180-26 - Exhibit B. AJ Contractors_compressed.pdf

ITEM 54 GUIDE SIGN, TYPE GA, STEEL “U” AND SQUARE TUBE POST SUPPORTS 16UNITS @S bp LL? per unt Ba 2 LQ> 7 Boblact- Write UNIT PAicS | fathom 541n Words and Numbers ITEM 55 RECONSTRUCT MANHOLE, SANITARY MANHOLE INCLUDING NEW CASTING, FRAME AND COVER 18 UNITS a: ip - LP Per UNIT s_/& mre DP (ne Third - Write UNIT Price for Item 55 in Words and Numbers ITEM 56 TRIMMING EXISTING TREE, OVER 6” TO 12” DIAMETER (IF AND WHERE DIRECTED) 3 UNITS o $ Ze “£2? Per UNIT Jf LY, Y»- DD fave tL ‘in ccd Write JNIT Price for Item 56 in Words and Numbers ITEM 57 TRIMMING EXISTING TREE, OVER 12” TO 18” DIAMETER (IF AND WHERE DIRECTED) 1UNIT@ $ Write UNIT Price for It6m 57 in Words and Nurtbers ITEM 58 TRIMMING EXISTING TREE, OVER 30" TO 36” DIAMETER (IF AND WHERE DIRECTED) 1UNIT@ $ ea : a UNIT aa ID Write oat Price for Item ffl in ie Aaa Numbers ITEM 59 TREE REMOVAL, OVER 12” TO 18" DIA. (IF AND WHERE DIRECTED) 1UNTS @§ L202. an $__/£°2>: p> Phe THe Write UNIT Price for Iter 59 in Words and Numbers P-12

ITEM 60 TOPSOILING, 4” THICK, INCLUDING FINE GRADING (IF AND WHERE DIRECTED) 1600SY @$ b- S&L? per uNiT ss $ Y . bret LY ie. ip) Ve Write UNIT Price for Item 60 in Words and Numbers ITEM 61 FERTILIZING AND SEEDING, TYPE A-3 (IF AND WHERE DIRECTED) 1,600 SY @ $ pe ie E&P Per UNIT $ : ei ZY > “DY The De aq Write UNIT Price for Item 61 in Words and Numbers ITEM 62 SMALL DECIDUOUS TREE, 2.5” — 4” DIA. (IF AND WHERE DIRECTED) 6UNTS @ s_ SAO LD Per UNIT s_L Beas CG h)_penLtied Della, Write UNIT Pfice fof Item 62 in Words and Numbers ITEM 63 CONTRACT ALLOWANCE 1Ls @ $30,000.00 PerLS $ _30,000.00 THIRTY THOUSAND DOLLARS AND ZERO CENTS Write UNIT Price for Item 63 in Words and Numbers TOTAL BASE BID (Items 1 - 63) $ EEL REVLD Laud_£7 rbheed Lf b5tty SAE (Write Téfal Base Bid in Words) hows, Tw plotted ¥ OF Ny pone flrs Avg we Cuke P-13

ITEM 60 TOPSOILING, 4” THICK, INCLUDING FINE GRADING (IF AND WHERE DIRECTED) 1,600 SY @s$ Per UNIT $ Write UNIT Price for Item 60 in Words and Numbers ITEM 61 FERTILIZING AND SEEDING, TYPE A-3 (IF AND WHERE DIRECTED) 1,600:SY @$ Per UNIT $ Write UNNT Price for Item 61 in Words and Numbers ITEM 62 SMALL DECIDUQUS TREE, 6” DIA. 6 UNITS @$ Per UNIT $ Write UNIT Price for Item§2 in Words and Numbers ITEM 63 CONTRACT ALLOWANCE 1LS @ $30,000.00 PerLS $ _30,000.00 THIRTY THOUSAND DOLLARS AND ZERO CENTS Write UNIT Price for Item 63 in Words an Numbers TOTAL BASE BID (Items 1 — 63) $ (Write Total Base Bid in Words)

