1-PD Harley Motorcycle Bid 2026 - Rebid.pdf

Whitpain Township Montgomery County, PA.

Contract Documents and Specifications For

2026 Harley Davidson Police Motorcycle Contract

Prepared by:

Whitpain Township Public Works Department

960 Wentz Road Blue Bell, PA 19422

610.277.2400 tfarzetta@whitpaintownship.org

Advertisement for Bids

NOTICE IS HEREBY GIVEN that sealed bids will be received online by Whitpain

Township via the PennBid Program (www.pennbid.net) for the 2026 HARLEY DAVIDSON

POLICE MOTORCYCLE CONTRACT until 10:00 AM prevailing time, Monday, April 20, 2026 at which time they will be electronically opened on the PennBid website.

The Bids will be received for the following Contract:

CONTRACT NO. PD-26-1 2026 HARLEY DAVIDSON POLICE MOTORCYCLE

CONTRACT

The contract involves (a) the purchase of two (2) 2026 Harley Davidson Road Glide Police

Motorcycles (FLTRXP), (b) delivery to the Township Police Department, (c) PA tags and registration and related accessories, (d) trade-in of either one, both or neither of the two existing 2017 Harley Davidson FLHTP Whitpain Township owned Police Motorcycles.

Sets of the Specifications and Contract Documents may be obtained on the PennBid website.

All proposals shall be submitted in accordance with INSTRUCTIONS TO BIDDERS. A Certified Check or Bid Bond drawn to the order of Whitpain Township in the amount equal to ten percent (10%) of the amount of the bid must be submitted with the proposal as bid security.

Whitpain Township reserves the right to waive any informality in any bid, to reject any and all bids, or award any bid in the best interest of the Township. The Township reserves the right to divide the awards among bidders or to award all items to one Vendor.

A pre-bid meeting is not scheduled.

Except as otherwise provided by law, no Bidder may withdraw his bid within sixty (60) consecutive calendar days after the actual date of opening thereof or one hundred twenty

(120) consecutive calendar days if the award is delayed by a required approval of another governmental agency, the sale of bonds or the award of a grant or grants.

Date: March 18, 2026 Eric Traub

Township Manager http://www.pennbid.net/

WHITPAIN TOWNSHIP

PROPOSAL FORM – EXHIBIT “A”

“Harley Davidson Police Motorcycle Contract”

Exhibit “A” – Proposal Form

Exhibit “B” – Detailed Specifications Exhibit “C” – Instruction for Non- Collusion Affidavit Exhibit “D” – Non-Collusion Affidavit Exhibit “E” – Agreement Exhibit “F” – Employment Verification Form

PROPOSAL FORM – EXHIBIT “A” (CONT’D 2)

“Harley Davidson Police Motorcycle Contract”

CONTRACT INFORMATION

1. All Proposals shall be submitted online via the PennBid Program (www.PennBid.net). All proposals shall be received by 10:00 a.m. on Monday, April 20, 2026 and opened immediately.

2. The bids must be submitted through the PennBid Program and the bids must be accompanied by a CERTIFIED CHECK, BID BOND OR IRREVOCABLE LETTER

OF CREDIT in the amount of ten percent (10%) of the bid, made payable to Whitpain Township.

3. Each Proposal must be accompanied by a Non-Collusion Affidavit – Exhibit “D”, signed and notarized; equipment must conform to the Commonwealth of Pennsylvania Motor Vehicle Code and operators must possess a valid driver’s/hauling license; and the Employment Verification Form – Exhibit “F”.

4. The bid quantities are estimated, and payment will be made for the actual services rendered at the “Unit Prices” contained in this proposal.

5. Whitpain Township reserves the right to waive any informality in any bid, to reject any and all bids, or award any bid in the best interest of the Township.

The Township reserves the right to divide the awards among bidders or to award all items to one Vendor.

6. All questions pertaining to the proposal shall be submitted electronically via PennBid’s “Questions” tab.

http://www.pennbid.net/

PROPOSAL FORM – EXHIBIT “A” (CONT’D 3)

“Harley Davidson Police Motorcycle Contract”

Board of Supervisors Whitpain Township 960 Wentz Road Blue Bell, PA 19422

Members of the Board:

(Bidder’s Company Name) hereby certifies that they have acknowledged and agreed to the terms of the “2026 Harley Davidson Police Motorcycle

Contract” in accordance with this proposal.

