25-08 Tree Trimming Maintenance and Stump Grinding Bid.pdf
PDF 682 KB Posted
- Solicitation number
- 25-08
- Issued by
- Cape May County, New Jersey
About this file
This document is an Invitation for Public Bid #25-08 issued by the City of Cape May, Cape May County, New Jersey, for Tree Trimming, Maintenance, and Stump Grinding Services. The bid is scheduled to be opened electronically on June 3, 2025, at 10:00 A.M. through the BIDNET platform. The contract term is two years with an option for an additional two-year extension. The contractor will be responsible for emergency tree services, including removal of fallen limbs, uprooted trees, and whole tree removal, with a requirement to be on-site within one hour of notification and available 24/7/365. The scope includes tree removal and pruning for trees ranging from 6" to 48"+ in diameter, with specific requirements for stump grinding, debris removal, and maintenance of work zones.
The bid requires comprehensive documentation, including a Business Registration Certificate, Non-Collusion Affidavit, Ownership Disclosure Form, and certifications regarding investment activities in Iran and Russia/Belarus. Bidders must have a New Jersey Tree Experts and Tree Care Operators License and provide proof of insurance. The City will award the contract to the lowest responsible bidder, with pricing to be submitted for scheduled and emergency work during and outside normal business hours. Additional requirements include attending monthly Shade Tree Commission meetings, maintaining specific equipment (including an aerial lift, grapple loader, chipper, crane, and stump grinder), and adhering to strict safety and traffic management protocols during tree service operations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sample endorsements and COI.pdf | ||
| insurance coverages.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
1 | P a g e
Invitation for Public Bid # 25-08
TREE TRIMMING, MAINTENANCE AND STUMP GRINDING SERVICES
City of Cape May, Cape May County, N.J.
June 3, 2025, at 10:00A.M.
MAYOR & COUNCIL
Mayor Zachary Mullock
Deputy Mayor Maureen K. McDade Councilmember Lorraine M. Baldwin
Councilmember Steve Bodnar Councilmember Shaine P. Meier Erin C. Burke, RMC, City Clerk
Paul Dietrich, City Manager
2 | P a g e
LEGAL NOTICE
Notice is hereby given by the City of Cape May that a invitation for public bid will be received by the City on June 3, 2025 at 10:00A.M., prevailing time conducted on electronic platform, in accord with N.J.A.C. 5:34-1 et. Seq., on
BIDNET at www.bidnetdirect.com//capemaycity
BID# 25-08 TREE TRIMMING, MAINTENANCE AND STUMP GRINDING SERVICES
NOTE:
It is the bidder’s responsibility to ensure that the bid package is uploaded onto the e-procurement site by the bid opening date and time. Any bid document received after the deadline established by the Department of
Purchasing will not be accepted, regardless of the method of delivery.
Bidders must comply with the requirements of N.J.S.A. 10:5-31 et seq., and
N.J.A.C. 17:27 et. Seq., For zoom contact and opening invitation please contact the Qualified Purchasing Agent at scanning@thecanninggroup.org
The City of Cape May will award this bid to the lowest responsible bidder in accord with N.J.S.A. 40A:11-4A.
Date: April 21, 2025 Erin C. Burke
City Clerk http://www.bidnetdirect.com/capemaycity mailto:scanning@thecanninggroup.org
3 | P a g e
Applicable to Bid if marked “X”
DOCUMENTATION REQUIRED OR REVIEWED
Initials When Due
Bid Guarantee (Bid Bond or Certified/Cashier’s Check) (with POA for full amount of Bid Bond)
With Bid
Submission
Consent of Surety (Certificate from Surety company)
Performance Bond and Labor and Material Payment Bond (Required from the Awarded Contractor)
At signing of contract
Maintenance Bond in the Amount of 100 % for a period indicated in
“General Conditions” Required from the Awarded Contractor Upon
Acceptance of Project
Upon
Acceptance of
Project
Acknowledgement of Receipt of Addenda (To be Completed if
Addenda are Issued)
X Ownership Disclosure Form With Bid
Submission
Named Subcontractors in Bid for Listed Specialty Trades
Public Works Contractor Registration Certificate(s) for the Bidder and all Sub Contractors
Prior to Award, but effective at time of bid
X Business Registration Certificate – Bidder and all Sub Contractors Prior to Contract
Award
X Non-Collusion Affidavit With Bid
Submission
X Experience and Qualifications With Bid
Submission
X Insurance and Indemnification Certificate Prior to Contract
Award
X Disclosure of Investment Activities in Iran Form Prior to Contract
Award
X Disclosure of Investment Activities in Russia Form Prior to Contract
Award
Federal debarment Form Prior to Contract
Award
Prevailing Wage Certification (PL 2021, C301) Prior to Contract
Award
Equipment Certification
EEO/AA Form AA-201
After Notice of
4 | P a g e
Award, Prior to
Signing Contract
X EEO/AA Form AA-302 or Letter of Federal Approval or Certificate of Employee Information Report
After Notice of
Award, Prior to
Signing Contract
X Bidder’s Checklist
This checklist is provided for bidder’s use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications.
