Township Council Meeting — Packet

ITEM B8 RECONSTRUCTED INLET, TYPE B, USING NEW CASTING 1 UNIT @ $ Per UNIT $ Write UNIT Price for Item B8 in Words and Numbers ITEM B9 INLET CONVERTED TO MANHOLE 2 UNIT @ $ Per UNIT $ Write UNIT Price for Item B9 in Words and Numbers ITEM B10 BICYCLE SAFE GRATE 2 UNIT @ $ Per UNIT $ Write UNIT Price for Item B10 in Words and Numbers ITEM B11 CURB PIECE 2 UNIT @ $ Per UNIT $ Write UNIT Price for Item B11 in Words and Numbers ITEM B12 CLEANING DRAINAGE STRUCTURE 4 UNIT @ $ Per UNIT $ Write UNIT Price for Item B12 in Words and Numbers ITEM B13 CONCRETE SIDEWALK, 4" THICK 122 SY @ $ Per SY $ Write UNIT Price for Item B13 in Words and Numbers ITEM B14 CONCRETE SIDEWALK, REINFORCED 6" THICK 22 SY @ $ Per SY $ Write UNIT Price for Item B14 in Words and Numbers P-17

ITEM B15 HOT MIX ASPHALT DRIVEWAY, 2" THICK 124 SY @ $ Per SY $ Write UNIT Price for Item B15 in Words and Numbers ITEM B16 DETECTABLE WARNING SURFACE 2 SY @ $ Per SY $ Write UNIT Price for Item B16 in Words and Numbers ITEM B17 RESET PAVERS 24 SY @ $ Per SY $ Write UNIT Price for Item B17 in Words and Numbers ITEM B18 9"X18" CONCRETE VERTICAL CURB 14 LF @ $ Per LF $ Write UNIT Price for Item B18 in Words and Numbers ITEM B19 GRANITE CURB 500 LF @ $ Per LF $ Write UNIT Price for Item B19 in Words and Numbers ITEM B20 TRAFFIC MARKING LINES, 8" 50 LF @ $ Per LF $ Write UNIT Price for Item B20 in Words and Numbers ITEM B21 TRAFFIC MARKING LINES, 24" 20 LF @ $ Per LF $ Write UNIT Price for Item B21 in Words and Numbers P-18

ITEM B22 REGULATORY AND WARNING SIGN 77.25 SF @ $ Per SF $ Write UNIT Price for Item B22 in Words and Numbers ITEM B23 GUIDE SIGN, TYPE GA, STEEL "U" AND SQUARE TUBE POST SUPPORTS 4 SF @ $ Per SF $ Write UNIT Price for Item B23 in Words and Numbers ITEM B24 RECONSTRUCTED MANHOLE, SANITARY SEWER, USING NEW CASTING 1 UNIT @ $ Per UNIT $ Write UNIT Price for Item B24 in Words and Numbers ITEM B25 TREE REMOVAL, OVER 6" TO 12" DIAMETER 1 UNIT @ $ Per UNIT $ Write UNIT Price for Item B25 in Words and Numbers TOTAL ALTERNATE BID (Items B1 – B25) $ (Write Total Alternate Bid in Words) P-19

BID PROPOSAL FORM (Contract Title and Bid Number, if applicable) (Description of goods/services being bid) The undersigned, being authorized, proposes to furnish and deliver the above goods/services pursuant to the bid specification and made part hereof: Amount in words $ Amount in numbers Company Name Address Signature of Authorized Agent Type or Print Name Title: Telephone Number Date Fax Number Email address P-20

Accompanying this Proposal is a Certified Check or Bid Bond payable to the Township of West Orange, New Jersey in the sum of $_________________ which the undersigned agrees to be forfeited as liquidated damages, and not as a penalty, if the Contract is awarded to the undersigned and the undersigned shall fail to execute the Contract for the project, or furnish the Performance Bond required within the stipulated time. Otherwise, the check or bid bond will be returned to the undersigned. Has the undersigned bidder, or has any person, firm, corporation or partnership having an interest in the undersigned bidder, ever been listed or barred from the performance of public work by any department or agency of the State of New Jersey by reason of the violation of any law, rule or regulation of the State? No_______ Yes _________ If yes, state full details including the dates of all occurrences. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ partnership The undersigned Bidder is a corporation under the laws. individual of the State of ____________________ having its principal office at _________________________________________________________________ with a telephone number of ( ) for purposes of receiving telephone communications in connection with the performance of the Contract. P-21

RESOLUTION OF AUTHORIZATION IF BIDDER IS A CORPORATION RESOLVED that ____________________ be authorized to sign and submit the bid or proposal of this corporation for this project, and to include in such bid or proposal the certificate as to non-collusion as the act and deed of such corporation, and for any inaccuracies or misstatements in such certificate this corporate bidder shall be liable under the penalties of perjury. If awarded the contract(s), said individual is also authorized to sign and execute the Contract Agreement as the act and deed of such corporation. The foregoing is a true and correct copy of the resolution adopted by ___________________________________________________________ at a meeting of its Board of Directors held on the ______ day of __________ , 20___. SEAL OF CORPORATION Secretary P-22

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:_________________________________________________________________ Organization Address:_________________________________________________________________ Part I Check the box that represents the type of business organization: Sole Proprietorship (skip Parts II and III, execute certification in Part IV) Non-Profit Corporation (skip Parts II and III, execute certification in Part IV) For-Profit Corporation (any type) Limited Liability Company (LLC) Partnership Limited Partnership Limited Liability Partnership (LLP) Other (be specific): ______________________________________________ Part II  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  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 P-23

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 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 II other than for any publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of every non-corporate 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 Part IV Certification I, 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. I acknowledge: that I 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 I 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 I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification,

wnship of West Orange in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I 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): Title: Signature: Date: P-24

BIDDER'S AFFIDAVIT State of New Jersey ) ) ss: County of ) _________________________________________, being of full age and being duly sworn, upon their oath deposes and says: 1. I reside at ______________________________________________________________________ 2. I am _________________________________________ of the firm of ______________________________________________________________________ (Name of Bidder) 3. I am the person who signed the foregoing Bid and I was duly authorized to execute such Bid. The Bid is a true offer of the Bidder. If the Bidder has a seal, then such seal is affixed to the Bid. All of the statements and declarations contained in the Bid are true to the best of my knowledge and belief. _______________________________(Seal) (Signature) Subscribed and sworn to before me this _____ day of ______________, 2026. _________________________________ Notary Public of the State of New Jersey My Commission expires _____________ (Notary Seal) P-25