Further, the bidder, by completing “Proposal Form- Exhibit A” certifies that each of the bid items listed below is pursuant to the specifications, terms and conditions for submitting a responsive bid to the requirements set forth.

The Undersigned declares:

1. That no person other than the persons named herein has any interest in this proposal or in the Contract proposed to be taken.

2. That have personally examined the bidding documents and have been satisfied as to what is required.

3. That will enter into a contract for supplying all such parts of the contract as the Township’s award.

4. That will furnish all of the items listed in:

Whitpain Township Harley Davidson Police Motorcycle Contract

PROPOSAL FORM - EXHIBIT "A" (CONT'D 4)

BASE BID ITEMS:

Bid Item

No.

Description Quantity

Unit of

Measure Unit Price Total Price

LINE 1 2026 Harley Davidson Road Glide Police Motorcycle (FLTRXP) - 010 Vivid Black

2 Each $ $

LINE 2 (Base Bid Items Line 1) = Purchase Total $

ADD ALTERNATE BID ITEMS

Bid Item

No.

Description Quantity

Unit of

Measure

Trade In

Value Total Price

LINE 1

Trade-In Value 2017 Harley Davidson FLHTP Police Motorcycle

VIN# 1HD1FMC11HB613449

with 5,076 miles (#46-19)

1 Each $ $

LINE 2

Trade-In Value 2017 Harley Davidson FLHTP Police Motorcycle

VIN# 1HD1FMC18HB615053

with 4,617 miles (#46-20)

1 Each $ $

LINE 3 (Add Alternate Bid Items (Line 1 plus Line 2) = Trade In Value Total $

LINE 4 (Add Alternate Bid Items Line 3 minus Base Bid Items Line 2) = Net Purchase Price $

PROPOSAL FORM – EXHIBIT “A” (CONT’D 5)

“Harley Davidson Police Motorcycle Contract”

PLEASE NOTE: WHITPAIN TOWNSHIP BOARD OF SUPERVISORS RESERVES

THE RIGHT TO REJECT ANY AND ALL BIDS, AND TO WAIVE INFORMALITIES

AND MINOR IRREGULARITIES IN OFFERS RECEIVED. IN ADDITION, Whitpain

Township’s BOARD OF SUPERVISORS RESERVE THE RIGHT TO AWARD OR

OMIT ITEMS/LOCATIONS IN ORDER TO MEET BUDGETARY REQUIREMENTS.

SIGNATURE:

BIDDERS MUST SIGN HERE

CORPORATE OR FIRM: ___________________________________________________________

INDIVIDUAL: _________________________________________________________________

TITLE: ______________________________________________________________________

PHONE: ______________________ DATE: __________________

NAME OF CONTACT PERSON: ______________________ TELEPHONE: __________________

TITLE: ______________________ FAX: __________________

NOTE: A CO-PARTNERSHIP MUST GIVE THE FIRM NAME

AND SIGNATURE OF PARTNER WITH TITLE.

A CORPORATION MUST GIVE THE FULL

CORPORATE NAME, SIGNATURE OF OFFICIAL

WITH TITLE AND AFFIX THE CORPORATE SEAL.

SEAL:

DETAILED SPECIFICATIONS – EXHIBIT “B”

SCOPE OF WORK: It is the intention of these specifications to provide a contract for the purchase and delivery of (2) new 2026 Harley Davidson Road Glide Police Motorcycles (FLTRXP) in Vivid Black with all accessories shown in Exhibit A for Whitpain Township ’ s Police Department.

1. Each motorcycle MUST have all the above accessories properly installed.

2. Delivery of each motorcycle is to be included in the bid price to Whitpain Township’s Police Building, both motorcycles will be delivered upon completion at no additional cost to the Township.

3. Each Harley Davidson Motorcycle MUST come with an original “Parts & Accessories Warranty” received from the distributor.

4. In addition to a Base Bid for the purchase and delivery of (2) new 2026 Harley Davidson Road Glide Police Motorcycles (FLTRXP) in Vivid Black, Whitpain Township is also considering Add Alternate Bid Items to include the trade-in of either one or both of our existing 2017 Harley Davidson FLHTP Police Motorcycles as part of this purchase contract. Each existing motorcycle includes all of the sirens and emergency light kits as shown in the pictures included at the end of these specifications. Whitpain Township Police Department will remove the radio systems from both motorcycles, as they are not included in the trade-in of either 2017 Harley Davidson Police FLHTP Motorcycle. If you would like to inspect either one of the existing motorcycles considered for trade-in, please contact Lt. Frank Franco at 610-279-9033 Ext. 253 to schedule a site visit.

