181-26 Exhibit B-Reggio Construction_compressed.pdf

CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS CERTIFICATION OF NON-INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS Pursuant to NJ.S.A. 52:32-60.1, et seq. and NW.S.A. 40A:11-2.2 (L. 2022, c. 3) any person or entity (hereinafter “Vendor") that seeks to enter into or renew a contract with a local contracting unit subject to the Local Public Contracts Law for the provision of goods or services, or the purchase of bonds or other obligations, must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons list, available here: httos://sanctionssearch.ofac.treas. gov. If the Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, deciaring the party in default and seeking debarment or suspension of the party |, the undersigned, certify that | have read the definition of ‘Vendor’ below, and have reviewed the Office of Foreign Assets Control ) Specially Designated Nationals and Blocked Persons list, and having done so certify: (Check the Appropriate Box) That the Vendor is not identified on the OFA‘ jally Desi National Block list on account of activity related to Russia and/or Belarus. OR That | ein unable to cartly as te “A” above, because the Vendors Weniied on the OFAC. Soscially That | am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially O-« Designated Nationals and Slocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor's activity related to Russia and/or Belarus is consistent with federal law Is set forth below. {Attach Additional Sheets if Necessary.) 6/92 )2 I 2905 217 ‘Signature of Vendor's Authorized Representative Print Name land Ti ‘Vendor's FEIN iis Qr)+363- ob) Vendor py erat PTE Vendor's Phone Number Vendor's. z ab A se vl Vendor's Fax Ni [oar cance pany ajegeEe Leasicimc Gi Go| Con Vendor's Adress (City/State/Zip Code) " ‘Vendor's Email Address: | Vendor means: (1) A natural

endor's Phone Number Vendor's. z ab A se vl Vendor's Fax Ni [oar cance pany ajegeEe Leasicimc Gi Go| Con Vendor's Adress (City/State/Zip Code) " ‘Vendor's Email Address: | Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company, business association, sole proprietorship, loint venture, partnership, society, trust, or any other nongovernmental entity, organization, or ‘group; (2) Any governmental entity or instrumentality of a government, including @ muttlateral development institution. as defined in Section 1701(0)(3) of the International Financial Instituzons Act, 22 U.S.C. 262r(c)\3); or (3) Any parent, successor, subunit, direct or indirect ‘subsidiary, of any entity under common ownership or control with, any entity described in paragraph (1) or (2). NJ Rev. 4.222024 P-45

AMERICAN’S WITH DISABILITIES ACT OF 1990 Date: PA [33 2 io t T 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 Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 U.S.C. S121 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 performance 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 against 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 proceeding is brought against the TOWNSHIP or any of its agents, servants,

itten notice thereof to the contractor along with full and complete particulars of the claim, if any action or administrative proceeding is 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. It is expressly agreed and understood that any approval by the TOWNSHIP of the services provided by the contractor pursuant to 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. It is 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: See Signature of Vengér_—~ P46

FEDERAL NON-DEBARMENT CERTIFICATION CERTIFICATION OF NON-DEBARMENT FOR FEDERAL GOVERNMENT CONTRACTS N.J.S.A. 52:32-44.1 (P.L. 2019, c.406) This certification shall be completed, certified to, and submitted to the contracting unit prior to contract award, except for emergency contracts where submission is required prior to payment. PART I; VENDOR INFORMATION ___ Individual or 416 &, CENTRAL BLVD, Organization Name PrAste sasaumecsmtae pa Physical Address of RECE GUaO THUG TION Tu. Individual or Organization Unique Entity ID (if applicable) CAGE/NCAGE Code (if applicable) Check the box that represents the type of business organization: ARK, NJ 07650 Osole prietorship (skip Parts Ill and IV) ENon-Profit Corporation (skip Parts Ill and IV) -Profit Corporation (any type) OLimited Liability Company (LLC) OPartnership Oimited Partnership OLimited Liability Partnership (LLP) other (be specific): PART Il — CERTIFICATION OF NON-DEBARMENT: Individual or Organization | hereby certify that the individual or organization listed above in Part | is not debarred by the federal government from contracting with a federal agency. | further acknowledge: that | am authorized to execute this certification on behalf of the above-named organization; that the Township of West Orange is relying on the information contained herein and that | am under a continuing obligation from the date of this certification through the date of contract award by the Township of West Orange to notify the Township of West Orange in writing of any changes to the information contained herein; that | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the Township of West Orange permitting the Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable. Full Name Title: (Print): \ Se « Signature: (| Date: g (22) P-47