Bidder Name: Date:
Authorized
Representative:
Signature:
Print Name &
Title:
5 | P a g e
1.0 SCOPE
a. It is the intent of the City of Cape May to establish a contract for Tree Removal & Emergency
Services on Street and Park Trees, and City Owned Properties/Vacant Lots.
b. Contractor must have a New Jersey Tree Experts and Tree Care Operators License (N.J.S.A.
45:15C-11 et seq.)
2.0 EMERGENCY SERVICES
a. Emergency, on demand, tree services including but not limited to down limbs and/or uprooted trees, hanging limbs, roads/sidewalks blocked by limbs and/or trees, trimming, whole tree removal.
b. Work shall be performed in accordance with ANSI Z133.1-2017 Standard for removing trees and cutting brush.
c. No work shall be subcontracted out.
d. The contractor shall be available for emergency calls twenty- four (24) hours a day, 365 days a year throughout the duration of the contract.
e. The contractor shall be on site to emergency calls no later than one (1) hour after notification.
The contractor shall be available via phone service or cell phone at all times.
f. The minimum call out time shall be four (4) hours from the time contact is made and location(s) given. There shall be only one four (4) hour call out payment for each (4) four hour period regardless of the number of times a contractor is called during such period.
3.0 DEBRIS REMOVAL:
a. All wood, limbs or brush to be removed and area cleaned up.
b. Brush will not be allowed to accumulate so as to create a hazard.
4.0 STUMP CUT
a. Flush cut the stump (no more than 6" above grade).
5.0 REGULAR HOURS/OVERTIME
a. Straight time hours are defined as normal daily business hours (7:30am to 3:30pm), Monday through Friday.
b. Time and a half hours are defined as outside normal daily business hours, Monday through Friday or recognized holiday.
c. Equipment and personnel will be stipulated by the City of Cape May.
d. Public works applicability
e. This contract will be NOT BE considered public work under NJ.S.A. 12:60-2.1
f. Recognized Holidays – New Year’s Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving, Christmas
g. A representative from the awarded vendor must attend all Cape May City Shade Tree
Commission Meetings. Which are scheduled for 2025 to meet at 2:00pm at Cape May City Hall, 643 Washington Street, Cape May, NJ 08204, but not limited to:
Tuesday, January 14, 2025
Tuesday, February 11, 2025
Tuesday, March 11, 2025
Tuesday, April 8, 2025
Tuesday, May 13, 2025
Tuesday, June 10, 2025
Tuesday, July 8, 2025
Tuesday, August 12, 2025
Tuesday, September 9, 2025
Tuesday, October 14, 2025
Tuesday, November 18, 2025
Tuesday, December 9, 2025
h. No Separate payment will be made for meeting attendance.
i. Dates for subsequent years of contract will be provided during contract term.