5. Please note that the two existing motorcycles considered for trade-in are still in service, so the recorded mileage could change slightly between the time of the recorded mileage and the time of the actual trade-in.

DETAILED SPECIFICATIONS – EXHIBIT “B”

“Harley Davidson Police Motorcycle Contract”

ABOUT OUR ONE-YEAR OVER-THE-COUNTER

PARTS AND ACCESSORIES WARRANTY

To obtain warranty service, return the affected component(s) with proof of purchase, at your expense, within the limited warranty period to an authorized Harley-Davidson dealer.

Harley-Davidson warrants that street legal Genuine Motor Parts (“Parts”) and street legal Genuine Motor Accessories (“Accessories”) that are purchased on or after January 1, 2012, through the Harley-Davidson® Online Store or an authorized dealer will be free from factory defects, under normal use and service, for a period of one year starting from the date of retail sale and delivery (not date of installation). Because this limited warranty covers only Parts and Accessories, labor is not covered. This limited parts warranty does not cover defects or damage due to abuse, misuse or improper installation. This parts warranty applies to Parts and Accessories you or an aftermarket shop have installed, but only for defects in manufacturing— not conditions caused by the improper installation.

This Parts and Accessories warranty is separate and distinct from the limited factory warranty that applies to your stock motorcycle. This Parts and Accessories warranty does not extend or modify the factory warranty that applies to your motorcycle. It only covers the street legal Genuine Motor Parts and street legal Genuine Motor Accessories added to your motorcycle.

This Parts and Accessories warranty does not cover defects, damage or premature wear to your motorcycle that are caused by the installation or use of Parts and Accessories, even those installed by an authorized dealership. Examples include, but are not limited to performance-enhancing powertrain components or software, exhaust systems, non-approved tires, lowering kits, handlebars, add-ons connected to the factory electrical system, etc.

The fact that Parts or Accessories are labeled or branded Harley-Davidson, or are sold or installed by an authorized dealership, does not necessarily make them appropriate or warranted for the make and model of your motorcycle. The use of Parts and Accessories not designed and tested for your motorcycle may have negative consequences on the performance of your motorcycle and may create conditions not covered by the limited factory warranty.

The remedy for breach of this limited Parts and Accessories warranty is expressly limited to the repair or replacement of any component that proves to be defective, and does not extend or create liability for consequential damages, costs or expenses, including loss of time, inconvenience, or loss of use of the motorcycle. Any implied warranty, including warranty of merchantability or fitness for a particular purpose, is expressly limited to the duration of this limited one-year Parts and Accessories warranty, or to the shortest duration permitted by the laws in your state.

Excluded Components:

All Genuine Motor Parts & Accessories will qualify for the one-year over-the-counter warranty, with the following exceptions:

• Tires

• Chemicals

• Premium Luggage (two years)

• Audio and Navigation (see Radio/Electronic Warranty Matrix on h-dnet.com)

• Non-street legal components (including Screamin’ Eagle Pro)

• Anything with a manufacturer/factory warranty

• Other disposable and consumable items

INSTRUCTIONS FOR NON-COLLUSION AFFIDAVIT – EXHIBIT “C”

“Harley Davidson Police Motorcycle Contract”

1. This Non-Collusion Affidavit is material to any contract awarded pursuant to this bid. According to the Pennsylvania Anti Bid-Rigging Act, 73 P.S., subsection 1611 et seq., governmental agencies may require Non-Collusion Affidavits to be submitted together with bids.

2. This Non-Collusion Affidavit must be executed by the member, officer or employee of the bidder who makes the final decision on price(s) and the amount

(s) quoted in the bid.

3. Bid rigging and other efforts to restrain competition, and the making of false sworn statements in connection with the submission of bids are unlawful and may be subject to criminal prosecution. The person who signs the Affidavit should examine it carefully before signing and assure himself or herself that each statement is true and accurate, making diligent inquiry, as necessary, of all other persons employed by or associated with the bidder with responsibilities for the preparation, approval or submission of the bid.

4. In the case of a bid submitted by a joint venture, must be identified in the bid documents, and an Affidavit must be submitted separately on behalf of each party.

