91-24 Attachment - Neglia.pdf

For other - - entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. [Social security number or Employer identification number 2/2] -|1)9/0)0,;0/8|1 GE Certification Under penalties of perjury, | certify that: 1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be issued to me); and 2. | am not subject to backup withholding because: (a) | am exempt from backup withholding, or (b) | have not been notified by the Internal Revenue Service (IRS) that | 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 | am no longer subject to backup withholding; and 3.1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (f any) indicating that | 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 your correct TIN. See the instructions for Part Il, later. Sign Signature of Here U.S. person > pate» January 15, 2024 General Instructions Section references are to the Inteal Revenue Code unless otherwise noted, Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gav/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information retum with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number ((TIN), adoption taxpayer

ion retum with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number ((TIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. * Form 1099-INT (interest earned or paid) * Form 1099-DIV (dividends, including those from stocks or mutual funds) * Form 1099-MISG (various types of income, prizes, awards, or gross proceeds) * Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) * Form 1099-S (proceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) * Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) * Form 1099-C (canceled debt) * Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Ifyou do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231x Form W-9 (Rev. 10-2018)

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PROPERTY MANAGEMENT AND CONSTRUCTION NOTICE OF CONSULTANT PREQUALIFICATION FIRM: NEGLIA ENGINEERING ASSOCIATES ADDRESS: 34 PARK AVENUE LYNDHURST, NJ 07071 O MBE O WBE O sBE O VOB O INITIAL O REVISED VY RENEWAL DATE OF ISSUE: EXPIRATION DATE: FEDERAL ID NUMBER: MARCH 2, 2023 MARCH 15, 2025 221 900 081 The Experience Questionnaire (FORM 484A), 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 ELECTRICAL ENGINEERING HVAC ENGINEERING PLUMBING ENGINEERING CIVIL ENGINEERING SANITARY ENGINEERING STRUCTURAL ENGINEERING ELEVATOR/CONVEYOR ENGINEERING SOILS ENGINEERING FIRE PROTECTION ENGINEERING ENVIRONMENTAL ENGINEERING MARINE ENGINEERING LANDSCAPE DESIGN PLANNING LAND SURVEYING AERIAL SURVEYING HYDROGRAPHIC SURVEYING FIRE & LIFE SAFETY RENOVATIONS BUILDING COMMISSIONING BOILER/STEAM LINES/HIGH PRESSURE SYS. DAM/LEVEE DESIGN BARRIER FREE/ADA DESIGN ESTIMATING/COST ANALYSIS INTERIOR DESIGN/SPACE PLANNING ROOFING INSPECTION CONSTRUCTION MANAGEMENT CPM ARCHAEOLOGY GEOLOGY VALUE ENGINEERING HISTORIC PRESERVATION/RESTORATION PREPARED BY: Pamebe Stlbevan PAMELA SULLIVAN MANAGER, PREQUALIFICATION UNIT 25 MILLION Ooooooooosoo0o0o0o0ess.0o000000%8.o0000 25 MILLION 1 MILLION NA OooOoooOoOsso000s8s00soOo0Oo0oo0oo0o80oo0Oo0000 ROOFING CONSULTANT ACOUSTICS ASBESTOS DESIGN ASBESTOS SAFETY MONITORING CLAIMS ANALYSIS. TELECOMMUNICATIONS FEASIBILITY PLANNING FIRE DETECTION SYSTEMS FIRE PROTECTION SYSTEMS, FOOD SERVICE HYDRAULICS/PNEUMATICS HYDROLOGY SECURITY SYSTEMS SITE PLANNING HISTORIC PRESERVATION CONSULTANT ENERGY AUDITING TRAFFIC TRANSPORTATION WASTE/WATER TREATMENT ENERGY MANAGEMENT CONTROL SYSTEM RENEWABLE ENERGY CONSULTANT CONSTRUCTION FIELD INSPECTION PROJECT MANAGEMENT ENVIRONMENTAL CONSULTANT STORAGE TANK REMOVAL STORAGE TANK INSTALLATION PERIMETER SECURITY FENCING INDOOR AIR QUALITY TESTING LANDFILL CLOSURE LEAD PAINT EVALUATION 1 MILLION 25 MILLION NA 1 MILLION 1 MILLIO} 25 MILLION APPROVED BY: (Ol) (e RICHARD S. FLODMAND DEPUTY DIRECTOR By Christopher Geary, Assistant Deputy Director NOTE: THIS IS AN ORIGINAL

