Town CrierWest Orange, New Jersey
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Supporting Documentation · Mar 26, 2024

111-24 Exhibit A.pdf

Preserved file SHA-256428838e03108cdb65c6126c19198c5e7d933ea2eda71aa4c53f55797052c03b7

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SERVICES WE OFFER EMERGENCY SERVICES 24/7 Fire Restoration Water Damage & Flood Restoration Wind & Storm Damage Mold Remediation Disaster Recovery Team House Cleaning Office cleaning Apartment cleaning Business cleaning Residential cleaning Commercial cleaning Move-in/move- out cleaning Maid service Janitorial services and building maintenance Window cleaning Summer/spring cleaning Winter/fail cleaning Floor cleaning Carpet cleaning Laundry Services Packing arid unpacking help service Renovation cleaning Post construction cleaning Snow removal service Building maintenance Painting Power Washing Garbage Pickup/Waste Removal/Disposal EPA LEAD SALE CLEANING Reconstruction

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March 2024 Dear City of West Orange, Thank you for the opportunity to provide you with a proposal for your property. Your desire to find the best qualified contractor to partner with was most apparent in our initial meeting. I believe that you have before you a proposal that will exceed your high expectations. At Nationwide Cleaning and Restoration Services we are proud to say that we do our job well and safely. We believe in achieving excellence in all that we do We also believe in providing our customers with professional service so they can rest assured that their business is in good hands. At Nationwide Cleaning and Restoration Services we guarantee that through efficient administration we will not any be competitive in terms of cost, but also will most certainly be the best-qualified contractor for the task at hand. Thank you for the opportunity to bid on your cleaning and supply needs. If you have any questions, please don't hesitate to ask. Sincerely, Daluadar Carmeine Salvador Carmelino Vice President of Nationwide Cleaning and Restoration Services Inc.

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STATEMENT OF OWNERSHIP DISCLOSURE NJ.S.A. 52:25-24.2 (P.L. 1977, ¢.33, 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: Nationwide Cleaning & Restoration Services Same of rg: ao Organization Address: _ 101 Hudson st, 21st Fl, Jersey City, NJ 07302 Part I Check the box that represents the type of business organization: Oscie Proprietorship (skip Parts II and III, execute certification in Part IV) non-profit Corporation (skip Parts II and III, execute certification in Part [V) Bar or-Profit Corporation (any type) oO Limited Liability Company (LLC) oO Partnership oO Limited Partnership oO Limited Liability Partnership (LLP) Dotner (be specific): Part Il | 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 Dayana Badran Salvador Carmelo PT

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Part II] DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II If 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 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.LS.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 Part IV Certification I, 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. 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 | 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 1 do so, I am subject to criminal prosecution under the law and

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ained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if 1 do so, I 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. 34

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Full Name (Print): Salvador Carmelino Title: Vice- president Signature: Sabrador Carmebne Date: 03/04/2024 35

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REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS NJ. S.A. 10:5-31, et seq. (NLA. C. 17:27) If awarded a contract, the Bidder will be required to comply with the requirements of N.L.S.A. 10:531, ef seq., and N.|.A.C__ 17:27. Within five (5) days after receipt of the notification of intent to award the contract, the Bidder shall present one of the following: 1. Appropriate evidence that the Contractor is operating under an existing federally approved or sanctioned affirmative action program; or 2. A Certificate of Employee Information Report Approval issued in accordance with N.J.A.C. 17:27-4; or 3. An initial Employee Information Report consisting of forms provided by the Affirmative Action Office and completed by Contractor in accordance with N.LA.C. 17:27-4. The Bidder must submit no later than three (3) days after the signing of the Contract an Initial Project Manning Table consisting of forms provided by the Affirmative Action Office and completed by Contractor in accordance with N.J.A.C. 17:27-7. Bidders are referred to the Bidder's Information Section of the Bid Packet for a further description of the above requirements. NO BIDDER MAY BE ISSUED A CONTRACT UNLESS THEY COMPLY WITH THE AFFIRMATIVE ACTION REGULATIONS OF N,J.S.A. 10:5-31, et seq. The following questions must be answered by all Bidders: 1. Do you have a federally-approved or sanctioned Affirmative Action Program? Yes_____ (If yes, submit a copy of such approval) X = No 2. Do you have a State Certificate of Employee Information Report approval? YesX____{If yes, submit a copy of such approval.) No The undersigned Bidder certifies that he is aware of the commitment to comply with the requirements of N.[.S.A. 10:5-31, ef seg., and agrees to furnish the requi‘ed documentation pursuant to the law. COMPANY: Nationwide Cleaning & Restoration Services 1AM: Salvador Carmelino SIGNATURE: De4ador Carmehne __i1r1p-Nice- president NOTE:A bid must be rejected as non-responsive if a Bidder fails to comply with requirements of NJ.S.A. 10:5-31, et seq., within stipulated time. 24

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Certification 73348 CERTIFICATE OF EMPLOYEE INFORMATION REPORT INITIAL This is to certify that the contractor listed below has submitted an Employee Information a 5k en hd NJAC. 17:27-1.1 et. seq. and the State Treasurer has approved sald report. This approval will rer effector the period of = 45- JUL-2023 to15-suL-2030 NATIONWIDE CLEANING & RESTORATION SERV INC 101 HUDSON STREET JERSEY CITY No 07302

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PROPOSAL FORM JANITORIAL SERVICES The contract period for this service shall be for a period of Twenty four (24) months commencing April 1, 2024 ending March 31, 2026 with an option for one (1) year additional year 2027, if acceptable by both parties. The undersigned states that they have carefully examined specifications, conditions, and instructions and hereby submits the following proposal: Base Bid $___ 61,750.00 Annual SIXTY ONE THOUSAND, SEVEN HUNDRED FIFTY DOLLARS (amount in words) Options: (1) Hourly rate for buffing Floors $ 50.00 gFIFTY (amount in words) (2) Hourly rate for shampooing carpeting $ 40 gFORTY

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Company Name Address Telephone # Authorized Signature Print Name Title Date (amount in words) Nationwide Cleaning & Restoration Services 101 Hudson st, 21st Fl, Jersey City, NJ 07302 929.332.5211 Sahador Carmebne Salvador Carmelino Vice- president 03/04/2024

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