6.0 EQUIPMENT MINIMUM REQUIREMENTS
a. Aerial Lift – Minimum 60’ working height, electrically insulated Grapple Loader – Minimum Class B truck with 8,500 lifting capacity
b. Chip Truck and Chipper – Minimum 12” material intake capacity
c. Crane – Minimum 35 ton
d. Stump Grinder – Minimum 50 hp and 17” cutter wheel diameter
7.0 MAINTENANCE AND PROTECTION
a. Work sites with Motor Vehicle Access
b. All state and local laws applying to zone set up and traffic control on City streets shall be adhered to.
c. Perimeter of the work zone shall be delimited by cones, barricades or signage.
d. Sidewalks are to be coned off.
e. Cutting and dropping of limbs is not permitted without ground personnel to assure public safety.
f. Two way traffic must be maintained at all times when street is not closed.
g. Pedestrian traffic is to be maintained at all times.
h. Street Closing
i. No arterial shall be closed.
j. must be notified of any street closing.
k. Barricades must be placed at intersecting streets.
l. Work with Limited or No Motor Vehicle Access:
m. The perimeter of the work zone shall be delimited by cones, barricades, barricade tape or signs.
n. Limbs and branches larger than three (3) inches in diameter shall be lowered to the ground through the use of ropes or mechanical means.
o. Any work that necessitates the closure or modification of traffic patterns must be reported to the
Cape May Police Department in accordance with the procedure established by the Cape May
Police.
8.0 DAMAGE
a. All damage to public or private property must be immediately reported to the City Department of Public Works Office and Administration Office.
b. All damage to utilities must be reported to the managing utility company and City Department of Public Works Office and Administration Office.
c. The Contractor is responsible for any damage caused by its crews.
d. Incidental lawn damage shall be repaired.
9.0 TERM OF CONTRACT
a. The term of the contract resulting from this bid invitation shall be in effect for two (2) years with an option for an additional two (2) year extension per NJSA 40A:11-15.
10.0 INSURANCE
a. The contractor shall procure and maintain at his/her own expense until final acceptance of the work covered by the contract documents, insurance for liability for damages imposed by law of the kinds and in the amounts hereinafter provided from insurance companies authorized to do such business in the State of New Jersey covering all operations under the contract documents whether performed by him or his subcontractors.
b. Within ten days of request, the contractor shall furnish to the City Purchasing Agent a certificate or certificates of insurance in form satisfactory to the City Purchasing Agent showing that he/she has complied with this Section, which certificate or certificates shall provide that policies shall not be materially changed or canceled until ten days’ written notice has been given to the City
Purchasing Agent.
c. In each policy of insurance, except insurance for Worker’s Compensation and Disability
Insurance, the City shall be named as an additional insured for liability arising under this agreement. Except for Workers’ Compensation and Disability Insurance, no insurance required herein shall contain any exclusion of municipal operations performed in connection with the project.
d. The kinds and amounts of insurance are as follows:
e. Workers’ Compensation and Disability Insurance:
f. The agreement shall be void and of no effect unless the person or corporation making or executing the same shall secure Compensation and Disability coverage, covering all operations under the contract– whether performed by him or his subcontractors–for the benefit of, and keep insured during the life of said agreement, employees in compliance with the provisions of the Workers’ Compensation Law.
11.0 Workers’ Compensation Insurance
i. A policy covering the operations of the contractor in accordance with the provisions of the Workers’ Compensation Law.
12.0 Questions and submittals
a. All questions and submittals shall be through bidnetdirect only.
BID SCHEDULE
1. Removal of Trees - 6”-48”+ Diameter at breast height (DBH)
48”+ DBH Each $
36-42” DBH Each $
30-36” DBH Each $
24-30” DBH Each $
18-24” DBH Each $
12-18” DBH Each $
6”-12” DBH Each $
2. Pruning of Trees - 6”-48”+ Diameter at breast height (DBH) Scheduled during normal work hours.
- Price per hour for a 3-person crew, bucket truck and chipper $___________
- Price per inch for stump grinding, with clean up $___________
COST OF EMERGENCY CALL-IN WORK:
(If resources are available – this is NOT a part of Base Bid in calculation of lowest responsible bidder)
During Normal Work Hours
Outside Normal Work Hours
Company Name Federal ID # or Social Security #
Address
Signature of Authorized Agent Type or Print Name
Telephone Number Date
Fax Number E-mail address
EXHIBIT A
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127)
N.J.A.C. 17:27-1.1 et seq.
GOODS, GENERAL SERVICES, AND PROFESSIONAL SERVICES CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal employment opportunity is afforded to such applicants in recruitment and employment, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, affection- al or sexual orientation, gender identity or expression, disability, nationality or sex. Such equal employment opportunity shall include, but not be limited to the following: employment, up- grading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprentice- ship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.