UATION 1 MILLION 25 MILLION NA 1 MILLION 1 MILLIO} 25 MILLION APPROVED BY: (Ol) (e RICHARD S. FLODMAND 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.

P.O. BOX 991 Stare or New Jersey 32 EAST FRONT STREET SCHOOLS DEVELOPMENT AUTHORITY Teton OSes CONSULTANT NOTICE OF PREQUALIFICATION for Neglia Engineering Associates 34 Park Avenue, P.O. Box 426 Lyndhurst, NJ 07071 In accordance with N.J.A.C. 19:38A, your firm has been approved with the NJSDA for Prequalification: Effective Date: | March 2, 2023 Expiration Date: March 15, 2025 LJ Architecture [J Electrical Engineering | [J HVAC Engineering [J Plumbing Engineering Civil Engineering § 25 Million Px] Sanitary Engineering $25 Million Structural Engineering Elevators & Conveyors [ [J Soils Engineering Fire Protection Engineering Environmental Engineering Marine Engineering Landscape Design _| bx] Planning $1 Million fx] Land Surveying § UNLIMITED CJ Aerial Surveying [J Hydrographic Surveying [Fire & Life Safety Renovations CJ Building Commissioning LJ Boiler/Steam Lines/High Pressure Systems Dam/Levee Design [es Barrier Free/ADA Design $1 Million Estimating/Cost Analysis [J interior Design/Space Planning Roofing Inspection oO Construction Management CPM Scheduling [JaArchaeology LJ] Geology [ DL) value Engineering LJ Historical Preservation/Restoration {_] Roofing Consultant [J Acoustics LJ Asbestos Management & Design [J Asbestos Safety Contro! Monitoring LJ Claims Analysis Telecommunications a Feasibility/Master Planning $1Million | LJ Fire Detection Systems Fire Protection Systems Cl] Food Service iE3| Hydraulics/Pneumatics [1] Hydrology [J security Systems acl Site Planning $ 25 Million Historic Preservation Consultant CJ Energy Auditing bx] Traffic S$ UNLIMITED | bx] Transportation $1 Million (_] Waste/Water Treatment J Energy Management Control Systems O Renewable Energy Design Consultant | fk] Construction Field Inspection $1 Million roject Management $25 Million [ [J Environmental Consultant Underground Storage Tank Removal [ [] Underground Storage Tank Installation Premier Security Fencing [J indoor Air Quality [_] Landfill Closure Lead Paint Evaluation/Inspection ANY ATTEMPT TO ALTER OR MISREPRESENT ANY INFORMATION CONTAINED IN THIS NOTICE MAY RESULT IN PROSECUTION, DEBARMENT, AND/OR DISQUALIFICATION. Information contained in this notice can be verified at: https://sda03.njsda.gov/PublicReportsUI/VendorSearch.aspx NJSDA Risk Management — Prequalification Unit - 609-858-5356

