Township Council Meeting — Packet

TOWNSHIP OF WEST ORANGE REQUIRED EVIDENCE AFFIRMATIVE ACTION REGULATIONS N.J.S.A. 10:5-31, et seq. (N.J.A.C. 17:27) If awarded a contract, the Bidder will be required to comply with the requirements of N.J.S.A. 10:531, et seq., and N.J.A.C. 17:27 within five (5) days after receipt of the notification of intent to award the contract, the Bidder shall present one of the following: Appropriate evidence that the Contractor is operating under an existing federally approved or sanctioned affirmative action program; or A Certificate of Employee Information Report Approval issued in accordance with N.J.A.C. 17:27-4; or An initial Employee Information Report consisting of forms provided by the Affirmative Action Office and completed by Contractor in accordance with N.J.A.C. 17:27-4. The Bidder must submit no later than three (3) days after the signing of the Contract an Initial Project Manning Table consisting of forms provided by the Affirmative Action Office and completed by Contractor in accordance with N.J.A.C. 17:27-7. Bidders are referred to the Bidder's Information Section of the Bid Packet for a further description of the above requirements. NO BIDDER MAY BE ISSUED A CONTRACT UNLESS THEY COMPLY WITH THE AFFIRMATIVE ACTION REGULATIONS OF N.J.S.A. 10:5-31, et seq. The following questions must be answered by all Bidders: Do you have a federally-approved or sanctioned Affirmative Action Program? Yes (If yes, submit a copy of such approval.)No Vv. Do you have a State Certificate of Employee Information Report approval? Yes Vv (If yes, submit a copy of such approval.)No The undersigned Bidder certifies that he is aware of the commitment to comply with the requirements of N.J.S.A. 10:5-31, et seg., and agrees to furnish the required documentation pursuant to the law. COMPANY:NAME:__ CME Associates SIGNATURE & TITLE: X \ a Trevor J. Taylor PE, PP, CME, CFM, Senior Vice President NOTE: A bid must be rejected as non-responsive if a Bidder fails to comply with requirements of N.J.S.A. 10:5-31, et seq., within the time frame stipulated. Page | 31

Certification 1818 CERTIFICATE OF EMPLOYEE iNFORMATION REPORT RENEWAL This is to certify that the contractor listed below has submitted af Employee Information Report pursuant to NJ.A.C. 17:27-1.1 et. seq. and the State Treasurer has approved said report, This approval will remain in effect for the period of 15-PEB-2023 to 15-FER-2026 Rowing ER CME ASSOCIATES <i 1460 ROUTE 9, SOUTH HOWELL NO 07731 1194 , Lat At wen: ELIZABETH MAHER MUOIO State Treasurer

AFFIDAVIT OF NON-COLLUSION The undersigned bidder of full age, being duly sworn according to law depose and hereby specifically certifies that: To the best of the bidder's knowledge and belief, the annexed bid proposal for this project has not been prepared in collusion with any other bidder of like item or services and the prices, discounts, terms and conditions thereof have not been directly or indirectly communicated by or on behalf of the bidder to any person other than the recipient of the bid and will not be communicated to any person prior to the official opening of the bid. The bidder fully understands that no premiums, rebates, or gratuities are permitted either with, prior to, or after signing of contract. Any violation will result in cancellation and removal from the bid list. The bidder further certifies that the undersigned has the necessary authority, to sign this stipulation stating that the bidder has not entered into any agreement, or otherwise taken any action in restraint of free competitive bidding in connection with this bid. All references to the bidder are understood to include the undersigned and all principals, partners and officers of the “AS (Signature) \ SY Trevor J. Taylor, BE, PP, CME, CFM, Senior VP Subscribed and sworn Before me this day _3rd_December of 20 24 AFFIANT Commision # 80174984 NOTARY PUBLIC OF My Commission Expres October 19, 2028 MY COMMISSION EXPIRES: 20 Page | 32

INSURANCE REQUIREMENTS AND ACKNOWLEDGEMENT FORM Certificate(s) of Insurance shall be filed with the Municipal Clerk's Office upon award of contract by the Mayor and Township Council. The minimum amount of insurance to be carried by the Professional Service Entity shall he as follows: PROFESSIONAL LIABILITY INSURANCE Limits shall be a minimum of $1,000,000.00 for each claim and $1,000,000.00 aggregate each policy period. Acknowledgement of Insurance Requirement: CME Associates December 3, 2024 exe (Date) Trevor J. Taylor*>PE, PP, CME, CFM, Senior VP (Printed Name and Title) This form must be completed, signed and returned with RFQ. Page | 33

Page 1 of 1 DATE (MMDDIYYYY) — ACORDY CERTIFICATE OF LIABILITY INSURANCE 07/10/2024 | THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). | PRODUCER §RUIACT wrw Certificate Center HiLLis Towers Watean Dnwsrunoe Services West, se, Prone Ser AE 3-288-467-2578 P.O. Box 305191 AbuRESS: Certificates@wtwco.com : Nashville, TN 372305191 USA NSURERIS) AFFORDING COVERAGE mace | Liberty Mutual Fire Insurance Company 23035 INSURED isurerg, Liberty Insurance Corporation 42404 Consulting and Monieipal Engineers LLC (CME Associates) a er rl aenisconn lavas insureRc; ABerican Guarantee and Liability Insurance 26247 Parlin, NZ 08859, INguneRD; Allied Horld Surplus Lines Insurance Compa 24319 INSURERE: COVERAGES CERTIFICATE NUMBER; ¥34270360 REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NR__tee or msurawce JTSp Sem. pouevaumper (MDG, ARISE) Py mrs "SC COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Ts 2,000,000 j ciams.maoe [>] occur PRES Nec, 8g 1,000, 000 a! MED EXP (Anyone pereon) | 25,000] yoy 12/31/2023 i" roc GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 X pouey| | §B% [| 106 PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: . 7 i = - — | Cowen swote Leu os3;abal | | BODILY INJURY (Per person) § B SGHEQULED =

REGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 X pouey| | §B% [| 106 PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: . 7 i = - — | Cowen swote Leu os3;abal | | BODILY INJURY (Per person) § B SGHEQULED = AST~641~446161-043 12/31/2023 12/31/2024! son! | NON-OWNED PROPERTY DAMAGE is AUTOS ONLY iPeraccidenti 1 i- Is c XX] umBREUALAR |X occur { EACHOCCURRENCE 10,000,000 |_| EXCESS LAB LOLS. Mae AUC 8344746-00 12/31/2023 '12/31/2024| aggreGarE 4 10,000,000 | CLAIMS: MADE; s | bED RETENTIONS 0} = a i ; re | — ‘WORKERS COMPENSATION ; BER aH wioeanovens i ace 8 ARTINE! DENT 7000, OSRMENSEREXCLUDEDS x woT-641-aae161-063 | 12/31/2023/12/31/2024, * EACHACCI fo (Mandatory in NH) | {E.. DISEASE -EA EMPLOYEE! $. DeSEAIPTION SF OPERATIONS below ELL. DISEASE -POLICY LIMIT | $ 1,000, 000 D Professional Liab incl Pollution 0313-8987 07/01/2023|12/31/2024 iach Claim Limit $5,000,000 [Pettey Aggregate $5,000,000 \ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Adaitional ‘Schedule, may be attached H more space Is required) The Certificate Holder included as an Additional Insured as respects to General Liability and Auto Liability. The General Liability and Auto Idability shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by The Certificate Holder. Waiver of Subrogation applies in favor of The Certificate Holder with respects to General Liability, Auto Liability, and Workers Comp, as permitted by law CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. "AUTHORIZED REPRESENTATIVE CX Evidence of Insurance ~— © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR 1D: 26154433 BATCH: 3533632

NON-CONFLICT OF INTEREST CERTIFICATION REQUEST FOR QUALIFICATIONS FOR Municipal Engineering Services (Title of RFQ) The undersigned certifies to the Township of West Orange, County of Essex, State of New Jersey that in performing services to the Township he/she is aware of no circumstance that would constitute a conflict of interest, financial or otherwise, between him/her (or his/her firm) and the interests of the Township. The undersigned certifies that he/she has made a search of his/her firm’s client base and has executed this certification subsequent to such search. The undersigned acknowledges this a continuing certification, and shall remain in effect for the term of the services contained in the solicited request for qualifications. I certify that the foregoing statements made by me are true and accurate to my personal knowledge; I am making this certification in good faith. I am aware that if any of the foregoing statements made by me are false, the Board is free to terminate any professional service agreement entered into with the undersigned and/or his or her firm. Certifying Official: PRINT NAME; Trevor J. Taylor, PE, PP, CME, CFM SIGNED BY: (WJ =. - ( TITLE: Senior Vite Président DATE: December 3, 2024 Page | 34

TOWNSHIP OF WEST JERSEY Professional Servi ract Qualification and Costs Submission Form Note: A separate resume can be attached. Please provide the name and address of Names and roles of the individuals who will perform the services and description of their education, municipal experience and experience with projects similar to the services contained herein including their education, degrees and certifications. Trevor J. Taylor, PE, PP, CME, CFM, Senior Vice President Please refer to his resumes in Section 3" Resumes of Key Staff" in our qualification package. References and record of success of same or similar service. Please refer to Section 4 "Government Clients/References" in our Qualification Package. 35

3. Description of ability to provide the services in a timely fashion (including staffing, familiarity and location of key staff. CME Associates has the staff and possesses the resources, experience and expertise to, including seven (7) offices in New Jersey, necessary to successfully represent the ———LTownship ina professional, efficient and timely manner 4. Cost details, including the hourly rates of each of the individuals who will perform services, and all expenses: Please refer to Section 7 "Cost Proposal” of our Qualification Package for our hourly rates. Authorized Representative. Trevor J. Taylor, PE, PP, Senior VP (print name) Authorized Representative. ae (signature) Telephone #_ 732-462-7400 pax __ 732-409-0756 36

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM Required Pursuant To N.J.S.A. 19:44A-20.26 This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract. Part | - Vendor Information Vendor Name: | _ CME Associates Address: | 1460 Route 9 South City: | Howell | State: NJ | Zip: 07731 The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form. yy Lo C NA eh 2 Michael Motyka CFO Signature Printed Name Title Part Il - Contribution Disclosure Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $200 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit. (1 Check here if disclosure is provided in electronic form. Contributor Name Recipient Name Date Dollar Amount $ Please see attached. LO Check here if the information is continued on subsequent page(s)