120-26 LEAP - Challenge Application - Supplemental Forms.pdf

LEAP PARTICIPANT IDENTIFICATION SUPPLEMENTAL FORM Participating Local Unit: Entity Name: City of East Orange County: Essex Address: 44 City Hall Plaza, East Orange, NJ, 07018 Program Contact Information Program Administrator: Jean-Guy, Lauture, Business Administrator Contact Person & Title: Elizabeth Collins, Director of DPW Voice Phone/Extension #: 973-266-5000 Voice Phone/Extension #: Fax: F-ax: E-mail: jean-guy.lauture@eastorange- nj.gov E-mail: elizabeth.collins@eastorange-nj.gov Participating Local Unit: Entity Name: Township of West Orange County: Essex Address: 66 Main Street, West Orange, NJ, 07052 Program Contact Information Program Administrator: Peter Smeraldo Jr. Contact Person & Title: James Latore, DPW Superintendent Voice Phone/Extension: 973-325-4050 Voice Phone/Extension: 973-325-4153 Fax: Fax: E-mail: psmeraldo@westorange.org E-mail: jlatore@westorange.org PLANNED EXPENDITURES FORM – CONSULTANT SERVICES - LEAP 5 Submit this form or a separate consultant proposal detailing the following information. Applicant: City of East Orange Project Name: East Orange–West Orange DPW Shared Services Feasibility Study