Township Council Meeting — Packet

BUSINESS REGISTRATION CERTIFICATE (Township Requirement) P.L. 2009 ¢315, requires that, effective January 18, 2010, a contracting agency must receive proof of the Bidder’s registration prior to the Award of Contract. The Business Registration Certificate must be obtained by the Bidder prior to the receipt of Bids, however, a Business Registration Certificate is not required in the submission of the Proposal forms for this Contract. If Subcontractors are named on the Bid, proof of the business registration for each must be provided prior to the Award of Contract. The Business Registration Certificate must be obtained by the Subcontractor prior to the receipt of Bids, however, a Business Registration Certificate is not required in the submission of the Proposal forms for this Contract. Proof of business registration shail be: + A copy of a Business Registration Certificate issued by the Department of Treasury, Division of Revenue; or : _Acopy of the web printed version provided by the Division of Revenue BEATE coe Neve seRSHY. BUSINRRS REOTSTHATOR CENTER Abe SiR SMe ABLNEY i i TARA ER TAME: : TAX REGHIMRATION Test abuOURT TARE AYER IORNTIPIGAT ION: ‘anGdbemdieoe : OAS : ATTACH BUSINESS REGISTRATION CERTIFICATE HERE 95

Disclosure of Investment Activities in Iran Person or Entity |-Part 1: Ceitification COMPLETE PART 1 BY. CHECKING EXTHER BOX, Pursuant to Public Law 20 12, ¢. 25, any person of entity that is a successful bidder or proposer, or "otherwise proposes to enter into or renew. a contract, must complete the certification below to attest, “linder penalty of; petjury, that neither the person or entity, nor any parent entity, subsidiary, or affiliate ig identified-on the State Department of Treasury's Chapter 25 list as a person or entity engaging in investment..-activities “in Trani The “fist - is found: on: “Treasury’s:.” website’ ~ at wiv. stale. nj. us/tteasurv/nurehase/ed¢Chaptor2S1 ist pdt 4 The Chapier:25 list must: be reviewed ptior to-completing the below. certification. “If a. vendor or - contractor is found to be in violation of law, action may be taken ‘as appropriate and-as may. provided “by law; ruler contract, incliding but"not limited to iniposing” sanctions, seeking compliance, recovering damages, declaring the party in defaulvand: sealing de debarment ot ‘Suspension of the party. I certify, pursuant to Public Law 2012, ¢. 25, that neither the person or entity listed ahove, nor_any parent entity, subsidiary, or_affiliate thereof is_listed_on_the-N.J— activities in Iran pursuant to P.L. 2012, c. 25 ("Chapter 25 List"). I further certify that I am the person listed above, or I am an officer or representative of the entity listed above and am authorized to make this certification on its behalf. I will skip Part 2 and sign and complete the Certification below. of Department of the Treasury’s list of entities determined to be engaged in prohibited OR. Lam unable to certify as above because the person or entity and/or a parent entity, subsidiary, or affiliate thereof is listed on the N.J. Department of the oO Treasury's Chapter 25 list. I will provide a detailed, accurate and precise description of the activities in Part 2 below sign and complete the Certification below. 96

Part 2: Additional Information SE PR EFURTI TI ATED TO INVEST! C SIN TRAN. ‘You must provide a detailed, accurate and precise description of the activities of the person or entity, ora parent entity, subsidiary, or affiliate thereof engaging in investment activates in Itan below and, if more space is needed, on additional sheets provided by you. Part 3: Certification. of Tra é and Complete Information - Ld being duly sworn upon. my oath, hereby represent and state that the foregoing information and.any- ailachments there to the best of my knowledge are.true and. complete. J attest that Tam authorized to ‘execute this. certifi if jeation on behalf. of! the above-referenced. Person. or entity. f acknowledge that the ‘Naitie of Contractitig Unit i is. relying on the inforiation ‘conitatned havin - and-thereby-acknowledge-ihat-T-am- through the completion of any contracts with the Reference to Contracting. Unit to notify the Reference to Contracting Unit in writing: of | any. changes to the answers of information contained herein. oD. acknowledge thai “Lam: aware. that. it isa eriminal offense to: make: a false ‘statement or misrepresentation in this cert ification, dnd if | do so, recognize that Lam subject to eriminal prosecution under the law and thas it will also: constitute a ‘material bréach of my agreement(s) with the Namie of Contracting Unit and that the Reference to Contracting Unit at its option may deelare. any contract(s) resulting. Jeom this certification void-and unenforceable, Full Name (Print) Cy ath aCe aR a. Title vA 0. Signature Cath ld gm Date Y- Bias C. 97 aS: certification

