237-25 Exhibit A - CME.pdf

TOWNSHIP OF WEST JERSEY Professional Servi ract Qualification and Costs Submission Form Note: A separate resume can be attached. Please provide the name and address of Names and roles of the individuals who will perform the services and description of their education, municipal experience and experience with projects similar to the services contained herein including their education, degrees and certifications. Trevor J. Taylor, PE, PP, CME, CFM, Senior Vice President Please refer to his resumes in Section 3" Resumes of Key Staff" in our qualification package. References and record of success of same or similar service. Please refer to Section 4 "Government Clients/References" in our Qualification Package. 35

3. Description of ability to provide the services in a timely fashion (including staffing, familiarity and location of key staff. CME Associates has the staff and possesses the resources, experience and expertise to, including seven (7) offices in New Jersey, necessary to successfully represent the ———LTownship ina professional, efficient and timely manner 4. Cost details, including the hourly rates of each of the individuals who will perform services, and all expenses: Please refer to Section 7 "Cost Proposal” of our Qualification Package for our hourly rates. Authorized Representative. Trevor J. Taylor, PE, PP, Senior VP (print name) Authorized Representative. ae (signature) Telephone #_ 732-462-7400 pax __ 732-409-0756 36

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A. 19:44A-20.26 This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract. Part | - Vendor Information Vendor Name: | _ CME Associates Address: | 1460 Route 9 South City: | Howell | State: NJ | Zip: 07731 The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form. yy Lo C NA eh 2 Michael Motyka CFO Signature Printed Name Title Part Il - Contribution Disclosure Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit. (1 Check here if disclosure is provided in electronic form. Contributor Name Recipient Name Date Dollar Amount $ Please see attached. LO Check here if the information is continued on subsequent page(s)

Chapter 271 - Contribution Disclosure CONTRIBUTOR ‘DJ Samuel ‘DJ Samuel DJ Samuel DJ Samuel GR Valesi GR Valesi © Cornell McClelland ‘Triton ‘Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Trilon Triton - Waggoner Waggoner Waggoner Waggoner Page 1 of 2 CONTRIBUTION TO ‘Tammy Murphy for Senate “Middlesex County Republican Women's Club ;CTE Mundell for Mayor New Jersey Young Democrats Tammy Murphy for Senate Continued Progress Steve Sweeney for Governor Gopal for Senate for NJ Cryan for Senate CTE Mundell for Mayor Ocean County Republican Chairman's PAC Friends of Michael Testa for Senate [Belleville Victory 2026 oe | Middlesex County ‘Young, Democrats | DATE AMOUNT | 62/06/24, 500.00 oxfia/2 05/21/24! 500.00) a7/i0/za) 500.00 13/21/23, 5,000.00 01/2/28 500.00 o7/a5/2a 08/09/2. } 08/15/24; 98/33/34! |Friends of Michael Testa forsenate (Cre Mundell for Mayor i Community Action Guild |Luciano for Commissioner !Cryan for Senate | Cornerstone PAC Ciattarelli for Governor {EFO Bob Smith for Senate - Ocean County Conservative PAC : Ocean County Republican Chairman's PAC {SOC-R PAC Burzichelli for Senate Denise King for Senate Luciano for Commissioner Melham For Belleville 2026 tT 09/09/24" ™0s/09/24" ‘09/i3/2a' ‘09/i3/2a! "10/03/24" ; 10/07/24, 5,000.00 10/10/24, 300.00" 10/20/24" 1,000.00. 1,200.00 1,000.00 2,600.00 3,000.00 Ld 3,000.00 10/24/24 3,000.00 11/14/23 1,000.00 11/14/23. 400.00. 11/30/23. 300.00" 11/30/23. $00.00: Essex_1101 24

Chapter 271 - Contribution Disclosure CONTRIBUTOR Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner Waggoner |Waggoner ‘Waggoner Waggoner Waggoner Waggoner “Waggoner Waggoner Waggoner ‘Waggoner ‘Waggoner Waggoner Page 2 of 2 CONTRIBUTION TO DATE Burlington County Democratic Organization 01/11/24 Essex County Democratic Committee 02/06/24 Burlington County Federation Of Democratic Women 02/13/24 es r Ocean County Conservative Republican Orgsnization | 02/13/24 Ocean County Republican Chairman's PAC _ "02/13/24" PRG PAC 02/13/24 Cryan for Senate 02/13/24" Good Government PAC 02/20/24 SOC-R PAC 02/20/24 EFO Douglas Adams 03/26/24 CTE Mundell for Mayor 03/26/24 Cmte to Re-Elect Annbal Ramos Jr. 03/26/24 “Sweeney for Governor 03/26/24 Amato for Senate 04/16/24 Middlesex County Young Democrats 05/01/24 Melham For Belleville 2026 05/13/24 Ocean County Conservative PAC 05/13/24 Ocean County Republican Chairman's PAC 05/13/24 SOC-R PAC 05/13/24 Ciatterelli for Governor 05/13/24 Scutari for Senate 05/13/24 fal E Patrick Diegnan for Senate 05/21/24 , Tammy Williams 4 West Orange 05/30/24! “Ocean County Strong 05/30/24 Greenstein for Senate 05/30/24 Lagana for Senate 05/30/24 EFO Troy Singleton for Senate 05/30/24 Bob Smith for Senate 05/30/24 Owen Henry for Senate 06/05/24 Prosperity Rising NJ inc 06/16/24 Brick Progress ~ 07/08/24 Citizens for Good Government 07/08/24 Gopal for Senate 07/08/24 Polistina for Senate 07/08/24 AMOUNT 5,000.00 2,500.00. 2,500.00 1,000.00 2,500.00 2,500.00 1,000.00 2,500.00 2,000.00 4,900.00 1,000.00 500.00 300.00 4,000.00 4,000.00 4,000.00 1,000.00 5,200.00 750.00, 500.00, 2,500.00 1,250.00 1,250.00 750.00 2,500.00 500.00 5,000.00 5,000.00 1,200.00 5,200.00 4,000.00 Essex_1101.24

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

STATEMENT OF OWNERSHIP DISCLOSURE N.JS.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.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:__ CME Associates 1460 Route 9 South, Howell, NJ 07731 Organization Address: Part | Check the box that represents the type of business organization: Dsote Proprietorship (skip Parts Il and III, execute certification in Part IV) oO Non-Profit Corporation (skip Parts II and III, execute certification in Part IV) Oo For-Profit Corporation (any type) Limited Liability Company (LLC) Oo Partnership Dhiimites Partnership Lal Limited Liability Partnership (LLP) Oo Other (be specific): Part Il Oo 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) 4 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 N/A a

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 I! 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.J.S.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 Il Part IV Certification |, 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. | acknowledge: that | 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 | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and

ained herein; that | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | 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. Full Name (Print): Trevor J/taylon PE, PP, CME, CFM Title: | Senior VP Signature: 4 \) Date: | December 3, 2024 SSA 8

ACKNOWLEDGEMENT OF CORRECTIONS, ADDITIONS AND DELETIONS FORM l, Trevor J. Taylor, PE, PP, CME, CFM, Senior VP of the firm CME Associates hereby acknowledge that any corrections, additions and/or, deletions have been initialed and dated in this Submission Package. AY. \ (Signature). \ ( ( a Decel A ou (Date) Page | 43