The contractor or subcontractor will send to each labor union, with which it has a collective bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor union of the contractor's commitments under this chapter and shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to meet targeted county employment goals established in accordance with N.J.A.C. l7:27-5.2.
EXHIBIT A (Cont)
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including, but not limited to, employment agencies, placement bureaus, colleges, universities, and labor unions, that it does not discriminate on the basis of age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the State of New Jersey and as established by applicable Federal law and applicable Federal court decisions.
In conforming with the targeted employment goals, the contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.
The contractor shall submit to the public agency, after notification of award but prior to execution of a goods and services contract, one of the following three documents:
Letter of Federal Affirmative Action Plan Approval; Certificate of Employee
Information Report; or
Employee Information Report Form AA-302 (electronically provided by the Division through the Division’s website at: http://www.state.nj.us/treasury/contract_compliance.
The contractor and its subcontractors shall furnish such reports or other documents to the Division of Purchase &
Property, CCAU, EEO Monitoring Program as may be request- ed by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Division of Purchase & Property, CCAU, EEO Monitoring Program for conducting a compliance investigation pursuant to N.J.A.C.
17:27-1.1 et seq.
http://www.state.nj.us/treasury/contract_compliance
NEW JERSEY ANTI-DISCRIMINATION PROVISIONS
N.J.S.A. 10:2-1 ET SEQ.
Pursuant to N.J.S.A. 10:2-1, if awarded a contract, the contractor agrees that:
a. In the hiring of persons for the performance of work under this contract or any subcontract hereunder, or for the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under this contract, no contractor, nor any person acting on behalf of such contractor or subcontractor, shall, by reason of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex, discriminate against any person who is qualified and available to perform the work to which the employment relates;
b. No contractor, subcontractor, nor any person on his behalf shall, in any manner, discriminate against or intimidate any employee engaged in the performance of work under this contract or any subcontract hereunder, or engaged in the procurement, manufacture, assembling or furnishing of any such materials, equipment, supplies or services to be acquired under such contract, on account of race, creed, color, national origin, ancestry, marital status, gender identity or expression, affectional or sexual orientation or sex;
c. There may be deducted from the amount payable to the contractor by the contracting public agency, under this contract, a penalty of $50.00 for each person for each calendar day during which such person is discriminated against or intimidated in violation of the provisions of the contract; and
d. This contract may be canceled or terminated by the contracting public agency, and all money due or to become due hereunder may be forfeited, for any violation of this section of the contract occurring after notice to the contractor from the contracting public agency of any prior violation of this section of the contract.
Experience & Qualifications Questionnaire
This questionnaire must be filled out and submitted as a part of the Proposal. Failure to complete this form or to provide any of the requested information will be grounds for the rejection of the bid proposal. If additional space is required, the respondent shall add additional sheets, which identify the question being answered.
Number of years in business under present name & address:
If less than 5 years, list previous names and address:
Within the last 5 years has the business or any officer/partner failed to complete a contract awarded to them: . If yes, provide the details in on a separate page.
Have any liens and lawsuits been filed against the company in the past 5 years:
If yes, please provide details:
List similar services you are now providing for which you have signed contract, but not yet started work:
List all major subcontractors to be used to complete the service and the area of their responsibility:
Please provide at least 3 references below:
Name: Phone:
Address:
Equipment/Service Provided:
Contract Amount:
New Jersey Business Registration Certification
Pursuant to N.J.S.A. 52:32-44, The City of Cape May (“Contracting Agency”) is prohibited from entering into a contract with an entity unless the bidder/proposer/contractor, and each subcontractor that is required by law to be named in a bid/proposal/contract has a valid Business Registration Certificate on file with the
Division of Revenue and Enterprise Services within the Department of the Treasury.
Prior to contract award or authorization, the contractor shall provide the Contracting Agency with its proof of business registration and that of any named subcontractor(s).
Subcontractors named in a bid or other proposal shall provide proof of business registration to the bidder, who in turn, shall provide it to the Contracting Agency prior to the time a contract, purchase order, or other contracting document is awarded or authorized.
During the course of contract performance:
(1) the contractor shall not enter into a contract with a subcontractor unless the subcontractor first provides the contractor with a valid proof of business registration.
(2) the contractor shall maintain and submit to the Contracting Agency a list of subcontractors and their addresses that may be updated from time to time.
