Township Council Meeting — Packet

quired to provide such information upon request. D. Lack of Compliance. Failure of the Contractor or subcontractor to comply with the payroll requirements may result in payment being delayed or withheld as specified in Section 105, default as specified in Section 108 or termination of the Contract as specified in Section 108. State Funded Project Attachment 5 - Payroll Requirements for Wholly State Funded Projects Page 1 of 1

June 2017 STATE FUNDED PROJECT ATTACHMENT 6 AMERICANS WITH DISABILITIES ACT REQUIREMENTS FOR WHOLLY STATE FUNDED PROJECTS Equal Opportunity for Individuals with Disabilities. The CONTRACTOR and the STATE do hereby agree that the provisions of Title II of the American With Disabilities Act of 1990 (the “ACT”) (42 U.S.C. Section 12101 et seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities, and the rules and regulations promulgated pursuant thereunto, are made a part of this contract. In providing any aid, benefit, or service on behalf of the STATE 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 STATE in any action or administrative proceeding commenced pursuant to this Act. The CONTRACTOR shall indemnify, protect, and save harmless the STATE, its agents, servants, and employees from and against any and all suits, claims, losses, demands, or damages of whatever kind or 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 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 STATE’S grievance procedure, the CONTRACTOR agrees to abide by any decision of the STATE which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the STATE or if the STATE 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 STATE 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 STATE or any of its agents, servants, and employees, the

reof to the CONTRACTOR along with full and complete particulars of the claim. If any action or administrative proceeding is brought against the STATE or any of its agents, servants, and employees, the STATE shall expeditiously forward or have forwarded to the CONTRACTOR every demand, complaint, notice, summons, pleading, or other process received by the STATE or its representatives. It is expressly agreed and understood that any approval by the STATE 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 STATE pursuant to this paragraph. It is further agreed and understood that the STATE 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 STATE from taking any other actions available to it under any other provisions of this Agreement or otherwise at law. State Funded Project Attachment 6 – ADA Act State Funded Projects Page 1 of 1

181-26 spaemy Nv uonessiday Jo asodung 9702 ‘E290 aqeq uonesidx3 | AUR | & parepdn/pay!pow areg ) | Aysaesaypy pesapag ag asem ® suoRnoy 3NQ UIs aoedsyiom 99 saypueas panes uoReuuosuy UR suonerynon U7 abod sad synsas VSN OS9L0 CN ‘Wave SAGVSIIVd GAIA WALNAD 3 OTe ssauppy |231sKyd < Tyo; > abod 6968 SZLAZPINdHOWD apo 39vD gi Aug enbiun uonensisay aAnry @ INI NOILINYLSNOD O1993y aoueysissy Jeapad S})/Nsoy Yd4e9S swenbey 77) synsai T Jo T- T Suymoys X smeis BWR JO apod 18}Ug suoieziuesio jesapa4 x UOlINAYSUOD O193a4, ZOOOZONIOIT “3'a 40u1pa youeas asesyd exXy O spiom iy @) (9) @ spuom Auy C) © L yrueas ayduis @ ping djay sno ys1n ‘youeas psoMAay JNO Asn 0} MOY UO UO!}BUOJU! 10 104 Kea ZOOOZONOST “S'9 w SPIOM |I¥ djeH A MOUYNOAMOYSe18H JUASLUWANOS Sa}e}S PayUN ay) Jo ayisqam j| saolasas e]eq yueg ejeq youeas paomfay Ag sauts youeas youeas WOH AOS WS Tir yOouy Say

UOI}EI}SIUILUPY SAIIAJaS }eABUa5 “S‘f 84} JO ajIsqom jelDIJo Uy AO3‘WVS *AdNOd IND T'EOTT O1D 48PAO YSO Pue ZO0T MEd YD ZE YIM BIUEPIOINEe U 1y} JO Buisodsip 40 Bujanposdas “Burmaia sjenpiaiput jy “(IND) UONeUUOJU| palisse}2U/) Pa}jo.}UOD susezUod LuaysAs sIyL 3pajord 03 pasinbas “uoljnsasoid Jeulwi9 Suipnjou! uonse Aueu)|diosip 0) yalqns are sanianoe pazuoyjneun Zuluuoyiad punoy sjenpiaipuy “BuL0}!UOW oy Da!qns S1 WeysfS SIU AINO ASN TWID1ddO HOA, S! Jey} Wayshs sayndwW0D uaWULaNoD Je19pa4 UONeNSIUILIPY SBIINaS |e19U9D °S'f| eS} ypejuoD SadINOsay |BUIIPg @ysaq ad!AJas jesapa4 smjeys Ayquy 423849 djeH a21IM4ag AaWIO}sND Aniqisse2.y Py uoneuvosuy jo wopaas asn ejeq payauasey Aatjog Adeaud asp jo sual Sd1D1]0g ONINUVM V7 SJBUPEY BOW, @Aaos'squeiy @aos‘Bulpusdsysn @aoBuonisinboy ssOUUed INO Q yseN VSD spayy luayshs Sa}0N aseajay @ Aqiunwiwo 1no aus SIYLINoqy ayusqam Jno aanoeU| (J annoy [A

Keagsto Const - Tne 4G E. Ceutv\ Bivor Pa, lisaras Ravk, KS 07650 “ gcaas MA Hele Flovete Lav Tomchy of West © 6G Wem Sb west Ovuer , WY Bia Dake: 6 fas ae Bia tive, N00 Am SE ONY £2 Kop seq? “SNTMO ISIN Sy JIHSNMOL

