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Supporting Documentation · Mar 26, 2024

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

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B. OPTION FOR ADDITIONAL ONE YEAR PERIOD COMMENCING MAY 1, 2027 THROUGH APRIL 30, 2028 $______________________________________________________ In Numerals _______________________________________________________ In Words C. OPTION FOR ADDITIONAL ONE YEAR PERIOD COMMENCING MAY 1, 2028 THROUGH APRIL 30, 2029 $______________________________________________________ In Numerals _______________________________________________________ In Words 54

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Article 3.15 OPERATIONS OF THE TOWNSHIP OF WEST ORANGE, RECYCLING CENTER 590 MT. PLEASANT AVENUE REVENUE SHARING PROPOSAL Then Operator shall propose a sharing of revenue from the sale of all products and materials, to be paid quarterly, from the site on a percentage of Gross Revenues. A. PERCENTAGE OF GROSS REVENUES PAYMENT TO THE TOWNSHIP OF WEST ORANGE FOR THREE YEAR PERIOD COMMENCING MAY 1, 2024 THROUGH APRIL, 2027 %______________________________________________________ In Numerals _______________________________________________________ In Words B. PERCENTAGE OF GROSS REVENUES PAYMENT FOR ADDITIONAL ONE YEAR PERIOD COMMENCING MAY 1, 2027 THROUGH APRIL 30, 2028 %______________________________________________________ In Numerals _______________________________________________________ In Words 55

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C. PERCENTAGE OF GROSS REVENUES PAYMENT FOR ADDITIONAL ONCE YEAR PERIOD COMMENCING MAY 1, 2028 THROUGH APRIL 30, 2029 %______________________________________________________ In Numerals _______________________________________________________ In Words 56

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ARTICLE 3.16 RESPONDENT PROPOSAL FORM THE RESPONDENT MUST READ THE FOLLOWING INSTRUCTIONS TO COMPLETE THIS PAGE. If doing business under a trade name or partnership, you must submit the proposal under exact title of the trade name or the partnership; and the proposal must be signed by either the owner or a partner witnessed by a notary public. If a Corporation, the proposal must be signed by the President or Vice President and witnessed by a Corporate Secretary (Corporate title must be exact) and affix Corporate Seal. Other persons authorized by a Corporate Resolution to execute agreements on its behalf may also sign the proposal documents (pages). Copy of a Resolution must accompany the proposal. The person who signs this form must also sign the Non-Collusions Affidavit. You cannot witness your own signature. ________________________________ NAME OF THE RESPONDENT _______________________________________ ________________________________ SIGNATURE OF CORPORATE SECRETARY ADDRESS OF RESPONDENT _______________________________________ ________________________________ PRINT NAME & TITLE TELEPHONE NUMBER CORPORATE SECRETARY By: ________________________________ SIGNATURE ________________________________ PRINT OR TYPE NAME AND TITLE CORPORATE SEAL 57

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ARTICLE 3.17 DISCLOSURE OF VIOLATIONS Please list any violations, alleged violations, fines and notices of violations issued against the respondent, related companies, or affiliates within the last 5 years. The information disclosed must include any governmental agency, Municipality, or individual initiating the charge, along with date and nature of the violations (use additional sheets if required). Include copies of all violations, alleged violations, fines, notices of violation, appeals, and final determinations. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ There have been no violations against ________________ ________or any related companies, (Respondent) and or affiliates within the past 5 years _____________________________ (Type or print name of affiant under signature) Subscribed and sworn to before me this ____________ day of _____________, 2024 ____________________________ (Notary Public) My commission expires _________________________. 58

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ARTICLE 3.18 DISCLOSURE OF POLITICAL CONTRIBUTIONS “Pay to Play” – Notice of Disclosure Requirement – P.L. 2005, Chapter 271, Section 3 Reporting (N.J.S.A. 19:44A – 20.27) (1) Any business entity that has received $50,000 or more in contracts from government entities in a calendar year is required to file an annual disclosure report with ELEC. The instructions and form are available on the ELEC website. (2) Annual Disclosures require submission by March 30th of each year covering contracts and contributions for the prior calendar year. (3) At a minimum, a list of all business entities that file an annual disclosure report will be listed on ELEC’s website at www.elec.state.nj.us. (4) If you have any questions please contact ELEC at: 1-888-313-ELEC (3532) (toll free in NJ) or 609-292-8700 I have read the above statement and agree to be bound by its terms PROPOSALDER: ______________________________ SIGNATURE TITLE: ______________________________ FOR: ______________________________ CONTRACTOR Sworn to and subscribed before me on this _______________ day of _______________, 2024. __________________________________ (Notary Public) My commission expires on _________________________. 59