(3) the contractor and any subcontractor providing goods or performing services under the contract, and each of their affiliates, shall collect and remit to the Director of the Division of Taxation in the Department of the Treasury, the use tax due pursuant to the Sales and Use Tax Act, (N.J.S.A.
54:32B-1 et seq.) on all sales of tangible personal property delivered into the State. Any questions in this regard can be directed to the Division of Taxation at (609)292-6400. Form NJ-REG can be filed online at http://www.state.nj.us/treasury/revenue/busregcert.shtml.
Before final payment is made under the contract, the contractor shall submit to the Contracting Agency a complete and accurate list of all subcontractors used and their addresses.
Pursuant to N.J.S.A. 54:49-4.1, a business organization that fails to provide a copy of a business registration as required, or that provides false business registration information, shall be liable for a penalty of $25 for each day of violation, not to exceed $50,000, for each proof of business registration not properly provided under a contract with a contracting agency.
Emergency Purchases or Contracts
For purchases of an emergent nature, the contractor shall provide its Business Registration Certificate within two weeks from the date of purchase or execution of the contract or prior to payment for goods or services, whichever is earlier.
http://www.state.nj.us/treasury/revenue/busregcert.shtml
SAMPLE BUSINESS REGISTRATION CERTIFICATE
Americans with Disabilities Act of 1990
The CONTRACTOR and the OWNER do hereby agree that the provisions of Title 11 of the Americans
With Disabilities Act of 1990 (the "ACT") (42 U.S.C~ S12101 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 act benefit, or service on behalf of the OWNER 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
OWNER in any action or administrative proceeding commenced pursuant to this Act. The Contractor shall indemnify, protect, and save harmless the OWNER, 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 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 OWNER grievance procedure, the CONTRACTOR agrees to abide by any decision of the OWNER which is rendered pursuant to said grievance procedure. If any action or administrative proceeding results in an award of damages against the OWNER or if the OWNER must 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 OWNER shall, as soon as practicable after a claim has been made against it, give written notice thereof to the CONTRACTOR along with frill and complete particulars of the claim. if any action or administrative proceedings is brought against the OWNER or any of its agents, servants, and employees, the OWNER shall expeditiously forward or have forwarded to the
CONTRACTOR every demand, complaint, notice, summons, pleading, or other process received by the OWNER or its representatives.
It is expressly agreed and understood that any approval by the OWNER 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
OWNER pursuant to this paragraph.
It is further agreed and understood that the OWNER 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 OWNER from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.
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 owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at law.
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
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 noncorporate 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
Corresponding Entity Listed in Part II
Address
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 City 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 City to notify the City 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 City to declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print):
Signature:
Date:
PAY TO PLAY ADVISORY
Disclosure Requirement
P.L. 2005, Chapter 271, Section 3 Reporting (N.J.S.A. 19:44A
– 20.27)
Any business entity that has received $50,000 or more in contracts from government entities in a calendar year will be required to file an annual disclosure report with ELEC.
The report will include certain contributions and contract information for the current calendar year.
At a minimum, a list of all business entities that file an annual disclosure report will be listed on ELEC’s website at www.elec.state.nj.us.
If you have any questions please contact ELEC at: 1-888-313- ELEC (toll free in NJ) or
609-292-8700
An analyst from ELEC’s Special Programs Section will assist you.
http://www.elec.state.nj.us/
Disclosure of Investment Activities in Iran
Person or Entity
Part 1: Certification
COMPLETE PART 1 BY CHECKING EITHER BOX.
Pursuant to Public Law 2012, c. 25, any person or 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, under penalty of perjury, that neither the person or entity, nor any parent entity, subsidiary, or affiliate is identified on the State Department of
Treasury's Chapter 25 list as a person or entity engaging in investment activities in Iran. The list is found on
Treasury’s website at www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
The Chapter 25 list must be reviewed prior 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, rule or contract, including but not limited to imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.
I certify, pursuant to Public Law 2012, c. 25, that neither the person or entity listed above, nor any parent entity, subsidiary, or affiliate thereof is listed on the N.J. Department of the
Treasury’s list of entities determined to be engaged in prohibited 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.
