93-24 Attachment.pdf

on W-9 (Rev. October 2018) Department of the Treasury Intemal Revenue Servica Request for Taxpayer Identification Number and Certification > Go to www.irs.gov/FormW49 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Neglia Engineering Associates 7 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above Neglia Group following seven boxes. 1 individuat/sole proprietor or [1 c Corporation single-member LLC 3 @ & s a e 6 Q 2 1S 3 2 B A Fy & 2 5 = a 1 Other (see instructions) > S Corporation 1 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ‘heck the appropriate box in the line above for the tax classification of the single-member owner. Do not check | Exemption from FATCA reporting he LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is 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. 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 certain entities, not individuals; see instructions on page 3): O. Partnership OO trusvestate Exempt payee code (if any) code (if any) pois to accounts maintained outside the U.S) 3 3 |S Address (number, street, and apt. or suite no.) See instructions. & |34 Park Avenue, PO Box 426 Requester’s name and address (optional) 6 City, state, and ZIP code Lyndhurst, New Jersey 07071 7 List account number(s) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid 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 |, 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. Note: If the account is in more than one name, see the instructions for line 1.

- 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 Part Il 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 (if 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 | US. person> Date» January 15, 2024 Vara Sposate General Instructions Section references are to the Internal 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.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN),

file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), 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-89 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not retum 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)

FORM 48 AN REVISED 1¢ 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 V RENEWAL DATE OF ISSUE: MARCH 2, 2023 EXPIRATION DATE: MARCH 15, 2025 FEDERAL ID NUMBER: 221 900 081 The Experience Questionnaire (FORM 484), 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 NA AERIAL SURVEYING HYDROGRAPHIC SURVEYING FIRE & LIFE SAFETY RENOVATIONS BUILDING COMMISSIONING 25 MILLION 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 OooooooOooOsoOoOoOoOoOoONoOoOoOodOoOoOoONNaoOoo0d PREPARED BY: Pameble Sublvan PAMELA SULLIVAN MANAGER, PREQUALIFICATION UNIT NOTE: THIS IS AN ORIGINAL DOCUMENT. IT MAY BE REQUIRED AS PROOF OF YOUR PREQUALIFICATION STATUS, PLEASE RETAIN THIS FORM FOR YOUR RECORDS. 25 MILLION 1 MILLION BOILER/STEAM LINES/HIGH PRESSURE SYS. 1 MILLION Oooooo0oos8 800084008000 000s000000 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 NA TRANSPORTATION 1 MILLION 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

PECTION PROJECT MANAGEMENT ENVIRONMENTAL CONSULTANT STORAGE TANK REMOVAL STORAGE TANK INSTALLATION PERIMETER SECURITY FENCING INDOOR AIR QUALITY TESTING LANDFILL CLOSURE LEAD PAINT EVALUATION 1 MILLION 1 MILLION 25 MILLION APPROVED BY: (Ol (a, RICHARD S. FLODMAND DEPUTY DIRECTOR By Christopher Geary, Assistant Deputy Director 25 MILLION

State of New Jerser SCHOOLS DEVELOPMENT AUTHORITY 32 EAST FRONT STREET P.0. BOX 991 TRENTON, NJ 08625-0991 CONSULTANT NOTICE OF PREQUALIFICATION Effective Date: © March 2, 2023 Expiration Date: March 15, 2025 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 NISDA for Prequalification: Architecture LJ Etectrical Engineering HVAC Engineering Plumbing Engineering | fx Civil Engineering $25 Million Sanitary Engineering $25 Million CJ structural Engineering Elevators & Conveyors iy | (_] Soils Engineering Fire Protection Engineering TL] Environmental Engineering Marine Engineering Landscape Design De] Planning $1Million Land Surveying $ UNLIMITED oO Aerial Surveying Hydrographic Surveying L Fire & Life Safety Renovations | L_] Building Commissioning [] Boiler/steam Lines/High Pressure Systems Darn/Levee Design Barrier Free/ADA Design $1 Million (] Estimating/Cost Analysis LJ Interior Design/Space Planning LJ Roofing inspection im] Construction Management LIcPM Scheduling LJ Archaeology | LJ Geology | _] Value Engineering QU Historical Preservation/Restoration Roofing Consultant oO Acoustics Asbestos Management & Design (oo Asbestos Safety Controt Monitoring Claims Analysis LJ Telecommunications Feasibility/Master Planning $1 Million [L Fire Detection Systems Fire Protection Systems [_] Food Service Hydraulics/Pneumatics L Hydrology [_] Security Systems bx] Site Planning $25 Million oO Historic Preservation Consultant CU) Energy Auditing Ex Traffic SUNUIMITED [ fk] Transportation $1 Million (] Waste/Water Treatment Energy Management Control Systems [J] Renewable Energy Design Consultant Construction Field Inspection $1 Million Project Management $25 Million Environmental Consultant [_] Underground Storage Tank Removal Underground Storage Tank Installation Premier Security Fencing (0 Indoor Air Quality [_] Landfill Closure LJ 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/PublicReportsU!/VendorSearch.aspx NISDA Risk Management — Prequalification Unit - 609-858-5356