5. The term “complementary bid” as used in the Affidavit has the meaning commonly associated with that term in the bidding process, and includes the knowing submission of bids higher than the bid of another firm, any intentionally high or non-competitive bid, and any other form of bid submitted for the purpose of giving a false appearance of competition.

6. Failure to file an Affidavit in compliance with these instructions will result in disqualification of the bid.

NON-COLLUSION AFFIDAVIT – EXHIBIT “D”

I state that I am of authorized

(Title) (Name of Firm) to make this affidavit on behalf of my firm, and its owners, directors, and officers. I am the person responsible in my firm for the prices(s) and the amount of this bid.

I state that:

1. The price(s) and amount of this bid have been arrived at independently and without consultation, communication or agreement with any other contractor, bidder or potential bidder.

2. Neither the price(s) nor the amount of this bid, and neither the approximate price(s) nor approximate amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder, and they will not be disclosed before bid opening.

3. No attempt has been made or will be made to induce any firm or person to refrain from bidding on this contract, or to submit a bid higher than this bid, or to submit any intentionally high or non-competitive bid or other form of complementary bid.

4. The bid of my firm is mad in good faith and not pursuant to any agreement or discussion with, or inducement from, any firm or person to submit a complementary or other non-competitive bid.

5. , is affiliates, subsidiaries, officers, directors and (Name of Firm) employees are not currently under investigation by governmental agency and have not in the last four years been convicted or found liable for any act prohibited by State of Federal Law in any jurisdiction, involving conspiracy or collusion with respect to bidding on any public contract, except as follows:

I state that understands and acknowledges that (Name of Firm) the above representations are material and important, and will be relied on by in awarding the contract(s) for which

(Name of Public Entity) this bond is submitted. I understand and my firm understands that any misstatement in this affidavit is and shall be treated as fraudulent concealment from of the true facts relating to the

(Name of Public Entity) submission of bids for this contract.

(Signature)

(Position in Company)

SWORN TO AND SUBSCRIBED

BEFORE ME THIS DAY OF 20 _.

STATE OF: CONTRACT/BID NO.:

COUNTY OF:

:S.S.

AGREEMENT-EXHIBIT “E”

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES

SALES OF GOODS AND MERCHANDISE AGREEMENT

THIS AGREEMENT, entered into on this ___ day of __ 2 _________ by and between Whitpain Township (Township), and ___________________ Independent Contractor/Business or a corporation organized under the laws of “Commonwealth of PA” (“I.C.”).

WITNESSETH

WHEREAS, Township requested proposals for construction, sales of goods, merchandise or supply materials, products or perform a service, which Request for Proposal is attached as Exhibit “A” and incorporated herein;

WHEREAS, I.C. submitted a Proposal to the Township, attached hereto as Exhibit “B” and incorporated herein, and desires to provide services under the Proposal in accordance with the terms and conditions of said Proposal and the terms and conditions set forth herein.

NOW, THEREFORE, in consideration of the mutual covenants contained herein, and intending to be legally bound hereby, the parties hereto agree as follows:

1. SCOPE OF SERVICES

In accordance with the terms and conditions of this Agreement, I.C. agrees to perform the following services for the Township, as set forth expressly in the Proposal:

a. CONTRACT: 2026 HARLEY DAVIDSON POLICE MOTORCYCLE CONTRACT

b. RECEIVED: Monday, April 20, 2026 (Date of Bid)

2. TIME OF PERFORMANCE

I.C. shall perform services in accordance with the time schedules set forth as Exhibit “C” to this Agreement and incorporated herein. I.C. shall begin performance of services as specified on the “WRITTEN NOTICE TO PROCEED”. I.C. shall complete its services for each specified item on Exhibit “C” at the time specified on Exhibit “C”, or listed on the proposal form Exhibit “A”.

3. PRICE AND PAYMENT

I.C. shall perform the work required under this Agreement for a price awarded by the Board of Supervisors (“hereinafter the “Total Contract Price”). Payment for services will be governed by the following terms:

a. Invoices submitted in accordance with payment schedule.

4. TERM

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES SALES

OF GOODS AND MERCHANDISE AGREEMENT (CONT’D-2)

This Agreement shall expire at the Township’s discretion. The Agreement may be renewed for an additional year and for successive twelve month periods thereafter.

