104-24 Exhibits-Economic Development Counsultant - 2024.pdf

AMERICANS WITH DISABILITIES ACT OF 1990 Equal Opportunity for Individuals with Disability The contractor and the Township of West Orange, (hereafter "owner") do hereby agree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this contract, the contractor agrees that the performance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the owner, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages, of whatever kind or nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner's grievance procedure, the contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense. The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every

, If any action or administrative proceeding is brought against the owner or any of its agents, servants, and employees, the owner shall expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the owner or its representatives. It is expressly agreed and understood that any approval by the owner of the services provided by the contractor pursuant to this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the owner pursuant to this paragraph. It is further agreed and understood that the owner assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their performance of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor's obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law. 29

VENDOR INFORMATION In order to assure that all future correspondence is directed to the correct address, assure proper ordering, expedite future payments, and in accord with I.R.S. regulations, the following information must be provided with this bid. Nishuane Group, LLC Name of Business: ___________________________________________________________ Print Michele S. Delisfort Name of Contact Person: ______________________________________________________ Print Correspondence Address (including zip code): 105 Grove Street, Suite 3, Montclair, NJ 07042 _____________________________________ _____________________________________ _____________________________________ Purchase Order Address (including zip code): 105 Grove Street, Suite 3, Montclair, NJ 07042 _____________________________________ _____________________________________ _____________________________________ Payment Address (including zip code): 105 Grove Street, Suite 3, Montclair, NJ 07042 _____________________________________ _____________________________________ _____________________________________ 973-954-2677 Telephone Number: ___________________________ N/A Fax Number: _________________________________ MDelisfort@nishuanegroup.com E-mail Address _______________________________ 74-3234172 Employer I.D. or S.S. # _________________________ *PLEASE ALSO PROVIDE A COPY OF YOUR W-9 30

STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE Taxpayer Name: NISHUANE GROUP, LLC Trade Name: Address: 105 GROVE STREET MONTCLAIR, NJ 07042-2461 Certificate Number: 1340466 Effective Date: July 17, 2007 Date of Issuance: April 06, 2015 For Office Use Only: 20150406175107109

Certification 54788 CERTIFICATE OF EMPLOYEE INFORMATION REPORT RENEWAL This is to certify that the contractor listed below has submitted an Employee Information Report pursuant to N.J.A.C. 17:27-1.1 et. seq. and the State Treasurer has approved said report. This approval will remain in effect for the period of 15-Jul-2022 to 15-Jul-2029 NISHUANE GROUP LLC 105 GROVE STREET - SUITE 1 MONTCLAIR NJ 07042 ELIZABETH MAHER MUOIO State Treasurer

State of Not Jersey DEPARTMENT OF THE TREASURY PHIL MURPHY DIVISION OF REVENUE & ENTERPRISE SERVICES P.O. BOX 026 TRENTON, NJ 08625-026 SHEILA OLIVER ° a. Governor PHONE: 609-292-2146 FAX: 609-984-6679 ELIZABETH MAHER MUOIO 1 YEAR PROVISIONAL CERTIFICATION APPROVED under the Small Business Set-Aside Act and Minority and Women Certification Program This certificate acknowledges NISHUANE GROUP, LLC DBA:N/A as a Provisionally Certified Minority Women Business Enterprise (MWBE) that has met the criteria established by N.J.A.C. 17:46. This registration will remain in effect for one year. The business must submit, not more than 60 days prior to the anniversary of the certification approval, a recertification application. If the business fails to submit the annual verification statement by the anniversary date, or a renewal by its expiration date, the certification will lapse and the business will be removed from the system (SAVI) that lists certified minority and women-owned businesses. If the business seeks to be certified again, it will have to reapply for a provisional certification. “Pater foie Peter Lowicki Deputy Director Issued: 6/1/2023 Expiration: 6/1/2024 Certification Number: A0345-57 ‘The expiration date is contingent on the proper and on- time filing of all Annual Verifications for non- provisional certificates. Please see above for more detail.

State of Not Jersey PHIL MURPHY DEPARTMENT OF THE TREASURY Governor DIVISION OF REVENUE & ENTERPRISE SERVICES P.O. BOX 026 SHEILA OLIVER TRENTON, NJ 08625-034 ELIZABETH MAHER MUOIO Lt. Governor PHONE: 609-292-2146 FAX: 609-984-6679 State Treasurer APPROVED under the Small Business Set-Aside Act This certificate acknowledges NISHUANE GROUP, LLC as a Category 4 Approved Small Business Enterprise (SBE) that has met the criteria established by N.J.A.C. 17:13 and/or 17:14. This certification will remain in effect for three years. Annually the business must submit, not more than 60 days prior to the anniversary of the certification approval, an annual verification statement in which it shall attest that there is no change in the ownership, control, or any other factor of the business affecting eligibility for certification as a minority or women-owned business. If the business fails to submit the annual verification statement by the anniversary date, the certification will lapse and the business will be removed from the system (SAVI) that lists certified minority and women-owned businesses. If the business seeks to be certified again, it will have to reapply provisionally. “Pater foie Peter Lowicki Deputy Director Issued: 7/19/2021 Expiration: 7/19/2024 Certification Number: A0165-41 ‘The expiration date is contingent on the proper and on- time filing of all Annual Verifications for non- provisional certificates. Please see above for more detail.

com WE 9 Request for Taxpayer Give For to the (Rev. October 2018) Identification Number and Certification 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. Nishuane Group, LLC T Name (as shown on your income tax return). Name Is requirad on this line; do not leave this Ine blank. 2 Business name/disregarded entity name, if different from above Note: Check the another LLC that is not, D1 Other (see instructions) > C1 Umited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > ite 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 fif eny) 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 following seven boxes. certain entities, not individuals; see instructions on page 3): 1 individuaysole proprietor or ©) C Corporation Corporation [1 Partnersnip —-L) Trusvestate single-member LLC Exempt payee cods (if any) epics 0 accounts mairtained cutee the US) 5 Address (number, street, and apt. or suite no.) See instructions. 105 Grove Street Print or type. See Specific Instructions on page 3. Requester’s name und address (optional) 6 City, state, and ZIP code Montclair, NJ 7 Ust account number(s) here (optional) Part A Taxpayer Identification Number (TIN) TIN, later. Entar your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid _| Social security number par 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 nave a number, see How to geta or [Employer identification number Note: If the account is in more than one name, see the instructions for

t is your employer identification number (EIN). If you do not nave a number, see How to geta or [Employer identification number 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. 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. 1am not ‘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. |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 Fes CE YON moe ean ECT Deck we iad bare: transactions, item you have failed to report all Interest and dividends on your tax retum. For real estate does not apply. For mortgage interest paid, toquisttion or abandonment of secured property, cancellation of debt, contributions to an individual titbased arrangement (IRA), and generally, instructions other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the payments for Part Il, later. Sign ‘Signature of US. person Wha BE cour A421 24 General Instructions Section references are to the Intemal Revenue Code unless otherwise 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), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or

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 retum. 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 * Form 1099-MiSC (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. If you 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)