as ACORD® CERTIFICATE OF LIABILITY INSURANCE Pa ean 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 one’ Philip G. Bogle Bogle Agency Insurance PHONE ex, (201) 939-1076 TG Noy: (2927998-2423 200 Stuyvesant Avenue eiiuess. PIPOGLe@bogleagency.com P.O. Box 236 INSURER(S) AFFORDING COVERAGE NAIC # Lyndhurst NJ 07071 INSURER A: Selective Casualty Insurance Company 14376 INSURED INSURERS: Selective Insurance Co of America 12572 Neglia Engineering Associates Inc. INSURER C : 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 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. nee RDC uBR BOLIEVERE ]_ POLICY ERP Ne TYPE OF INSURANCE ROOT SUR POLIcY NUMBER danger ivn [wimoonven urs % | COMMERCIAL GENERAL LIABILITY annaranrves zi 2,000,000 DAMAGE TO RENTED a ciamsnaoe [3x] occur PEGE Ee eee | 500,000 ic, a rian s 3204159 06/15/2023 | 06/38/2024 | weD Exe (any ono parson) [8 15,000 PERSONAL & ADV INJURY. s 2,000,000 ‘LAGGREGATE LIMIT AP! GENERAL AGGREGATE $ 4,000,000 poucy [X ] FES: prooucrs-coupropacs | s 4,000,000 OTHER: $ TU ORCSLETRRLTY SONBNES SHGTETHT 1,900,000 a [*] svrauro BODILY INJURY (Per parson) | § ALL ONES souepuLeD 3 se08s9 oc/1s/20e3 | 06/15/2006 [BOON

y [X ] FES: prooucrs-coupropacs | s 4,000,000 OTHER: $ TU ORCSLETRRLTY SONBNES SHGTETHT 1,900,000 a [*] svrauro BODILY INJURY (Per parson) | § ALL ONES souepuLeD 3 se08s9 oc/1s/20e3 | 06/15/2006 [BOON INRIRY Per aecaerd | § Kel NOKCOnneD SROPERTY DAWAGE ; HIRED AUTOS: AUTOS (Per accident) $ X | UMBRELLALIAB | X | occur EACH OCCURRENCE s 5,000,000 Fe EXCESS LIAB GUE MACE! Ss 3208159 06/15/2023 | 06/15/2024 | acGREGATE $ 5,000,000 pep |X [retention 208 FOLLOWS FORM - GL, Auto & WC $ WORKERS COMPENSATION pas One evento nee Sanne | [Be ANY PROPRIETOR PARTNERIEXECUTIVE ELL EACH ACCIDENT 3 1, 000,000 GrigereMEMser EXCLUDED? B | fandetory in NH) We 9004000 06/15/2023 | 06/15/2024 | e1, oisease-EAeMPLoves | s 1,000,000 Ives, deriva andor DESCRIPTION OF OPERATIONS below. EL. DISEASE - POLICY LIMIT_| $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addi nal 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 Department. of Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 25 Lakeside Avenue West Orange, NJ 07052 ‘AUTHORIZED REPRESENTATIVE j Phil G. Bogle/MB Fdlgp 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 (MMIDDIYYYY) —_ Cee CERTIFICATE OF LIABILITY INSURANCE eae 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 | gguzact Roger Smith i i World insurance Associates, LLC | fue No, ex: (201) 559-8155 489 LE no): seks PO Box 818 Gait .s. rogersmith@worldinsurance.com SeetaetN (072 0818 NSURER(S AFFORDING COVERAGE [nace ____| insurer 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. ie TYPE OF INSURANCE, fapoe epee POLICY NUMBER (aRDoNyn waMDoNyey | Liars COMMERCIAL GENERAL LIABILITY | EACH OCCURRENCE 2 ] C] DAMAGE TO RENTED | CLAIMS-MADE OGCUR: PREMISES (Ea occurrence) | S$. Eze MED EXP (Any ong person) | $ ins PERSONAL & ADVINJURY _| $ GEN AGGREGATE LIMIT APPLIES PER: | GENERAL AGGREGATE |S POLICY SB% |__| roc PRODUCTS - COMP/OP AGG | $ OTHER: 8 ANY AUTO: BODILY INJURY (Per person) | $ OwNeD SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident)| $ HIRED NON-QWNE! PROPERTY DAMAGE [TBR ony] NOR | PSE? : | | 8 UMBRELLA LIAB occur EACHOCCURRENCE __| $ EXCESS LIAB CLAIMS- MADE! jeaREGNE 3 pep |__|

LED AUTOS ONLY AUTOS BODILY INJURY (Per accident)| $ HIRED NON-QWNE! PROPERTY DAMAGE [TBR ony] NOR | PSE? : | | 8 UMBRELLA LIAB occur EACHOCCURRENCE __| $ EXCESS LIAB CLAIMS- MADE! jeaREGNE 3 pep |__| ReTENTIONS 5 WORKERS COMPENSATION | PER One ANY PROPRIETOR/PARTNERIEXECUTIVE EL. EACH ACCIDE! SericeRniENpeR EXCLUDED? NIA att ree (Mandatory in NH) ELL DISEASE -EA EMPLOYEE $ Iyes, describe under DESCRIPTION OF OPERATIONS below ELL. DISEASE - POLICY LIMIT | $ A |Professional Liab. |AEH008231806 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, NJ 07052 ‘AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD