261-25 Cerbo Submission.pdf

Part 2: Additional Information SE PR EFURTI TI ATED TO INVEST! C SIN TRAN. ‘You must provide a detailed, accurate and precise description of the activities of the person or entity, ora parent entity, subsidiary, or affiliate thereof engaging in investment activates in Itan below and, if more space is needed, on additional sheets provided by you. Part 3: Certification. of Tra é and Complete Information - Ld being duly sworn upon. my oath, hereby represent and state that the foregoing information and.any- ailachments there to the best of my knowledge are.true and. complete. J attest that Tam authorized to ‘execute this. certifi if jeation on behalf. of! the above-referenced. Person. or entity. f acknowledge that the ‘Naitie of Contractitig Unit i is. relying on the inforiation ‘conitatned havin - and-thereby-acknowledge-ihat-T-am- through the completion of any contracts with the Reference to Contracting. Unit to notify the Reference to Contracting Unit in writing: of | any. changes to the answers of information contained herein. oD. acknowledge thai “Lam: aware. that. it isa eriminal offense to: make: a false ‘statement or misrepresentation in this cert ification, dnd if | do so, recognize that Lam subject to eriminal prosecution under the law and thas it will also: constitute a ‘material bréach of my agreement(s) with the Namie of Contracting Unit and that the Reference to Contracting Unit at its option may deelare. any contract(s) resulting. Jeom this certification void-and unenforceable, Full Name (Print) Cy ath aCe aR a. Title vA 0. Signature Cath ld gm Date Y- Bias C. 97 aS: certification

| I CERTIFICATION OF MONUBVOLVEMENT IN PROMIBITED AGTHITIES IN RUSSIA OR BELARUS Purdvanb ed 5.4 Beate ebseg. 4, 2002, 5. 11 any pean or entity deenwimadier “Yensor” iat setbn % enfer into ‘ee Tetiew i donlhdst Wil a Gist ugamty fey thoy pravision ad abu oF kendedy, vs (al tunedin of bone ii other ublgaany, ‘MeL cathphts (he gerltieaton kakive indenting ebulbar ef tot Ike Vania: fe idantited cn the Giew uf Fumign Agente ‘Gono! | (OFAC) «Spada Dapgineiid Batons and = loukad = Poreaeh Sal, oxatainie ene: Susie MCU A lees son: I Ge Dapmeinant of tig Thangurk Senta thal 8 Worle oes minde a narkhedllem Ins walolima of Dix ia, d nhast tlre way achuci ae cury be apatupetbs and precited fey low, nde ar sealract, welidéng lad mot ‘railed 22, Hiapomny sonclises: seniene Gonplinnoe, meoverery damage, Sectning tht pety im dehewi aid peeheny dabarant at muapsrsion of thes parte {Ia GricanssynOd, ee hs! RaNHeERE the dention oT test” bane, are avd KaWieNE IND Cae At FPoraign Ageets: forks (OFAC) Sponily Deriginid Nationa and Hhedied Penpeuns finl, and hoerey dome nes Say" doheck the Aippeoneints tinny: 2 Thabthe Vendor fy bat dries on OG REC Sau Bo cnaia Pealisiate a8 Red on ae wat oo Setancl ye! acuily related tm hg aie ae five Peis Gr yg Tht Due wade ta Bevlily an De ht al aD BARRIER an ERY huosape Ue Vendor a idenllied oe the eae 5 oS oe # Ri 5 flab However. We ‘Vuiedur be aurguyend i aellviy seabed te Reeaee "SME Gallary imme bk ord home, agaITaDaA, FUME ot eaMmnOr. A detailed vewtiton OF Pow thn Yeewslaes sebNiy melakad te Ryse dindier Belarie 2. wonsiatenh wath sodsiral trey Pa. wnd taethe hee, Thad [aie urate sa ne ir [ae flahtewal heat tenance - Ms BBs Bae : QAB-OR2. aufiog Phi Hare and Tae at arctan suminited Rapeendalie ‘Pondore FEN Ceten's Caos: Coon \aqises od: 293 » 28Y. 21.03 ci 7 Tes Phere Poa e tan pd: O94 - Y02-G8G6 Pore voeanr a * Wdndars Soest MOD ACEAI gS CROLL... LOBE. RD.s\oogree iota nots. 1 A culo genie, capil, waltaaty, Facial pulley Boke HalNily eaikialig, Eases dabily satay, urine panpeletan, soe grapllvmertin, pnlepiiete, pariarstia. somety, Hush wt uky cher Sunpavemmnnke eaity aewiceian, ah Behe. 2 Dry gosartnnis enkte er tsdamerlally of a gate, hnusing 8 Tuditaien? evilontan)oelialicn, as dala’ i Gade SPOH Hof lhe bastsatine Final taeHulaii Rel, 22a 3.0. ART, we Alyy RRR, uneRSNMa, ected, Sine is Peltmie wal pcre any el bly

rlally of a gate, hnusing 8 Tuditaien? evilontan)oelialicn, as dala’ i Gade SPOH Hof lhe bastsatine Final taeHulaii Rel, 22a 3.0. ART, we Alyy RRR, uneRSNMa, ected, Sine is Peltmie wal pcre any el bly aovian germ: EMAUEr NT ih eatinbsed ga, eng aocHy Hieeeattoee in aragyrch 9 hoot PS hae aR 98

AMERICANS WITH DISABILITIES ACT OF 1990 Equal Opportunity for Individuals with Disability The contractor and the Township of West Orange, (hereafter "TOWNSHIP") do hereby agree that the provisions of Tille 11 of the Americans With Disabllitles Act of 1990 (the "Act") (42 U.S.C. $121 01 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, activities provided or made available by public entities, and the rules and regulations promulgated pursuant there unto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the TOWNSHIP pursuant to this contract, the contractor agrees that the perfarmance shall be in strict compliance with the Act. In the event that the contractor, its agents, servants, employees, or subcontractors violate or are alleged to have violated the Act during the performance of this contract, the contractor shall defend the TOWNSHIP in any action or administrative proceeding commenced pursuant to this Act. The contractor shall indemnify, protect, and save harmless the TOWNSHIP, its agents, servants, and employees from and agairist any and all suits, claims, losses, demands, or damages, of whatever kind of nature arising out of or claimed to arise out of the alleged violation. The contractor shall, at its own expense, appear, defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith, In any and all complaints brought pursuant to the TOWNSHIP's grievance procedure, the contractor agrees to abide by any decision of the TOWNSHIP which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the TOWNSHIP, or if the TOWNSHIP incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the contractor shall satisfy and discharge the same at its own expense. The TOWNSHIP shall, as soon as practicable after a claim has been made against it, give written notice thereof to the contractor along with full and complete particulars of the claim, if any action or administrative proceedingis = brought against the TOWNSHIP or any of its agents, servants, and employees, the TOWNSHIP shail expeditiously forward or have

e particulars of the claim, if any action or administrative proceedingis = brought against the TOWNSHIP or any of its agents, servants, and employees, the TOWNSHIP shail expeditiously forward or have forwarded to the contractor every demand, complaint, notice, summons, pleading, or other process received by the TOWNSHIP or its representatives. [tis expressly agreed and understood that any approval by the TOWNSHIP of the services provided by the contractor pursuant fo this contract will not relieve the contractor of the obligation to comply with the Act and to defend, indemnify, protect, and save harmless the TOWNSHIP pursuant to this paragraph. itis further agreed and understood that the TOWNSHIP assumes no obligation to indemnify or save harmless the contractor, its agents, servants, employees and subcontractors for any claim which may arise out of their ‘performance: of this Agreement. Furthermore, the contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the contractor's obligations assumed in this Agreement, nor shall they be construed to relieve the contractor from any liability, nor preclude the TOWNSHIP from taking any other actions available to it under any other provisions of the Agreement or otherwise at law. | acknowledge: af Si re of Vendor 99

BID DOCUMENT SUBMISSION CHECKLIST TOWNSHIP OF WEST ORANGE 2026 TREE PLANTING AT VARIOUS LOCATIONS A Failure to submit the following documents shall be a cause for the Bid to be rejected. {N.J.S.A. 40A:11-23.2) Required With Initial Each Item Submission of Bid Submitted With Bid (Owner's checkmarks) (Bidder's initials) v¥ | Abid guarantee as required by N.J. S.A. 40A 11-21 ar ¥ | Acertificate from a surety company, pursuant fo N.J.S.A. 40A 11-22 ae v Astatement of corporate ownership, pursuant to N.J.S.A, 52:25-24.2 tal y¥ | Alisting of subcontractors and items to be subcontracted as required by N.J.S.A. 40A:11-16 we v If applicable, Bidder's acknowledgment of receipt of any notice(s) or revision(s) or addenda to an advertisement, specifications or bid document(s) wm v_| Disclosure of Investment Activities in Iran pursuant to PL 2012, c. 25 ae | ¥_| Certification of Non- Involvement in Prohibited Activities in Russia or Belarus ak B. Failure to submit the following documents may be a cause for the Bid to be rejected. {N.J.S.A.40A;-1-1-23.1b.) Required with Initial each item Required with submission of bid submitted with bid submission of bid Initial each item submitted with bid (Owner's Checkmarks) (Bidder’s Initials) (Owner's Checkmarks) (Bidder’s Initials) A Certified Financial statement Consent of surety as to maintenance bond C i co! prepared within the last twelve months ‘as required by N.J.S.A. 40A:11-18.3b ce a v Consent of Surety as to a Labor and a) ¥ | Submission of a Non-Collusion Affidavit Material Payment Bond cA he e}® | his form must be Notarized) es Statement of compliance with N.J.S.A. ¥ | Certification of Bidder showing that Bidder f 45:1 4C-2(h) (licensed master owns, leases or controls any necessary : plumber) equipment Affirmative Action Affidavit (this form] ¥ | Contractor Experience Statement must be Notarized) cl ¥ | Equipment List ¥ | Copy of Business Registration Ceriification | / Uc~ Public Works Contractor Certification ‘ | ¥ y__ | Disclosure of Political Contributions WA i= | bo Cc. SIGNATURE: The undersigned hereby acknowledges and has submitted the above listed requirements, Name of Bidder ere ac's Pes, Ef OyeFEN) Nouse3 En By Authorized Representative: pitt 7 Boyes dy Vwrtsy 4 Cok CK 100 -

come Cash Ch agan LY Ptint Name and Titte: G VN Thi). Coapeke. VE Date: //- 3 - 2S 101

CONTRACT for 2026 TREE PLANTING AT VARIOUS LOCATIONS TOWNSHIP OF WEST ORANGE ESSEX COUNTY, NEW JERSEY THIS AGREEMENT made as of this day of 20. BETWEEN THE TOWNSHIP OF WEST ORANGE, a municipal corporation in the County of Essex, State of New Jersey (hereinafter referred to as the "OWNER’) and {hereinafter referred to as the “CONTRACTOR’) having (its) place of business at The OWNER will pay to the CONTRACTOR for the work actually constructed, the various unit and lump sum prices as set forth in the Proposal for the construction work annexed hereto and made a part hereof and under the penalty expressed under the bonds annexed hereto to furnish at its own cost and expense all the necessary materials, labor, superintendence, tools and appliances, and will execute, construct and finish and test in an expeditious, substantial and workmanlike manner, the work included under this Contract, commencing such work within ten (10) calendar days from the date of the written notice to proceed with the work and completing all work within sixty (60) consecutive calendar days, and in the manner specified and in conformity with the requirements set forth in the Specifications annexed hereto and made a part hereof and in accordance with the Plans and Contract Drawings of said work on file in the Township of West Orange Municipal Building and all to the acceptance of the OWNER. Under no circumstances shall the project be completed after December 1, 2016. The following will be deemed a part of the Contract between the Parties: The Advertisement General Information Supplemental General Information The CONTRACTOR'S Proposal The Bid Bond This Contract The Performance Bond The Payment Bond The Notice of Award The Notice fo Proceed Special Conditions The Contract Drawings 4 Technical Specifications All Addenda issued by the FORESTER prior to the receipt of bids BRrRTOFemepae ee 102

