Supporting Documentation · Aug 12, 2025
188-25 Exhibit A_GPI_WO Agreement Contract.pdf
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March 2022 New Jersey Department of Transportation oC Division of Local Aid and Economic Development Federal Aid Cost Reimbursement Agreement Exhibit E Page 62 of 66 APPENDIX B CERTIFICATION OF SUBRECIPIENT In executing the Agreement the SUBRECIPIENT’S signatory certifies on behalf of the SUBRECIPIENT that neither he, nor any other officer, agent or employee of the SUBRECIPIENT has: 1. employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, any firm or person (other than a bona fide employee working solely for him or the SUBRECIPIENT) to solicit or secure this Agreement. 2. agreed, as an express or implied condition for obtaining this contract, to employ or retain the services of any firm or person in connection with carrying out the Agreement, or 3. paid, or agreed to pay, to any firm, organization or person (other than a bona fide employee working solely for him or the SUBRECIPIENT) any fee, contribution, donation, or consideration of any kind for, or in connection with, procuring or carrying out the Agreement; The Subrecipient shall expressly state any exceptions in a disclosure letter to the STATE which shall accompany the Agreement after execution by the SUBRECIPIENT on submission to the Commissioner or his designee for execution. The SUBRECIPIENT acknowledges that this certificate furnished to the STATE and which may be furnished to the U.S. Department of Transportation, in connection with this Agreement, is subject to applicable State and Federal laws, both criminal and civil. 26
March 2022 New Jersey Department of Transportation Se Division of Local Aid and Economic Development Federal Aid Cost Reimbursement Agreement Exhibit F Page 63 of 66 APPENDIX C CERTIFICATION OF NEW JERSEY DEPARTMENT OF TRANSPORTATION In executing the Agreement the STATE'S signatory certifies that to the best of his knowledge, the SUBRECIPIENT or its representative has not been required, directly or indirectly as an express or implied condition in connection with obtaining or carrying out this Agreement, to: 1. employ or retain, or agree to employ or retain, any firm or person, or 2. pay, or agree to pay, to any firm, person, or organization, any fee, contribution, donation, or consideration of any kind. 27
March 2022 New Jersey Department of Transportation oO Division of Local Aid and Economic Development Federal Aid Cost Reimbursement Agreement Exhibit G Page 64 of 66 APPENDIX D NJDOT CODE OF ETHICS FOR VENDORS 1. No vendor* shall employ any NJDOT officer or employee in the business of the vendor or professional activity in which the vendor is involved with Department officer or employee. 2. No vendor shall offer or provide any interest, financial or otherwise, direct or indirect, in the business of the vendor or professional activity in which the vendor is involved with the Department officer or employee. 3. No vendor shall cause or influence or attempt to cause or influence any NIDOT employee or officer in his or her official capacity in any manner which might tend to impair the objectivity or independence of judgment of that NIDOT officer or employee. 4. No vendor shall cause or influence, or attempt to cause or influence, any NJDOT officer or employee to use or attempt to use his or her official position to secure any unwarranted privileges or advantages for that vendor or for any other person. 5. No vendor shall offer any NJDOT officer or employee any gift, favor, service or other thing of value under circumstances from which it might be reasonably inferred that such gift, service or other thing of value was given or offered for the purpose of influencing the SUBRECIPIENT in the discharge of his or her official duties. In addition, employees or officers of NJDOT will not be permitted to accept breakfasts, lunches, dinners, alcoholic beverages, tickets to entertainment and/or sporting events or any other item which could be construed as having more than nominal value. NOTE: This section would permit an NJDOT employee or officer to accept food or refreshments of relatively low monetary value provided during the course of a meeting, conference or other occasion where the employee is properly in attendance (for example - coffee, danish, tea or soda served during a conference break). Acceptance of unsolicited advertising or promotional materials of nominal value (such as inexpensive pens, pencils or calendars) would also be permitted. Any questions as to what is or is not acceptable or what constitutes proper conduct for a Departmental employee or officer should be referred to the Department's Ethics Liaison Officer or his or her designee. 6. This
to what is or is not acceptable or what constitutes proper conduct for a Departmental employee or officer should be referred to the Department's Ethics Liaison Officer or his or her designee. 6. This code is intended to augment, not to replace existing administrative orders and the current Departmental Code of Ethics. 7. This code shall take effect immediately upon approval of the NJ Executive Commission on Ethical Standards and adoption by the NJDOT. *Vendor is defined as any general contractor, subcontractor, consultant, person, firm, corporation or organization engaging in or seeking to do business with NJDOT. Adopted on the 16th day of December, 1987 28
March 2022 New Jersey Department of Transportation oC Division of Local Aid and Economic Development a Federal Aid Cost Reimbursement Agreement Exhibit H Page 65 of 66 APPENDIX E CERTIFICATION OF SUBRECIPIENT ELIGIBILITY I hereby certify under penalty of perjury under the laws of the United States, that except as noted below, the company or any person associated therewith in the capacity of owner, partner, director, officer, principal, Project director, manager, auditor, or any position involving the administration of State funds: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal, State or local government agency; has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal, State or local government agency within the past 3 years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against (it) by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. (Insert exceptions - for any exception noted, indicate to whom it applies, initiating agency, and dates of action. Providing false information may result in criminal prosecution or administrative sanctions. If no exceptions, insert "None".) Attest: SUBRECIPIENT Name/Title Name/Title Date: 29
