253-25 Resolution 121-24_PO-GPI Phase 1.pdf

TOWNSHIP OF WEST ORANGE TOWNSHIP HALL 66 MAIN STREET WEST ORANGE, NJ. 07052 PURCHASE ORDER 253-25 VOUCHER MUST BE RETURNED FOR PAYMENT Vendor: GREENMAN-PEDERSEN, INC 301 GIBRALTAR DRIVE, SUITE 2A MORRIS PLAINS, NJ 07950 Account 03-2829-23-0500-010 1 Ship to: TOWNSHIP OF WEST ORANGE 66 MAIN STREET WEST ORANGE, NJ 07052 FOB DESTINATION FREIGHT PREPAID & CHARGED BACK ORD# 2829-23 - Streets, Roads, Sewers & Sidewalks -- Street Resurfacing Vendor Code 1004483 Date of Order 04/10/24 Requisition # 0) Quantity Unit Description of Materials of Service Unit Price Extended 1.0000 RES 121-24 PROF SERV VAR ST IMPROV PHS1 17,455,000 17,455.00 Purchase Order Total: 17,455.00 THIS ORDER IS TAX EXEMPT PER NJSA 54:32B-9(a)(1) TAX EXEMPT ID NO. 22-6002396 Manditory Prevailing Wage Policy P.L. 2007,c.68 for all Public Works Contractors and Sub-Contractors = [DQ SOLEMNLY DECLARE AND CERTIFY LNDER TRE PENALTIES OF THE Lay a De rE Ie Comtacr WAL TSE -RSON OR PERSONS WITH THE KN! NeoteECT ION pri He Above CLAIM THAT THe auount 1.eiaM HAVING KNOWLEDGE OF THE FAGTS IN THE COURSE OF REGULAR PROCEDURES, | CERTIFY THAT THE MATERIALS AND SUPPLIES — Ea HAVE BEEN RECIEVED OR THE SERVICES RENDERED; SAID CERTIFICATION IS BASED ON DELIVERY SLIPS ACKNOWLEDGED. Proof of Business Registration Certificate Is Mandatory. P.L. 2004 57.Pursuant to NUSA 2A:30A2 the TWO has an ADR policy. SrSTeD UST ue ah OWING, NB THAT THe ACI GuARGeo [EY ANUNIGIPAL OFFICI. OR EHPLOYEEOR OTHER REASONABLE DEPARTMENT ISA REASONABLE ONE. PROCEDURES, (%) ORDERED BY VENDOR SIGN HERE, DEPARTMENT HEAD | } ‘OFFICIAL POSITION SIGN AND RETURN "ONLY THIS ORIGINAL FOR PAYMENT CHIEF FINANCIAL OFFICER: \\weceia | i i | | i i |