173-25 Attachment.pdf

TOWNSHIP OF WEST ORANGE TOWNSHIP HALL 66 MAIN STREET WEST ORANGE, NEW JERSEY 07052 VOUCHER MUST BE RETURNED FOR PAYMENT Ship to: 66 MAIN STREET WEST ORANGE, NJ 07052 PURCHASE ORDER Vendor: ADG CONTRACTING CORP WEST ORANGE CROSSROADS PAVING NEW JERSEY 07052 386 SOUTH ST FOB DESTINATION FREIGHT PREPAID & CHARGED BACK STE 169 NEWARK, Nj 07105. Account Various _- seebelow —---- Vendor Code 1005893 DateofOrder 09/12/2024 Requisition# ‘Quantity Unit Des mof Materials or Servi Unit Price= Extended 1.000 RESOLUTION 253-24 FIRE STATION 4 IMPROVEMENTS 83,100.00 83,100.00 1.000 RESOLUTION 253-24 FIRE STATION 4 IMPROVEMENTS 125,000.00 125,000.00 7.000 RESOLUTION 253-24 FIRE STATION 4 IMPROVEMENTS 35,357.00 35,357.00 83,100,00 03-2814-23-0400-050 125,000.00 03-2830-23-0500-020 35,357.00 03-2830-23-0200-030 Purchase Order Total: 243,457.00 THIS ORDER IS TAX EXEMPT PER NJSA 54:32B-9(a)(1) TAX EXEMPT ID NO, 22-6002396 Manditory Prevailing Wage Policy P.L. 2007,¢.68 for all Public Works Contractors and Sub-Contractors ( Proof of Business Registration Certificate is Mandatory. P.L. 2004 57.Pursuant to NJSA 2A:30A2 the TWO has an ADR policy. } CLAIMANT'S CERTIFICATION OFFICER'S OR EMPLOYEE'S CERTIFICATION VOUCHER MUST BE SUBMITTED TO THE 11D SOLEMNLY DECLARE AND CERTIFY UNDER THE PENALTIES (OF THE LAW THAT THE WITHIN BILL IS CORRECT IN ALL ITS PARTICULARS; THAT THE ARTICLES HAVE BEEN FURNISHED OR SERVICES RENDERED ASSTATED THEREIN; THAT NO BONUS HAS BEEN GIVEN OR RECEIVED BY ANY PERSON OR PERSONS. WITH THE KNOWLEDG# OF THIS CLAIMANTIN CONNECTION WITH THE ABOVE CLAIM; THAT THE AMOUNT THERINSTATED IS SUSTLY DUE AND OWING; AND THAT THE AMOUNT CHARGEDIS A REASONABLE ONE. (X) VENDOR SIGN HERE HAVING KNOWLEDGE OF THE FACTS IN THE COURSE OF REGULAR PROCEDURES, | CERTIFY THAT THE MATERIALS AND SUPPLIES HAVE BEEN RECIEVED OR THE SERVICES RENDERED; SAID CERTIFICATION IS BASED ON DELIVERY SLIPS ACKNOWLEDGED BY A MUNICIPAL OFFICIAL OR EMPLOYEE OR OTHER REASONABL2 PROCEDURES. TOWNSHIP TREASURER ON OR BEFORE THE 1ST DAY OF THE MONTH FOR PAYMENT. DEPARTMENT HEAD DEPARTMENT ORDERED BY CERTIFICATION OF FUNDS AVAILABLITY -OFFICIAL-POSITION. .- —-..-. DATE. — SIGN AND RETURN ONLY THIS ORIGINAL FOR PAYMENT CHIEF FINANCIAL OFFICER PURCHASE ORDER APPROVED - PURCHASING AGENT WS