Renewals will be a continuation of existing terms and conditions. No change in contract price or scope of services will be made by the exercise of renewal option unless specified in the Contract Documents contained in the Bid Proposal (Alternative Provision). This Agreement is effective as of the date signed by both parties and shall continue in effect until cancelled by either party upon written notice to the other party.

5. TERMINATION

a. Termination for Cause. This Agreement may be immediately terminated by the Township, in whole or in part, for cause. “Cause shall include: (i) I.C.’s failure to perform services specified in the Agreement within the time specified by the Township; (ii) I.C.’s failure to perform services specified in this Agreement in the manner agreed upon by the Parties; or (iii) I.C.’s failure to perform services specified in the Agreement at a level of quality satisfactory to the Township.

The termination date shall be the earlier of the date of issuance of notice transmitted by facsimile, receipt of notice transmitted by overnight mail or express delivery, or the third business day after mailing a notice by regular or certified mail. Said notice shall specify the extent to which performance of the work under this Agreement is terminated. A determination of cause shall be made by the Township within its sole discretion.

In the event that the Township terminate this Agreement in whole or in part pursuant to Section 5(a), the Township may procure, upon such terms and in such manner as the Township may deem appropriate, services similar to those so terminated, and I.C. shall be liable to the Township for any costs for such similar services beyond the cost that the Township would have incurred had I.C. performed such services; provided that I.C. shall continue the performance of this Agreement to the extent not terminated under the provision of the Section.

If this Agreement is terminated for cause, the Township may in its discretion withhold payment to I.C. for any activities which upon review and in good faith, the Township concludes did not contribute to the progress of services to be rendered.

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES SALES

OF GOODS AND MERCHANDISE AGREEMENT (CONT’D-3)

b. Termination Without Cause. This Agreement may be terminated, in whole or in part, without cause by either party with THIRTY (30) days after the date of notice transmitted by any of the means set forth in Section 5(a). During the THIRTY (30) day notice period, the parties agree to continue to perform their respective duties and obligations under this Agreement.

In the event of termination under either Section 5(a) or Section 5(b), the Township may require I.C. to transfer title to and deliver to the Township such documents that I.C. has in its possession in connection with the performance of the Agreement.

6. INDEPENDENT CONTRACTOR RELATIONSHIP

I.C. is an independent contractor and is not an employee, servant, agent, partner or joint venture of the Township. The Township shall determine the work to be done by I.C., but I.C. shall determine the legal means by which it accomplishes the work specified by the Township. The Township is not responsible for withholding, and shall not withhold, taxes of any kind from any payments which it owes to I.C.

7. WORK PRODUCT

The Township shall have the absolute right to receive and to use all written reports, work sheets, statements, studies and other work product of similar nature which are prepared by I.C. in connection with this Agreement and may use the materials or information for any official purpose and in whatever manner it deems desirable and appropriate, including disclosure to the general public. Such use shall be without any additional payment or approval by I.C., and I.C. relinquishes any and all rights to copyright such data produced pursuant to his Agreement.

8. QUALITY OF WORK

All work performed by I.C. shall be of the highest standards of the profession, and I.C. shall give the work of the Township its fullest attention.

9. INSURANCE

I.C. shall furnish the Township with current certificates of coverage of I.C. and proof of payment of I.C. for workers’ compensation insurance, general liability insurance, motor vehicle insurance and such other insurance as the Township may require, with limits of liability as set forth in the Request for Proposal, attached hereto as Exhibit “A”, to insurance against any and all liabilities, claims settlements, judgments, awards and verdicts which may arise out of performance of this Agreement.

10. RISK

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES SALES

OF GOODS AND MERCHANDISE AGREEMENT (CONT’D-4)

I.C. shall perform all services at its own risk. I.C. agrees to indemnify, defend and save harmless the Township and the Township’s agencies, officers, agents and employees, from and in connection with any and all liabilities, claims, damages, costs, losses, settlements, judgments, awards and verdicts arising out of or accruing in connection with or resulting from the performance of this Agreement. I.C. obligations under this section include but shall not be limited to the insurance obligations of I.C. under Section 9.

11. ASSIGNMENT

The rights and obligations under this Agreement may not be assigned, either in whole or in part, without the consent of the Township.

12. BUSINESS TERMINATION

In the event that I.C. shall cease conducting business in the normal course, become insolvent, make a general assignment for the benefit of creditors, suffer or permit the appointment of a receiver for its business or assets or avail itself or become subject to any proceeding under the Federal Bankruptcy Code or any other statute of the United States or state relating to insolvency or protection of rights of creditors, then, at the option of the Township, this Agreement shall terminate, except that the Township shall make payments for the work performed hereunder before such termination, and any property or rights of the Township, tangible or intangible, shall be returned to the Township forthwith.