| I CERTIFICATION OF MONUBVOLVEMENT IN PROMIBITED AGTHITIES IN RUSSIA OR BELARUS Purdvanb ed 5.4 Beate ebseg. 4, 2002, 5. 11 any pean or entity deenwimadier “Yensor” iat setbn % enfer into ‘ee Tetiew i donlhdst Wil a Gist ugamty fey thoy pravision ad abu oF kendedy, vs (al tunedin of bone ii other ublgaany, ‘MeL cathphts (he gerltieaton kakive indenting ebulbar ef tot Ike Vania: fe idantited cn the Giew uf Fumign Agente ‘Gono! | (OFAC) «Spada Dapgineiid Batons and = loukad = Poreaeh Sal, oxatainie ene: Susie MCU A lees son: I Ge Dapmeinant of tig Thangurk Senta thal 8 Worle oes minde a narkhedllem Ins walolima of Dix ia, d nhast tlre way achuci ae cury be apatupetbs and precited fey low, nde ar sealract, welidéng lad mot ‘railed 22, Hiapomny sonclises: seniene Gonplinnoe, meoverery damage, Sectning tht pety im dehewi aid peeheny dabarant at muapsrsion of thes parte {Ia GricanssynOd, ee hs! RaNHeERE the dention oT test” bane, are avd KaWieNE IND Cae At FPoraign Ageets: forks (OFAC) Sponily Deriginid Nationa and Hhedied Penpeuns finl, and hoerey dome nes Say" doheck the Aippeoneints tinny: 2 Thabthe Vendor fy bat dries on OG REC Sau Bo cnaia Pealisiate a8 Red on ae wat oo Setancl ye! acuily related tm hg aie ae five Peis Gr yg Tht Due wade ta Bevlily an De ht al aD BARRIER an ERY huosape Ue Vendor a idenllied oe the eae 5 oS oe # Ri 5 flab However. We ‘Vuiedur be aurguyend i aellviy seabed te Reeaee "SME Gallary imme bk ord home, agaITaDaA, FUME ot eaMmnOr. A detailed vewtiton OF Pow thn Yeewslaes sebNiy melakad te Ryse dindier Belarie 2. wonsiatenh wath sodsiral trey Pa. wnd taethe hee, Thad [aie urate sa ne ir [ae flahtewal heat tenance - Ms BBs Bae : QAB-OR2. aufiog Phi Hare and Tae at arctan suminited Rapeendalie ‘Pondore FEN Ceten's Caos: Coon \aqises od: 293 » 28Y. 21.03 ci 7 Tes Phere Poa e tan pd: O94 - Y02-G8G6 Pore voeanr a * Wdndars Soest MOD ACEAI gS CROLL... LOBE. RD.s\oogree iota nots. 1 A culo genie, capil, waltaaty, Facial pulley Boke HalNily eaikialig, Eases dabily satay, urine panpeletan, soe grapllvmertin, pnlepiiete, pariarstia. somety, Hush wt uky cher Sunpavemmnnke eaity aewiceian, ah Behe. 2 Dry gosartnnis enkte er tsdamerlally of a gate, hnusing 8 Tuditaien? evilontan)oelialicn, as dala’ i Gade SPOH Hof lhe bastsatine Final taeHulaii Rel, 22a 3.0. ART, we Alyy RRR, uneRSNMa, ected, Sine is Peltmie wal pcre any el bly

rlally of a gate, hnusing 8 Tuditaien? evilontan)oelialicn, as dala’ i Gade SPOH Hof lhe bastsatine Final taeHulaii Rel, 22a 3.0. ART, we Alyy RRR, uneRSNMa, ected, Sine is Peltmie wal pcre any el bly aovian germ: EMAUEr NT ih eatinbsed ga, eng aocHy Hieeeattoee in aragyrch 9 hoot PS hae aR 98

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 Tille 11 of the Americans With Disabllitles Act of 1990 (the "Act") (42 U.S.C. $121 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 perfarmance 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 agairist 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 proceedingis = brought against the TOWNSHIP or any of its agents, servants, and employees, the TOWNSHIP shail expeditiously forward or have

e particulars of the claim, if any action or administrative proceedingis = 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. [tis expressly agreed and understood that any approval by the TOWNSHIP of the services provided by the contractor pursuant fo 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. itis 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: af Si re of Vendor 99