Zane ACORD CERTIFICATE OF LIABILITY INSURANCE oem 1/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Gone’ Philip G. Bogle Bogle Agency Insurance PHONE, ex, (201) 939-1076 (AG, Noy: (2021939-2423 200 Stuyvesant Avenue AppREss: PIPCGLeCbogleagency .com P.O. Box 236 INSURER(S) AFFORDING COVERAGE NaIc # Lyndhurst NJ 07071 INSURERA: Selective Casualty Insurance Company | 14376 INSURED INSURER B: Selective Insurance Co of America 12572 Neglia Engineering Associates Inc. INSURER G: 34 Park Avenue INSURER D PO Box 426 INSURER E: Lyndhurst NJ 07071-1012 INSURER F : COVERAGES CERTIFICATE NUMBER:CL2361247864 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TSR IRDDLSUER SOLIGY EEE] POLIGY EXP Nee TYPE OF INSURANCE isp |e. POLICY NUMBER wamvpoiyyvy | (aMuDOIYYYY) LIMITS, X | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED: A CLAIMS: MADE PREMISES (ea occurence) | § 500,000 XC, U Included 8 204159 06/15/2023 | 06/15/2024 | eo ExP (any one person) | $ 15,000 KC, Utncluded eS ).—$§$£_$——— PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER ceneraLacorecate | s 4,000,000 pour [* ] SES PROoUCTS-compiopacs | s 4,000,000 omen: $ TOMBRED SNGTETMT ‘AUTOMOBILE LIABILITY COMERS 5 7,000,000 a [X] avrauto BODILY

GEN'L AGGREGATE LIMIT APPLIES PER ceneraLacorecate | s 4,000,000 pour [* ] SES PROoUCTS-compiopacs | s 4,000,000 omen: $ TOMBRED SNGTETMT ‘AUTOMOBILE LIABILITY COMERS 5 7,000,000 a [X] avrauto BODILY INJURY (Per person) | § ALL OME sgueputeo 5 3208159 06/15/2023 | 06/15/2024 [ BODILY INJURY (Per accor [8 ra ASKeSweD PROPERTY DAWAGE ; HIRED AUTOS AUTOS Par necuond $ UMBRELLALIAB— | X | occur EACH OCCURRENCE 8 5,000,000 a EXCESS LIAB CLAIMS.MADE s 3204159 06/15/2023 | 06/15/2024 | aGGREGATE s 5,000,000 oe |X [perewrion s 09 FOLLOHS FORK - Gh, Auto ¢ WC : WORKERS COMPENSATION xT ER oF AND EMPLOYERS’ LIABILITY vit STATUTE. ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT s 1,000,000 | OFFICER/MEMBER EXCLUDED? NIA B | randatory in Ney ac 9004000 08/15/2028 | 06/15/2024 | ex piscase-ea eupLover |s 1,000,000 Hyes,doseive under DESCRIPTION OF OPERATIONS below EL DISEASE -PoucyuMT | s 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Township of West Orange THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i A ICY PROVISIONS. Department of Engineering ACCORDANCE WITH THE POLI 25 Lakeside Avenue West Orange, NJ 07052 ‘AUTHORIZED REPRESENTATIVE. \ Phil G. Bogle/MB Yalgr A. a © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)

NEGLENG-01 RGREENLEAF DATE (MM/DDIYYYY) —_ ASBEP CERTIFICATE OF LIABILITY INSURANCE Eas THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER geuract Roger Smith ea caanence Associates, LLG [THON ex: (201) 559-8155 489 eee PO Box CEMaL .5, fogersmith@worldinsurance.com Carlstadt, NJ 07072-0818 oon INSURER(S) AFFORDING COVERAGE NAIC # asain Ivsurer A: Continental Insurance Company 35289 INSURED INSURER B : Neglia Engineering Associates INSURER C: P.O. Box 426 INSURER D: Lyndhurst, NJ 07071 - INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COMMERCIAL GENERAL LIABILITY cy ] | EACH OCCURRENCE 3 DAMAGE TO RENTED “EB cuamsaoe |] occur PAGES Eee | | MED EXP (Any one person) _| $. | PERSONAL & ADV INJURY _| $ EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _| § pouicy |_| SBS Loc PRODUCTS - COMPIOP AGG | § | | ore: | s [ AUTOMOBILE LIABILITY | feavcadeny NOEEMIT 5 ANY AUTO. BODILY INJURY (Per person) _| S. OWNED SCHEDULED ‘AUTOS ONLY AUTOS | BODILY INJURY (Per accident)| $ [7] tires NON-OWNED | ROBERT pAMAGE |__| AUTOS onLy AUTOS ONLY | (Peraccivent) 8 | 8 | umpretta Lina occur | EACH OCCURRENCE ‘take [| excessuias CLAIMS-MADE! | | AGGREGATE os [Toro | [rerennions |

