98-24 Exhibits to the Agreement for the Operation of the Recycling Center - 2024.pdf

any’s Insurance Ratings licensed to do business under the laws of and in the State of New Jersey and satisfactory to the Township of West Orange. The Restoration Bond must specifically provide that it will indemnify and pay all costs related to any actions required to restore the property to its original condition as it existed prior to the receipt of any Class A, B or Class C material at the site at the beginning of the contract. This specifically includes, but is not limited to, costs and expenses incurred by any adverse governmental regulatory action and costs and expenses potentially incurred to remediate transport and dispose of the Township’s Vegetative Waste at sites other than the Facility. If the Surety on the Bond furnished files bankruptcy or becomes 32

insolvent or its right to do business is terminated, or it ceases to meet the requirements stated herein, the Operator shall within five (5) days thereafter substitute another Bond and Surety from a reputable surety company rated A+ or better by A.M. Best Company’s Insurance Ratings licensed to do business in the State of New Jersey acceptable to the Township of West Orange. c. Worker’s Compensation Insurance per state requirements. d. A comprehensive General Liability Policy with a combined single limit of $2,000,000 for bodily injury and property damage. The policy shall include coverage for “XCU” exposures and completed operations coverage. e, An Automobile Public Liability and Property Damage Policy with a combined single limit of $2,000,000 for bodily injury and property damage. f. All certificates of insurance shall stipulate that the insurance will not be changed or canceled without giving thirty (30) days prior written notice to the Township of West Orange by registered mail. Any notice of termination shall constitute an immediate default and permit the Township to immediately terminate this agreement. g. Certificates shall show the type, amount, class of operations covered, effective dates and expiration dates for all policies. All said policies shall remain in full force and effect during the term of this Agreement, and for any additional period of time as required and list West Orange as an additional insured. 33

Section 2: Proposal Documents

SECTION 3.0 PROPOSAL DOCUMENTS 34

DOCUMENT CHECK LIST Section | Description Initial When due § 3.01 | Statement of Ownership Disclosure Q Mandatory with Proposal § 3.02 Affidavit of Authorization for Contract wr Mandatory with Proposal § 3.03 | Market Capacity Affidavit an Mandatory with Proposal § 3.04 | Moral Integrity Affidavit an Mandatory with Proposal § 3.05 A lsion affidavit qa Mandatory with Proposal § 3.06 | Sub-Contractor Use Form Da With Proposal § 3.07 Experience Statement GR Mandatory with Proposal § 3.08 Qualifications of Personnel uN Mandatory with Proposal §3.09 | Equipment List FL With Proposal §3.10 | Consent of Surety Ze Prior to Contract Award § 3.11 | Affirmative Action Requirements Fy Prior to Signing Contract §3.12 | Americans with Disabilities Act Ae With Proposal § 3.13 Americans with Disabilities Act Affidavit i? 2a With Proposal § 3.14 Proposal form L- Mandatory with Proposal §3.15 | Revenue Sharing Proposal 4L- Mandatory with Proposal §3.16 | Respondent Proposal Form GC Mandatory with Proposal §3.17 | Disclosure of Violations —v | Mandatory with Proposal § 3.18 | Disclosure of Political Contributions Z- With Proposal § 3.19 | Disclosure of Investment Activities in Iran ZF— | Prior to Contract Award § 3.20 | Equipment Dedication Affidavit id Mandatory with Proposal § 3.21 Proposal Bond Form SN Mandatory with Proposal § 3.22 | Acknowledgement of Receipt of Addenda Zype Mandatory with Proposal §3.23 | Business Registration Certificate Gr Prior to Contract Award §1.09 | Certificate of Insurance Dn Due S days from request after Award 35

Article 3.01 STATEMENT OF OWNERSHIP DISCLOSURE NJS.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal. Name of Organization: Natuce & CHoite pT ie Organization Address: Hale Millstone River Road alle vorougn , WY. 3 OCH Part I Check the box that represents the type of business organization: Osote Proprietorship (skip Parts II and III, execute certification in Part IV) non-profit Corporation (skip Parts II and III, execute certification in Part IV) Oo For-Profit Corporation (any type) Bac imitea Liability Company (LLC) oO Partnership Ohimitea Partnership Dhimitea Liability Partnership (LLP) Dother (be specific): Part IT | The list below contains the names and addresses of all stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR Oo No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity Address SE© ATTACHED 36

Part II] DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II Ifa bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #’s Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part II other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24,2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Address Corresponding Entity Listed in Part II Set ATTACHED Part IV Certification 37

I, being duly swom upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the bidder/proposer; that the Township of West Orange is relying on the information contained herein and that I am under a continuing obligation from the date of this certification through the completion of any contracts with Township of West Orange to notify the Township of West Orange in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, 1 am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Steven B&R Carn Title: DeecWDeaT Signature: A S¥ a Date: See Atte? 38 a)te/ooo

DocuSign Envelope ID: BCEB35BA-C878-4AA5-9074-55C62ADEI76A, STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.34, as amended by P.L. 2016, ¢.43) This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit the required information is cause for automatic rejection of the bid or proposal. Name of Organization; Nature's Choice NJ LLC Organization Address: 1106 Millstone River Rd, Hillsborough Twp NJ 08844 PartI Check the box that represents the type of business organization: Oo Sole Proprietorship (skip Parts fl and II, execute certification in Part IV) Oo Non-Profit Corporation (skip Parts i and Ill, execute certification in Part IV) Oo For-Profit Corporation (any type) Ediimites Liability Company (LLC) O Partnership Dhimitea Partnership Oiimitea Liability Partnership (LLP) O Other (be specific): Part 0 & The list below contains the names and addresses of al] stockholders in the corporation who own 10 percent or more of its stock, of any class, or of all individual partners in the partnership who own a-10 percent or greater interest therein, or of all members in the limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR oO No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV) (Please attach additional sheets if more space is needed): Name of Individual or Business Entity ~~ Address Compost 360 Acquisition, LLC 98 Greenway Plaza, Ste 2400, Houston, TX 77406

DocuSign Envelope ID: BCEB35BA-CB78-4AA5-9D74-55CBZADE376A Part IIT DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II '@a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of the Jast annual federal Security and Exchange Commission {SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s) containing the last annua) filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach additional sheets if more space is needed. Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #s Please list the names and addresses of each stockhalder, partner or member owning a 10 percent or greater interest in any corresponding corporation, parinership and/or limited liability company (LLC) listed in Part! other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every noncorporate stockholder, and individual Partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Address Corresponding Entity Listed in Part Compost 360 Acquisition Parent, LLC 9G Plaza, Ste 2400, Houston TX 77046 10% of Compost 360 Acquisition, LLC) PRE EB SES eusren Compost 360 Holdings, LLC 2400, ton TX 46 (10% of Compost 360 Acquisition Parent, Lc] 9 S'enway Plaza, Ste 2400, Houston TX 770 ptt ape Gompoe oe eines Luc) 9 Greenway Plaza, Ste 2400, Houston TX 77046 See addendum for further detail Part IV Certification |, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. | acknowledge: that | am authorized to execute this certification on behalf of the bidder/proposer; that the City is relying on the information contained herein and that | am under a continuing