190-25 Exhibit A to Resolution Authorizing Contract with Matrix New World.pdf

05/04/16 Taxpayer Identification# §223-057-511/000 Dear Business Representative: Congratulations! You are now registered with the New Jersey Division of Revenue. Use the Taxpayer Identification Number listed above on all correspondence with the Divisions of Revenue and Taxation, as well as with the Department of Labor (if the business is subject to unemployment withholdings). Your tax returns and payments will be filed under this number, and you will be able to access information about your account by referencing it. Additionally, please note that State law requires all contractors and subcontractors with Public agencies to provide proof of their registration with the Division of Revenue. The law also amended Section 92 of the Casino Control Act, which deals with the casino service industry. We have attached a Proof of Registration Certificate for your use. To comply with the law, if you are currently under contract or entering into a contract with a State agency, you must provide a copy of the certificate to the contracting agency. If you have any questions or require more information, feel free to call our Registration Hotline at (609)292-9292. | wish you continued success in your business endeavors Sincerely, eae James J. Fruscione Director New Jersey Division of Revenue STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE * DEPARTMENT OF: SEREASURY/ © DIVISION OF PO BOX : mcr piavaravatsace%aretere’ | TRENTON, ‘TRADE NAME: Ss, IATRIX NEW WORLD norton 4H 'W WORLD ENGINEERING,LAND SURVE' ADDRESS: 26 COLUMBIA TURNPIKE, 2ND FLOO FLORHAM PARK Nui 932, EFFECTIVE DATE: ISSUANCE DATE: 05/04/16 2-96 Director New Jersey Division of Revenue 03/18/91

TOWNSHIP OF WEST ORANGE CHECKLIST Municipal Engineering PROFESSIONAL SERVICE TITLE:____________________________________________ SUBMISSION DATE: December 03, 2024 at 1:00PM. The following items are required to be included with the sealed submission:  Qualification Statement  Non-Collusion Affidavit  Statement of Ownership Disclosure  Insurance Requirement Acknowledgement Form  Mandatory Equal Employment Opportunity Notice Acknowledgement  Copy of your Business Registration Certificate as issued by the State of New Jersey, Department of Treasury, Division of Revenue  Acknowledgement of Corrections, Additions or Deletions Form  Non- Conflict of Interest Declaration  Political Disclosure Certification  Iranian Disclosure Statement  Russia-Belarus Certification  Americans with Disabilities Act of 1990 Reminder: Please submit one (1) original and one (1) additional copy must be on a USB stick/flash drive/external hard drive. If a company has multiple services, a separate Qualification packet for each service should be submitted. Page | 48