Township Council Meeting — Packet

CONCLUSION Thank you again for considering Millennium Strategies. We look forward to continuing to be of service to the Township of West Orange. Should you have any questions relative to our proposal, please do not hesitate to contact me by phone at (973) 226-3329 or by email at efarmer@m-strat.com. Sincerely, Ed Farmer President and CEO

CERTIFICATIONS AND DOCUMENTATION

BIDDER’S CHECK LIST Business Registration Certification Stockholder Disclosure Certification Mandatory Affirmative Action Language AMERICANS WITH DISABILITIES ACT OF 1990 Completed Bid Proposal Form W-9 Tax Form Political Disclosure Statement Prohibited Russia-Belarus Activities & Iran Investment Activities Addendum/Addenda Affidavit of Non-Collusion Insurance Requirement Acknowledgement Form Please provide one additional copy of entire bid package which is stored on a USB/Flash Stick or cD @

Business Registration Certification Effective September 1, 2004, the State has expanded its Contractor Registration Program to local Government contracts, P.L. 2004, c57. All business organizations that do business with a local government agency are required to be registered with the State. The business must provide proof of that registration to the local government agency before that local government agency can enter into a contract with the business. A copy of the Business Registration Certificate must also be on file before any purchase order/voucher or other contracting document can be issued. Contractors are responsible for notifying subcontractors. Further information and registration can be obtained online from the NJ Treasury, Division of Revenue or by calling (609) 292-1730.

CERT-1 11/06/17 Taxpayer Identification# 203-749-864/000 Dear Business Representative: Congratulations! You are now registered with the New Jersey Division of Revenue. Use the Taxpayer Identification Number listed above on all correspondence with the Divisions of Revenue and Taxation, as well as with the Department of Labor (if the business is subject to unemployment withholdings). Your tax returns and payments will be filed under this number, and you will be able to access information about your account by referencing it. Additionally, please note that State law requires all contractors and subcontractors with Public agencies to provide proof of their registration with the Division of Revenue. The law also amended Section 92 of the Casino Control Act, which deals with the casino service industry. We have attached a Proof of Registration Certificate for your use, To comply with the law, if you are currently under contract or entering into a contract with a State agency, you must provide a copy | of the certificate to the contracting agency. 7a you have any questions or require more information, feel free to call our Registration Hotline at (609)292-9292. | wish you continued success in your business endeavors. | Sincerely, F92 dames J. Fruscione Director New Jersey Division of Revenue 7 ‘ AOR STATE OF NEW JERSEY BUSINESS REGISTRATION CERTIFICATE p} DEPARTMENT OF TREASURY/ 2} DIVISION OF REVENUE PO BOX 252 TRENTON, N J 08646-0252 TAXPAYER NAME: TRADE NAME: MILLENNIUM STRATEGIES LLC ADDRESS: SEQUENCE NUMBER: 60 COLUMBIA ROAD, BLDG B, STE 1250157 MORRISTOWN NJ 07960-4635 EFFECTIVE DATE; ISSUANCE DATE: 07/14/08 i 11/06/17 g. Director New Jersey Division of Revenue

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF REVENUE AND ENTERPRISE SERVICES LONG FORM STANDING WITH OF FICERS AND DIRECTORS MILLENNIOM STRATEGIES, LLC 0600246981 I, the Treasurer of the State of New Jersey, do hereby certify that the above-named New Jersey Domestic Limited Liability Company was registered by this office on Seplember 08, 2005. As of the date of this certificate, said business continues as an active business in good standing in the State of New Jersey, and its Annual Reports are current. I further certify that the registered agent and office are: LISA MARTINEZ 60 COLUMBIA ROAD - 2ND FLOOR BLDG. B - MILLENNIUM STRATEGIES MORRISTOWN, NJ 07960 J further certify that as of the date of this certificate, the following were listed as officersfdirectors of this business on the last Annual Report filed in this office on December 08, 2022. CHIEF EXEC, OFFICER (CEQ) ED FARMER 60 ROSELAND AVENUE CALDWELL, NJ 07006 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal at Trenton, this 15th day of May, 2023 . Blatt Show Elizabeth Maher Muoio State Treasurer Certificate Number : 6143104151 Verify this certificate online at htips:Ahwune I state.nyjus/TVER_StandingCertlISPWerif, Cevt jsp

STATEMENT OF OWNERSHIP DISCLOSURE N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.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: _ Millennium Strategies Organization Address: 60 Columbia Road, Building B, Suite 230, Morristown, NJ, 07960 Part I Check the box that represents the type of business organization: Dsoie Proprietorship (skip Parts II and III, execute certification in Part IV) Dnon-rrofit Corporation (skip Parts | Land lll, execute certification in Part IV) O Partnership. Oo Limited P: oO Other (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 O No one 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 Edward Farmer 1803 Middlebrook Road, Bound Brook, NJ, 08805 Susan Scavone 165 Alexander Avenue, Nutley, NJ, 07110 Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS LISTED IN PART II

If a 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 Not Applicable NIA 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 Il other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every noncorporate 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 Not Applicable Not Applicable Part IV Certification |, 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. | acknowledge: that | 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 | 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 | 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)

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, permitting the Township of West Orange to declare any contract(s) resulting from this certification void and unenforceable. Full Name (Print): | award Farmer Title: | President and CEO Signature: 5 Date: | 97/06/2023

EXHIBIT A MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127) NJAC. 17:27 GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS During the performance of this contract, the contractor agrees as follows: The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will take affirmative action to ensure that such applicants are recruited and employed, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, maritel status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Such action shall include, but not be limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause. The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. The contractor or subcontractor, where applicable, will send to each labor union or representative or workers with which it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency contracting officer advising the labor union or workers' representative of the contractor's commitments under this act and shall post copies of the notice in conspicuous places available to employees and applicants for employment. The contractor or