PROPOSAL AND SCHEDULE OF BIDS BID DOCUMENT SUBMISSION CHECKLIST - TOWNSHIP OF WEST ORANGE NJDOT MA 2025 HELEN AVE., LAWRENCE AVE., FLORENCE PL, AND LOWELL AVE. IMPROVEMENT PROJECT (Name of Construction/Public Works Project) (Project Or Bid Number) A. Failure to submit the following documents is a mandatory cause for the bid to be rejected. (NJSA 40A:11-23.2) Required With Initial Each Item Submission of Bid Submitted With Bid (Owner's checkmarks) (Bidder's initials) X_|+ Bid guarantee as required, by NJSA 40A: 11-21 QV X_|e Certificate from a surety company, pursuant to NJSA 40A: 11-22 Ss X_|e Statement of corporate ownership, pursuant to NJSA 52:25-24 2 & X_| Listing of Subcontractors as required by NJSA 40A: 11- 16 a X |e If applicable, Bidder's acknowledgment of receipt of any notice(s) or re-vision(s) or A addenda to an advertisement, specifications or bid document(s) B. Failure to submit the following documents may be a cause for the bid to be rejected. (NJSA 40A: 11-23.1b.) Required with Initial Each Item Required with Initial Each Item Submission of Bid Submitted with Bid Submission of Bid Submitted with Bid (Owner's checkmarks) (Bidder's initials) (Owner's checkmark) (Bidder's initials) A Certified Financial Statement Consent of surety as to maintenance bond prepared within the last 12 months as required by NJSA 40: 11 - 16.3b Consent of Surety as to a Labor and X | Submission of a Non-Collusion Affidavit (this Sp Material Payment Bond form must be notarized) fe Statement of compliance with NJSA X | Certification of Bidder showing that Bidder “5 45: 14C-2(h) (licensed master owns, leases, or controls any necessary plumber) equipment iS X | Affirmative Action Program Information |_| X | Qualification Questionnaire ie) Disclosure of Political Contributions X | Disclosure of Investment Activities in Iran a> X | Business Registration Certificate X | Certificate of Registration required if this is a “Public Work" project as defined in the Public hie Work Contractor Registration Act (PL 1999,C.238) Ch X | Business Registration Certificate for all X | Certificate of Registration required if this is a subcontractors > "Public Work" project as defined in the Public Work Contractor Registration Act (PL 1999,C.238) for all subcontractors ro X | Statement of Non-Debarment for X | Certification of Non-Involvement in Prohibited |” ” Federal Government

d in the Public Work Contractor Registration Act (PL 1999,C.238) for all subcontractors ro X | Statement of Non-Debarment for X | Certification of Non-Involvement in Prohibited |” ” Federal Government Contracts Activities in Russia or Belarus a Lowest Bidder Prevailing Wage iy X | SAM Number, Cage Code Number and Certification DUNS Numbers th X | Certificate of Insurance - All parties to X | Americans with Disabilities Act of 1990 the Contract must be named as Acknowledgement additional insured/co-insured Oo Zig E. CENTRAL BLVD. C. SIGNATURE: The undersigned ind has su the above listed requirements. Name of Bidder: i le By Authorized Representative: RK, NJ 07650 Signature: a1 —— Print Name and Title: oN a oa Date: ~~ 6 Jaz fag THIS FORM MUST BE EXECUTED BY THE BIDDER (ALL ren’, mudt BE COMPLETED IN INK.) P-1

TOWNSHIP OF WEST ORANGE ACKNOWLEDGMENT OF RECEIPT OF ADDENDA The undersigned Bidder hereby acknowledges receipt of the following addenda: Please assign the number, date and initial. Addendum Number Dated Acknowledge Receipt (Initial) A No addenda were received. (Please check off if no addenda received) 416 E. CENTRAL BLVD, Acknowledged for: PALISADES PARK, NJ 07650 epee By: (Signature of Authorized ative) Name: —" (Print) Title: Date: A 7 7 P-2

TOWNSHIP OF WEST ORANGE ESSEX COUNTY, NEW JERSEY NJDOT MA 2025 HELEN AVENUE, LAWRENCE AVENUE, FLORENCE PLACE AND LOWELL AVENUE IMPROVEMENTS PROJECT SCHEDULE OF PRICES BASE BID ITEM 1 PERFORMANCE BOND AND PAYMENT BOND eo 1D0LL_ @ $ __7,00. “Per DOLL 3 4,00. Sew! S\eA — dolas Write UNIT Price for Item 1 in Words and Numbers ITEM 2 MOBILIZATION oy 1Ls @$ 7,00. per ts $ 7, Co, Som ther Alle Write LUMP SUM Price for Item 2 in Words and Numbers ITEM 3 INLET FILTER TYPE 1 100SF @S$ Lh Per SF $ leo. One doll Write UNIT Price for Item 3 in Words and Numbers ITEM 4 BREAKAWAY BARRICADE ao Co 10UNIT @S& J. Per UNIT $ Jo. Ove clollew Write UNIT Price for Item 4 in Words and Numbers ITEM 5 DRUM ve i 30 UNIT @s J. Per UNIT $ 30. Ore clo lee Write UNIT Price for Item 5 in Words and Numbers P-3