238-25 Exhibit B.pdf

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: 10/8/2025 Zh L. Yy ifs TP. - ) = Linda M. Spahle, Acting Secretary QName and Title) Shauger Property Services, Inc. (Company Name} 429 Dodd Street (Address) East Orange, NJ 07017 (Corporate Seal) Subscribed and sworn to before me this___ 8th day of 7 October. »20_25 Notary Seal DEBORAH K. LAMORTICELLA . NOTARY PUGLIC STATE OF NEW JERSEY UY GOMERSION EXPIRES SEPT, 24, 99,20} Wibtbe py 43 { i

ef tee

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Contractor Instructions Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of N.LS.A. 19:44A~20,26, This law provides that 10 days prior to the award of such a contract, the contractor stiall disclose contributions to: * any continuing political committee (a.k.a., political action committee) « any candidate committee of a candidate for, or holder of, an elective office: c of the public entity awarding the contract a of that county in which that public entity is located oof another public entity within that county © or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county The disclosure must list reportable contributions to any of the committees that exceed $200 per election cycle that were made during the 12 months prior to award of the contract. See N.S.A. 19:444-8 and 19:44A-16 for more details on reportable contributions, f NSA T944A-20.20 itemizes the parties trom whom contributions must be disclosed when a business / entity is not a natural person. This includes the following: 7 individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity or 10% of the stock in the case of a business entity that is a corporation for profit * all principals, partners, officers, or directors of the business entity or their spouses * any subsidiaries directly or indirectly controlled by the business entity * IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACS). When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be deemed to be a contribution by the business entity.” [N.LS.A, 19:44A-20.26(b)] The contributor must be listed on the disclosure. Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report. The enclosed list of agencies is provided to

ct to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report. The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. [tis the contractot’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement. ‘The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act. The contractor must also complete the attached Ownership Disclosure Cettitication. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts, 14 i ! 1

C.271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A. 19:44A-20.26 i ‘This form or its permitted facsimile must be submitted to the local unit : neo later than 10 days prior to the award of the contract, Part !— Vendor Information Vendor Name; | Shaugeér Property Services, Inc. ‘Address: | 429 Dodd Street City: |" East Orange [ State: “NJ [ Zip: 07047 t 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. Signature ——— ‘inted Name Linda M. Spahle Title Acting Secretary . Part ll ~ Contribution Disclosure Disclosure requirement; Pursuant to NJ.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. (C] Check here if disclosure is provided in electronic form. Contributor Name Recipient Name Date Sollar Amount Please see Political Contributions Disclosure Listing allached $ 15

NAME GF CONTRIBUTOR Donald Shauger (spouse) By 429 Dodd Street LLC Danatd Shauger (spouse) Danatd Shauger (spouse) Donald Shauger (spouse) Lisa Shauger Donald Shauger (spouse) Donaid Shauger (spouse) Donald Shauger (spouse) Donaid Shauger (spouse) Donate Shauger (spouse) Donald Shauger (spouse) By 429 Dodd Street LLC. Donald Shauger (spouse) Donald Shauger (spouse) Donald Shauger {spouse} Donald Shauger (spouse) Political Contributions Disclosure Listing + Shauger Property Services, Inc of 100% stockhoider of 100% stockholder of 100% stockholder of 100% stockholder 100% Stockholder pf 100% steckholder of 100% stockholder of 100% stockholder of 100% stockholder of 100% stockholder ‘of 100% stockholder of 400% stockholder of 100% stockholder of 100% stockhalder of 100% stockholder RECIPIENT NAME Carmen T Morales Ted Green for Mayor 2025 Democracy Engine LLC Fulop for Goverrior iyndhurst Pride Democracy Engine LLC Booker Victory fund Joseph DiVincgnzo Jr. for Essex C CTRE Anibal Ramas Essex County Democratic Comm Ted Greer for Mayor Grean Team 2025. Green Team 2025. Green Tear 2025 Comm, To Re-elect Christopher ¢ Comm. To Re-elect Bergson Lene Comm, To Re-elect Tamika G. W. CONTRIBUTION . DATE $2,500.00 10/22/2024 $3,600.00 $920.00 9920.00 $250.00 $250.00 $3,800.00 32,500.00 $4,000.00 $2,500.00 $1,000.00 $1,000.00 $4,000.00 $1,000.00 $300.00 $300.00 $300.00 3/5/2028 aj7/2025 4/7/2083, 9/6/2025 3/7/2028 AfTP2085 4/28/2025 5/6/2025, 6/19/2025 5/19/2025 6/2/2028 6/1/2028 8/2/2025 6/3/2025 8/3/2025 8/3/2028

Continuation Page C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.LS.A. 19:44A-20.26 Page ___ of, Vendor Name: Contributor Name Recipient Name Date Dotlar Amount 16

List of Agencies with Elected Officials Required for Political Contribution Disclosure NIS.A, 19:44A-20.26 County Name: Essex State: Governor Legislative District #s: 26, 27, 28, 29, 34, & 40 State Senator and twa members of the General Assembly per district. County: County Commissianers County Clerk Sheriff County Executive . Surrogate Registrar of Deeds Municipalities (Mayor and members of governing body, regardless of title): ; Bellaville Township Irvington Township Orange City : Bloomfield Township: Uvingsten Township Roseland Borough Caldwell Borough Maplewood Township South Orange Village Cedar Grave Township Millbura Township Verona Township li Township ip Essex Fells Township Newark City West Orange Township os ——Falrfield Township —_________North-Caldwelt 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 Town Fire Districts (Board of Fire Commissioners): NONE 17

NT OF OWNERS. DISCLOS NLLS.A. $2:25-24.2 (P.L. 1977, ¢.33, as amended by P.L. 2016, ¢.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 propasal. Name of Organization: _ Shauger Property Services, Inc. Organization Address: 420 Dodd Street, East Orange, NJ 07017 Part I Check the box that represents the type of business organization: O Sole Proprietorship (skip Parts Ii and Ill, execute certification in Part IV) non-profit Corporation (skip Parts If and III, execute certification in Part TV) Blror-protit Corporation (any type) Diimitea Liability Company (LLC) Cl raitnersiip Da initea Partnership Chrimitea Liability Partnership (LLP) a Other (be specific): Part 0 Bs ‘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 thé limited liability company who own a 10 percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION) OR Oo 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) lease attach additio ts if space is needed): Name of Individual or Business Entity Address Lisa Shauger (1 00%) 10 Meadow Lane, Roseland, NJ 07068 13

Part I] DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART 11 Ifa 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 i'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 II other than for any publicly traded parent entities referenced above. The disclosure shal! be continued until _____names_and, addresses of ery non-corporate: stockholder, and i individual _partne: and momber excesding the 10. ta ait 7 Ie Ss | ifsmere space 8 needed, — . Stockholder/Partner/Member and Address Corresponding Entity Listed in Part I Part IV Certification I, 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 I 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 I am under a contiauing 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 1 am aware that it is a criminal offense to make a false statement or mistepresentation in this certification, and if I do so, I am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the