BID DOCUMENT SUBMISSION CHECKLIST TOWNSHIP OF WEST ORANGE 2026 TREE PLANTING AT VARIOUS LOCATIONS A Failure to submit the following documents shall be a cause for the Bid to be rejected. {N.J.S.A. 40A:11-23.2) Required With Initial Each Item Submission of Bid Submitted With Bid (Owner's checkmarks) (Bidder's initials) v¥ | Abid guarantee as required by N.J. S.A. 40A 11-21 ar ¥ | Acertificate from a surety company, pursuant fo N.J.S.A. 40A 11-22 ae v Astatement of corporate ownership, pursuant to N.J.S.A, 52:25-24.2 tal y¥ | Alisting of subcontractors and items to be subcontracted as required by N.J.S.A. 40A:11-16 we v If applicable, Bidder's acknowledgment of receipt of any notice(s) or revision(s) or addenda to an advertisement, specifications or bid document(s) wm v_| Disclosure of Investment Activities in Iran pursuant to PL 2012, c. 25 ae | ¥_| Certification of Non- Involvement in Prohibited Activities in Russia or Belarus ak B. Failure to submit the following documents may be a cause for the Bid to be rejected. {N.J.S.A.40A;-1-1-23.1b.) Required with Initial each item Required with submission of bid submitted with bid submission of bid Initial each item submitted with bid (Owner's Checkmarks) (Bidder’s Initials) (Owner's Checkmarks) (Bidder’s Initials) A Certified Financial statement Consent of surety as to maintenance bond C i co! prepared within the last twelve months ‘as required by N.J.S.A. 40A:11-18.3b ce a v Consent of Surety as to a Labor and a) ¥ | Submission of a Non-Collusion Affidavit Material Payment Bond cA he e}® | his form must be Notarized) es Statement of compliance with N.J.S.A. ¥ | Certification of Bidder showing that Bidder f 45:1 4C-2(h) (licensed master owns, leases or controls any necessary : plumber) equipment Affirmative Action Affidavit (this form] ¥ | Contractor Experience Statement must be Notarized) cl ¥ | Equipment List ¥ | Copy of Business Registration Ceriification | / Uc~ Public Works Contractor Certification ‘ | ¥ y__ | Disclosure of Political Contributions WA i= | bo Cc. SIGNATURE: The undersigned hereby acknowledges and has submitted the above listed requirements, Name of Bidder ere ac's Pes, Ef OyeFEN) Nouse3 En By Authorized Representative: pitt 7 Boyes dy Vwrtsy 4 Cok CK 100 -

come Cash Ch agan LY Ptint Name and Titte: G VN Thi). Coapeke. VE Date: //- 3 - 2S 101

CONTRACT for 2026 TREE PLANTING AT VARIOUS LOCATIONS TOWNSHIP OF WEST ORANGE ESSEX COUNTY, NEW JERSEY THIS AGREEMENT made as of this day of 20. BETWEEN THE TOWNSHIP OF WEST ORANGE, a municipal corporation in the County of Essex, State of New Jersey (hereinafter referred to as the "OWNER’) and {hereinafter referred to as the “CONTRACTOR’) having (its) place of business at The OWNER will pay to the CONTRACTOR for the work actually constructed, the various unit and lump sum prices as set forth in the Proposal for the construction work annexed hereto and made a part hereof and under the penalty expressed under the bonds annexed hereto to furnish at its own cost and expense all the necessary materials, labor, superintendence, tools and appliances, and will execute, construct and finish and test in an expeditious, substantial and workmanlike manner, the work included under this Contract, commencing such work within ten (10) calendar days from the date of the written notice to proceed with the work and completing all work within sixty (60) consecutive calendar days, and in the manner specified and in conformity with the requirements set forth in the Specifications annexed hereto and made a part hereof and in accordance with the Plans and Contract Drawings of said work on file in the Township of West Orange Municipal Building and all to the acceptance of the OWNER. Under no circumstances shall the project be completed after December 1, 2016. The following will be deemed a part of the Contract between the Parties: The Advertisement General Information Supplemental General Information The CONTRACTOR'S Proposal The Bid Bond This Contract The Performance Bond The Payment Bond The Notice of Award The Notice fo Proceed Special Conditions The Contract Drawings 4 Technical Specifications All Addenda issued by the FORESTER prior to the receipt of bids BRrRTOFemepae ee 102