111-24 Exhibit A.pdf

List of Agencies with Elected Officials Required for Political Contribution Disclosure County Name: Essex State: Governor N.J.S.A. 19:44A-20.26 Legislative District #s: 26, 27, 28, 29, 34, & 40 State Senator and two members of the General Assembly per district. County: County Commissioners County Clerk County Executive Surrogate Registrar of Deeds Municipalities (Mayor and members of governing body, regardless of title): Belleville Township Bloomfield Township Caldwell Borough Cedar Grove Township East Orange City Essex Fells Township Fairfield Township Glen Ridge Borough Irvington Township Livingston Township Maplewood Township Millburn Township Montclair Township Newark City North Caldwell Borough Nutley Township Orange City Roseland Borough South Orange Village Verona Township West Caldwell Township West Orange Township Boards of Education (Members of the Board): Belleville Town Bloomfield Township Caldwell-West Caldwell Cedar Grove Township Essex Fells Borough Fairfield Township Glen Ridge Borough Irvington Township Livingston Township Millburn Township Newark City North Caldwell Borough Nutley Town Roseland Borough South Orange-Maplewood Verona Borough West Essex Regional West Orange Town Fire Districts (Board of Fire Commissioners): NONE w is)

(REVISED 4/10) EXHIBIT A MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq. (P-L. 1975, C. 127) N.J.A.C. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS During the performance of this contract, the contractor agrees as follows: The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause. The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice. to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment. The contractor or subcontractor, where applicable, agrees to comply with

r this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment. The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act. The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. 17:27-5.2. (continued) The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, 22

universities, and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices. The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions. In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions. The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents: Letter of Federal Affirmative Action Plan Approval Certificate of Employee Information Report Employee Information Report Form AA302 (electronically provided by the Division and distributed to the public agency through the Division’s website at www.state.nj.us/treasury/contract_compliance) The contractor and its subcontractors shall furnish such reports or other documents to the Division of Public Contracts Equal Employment Opportunity Compliance as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Public Contracts Equal Employment Opportunity Compliance for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code at N.J.A.C. 17:27. 23

AFFIDAVIT OF NON-COLLUSION The undersigned bidder of full age, being duly sworn according to law depose and hereby specifically certifies that: A. To the best of the bidder’s knowledge and belief, the annexed bid proposal for this project has not been prepared in collusion with any other bidder of like item or services and the prices, discounts, terms and conditions thereof have not been directly or indirectly communicated by or on behalf of the bidder to any person other than the recipient of the bid and will not be communicated to any person prior to the official opening of the bid. B. The bidder fully understands that no premiums, rebates, or gratuities are permitted either with, prior to, or after signing of contract. Any violation will result in cancellation and removal from the bid list. C. The bidder further certifies that the undersigned has the necessary authority, to sign this stipulation stating that the bidder has not entered into any agreement, or otherwise taken any action in restraint of free competitive bidding in connection with this bid. All references to the bidder are understood to include the undersigned and all principals, partners and officers of the bidder. Date: Signatue) Salvador Carmelino Vice- president (Name and Title) Nationwide Cleaning & Restoration Services (Company Name) 101 Hudson st , 21st Fl, Jersey City, NJ 07302 (Address) (Corporate Seal) Subscribed and sworn to before me this day of. ,20 Notary Seal 25

ACORD’ C— CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNVYYY) 2/24/2024 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ‘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 certificate holder in lieu of such endorsement(s). 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 PRODUCER (661) 266-9390 [Re Noy (6500266-9382 Driscoll & Driscoll Insurance Agency, Inc. ovusss. Cexts@driscollanddriscoll.com 41235 11th St West, Suite B INSURER(S) AFFORDING COVERAGE Nal # Palmdale CA 93551 INSURERA:GuideOne National Insurance Company meuneD INSURER 8 Nationwide Cleaning & Restoration Services Inc INSURER € INSURER D 101 Hudson st INSURER E Jersey City NI 07302 INSURER F: COVERAGES CERTIFICATE NUMBER:CL2422425244 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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. ADDL |SUBR Se ewer ROR) noucyawarn See, |e, crs X | COMMERCIAL GENERAL LIABILITY ] EACH OCCURRENCE A 1,000,000 A ] cuams-mane occur | | ey 50,000 ] x|yY fF 2/21/2024 | 2/21/2025 | men EXP (Any one persen) |S 5,000 |_| | PERSONAL BADV INJURY | $ 1,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER. | GENERAL AGGREGATE. $ 2,000,000 | | poucy |_| BS Loc PRODUCTS -COMPOPAGG | $ 2,000,000 omHER a S COMBINED SINGLE LIMIT "AUTOMOBILE LIABILITY Ea ocodert) s [__] anvauro | BODILY INJURY (Per person) | § ince” aed | BODILY INJURY (Per accider’) | $ if OWNED DANAGE wcpumoe |_| tor [ian $ | $ |_| owerecatins oor | EACH OCCURRENCE s Excess LIAB Lcuamms.naace | | ASGREGATE s veo

LY INJURY (Per person) | § ince” aed | BODILY INJURY (Per accider’) | $ if OWNED DANAGE wcpumoe |_| tor [ian $ | $ |_| owerecatins oor | EACH OCCURRENCE s Excess LIAB Lcuamms.naace | | ASGREGATE s veo | [rerention s | s WORKERS COMPENSATION 1 Baa on AND EMPLOYERS LIABILITY inl | | [stare |_Tee IETOF EREXECUTVE | EL, EACH ACCIDENT s JOFFICERMENBER EXCLUDED? LJ as | EL. OSEASE -EAEMPLOYEE | 5 tyes. desonibe under | DESCRIPTION CF OPERATIONS below | EL. OSEASE-poucyumm | $ A | conte Pollution Liability x | ¥ | exvsez015703-00 | avaayaoas | av2ss20zs | Peco /Amy .Ms2m A | Professional Liability Ev562025703-00 | averseoas | ay2xy20as | cuimariase 1,000,000 | 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 ‘THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ‘AUTHORIZED REPRESENTATIVE. Kose Craver” ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

State uf Note Jersey , DEPARTMENT OF THE TREASURY sae DIVISION OF REVENUE & ENTERPRISE SERVICES P.O. BOX 026 ” IN’ ui 25 TAHESHA WAN; 350. PHON! ErOUE EID Ee f ee wr ARETe BAER MUGIO I= YEAR PROVISIONAL CERTIFICATION APPROVED under the Minority and Women Business Certification Program This certificate acknowledges NATIONWIDE CLEANING & RESTORATION SERVICES INC as a Provisionally Certified Minority Women Business Enterprise (MWBE) that has met the criteria established by N.J.A.C. 17:46. This certification will remain in effect for one year. In order for the certification to remain in effect after the provisional one year period, the business must submit a recertification application. The recertification application must be submitted not more than 60 days prior to the anniversary of the provisional certification approval. If the business fails to submit the recertification application, 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 by submitting a new application. Pat fone Peter Lowicki Deputy Director Issued: 10/26/2023 Expiration: 10/26/2024 Certification Number: A0393-54 ‘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.