I am 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 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.
http://www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf
Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate and precise description of the activities of the person or entity, or a parent entity, subsidiary, or affiliate thereof engaging in investment activates in Iran below and, if more space is needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments there to the best of my knowledge are true and complete. I attest that I am authorized to execute this certification on behalf of the above-referenced person or entity.
I acknowledge that the City is relying on the information contained herein and thereby acknowledge that I am under a continuing obligation from the date of this certification through the completion of any contracts with the
City to notify the City in writing of any changes to the answers of information contained herein.
I acknowledge 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 recognize that I am subject to criminal prosecution under the law and that it will also constitute a material breach of my agreement(s) with the City and that the City at its option may declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print)
Title
Signature
Date
CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED
ACTIVITIES IN RUSSIA OR BELARUS
Pursuant to N.J.S.A. 52:32-60.1, et seq. (L. 2022, c. 3) any person or entity (hereinafter “Vendori”) that seeks to enter into or renew a contract with a State agency for the provision of goods or services, or the purchase of bonds or other obligations, must complete the certification below indicating whether or not the Vendor is identified on the Office of Foreign Assets Control
(OFAC) Specially Designated Nationals and Blocked Persons list, available here: https://sanctionssearch.ofac.treas.gov/. If the
Department of the Treasury finds that a Vendor has made a certification in violation of the law, it shall take any action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.
I, the undersigned, certify that I have read the definition of “Vendor” below, and have reviewed the Office of Foreign Assets
Control (OFAC) Specially Designated Nationals and Blocked Persons list, and having done so certify:
(Check the Appropriate Box)
A.
That the Vendor is not identified on the OFAC Specially Designated Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus.
B. That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially
Designated Nationals and Blocked Persons list on account of activity related to Russia and/or Belarus.
C.
That I am unable to certify as to “A” above, because the Vendor is identified on the OFAC Specially
Designated Nationals and Blocked Persons list. However, the Vendor is engaged in activity related to Russia and/or Belarus consistent with federal law, regulation, license or exemption. A detailed description of how the Vendor’s activity related to Russia and/or Belarus is consistent with federal law is set forth below.
(Attach Additional Sheets If Necessary.)
Signature of Vendor’s Authorized Representative Date
Print Name and Title of Vendor’s Authorized Representative Vendor’s FEIN
Vendor’s Name Vendor’s Phone Number https://pub.njleg.state.nj.us/Bills/2022/PL22/3_.PDF https://sanctionssearch.ofac.treas.gov/ https://sanctionssearch.ofac.treas.gov/ https://sanctionssearch.ofac.treas.gov/ https://sanctionssearch.ofac.treas.gov/ https://sanctionssearch.ofac.treas.gov/ https://sanctionssearch.ofac.treas.gov/
Vendor’s Address (Street Address) Vendor’s Fax Number
Vendor’s Address (City/State/Zip Code) Vendor’s Email Address i Vendor means: (1) A natural person, corporation, company, limited partnership, limited liability partnership, limited liability company, business association, sole proprietorship, joint venture, partnership, society, trust, or any other nongovernmental entity, organization, or group; (2) Any governmental entity or instrumentality of a government, including a multilateral development institution, as defined in Section 1701(c)(3) of the International Financial Institutions Act, 22 U.S.C. 262r(c)(3); or (3) Any parent, successor, subunit, direct or indirect subsidiary, or any entity under common ownership or control with, any entity described in paragraph (1) or (2).
NJ Rev. 1.22.2024
NON COLLUSION AFFIDAVIT
STATE OF NEW JERSEY
City of Cape May:
I certify that I am _______________________________________________________________ of the firm of __________________________________________________________________ the Respondent making this Proposal for the bid or proposal for the above named project, that I executed the said proposal with full authority to do so; that said bidder has not, directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free, competitive bidding in connection with the above named project; and that all statements contained in said proposal and this affidavit are true, correct, and made with full knowledge that the City relies upon the truth of the statements contained in said Proposals and in the statements contained in this affidavit in awarding the contract for the said project.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies.
Signature of Representative:
Subscribed and sworn to before me this_________ day of ___________________, 20_______
Print Name of Affiant:___________________________________________________________
Notary Public of ____________________________
My commission expires_______________________
*This form MUST be completed, notarized and submitted with the bid document*
File details come from the government source that posted it. Updated .