| $ [7] tires NON-OWNED | ROBERT pAMAGE |__| AUTOS onLy AUTOS ONLY | (Peraccivent) 8 | 8 | umpretta Lina occur | EACH OCCURRENCE ‘take [| excessuias CLAIMS-MADE! | | AGGREGATE os [Toro | [rerennions | s ] WORKERS COMPENSATION | PER OTH | | ayy ewoprueroparmenexccurwe | | EL. EAGH ACCIDENT EFIGERIMEMBER EXCLUDED’ NIA | | (Mandatory in NH) EL. DISEASE - EA EMPLOYE! if yes, describe under | | DESERIBTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT | § A Professional Liab. |AEHO08231806 2/20/2023 | 2/20/2024 |Each Claim 5,000,000) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Township of West Orange ACCORDANCE WITH THE POLICY PROVISIONS. Department of Engineering 25 Lakeside Avenue West Orange, Nu 07052 ‘AUTHORIZED REPRESENTATIVE i ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

negliagroup.c Michael J. Neglia, P.E., P.P., P.L.S., C.M.E., C.P.W.M. anzcancuNn Aue Lil Tit SCUMIT Featunen, EAeE VERY Almere State Of Naw Jersey New Jersey Office of the Attorney General Division of Consumer Affairs THIS S TO CERTIFY THAT THE Board of Prof. Engineers & Land Surveyors HAS LICENSED MICHAEL J. NEGLIA 310 Wastwind Court Norwood NJ 07648, FOR PRACTICE INNEW JERSEY AS AN): Prof. Engineer & Land Surveyor 24GB03860400 TICENSEREGISTRATION CERTIFICATION Lr ih, ele! Pa OEE EES Beka ozigsra0z2 TO oanaz0zs VAL State of New Jersey The Division of Local Government Services hereby certifies that Michael J. Neglia 410 Westwind Court Norwood, NI 07648 CERTIFIED PUBLIC WORKS MANAGER 1g w nst20% {ff 4 4 Diahed A Q2ata’ Signatue of Regia U rabharya suarer rector © OL Ed [DEPARTMENT OF ENVIRONMENTAL PROTECTION e ( ‘ * Corepleate of Count Complation s risers rat n { Michael Neglia { | * ‘bas staf The NPDES M54‘ Prem taining eequitemen! to complete the Department appre * ; STORMWATER MANAGEMENT DESIGN REVIEW COURSE" ; . ayaa sons = | GA ti i _Gakish Wale i a xm uies— pe ana e KAS eric ed og re State Of New Jarsey New Jersey Office of the Attorney General Division of Consumer Affairs ‘THIS iS TO CERTIFY THAT THE Board of Professional Planners HAS LICENSED MICHAEL J, NELIA. 310 Westwind Court Norwood NJ. 07648 FOR PRACTICE IN NEW JERSEY AS A(N): Professional Planner panaze22 TO os/stoza JO0569800_ VAL TCENSEIREGISTRATIONCERTIFIGATION® Kane — ‘Sotaice of UetosonogtaniC aca FOS NEW JERSEY ateteset eh LYNDHURST 34 Park Avenue PO Box 426 Lyndhurst, NJ 07071 p. 201.939.8805 f. 201.939.0846 OUNTAINSIDE 200 Central Avenue Suite 102 Mountainside, NJ 07092 p. 201.939.8805 f. 732.943.7249