13. COVENANT AGAINST GRATUITIES

No gratuities in the form of entertainment, gifts or other forms have been or may be offered or given by I.C. or any agent or representative of I.C. to any officer or employee or agent of the Township with a view towards securing contract favorable treatment with respect to the awarding or amending of, or the making of any determination with respect to the performance of, this contract.

14. COMPLIANCE WITH LAWS

I.C. and all subcontractors of I.C. shall at all times observe and comply with all federal, state and local laws, ordinances and regulations in any manner affecting the conduct of the work or the subject matter of this Agreement, or applicable to employees doing the work, or for which liability may accrue from any violation thereof. I.C. shall also comply with all orders or decrees that have been promulgated or enacted or that may be promulgated or enacted by any legal bodies or tribunals having authority or jurisdiction over the work, materials, employees or contract. I.C. must possess a valid waste hauling permit.

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES SALES OF

GOODS AND MERCHANDISE AGREEMENT (CONT’D-5)

15. CONSENT TO BREACH NOT WAIVER

No terms or provisions of this Agreement shall be deemed waived and not breach excused, unless such waiver or consent shall be in writing and signed by the parties hereto. Any consent by the Township to or waiver of a breach by I.C., whether expressed or implied, shall not constitute consent to, waiver or excuse for any other different or subsequent breach.

16. LAW

This Agreement shall be governed and construed in accordance with the laws of the Commonwealth of Pennsylvania and the United States of America.

17. CONTRACT INTEGRATION

This Agreement constitutes the entire Agreement between the parties, together with the “Exhibits” incorporated herein. Terms and conditions of the Agreement shall prevail over any other terms and conditions found in any order, invoice or other documents submitted by I.C. to the Township.

18. AMENDMENTS

Any changes in the terms and conditions of this Agreement, including changes in the contract price or scope of service, shall be effective only when incorporated in any written amendment to this Agreement executed by the parties.

19. NOTICES

Any notices required or permitted under this Agreement shall be in writing, delivered by hand with written confirmation of receipt, by facsimile with acknowledgement of same, by overnight delivery or certified mail (return receipt requested), addressed as follows:

a. To the Township at:

Eric Traub

TOWNSHIP MANAGER

Whitpain TOWNSHIP

960 Wentz ROAD

Blue Bell, PA 19422

b. To I.C. at:

Harley Davidson Police Motorcycle Contract

INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICES SALES OF

GOODS AND MERCHANDISE AGREEMENT (CONT’D-6)

Except as provided otherwise in this Agreement, all notices under this Agreement shall be deemed duly given upon delivery, if delivered by hand with written acknowledgement of receipt or facsimile with response of same or overnight delivery or on the date given on the certified mail receipt, or on the third business day after posting if no date is indicated on the receipt or if the certified mail item is not claimed.

IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date shown below.

ATTEST:

BY:__________________________________ BY:____________________________________

NAME: Eric Traub

TITLE: Township Manager

(AFFIX CORPORATE SEAL)

SIGNATURES:

CONTRACTOR:

ATTEST:____________________________ BY: ___________________________________

PRINT NAME:

TITLE: TITLE:

DATE: ____________________________ DATE: __________________________________

(AFFIX CORPORATE SEAL)

EMPLOYMENT VERIFICATION FORM–EXHIBIT “F”

POLICE EMPLOYMENT VERIFICATION FORM

DATE: _________________

BUSINESS OR ORGANIZATION NAME (EMPLOYER): _______________________________________

Address: ________________________________________________________________________

CITY: _____________________ State: _____________ Zip Code: ___________________

(CHECK ONE):

CONTRACTOR SUBCONTRACTOR

CONTRACTING PUBLIC BODY: ___________________________________________________

CONTRACT/PROJECT NO: ___________________________________________________

PROJECT DESCRIPTION:

PROJECT LOCATION:

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act (‘the Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States Department of Homeland Security. To the best of my/our knowledge, all employees hired post January 1, 2013 are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal EVP upon each new hire shall be maintained in the event of an investigation or audit.

I, , authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

AUTHORIZED REPRESENTATIVE SIGNATURE

46-19

46-20