PART III — CERTIFICATION OF NON-DEBARMENT: Individual or Entity Owning Greater than 50 Percent of Organization Section A (Check the Box that applies) Below is the name and address of the stockholder in the corporation who owns more than 50 percent of its voting stock, or oO of the partner in the partnership who owns more than 50 percent interest therein, or of the member of the limited liability company owning more than 50 percent interest therein, as the case may be. Physical Address OR No one stockholder in the corporation owns more than 50 percent of its voting stock, or no partner in the partnership owns more than 50 percent interest therein, or no member in the limited liability company owns more than 50 percent interest therein, as the case may be. Section B (Skip if no Business entity is listed in Section A above) Below is the name and address of the stockholder in the corporation who owns more than 50 percent of the voting stock of the organization’s parent entity, or of the partner in the oO partnership who owns more than 50 percent interest in the organization’s parent entity, or of the member of the limited liability company owning more than 50 percent interest in organization’s parent entity, as the case may be. Stockholder/Partner/Member Owning Greater Than 50 | Percent of Parent Entity Physical Address OR No one stockholder in the parent entity corporation owns more than 50 percent of its voting stock, no partner in the parent entity partnership owns more than 50 percent interest therein, or no member in the parent entity limited liability company owns more than 50 percent interest therein, as the case may be. P-48

Section C — Part Ill Certification | hereby certify that no individual or organization that is debarred by the federal government from contracting with a federal agency owns greater than 50 percent of the Organization listed above in Part | or, if applicable, owns greater than 50 percent of a parent entity of : | further acknowledge: that | am authorized to execute this certification on behalf of the above- named organization; that the Township of West Orange is relying on the information contained herein and that | am under a continuing obligation from the date of this certification through the date of contract award by the Township to notify the Township in writing of any changes to the information contained herein; that | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the Township permitting the Township to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): Title: Signature: Date: Part IV — CERTIFICATION OF NON-DEBARMENT: Contractor — Controlled Entities Section A Below is the name and address of the corporation(s) in which the Organization listed in Part | owns more than 50 percent of voting stock, or of the partnership(s) in which the Organization listed in Part | owns more oO than 50 percent interest therein, or of the limited liability company or companies in which the Organization listed above in Part | owns more than 50 percent interest therein, as the case may be. Name of Business Entity Physical Address **Add additional sheets if necessary** OR The Organization listed above in Part | does not own greater than 50 percent of the voting stock in any corporation and does not own greater than 50 percent interest in any partnership or any limited liability company. P-49

Section B (skip if no business entities are listed in Section A of Part IV) Below are the names and addresses of any entities in which an entity listed oO in Part IIl A owns greater than 50 percent of the voting stock (corporation) or owns greater than 50 percent interest (partnership or limited liability company). Name of Business Entity Controlled by Entity Physical Address Listed in Section A of Part IV **Add additional Sheets if necessary** OR in any corporation or owns greater than 50 percent interest in any “a No entity listed in Part II] A owns greater than 50 percent of the voting stock partnership or limited liability company. Section C — Part IV Certification Il hereby certify that the Organization listed above in Part | does not own greater than 50 percent of any entity that that is debarred by the federal government from contracting with a federal agency and, if applicable, does not own greater than 50 percent of any entity that in turns owns greater than 50 percent of any entity debarred by the federal government from contracting with a federal agency. | further acknowledge: that | am authorized to execute this certification on behalf of the above-named organization; that the Township of West Orange is relying on the information contained herein and that | am under a continuing obligation from the date of this certification through the date of contract award by Township to notify the Township in writing of any changes to the information contained herein; that | am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if | do so, | am subject to criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the Township permitting the Township to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): a Title: Se. - Signature: “> Date: L [22 hae, P-50

