238-25 Exhibit B.pdf

TOWNSHIP OF WEST ORANGE ACKNOWLEDGMENT OF RECEIPT OF ADDENDA The undersigned Bidder hereby acknowledges receipt of the following addenda: Please assign the number, date and initial, Addendum Number Dated Acknowledge Receipt Gnitia | Wo addenda was reccived, (please check off if no addenda received) lL | | CABO i o-Rcrtop oy a iorowledged for DOTS EEC St CHOP TGS (Company Name) | By: turd Lttabauts (Signature of Authorized Representative) | Name; PAUL L GEAGoOWS 6 (Print) Title: f pes oc par OCTOBER 6, Zo27s

EXHIBIT A MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq, (P.L. 1975, C. 127) NALA. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS During the performance of this contract, the contractor agrees as follows: 5, affectional orgé exp 7 —________sex_Such-action shallinclude, but-not-be limitedto-the-follawing- employment-uosradine -demati ~~ transfer; recrultment or recruitment advertising; layoff or termitiation; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to postin conspicuous places, available to employees and applicants for employment, notices to be provided by 1 the Public Agency Compliance Officer setting forth provisions of thls nondiserimination clause, The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender Identity or exprassion, disability, nationalityor =—s—“‘;‘;CS*” sex, Ths contractor or subcontractor, where applicable, will send to each labor unlon or representative or workers with which It has.a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency cantracting offleer advising the labor unlon or workers' representative of the contractor's commitments under this act and shall post coples of the notice in conspicuous places available to employees and applicants for employment, ‘The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A, 10:5-32 et seq., as amended and supplemented from time to time and the Americans with Disabllitles Act. The contractor or subcontractor agrees to make good falth efforts to employ minority and wotnen workers consistent with the applicable county employment goals established In accordance with NJAC, 17:27-5.2, or a binding determination of the applicable county employment goals determined by the Division, pursuant to NJA.C. 17:27-5.2. r i The contractor or subcontractor agrees to inform in writing Its appropriate recruitment agencies Including, but not limited to,

nt goals determined by the Division, pursuant to NJA.C. 17:27-5.2. r i The contractor or subcontractor agrees to inform in writing Its appropriate recruitment agencies Including, but not limited to, employment agencies, placement bureaus, colleges, universities, labor to

f | unions, that it does not discriminate on the basis of age, creed, color, national origin, ancestry, marital status, affectlonal or sexual orientation, gender identity or expression, disability, natlonality or sex, and ‘that It will discontinue the use of any recruttment agency which engages in direct or indirect discriminatary practices. ‘The contractor or subcontractor agrees to revise any of Its testing procedures, If necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions. fn conforming with the applicable employment goals, the contractor or subcontractor agregs to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that alf such actions are taken without regard to age, creed, color, national origin, ancestry, maritat status, affectional or sexual orlentation, gender Identity or expression, disability, nationality ar sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions. The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following t Totter of Federal Affirmative Action Phan Approvat Certificate of Employee Information Report Employee Information Report Form AA302 The contractor and Its subcontractors shall furnish such reports or other documents to the Oi. of Contract Compliance & EEO as may be requested by the office from time to time in arder to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Div. of Contract Compliance & EEO for conducting a compliance Investigation pursuant ________""_ te Subchapter 10-ofthe Administrative Code-at NoLA.G17:37- i ' a

REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS NJ, S.A. 10:5-31, et seq, (NLA. G, 17:27) Tf awatded » contract, the Bidder will be sequized to comply with the tequitenents of NLS.A, 10:53, ef seq, and NLAC, 17:27, Within five (5) days after receipt of the notification of intent to award the contract, the Bidder shall present one of the following: 1. Appropriate evidence that the Contractor is operating under an existing fecletally approved of sanctioned affitmative action program; of 2. A Cettificate of Employee Information Report Approval issued in accordance with NLA,C, 17:27-4; or 3. An initial Employee Liafotmation Report consisting of fortns provided by the Affirmative Action Office aad completed by Contractor in accordance with NLLA.C. 17:27-4, The Bidder must submit no Jeter than three (3) days afte: the signing of the Contract an Initial Project Manning Table consisting of fotts provided by the Affirmative Action Office and completed by - —-Contractorda accordance-with NLA.C. 1227-7 = 22 0 oe be ci meee ae ee ee wee ee Bidders ate teterred to the Biddet's Information Section of the Bid Packet for a further description of the-above requirements: NO BIDDER MAY BE ISSUED A CONTRACT UNLESS THEY COMPLY WITH THE AFFIRMATIVE ACTION REGULATIONS OF NJ.S.A. 10:5-31, et seq. ‘The following questions must be answered by all Bidders: 1. Do you have z fedevally-approved ot sanctioned Affirmative Action Program? Yes (it yes, subrait.2 capy of such approval.) No 2, Do you have a State Cettificate of Einployee Information Report approval? | Yes {If yes, subinit a copy of such approval.) No The undersigned Bidder certifies that he is awace of the commitment to comply with the cequirements of NLSA, 105-31, et seq., and agrees to furnish the toquited documeatation pursuant to the law. yin comPANy: GEABOWSK CO LUSTRE tants, Fauc ue GLA BOS K, SIGNATURE: fuk it Hechourcls® ome, YAS Oe NOTE: A bid must be rejected as non-tesponsive if a Blddet fails to comply with requirements of NJ.S.A, 10:5-31, et seq,, within stipulated titne, 12

AFFIDAVIT OF NON-COLLUSION The undersigned bidder of full age, being duly sworn according to law depose and hereby specitically 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 didder fully understands that no premiums, rebates, or gratulties 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, Alfreferences to the bidder-are-understood_totuchide the undersimed-and-all prisgcinal partn and officers of the bidder, Date: OCHO BEL Bons” Pleo Kpubred., ~ Kew, (Signature) PALL LC G@ABOWwSEs “SUBSE COUSTUCTION Ihe OP okt O- EWP Hath (Address) WAT OLAUGE, MP otoxy (Corporate Seal) Subscribed ee to before me this. day of a chober : 22S ~\ ) Notary Seal “SO me ic: of New Jersey Commission: 501342008 Expires: Auguet 13, 2030 i 43

(. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Contractor Instructions Business entities (contractors) receiving contracts from a public agency that are NOT awatded pursuant to a “fair and open” process (defined at N,J.8.A, 19:444-20.7) are subject to the provisions of N.J.S.A. 19:44A-20,26, This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to: * any continuing political committee (a.k.a., political action committee) * any candidate committee ofa candidate for, or holder of, an elective olfice: © of the public entity awarding the contract © of that county in which that public entity is located o ofanother public entity within that county oor 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 tlie contract, Seo N.LSA, 19:44A-8 and r mars details‘on reportable contributions, __ ee SS ASI OAAAA-90-26 iter izes the parties From wh: entcibutions must Ge disalesad wh: best entity is not a natural person, This includes the following: lividuals-with-an“interest™ownership-or control-of more thal1 0% of he profits erases of g 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 ofthe business entity or thelr 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 (hat person’s spouse or child, residing __ reremithshel chedeor = PSS HEIBUUOH-by-the-business-Chtity:- [NEES An TO AA A=20-20CO Te contributor must be listed on the disclosure, Any business entity that fails to coraply 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 agencles is provided to assist the contractor in identifying

unt to be determined by the Commission which may be based upon the amount that the business entity failed to report, ‘The enclosed list of agencles 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, It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed, The disclosed informatton may exceed the mintmum requirement, | The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details i (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. E The contractor must also complete the attached Ownership Disclosure Certification, This will asaist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts, 14

(. 27] POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A, 19:444-20.26 ‘This form or its permitted facsimile must be submitted to the Ineal unit no later than 10 days prior to the award of the contract, Part I~ Vendor Information Vendor Name: | @ZABOCASCA COpyeTeananW, hoe Address [7-0 NO ZH iith Ave City: [WERT OLAHGE [States AVY [zip O70G7= The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of NSA. 19:44A4-20.26 and as represented by the Instructions accompanying this form. Signature Fant &@ Mebourrla Printed Name FAOL LG CABO Tite PLES. OT Part fl - Contribution Disclosure Disclosure requirement: Pursuant to NwJ.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, 12] Check here if disclosure is provided in electronic form, "Contributor Name Recipient Name Date Dollar Amount fa Cr a ra. Mf fe fi ff joie PRA is

Continuation Page €. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A, 19:44A-20.26 Page @-of_d- | Vendor Name: Contributor Name Recipient Name Date Dollar Amount | i i i} | i ae eos nf fae = - Pn i yy : —— KEES (GE i | I | | 16