BID PROPOSAL FORM ALAS CDR (kaa oka ‘(Contract Title and Bid Number, if abplicable) (Description of goods/services being bid) The undersigned, being authorized, proposes to furnish and deliver the above goods/services pursuant to the bid specification and made part hereof: Op Jlinebatl £ C2Urb yng Amount in words TharSoref,” Two Aon £Gahty : 92) 22) Ming Amount in numbers Asx tintve.tre Snip Bue Companf Name” A Se dhecre f bud MNignewe pT ([Xe. VA . Lue bFE2) Signature ofAuthorized Agent Type or Print Name Title: Tbe. J 29 CAI-AF2] DO /22 L2é Telephone Number Date 7 Ah EEL Wh © Email address f LFN60 ‘Gry 2 pj 2. Fax Number TCO P14

Accompanying this Proposal isa Certified Check or Bid Bond payable to the Township of West Orange, New Jersey in the sum of $. Op Z & é 7)_— which the undersigned agrees to be forfeited as liquidated damages, and not as a penalty, if the Contract is awarded to the undersigned and the undersigned shall fail to execute the Contract for the project, or furnish the Performance Bond required within the stipulated time. Otherwise, the check or bid bond will be returned to the undersigned. Has the undersigned bidder, or has any person, firm, corporation or partnership having an interest in the undersigned bidder, ever been listed or barred from the performance of public work by any department or agency of the State of New Jersey by reason of the violation of any law, rule or regulation of the State? No. as Yes If yes, state full details including the dates of all occurrences. ean The undersigned Bidder is a ¢orporation tinder the laws. individual individual poll of the State of a having its principal office at bbe C5edeyve/ Poed, Dime .NJ 0853) with a telephone number of QQ F2Q—B5uposes of receiving telephone communications in connection with the performance of the Contract. P-15

RESOLUTION OF AUTHORIZATION IF BIDDER IS A CORPORATION RESOLVED that CZ [V0 be authorized to sign and submit the bid or proposal of this corporation for this project, and to include in such bid or proposal the certificate as to non-collusion as the act and deed of such corporation, and for any inaccuracies or misstatements in such certificate this corporate bidder shall be liable under the penalties of perjury. If awarded the contract(s), said individual is also authorized to sign and execute the Contract Agreement as the act and deed of such corporation. The foregoing is a true and correct copy of the resolution adopted by ana SOGAZ4A (lo/ at a meeting of its Board of t TS Directors held on the 2x, of _NwWhh2eo Fad Shacan) Secretary SEAL OF CORPORATION

STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (PL. 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 proposal. Name of Organization: Organization Address: Part I Check the box that represents the type of business organization: Dsole Proprietorship (skip Parts II and III, execute certification in Part IV) Dnon-Profit Corporation (skip Parts II and III, execute certification in Part IV) [Xlgor-Profit Corporation (any type) Dimitea Liability Company (LLC) Dbpartnership Cl Limited Partnership CU Limited Liability Partnership (LLP) ‘ Dother (be specific): Part I 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 the 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 Noone 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) Please attach additional sheets if more space is needed): Name of Individual or Business Entity Address = ; aw Feclare IB Soe -_-[rofe nine, (hf 2 & Saw) SeLigm 5 Regen Ber rPa Cpa = 7 led y PLT 7 Wf CED P-17

Part II] DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART IL 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 #’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 shall be continued until names and addresses of every non-corporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed. Stockholder/Partner/Member and Address Corresponding Entity Listed in Part II WIKe2 DP tnade SE le - Canny erwin 90m © 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. I 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 continuing 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 I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, P-18

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 Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Te. . Modr- Title: Dre. Signature: BY) Date: p6/24 124

BIDDER'S AFFIDAVIT State of New Jersey ) )ss: County of ) — xe. p- {No fe deposesghd says: / r 1. Ireside at Loc ke, 2) { Povect s Mwnwe being of full age and being duly sworn, upon his oath - 2. Lam Dy OSs beard of the firm of LTE 7 (Name of Bidder) v 3. | am the person who signed the foregoing Bid and | was duly authorized to execute such Bid, The Bid is a true offer of the Bidder. If the Bidder has a seal, then such seal is affixed to the Bid. All of the statements and declarations contained in the Bid are true to the best of my knowledge and belief. (Seal) Lf a fib Subscribed and sworn t before me this A” day of J “TL bwLaw Zz = Notary Public of the St of New Jersey .~ y KUMAR seion totary Public, SI My ConnlesION: expiredy Com (Notary Seal) P-20