March 2022 New Jersey Department of Transportation Division of Local Aid and Economic Development Federal Aid Cost Reimbursement Agreement Exhibit I Page 66 of 66 APPENDIX F AMERICANS WITH DISABILITIES ACT Equal Opportunity For Individuals With Disabilities. The SUBRECIPIENT and the STATE do hereby agree that the provisions of Title II of the Americans With Disabilities Act of 1990 (the “Act”) (42 U.S.C. Sec. 12101 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 thereunto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the STATE pursuant to this contract, the SUBRECIPIENT agrees that the performance shall be in strict compliance with the Act. In the event that the SUBRECIPIENT, its agents, servants, employees, or sub consultants violate or are alleged to have violated the Act during the performance of this contract, the SUBRECIPIENT shall defend the STATE in any action or administrative proceeding commenced pursuant to this Act. The SUBRECIPIENT shall indemnify, protect, and save harmless the STATE, 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 SUBRECIPIENT 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 STATE’S grievance procedure, the SUBRECIPIENT agrees to abide by any decision of the STATE which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the STATE or if the STATE incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the SUBRECIPIENT shall satisfy and discharge the same at its own expense. The STATE shall, as soon as practicable after a claim has been made against it, give written notice thereof to the SUBRECIPIENT along with full and complete particulars of the claim. If any action or administrative proceeding is
practicable after a claim has been made against it, give written notice thereof to the SUBRECIPIENT along with full and complete particulars of the claim. If any action or administrative proceeding is brought against the STATE or any of its agents, servants, and employees, the STATE shall expeditiously forward or have forwarded to the SUBRECIPIENT every demand, complaint, notice, summons, pleading, or other process received by the STATE or its representatives. It is expressly agreed and understood that any approval by the STATE of the services provided by the SUBRECIPIENT pursuant to this contract will not relieve the SUBRECIPIENT of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the STATE pursuant to this paragraph. It is further agreed and understood that the STATE assumes no obligation to indemnify or save harmless the SUBRECIPIENT, its agents, servants, employees and sub consultants for any claim which may arise out of their performance of this Agreement. Furthermore, the SUBRECIPIENT expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the SUBRECIPIENT’S obligations assumed in this Agreement, nor shall they be construed to relieve the SUBRECIPIENT from any liability, nor preclude the STATE from taking any other actions available to it under any other provisions of this Agreement or otherwise at law. 30 e
a) ACORD CERTIFICATE OF LIABILITY INSURANCE seeaanren 8/7/2025 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 certificate holder in lieu of such endorsement(s). PRODUCER Same." Alyson Graziosi Boa NEW ENE PARK RD | fale No, Ext 516-869-8788 TA, no): 516-470-0338 SUITE 409 | RODMESs: agraziosi@erparp.com NEW HYDE PARK NY 11042 | INSURER(S) AFFORDING COVERAGE NACH | __| insurer a: XL Specialty Insurance Company 37885 INSURED GREENMAN) insurer B : Everest National Insurance Company 10120 Seen edema Ine 3 (New Jersey) insurer ¢ : North Pointe Insurance Company 27740 Shelton CT 08484 INsuRERD: QBE Insurance Corporation 39217 INSURER E: Allied World Assurance Company (U.S.) Inc. 19489 insurer F : Praetorian Insurance Company 37257 COVERAGES CERTIFICATE NUMBER: 724096268 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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. WHR "ADDL|SUBR| POLICY EFF | POLICY EXP NER ‘TYPE OF INSURANCE INSD | WvD_ POLICY NUMBER (MM/DBIYYYY) | (MMUDDIVYYY) LIMITS: D | X | COMMERCIAL GENERAL LIABILITY y | 175000033 12/91/2024 | 12/31/2025 | cach OCCURRENCE $2,000,000 DAMAGE TO RENTED | | cLaIMs-MADE ‘occur PREMISES (Ea occurence) | $600,000 | MED EXP (Any one person) | $10,000 = ae eee PERSONAL & ADV INJURY _ | § 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
ENTED | | cLaIMs-MADE ‘occur PREMISES (Ea occurence) | $600,000 | MED EXP (Any one person) | $10,000 = ae eee PERSONAL & ADV INJURY _ | § 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 poucy | X | SB% | X | toc PRODUCTS - COMP/OP AGG | $4,000,000 OTHER: $ © | AUTOMOBILE LIABILITY 7 485000040 42rat/2024 | 12/31/2025 | ROMBINEDSINGLELIMIT | $2,000,000 X ] ANY auto BODILY INJURY (Per person) | § / | ownen SCHEDULED SHNED scHen BODILY INJURY (Per accident)| § rx | HIRED | NON-GWNED PROPERTY DAMAGE ' AUTOS ONLY AUTOS ONLY (Por accidont) s B | X | UMBRELLA LIAB X | occur Y XC5CU00324241 12/31/2024 | 12/31/2025 | EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE: AGGREGATE $5,000,000 ep | X | revenTIONs sono WORKERS COMPENSATION 155000038 r2rav2024 | 127312025 |X [Eure | [eee AND EMPLOYERS’ LIABILITY vin ER ANYPROPRIETOR/PARTNER/EXECUTIVE ELL EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH | EL DISEASE - EA EMPLOYEE! $ 1,000,000 98, describe und | - — a SCRIPTION OF OPERATIONS bolow | E.L. DISEASE - POLICY LIMIT | $ 1,000,000 & | Bepady | uMo0082200MA248 12/31/2024 | 12/31/2028 | Valuable Papers $150,000 2 Prolesonl itty 03141016 12131/2024 | 12/31/2025 | Each Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) “WORKERS COMPENSATION NOT APPLICABLE IN MONOPOLISTIC STATES - OH, ND, WA, WY* FOREGOING PER POLICY FORM RE: NJX-2400048.00 TAP 2023 Washington Street Corridor Improvement Project Phase 2 West Orange Township, its officers, and employees and the State of New Jersey, Department of Transportation are included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION 30 day notice applies SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. West Orange Township als Seng el He 52 "AUTHORIZED REPRESENTATIVE, Whb tan © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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