| I | | The CONTRACTOR will proceed with the aforesaid work in a prompt and diligent manner and will do the several parts thereof at such time and in such order as the FORESTER may direct. The CONTRACTOR will complete the whole of said work in accordance with the aforesaid Specifications, Plans and Contract Drawings by, with and through his own work force, employees, administrators, equipment and material without brokering, factoring, assigning or subcontracting more than fifty percent (50) thereof, unless otherwise approved by the OWNER, within the number of consecutive calendar days stipulated and in default of completion within the time so fixed, the CONTRACTOR will pay to the OWNER an amount equal to Six Hundred Dollars ($600.00) for each and every day (Sundays and legal holidays excepted) the completion of the work may be delayed beyond the date or dates fixed as liquidated damages accruing to the OWNER incident to such delay, which said amount will not be construed to be in the nature of a penalty or forfeiture. Any violation of the undertaking by the CONTRACTOR to do and complete all of the said work without brokering, factoring, assigning or subcontracting more than fifty percent (50%), unless otherwise approved by the OWNER, of the same at any time or times during the course of said work will be deemed to be a breach of the Contract with the OWNER, and will, anything in the Contract to the contrary notwithstanding, give to the OWNER, the absolute, complete, and unencumbered right to terminate any and all rights of the CONTRACTOR under this Contract upon seven (7) days notice of its intention so to do, given in writing to the CONTRACTOR at its address set forth in the Contract, by certified mail, return receipt requested. The CONTRACTOR may apply to the OWNER through the FORESTER for the right to subcontract certain portions of the work to be done, but the OWNER, acting through the FORESTER, reserves the absolute right to approve any such subcontractor or to reject any such subcontractor in its and their sole and absolute discretion, it being the intention that the provisions against brokering, factoring, assigning, and subcontracting more than fifty percent (50%) of the work unless otherwise approved by the OWNER above set forth will be paramount and remain inviolate, It is further understood and agreed that the CONTRACTOR has no claim for any

percent (50%) of the work unless otherwise approved by the OWNER above set forth will be paramount and remain inviolate, It is further understood and agreed that the CONTRACTOR has no claim for any bonus or other additional compensation in the event of completion of such work before the date agreed upon. The OWNER will not be liable to the CONTRACTOR for any negiect, default, delay, or interference of or by any other contractor, nor will any such neglect, default, delay or interference of any other contractor or alteration which may be required in said work, release the CONTRACTOR from the obligation to finish said work within the time aforesaid or within the time as extended in accordance with the provisions of this Contractor, or form the payment of liquidated damages to be paid in default thereof as hereinabove provided, [tis hereby mutually agreed that the OWNER is to pay and the CONTRACTOR is to receive as full compensation i | i 7 : for furnishing al! materials and labor in building, constructing, and testing, and in all respects completing the work herein described and appurtenances thereto in the manner and under the conditions hereln specified, the total price stipulated in the Proposal hereto annexed, as calculated using the unit prices bid and actual quantities used during the course of the Work. Itis further understood and agreed that the wages paid to the crafts, trades, or classification of workers employed to perform this Contract will not be less than the prevailing wage rates established by the Commissioner of the Department of Labor and Industry of the State of New Jersey. The wage rates fo be paid for each craft, trade, or classification of workers to be used on the Contract will comply with the Prevailing Wage Rate Determination by the New Jersey Department of Labor and Industry, attached hereto. In accordance with the requirements of the State of New Jersey Affirmative Action Program under P.L. 1975, C127, the CONTRACTOR agrees to comply with the provisions of the Affirmative Action Program as stipulated under the specification section “General Instructions and Conditions’. IN WITNESS WHEREOF, the Township of West Orange has caused these presents to be signed by its proper officers, and the CONTRACTOR has hereunto set his hand and seal or caused these presents to be signed by its proper corporate officers and caused its