THIS FORM FOR YOUR RECORDS.