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Article 3.19 DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN Proposer: PART 1: CERTIFICATION BIDDER MUST COMPLETE PART 1 BY CHECKING EITHER BOX Pursuant to N.J.S.A. 52:32-55 and any amendments thereto, any person or entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must complete the certification below to attest, under penalty of perjury, that the person or entity, or one of the person or entity’s parents, subsidiaries, or affiliates, is not identified on a list created and maintained by the Department of the Treasury as a person or entity engaging in investment activities in Iran. The chapter 25 list is found on the Division’s website at http://www.state.nj.us/treasury/purchase/pdf/chapter25List.pdf. Bidder must review this list prior to completing the below certification. If the Director finds a person or entity to be in violation of this law, s/he shall take action as may be appropriate by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party. PLEASE CHECK THE APPROPRIATE BOX: I certify, pursuant to N.J.S.A. 52:32-55 and any amendments thereto, that neither the bidder listed below nor any of the bidders parent, subsidiaries, or affiliates is listed on the N.J. Department of the Treasury list of entities determined to be engaged in prohibited activities in Iran Pursuant to P.L.2012, c.25 (“Chapter List”) I further certify that I am the person listed below, or I am an officer or representative of the entity listed below and am an authorized to make this certification on its behalf. I will skip part 2 and sign and complete the Certification below. OR I am unable to certify the above because the bidder and/or more of its parents, subsidiaries, or affiliates is listed on the Department’s Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in part 2 below and sign and complete the certification below. --------------------------------------------------------------------------------------------------------------------- PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise

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------------------------------------------------------------------ PART 2: PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN You must provide a detailed, accurate and precise description of the activities of the bidding person/entity, or one of its parents, subsidiaries or affiliates, engaging in the investment activities in Iran outlined above by completing the box below. 60

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DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN - CONTINUED Name: ____________________Relationship to Bidder ________________________ Description of Activities_________________________________________ ______________________________________________________________________________ Duration of Engagement___________________ Anticipated Cessation Date: _________ Bidder Contact Name_________________________ Contact Phone Number________________ Certification: I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments thereto to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above-referenced person or entity. I acknowledge that Township of West Orange is relying on the information contained herein and thereby acknowledge 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 in writing of any changes to the answers of information contained herein. I acknowledge 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, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with Township of West Orange, New Jersey and that the Township at its option may declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print) ___ _________ Signature: _____________________________ Title_____________________ Date: ________________________ ____ Date: _____________________________ 61

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Article 3.20 EQUIPMENT DEDICATION AFFIDAVIT STATE OF NEW JERSEY } COUNTY OF ESSEX } SS: Township of West Orange Recycling I, , am the (Name of Affiant) (Identify Relationship to Proposer) of the and being duly (Name of Proposer) sworn, I depose and say: All statements contained in this affidavit are true and correct and made with full knowledge that the State of New Jersey and the West Orange Township Council rely upon the truth of the statements contained in this affidavit and in said Proposal in signing the contract for the said project. At all times during the performance of this contract, I agree to commit, for use as required in the Township of West Orange, the equipment reasonably calculated to ensure that the Class A, Class B, and Class C recycling operations are in full compliance with all site operating conditions as provided herein and under all applicable New Jersey Department of Environmental Protection regulations, and that such equipment is in compliance with this Request for Proposals and with New Jersey Law. I further warrant that should additional or replacement equipment be required during the terms of this agreement, the Township of West Orange will not be responsible for any costs incurred by the operator. I also understand and agree that during the terms of this agreement, the Township of West Orange has the right to inspect all equipment at any time and for any reason. I also understand and agree that failure to comply with the representations contained herein shall be cause for breach of contract and will entitle the Township of West Orange to damages arising therefrom. ________________________________ Name of Firm or Individual Title ________________________________ Signature Date 62

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