INITIAL PROJECT WORKFORCE REPORT - CONSTRUCTION Official Use Only STATE OF NEW JERSEY Assignment DIVISION OF CONTRACT COMPLLANCE EQUAL EMPLOYMENT OPPORIUNITY IX PUBLIC CONTRACTS rade FORMAL Revived 1683 READ INSTRUCTION. PLEASE TYPE OR PRINT IN BLACK OR BLUE INK. T FID NUMBER FA CONTRACTOR ID NUMBER INITIAL PROJECT WORKFORCE REPORT CONSTRUCTION 3 NAME AND ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT ‘3. NAME AND ADDRESS OF PRIME CONTRACTOR nao CONTRACT NUMBER DATE OF AWARD DOLLAR AMOUNT OF AWARO Gi aaron) WANE AND ADDRESS OF PROUEGT FT FROHCTNOGER teh) ea (iy Cote lcounry 1s THis PROJECT COVERED BY A PROJEX 4, 1S THIS COMPANY MINORITY OWNED [ ] OR WOMAN OWNED LABOR AGREEMENT (PLA)? DYES ONC TRADE OR CRAFT PROJECTED MINORITY EMPLOVEES| PROJECTED PROJECTED rt rkask-18 | COMPLETION DATE DATE 1, ASBESTOS WORKER 2, BRICKLAYER OR MASON 3. CARPENTER _ 4, ELECTRICIAN 5. GLAZIER 6, HVAC MECHANIC = | 7, IRONWORKER 8. OPERATING ENGINEER 9. PAINTER, 10. PLUMBER ll. ROOFER 12. SHEET METAL WORKER 13. SPRINKLER FITTER 14. STEAMFITTER 15. SURVEYOR 16_ TILER 17. TRUCK DRIVER 18. LABORER 19. OTHER 20. OTHER i. = ‘Thereby cerify thar the foregoing statements made Dy ine are true, Tam aware thatit any of Ue foregomg Tatements are wilfully false, I am subject to punishment. (Signature) Te, (lence Print Your Name) ie (Area Code) (Telephone Number) Ext.) Dare P-50

INSTRUCTIONS FOR COMPLETING THE INITIAL PROJECT WORKFORCE REPORT - CONSTRUCTION (AA201) DO NOT COMPLETE THIS FORM FOR GOODS AND/OR SERVICE CONTRACTS Enter the Federal Identification Number assigned to the contractor by the Internal Revenue Service, or if a Federal Employer Identification Number has been applied for but not vet issued, or if your business is such that you have not or will not receive a Federal Identification Number, enter the social security number assigned to the single owner or one partner, in the case of a parmership. Note: The Division of CC/EEO will assign a contractor ID number to your company. This number will be your permanently assigned contractor ID number that must be on all correspondence and reports submitted to this office. Enter the prime contractor's name, address and zip code number. Check bos if Company is Minority Owned or Woman Owned Enter the complete name and address of the Public Agency awarding the contract. Include the contract number, date of award and dollar amount of the contract. Enter the name and address of the project, including the county in which the project is located. |. Note: A project contract ID number will be assigned to vour firm upon receipt of the completed Initial Project Workforce Report (AA201) for this contract. This number must be indicated on all correspondence and reports submitted to this office relating to this contract. Check “Yes” or “No” to indicate whether a Project Labor Agreement (PLA) was established with the labor organization(s) for this project. Under the Projected Total Number of Employees in each trade or craft and at each level of classification, enter the total composite workforce of the prime contractor and all subcontractors projected to work on the project. Under Projected Employees enter total minority and female employees of the prime contractor and all subcontractors projected to work on the project. Minority employees include Black, Hispanic, American Indian and Asian, (J=Journeyworker, AP=Apprentice). Include projected phase-in and completion dates. 10. Print or type the name of the company official or authorized Equal Employment Opportunity (EEO) official include signature and title, phone number and date the report is submitted. This report must be submitted to the Public Agency that awards the contract and the Division of Contract Compliance and Equal